A Study of Mevrometostat for Treatment of Relapsed/Refractory SCLC, Castration Resistant Prostate Cancer, and Follicular Lymphoma

NCT ID: NCT03460977

Last Updated: 2025-11-14

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

433 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-04-17

Study Completion Date

2029-03-14

Brief Summary

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The purpose of this study is to learn about the safety and effects of the study medicine (called Mevrometostat) for the possible treatment of Relapsed/ Refractory Small Cell Lung Cancer (SCLC), Castration Resistant Prostate Cancer (CRPC) and Follicular Lymphoma (FL). The study consists of 3 parts; Part 1 and 2 enrolled participants with SCLC, metastatic CRPC, and FL are closed for enrollment.

Part 3, which is open for enrollment is seeking men who:

* have Castration Resistant Prostate Cancer (CRPC) and
* have previously received treatment for CRPC and have progressed from the last treatment

All participants in Part 3 of this study will receive mevrometostat and/ or enzalutamide. Part 3 consists of 2 sub studies each has an assessment phase and a maintenance phase.

In the assessment phase:

* participants in the BE substudy will take 3 single doses of mevrometostat by mouth over 3 periods.
* participants in the DDI substudy will take mevrometostat 2 times a day, with or without enzalutamide 1 time a day, and/or itraconazole 1 time a day based on a present schedule.

After completion of the assessment phase, participants will enter the maintenance phase where they will receive mevrometostat 2 times a day and enzalutamide 1 time a day by mouth until their cancer is no longer responding.

The studywill look at the experiences of participanrs receiving the study medicine. This will help see if the study medicine is safe and effective.

Detailed Description

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This is an open label, multi center, Phase 1 dose escalation and dose expansion study of mevrometostat (PF-06821497) administered orally BID as a single agent or in combination with SOC to patients with CRPC, SCLC, and FL. The study consists of three parts (Part 1, Part 2, and Part 3) along with the Japan and China monotherapy cohorts. Part 1 and Part 2 are closed for enrollment. Part 1 tested monotherapy in 3 cohorts (Parts 1A, 1B, and 1C); Part 2 tested combination therapy in Parts 2A (dose escalation), 2B and 2C (does expansion).

Part 3 consists of the Bioequivalence (BE) and drug-drug interaction (DDI) substudies and are open for enrollment. The BE substudy will test between 2 mevrometostat formulation to confirm that they work in the body the same way. The DDI substudy will evaluate the effect of a strong CYP3A4 (an enzyme in your body that breaks down/ removes drugs) inhibitor on the PK of mevrometostat; a strong CYP3A4 inhibitor may slow down the breakdown/ removal of drugs in your body.

Conditions

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Metastatic Castration Resistant Prostate Cancer (mCRPC) Small Cell Lung Cancer (SCLC) Follicular Lymphoma (FL)

Keywords

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EZH2 enhancer of zeste homolog 2 castrate resistant prostate cancer prostatecancer-study.com mCRPC efficacy safety pharmacokinetics pharmacodynamics dose escalation dose expansion open-label small cell lung cancer SCLC follicular lymphoma FL relapsed refractory

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dose Escalation (Part 1A)

Participants with SCLC, CRPC and FL will receive mevrometostat at escalating dose levels

Group Type EXPERIMENTAL

Mervometostat (PF-06821497)

Intervention Type DRUG

Oral continuous

Dose Escalation (Part 1B)

Participants with FL will receive mevrometostat at escalating dose levels

Group Type EXPERIMENTAL

Mervometostat (PF-06821497)

Intervention Type DRUG

Oral continuous

Dose Escalation (Part 1C)

Participants with mCRPC will receive PF-06821497 at escalating dose levels.

Group Type EXPERIMENTAL

Mervometostat (PF-06821497)

Intervention Type DRUG

Oral continuous

Dose Escalation (Part 2A)

Participants with mCRPC and SCLC will receive mevrometostat at escalating dose levels in combination with SOC.

Group Type EXPERIMENTAL

Mervometostat (PF-06821497)

Intervention Type DRUG

Oral continuous

Enzalutamide

Intervention Type DRUG

Oral continuous

Dose Expansion (Part 2B)

Participants with CRPC will receive mevrometostat in combination with SOC or SOC alone.

Group Type EXPERIMENTAL

Mervometostat (PF-06821497)

Intervention Type DRUG

Oral continuous

Enzalutamide

Intervention Type DRUG

Oral continuous

Japan Cohort

Participants with CRPC will receive mevrometostat at one or two doses

Group Type EXPERIMENTAL

Mervometostat (PF-06821497)

Intervention Type DRUG

Oral continuous

China cohort

Participants will receive mevrometostat at one or two doses

Group Type EXPERIMENTAL

Mervometostat (PF-06821497)

Intervention Type DRUG

Oral continuous

Dose Expansion (Part 2C)

Participants with mCRPC will receive mevrometostat at a different dose/dosing regimen than that of Part 2B in combination with SOC

Group Type EXPERIMENTAL

Mervometostat (PF-06821497)

Intervention Type DRUG

Oral continuous

Enzalutamide

Intervention Type DRUG

Oral continuous

BE Substudy

In the assessment phase, each enrolled participant will receive single doses of the 2 different mevrometostat formulations in 3 periods with alternating dosing and washout between each dose. In the maintenance phase, each participant will receive mevrometostat 2 times a day and enzalutamide 1 time a day.

Group Type EXPERIMENTAL

Mervometostat (PF-06821497)

Intervention Type DRUG

Oral continuous

Enzalutamide

Intervention Type DRUG

Oral continuous

DDI Substudy

In the assessment phase, each enrolled participant will receive a combination of mevrometostat, enzalutamide, and itraconazole based on preset schedule. In the maintenance phase, each participant will receive mevrometostat 2 times a day and enzalutamide 1 time a day.

Group Type EXPERIMENTAL

Mervometostat (PF-06821497)

Intervention Type DRUG

Oral continuous

Enzalutamide

Intervention Type DRUG

Oral continuous

Interventions

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Mervometostat (PF-06821497)

Oral continuous

Intervention Type DRUG

Enzalutamide

Oral continuous

Intervention Type DRUG

Other Intervention Names

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EZH2i Xtandi

Eligibility Criteria

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Inclusion Criteria

* Histological or cytological diagnosis of castration resistant prostate cancer.
* Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) of 0-2 with expected life expectancy of at least 6 months.
* Adequate bone marrow, renal, and liver function

Exclusion Criteria

* Prior irradiation to \>25% of the bone marrow.
* QTcF interval \>480 msec at screening.
* Hypertension that cannot be controlled by medications (\>150/90 mmHg despite optimal medical therapy).
* Known or suspected hypersensitivity to PF 06821497 or any components or enzalutamide (CRPC)
* Active inflammatory gastrointestinal disease, chronic diarrhea, known diverticular disease or previous gastric resection or lap band surgery.
* Current use or anticipated need for food or drugs that are known strong and moderate CYP3A4/5 inducers or inhibitors
* Prior enzalutamide within the last 4 weeks
* DDI SUBSTUDY:
* history of CHF or evidence of ventricular dysfunction
* fructose intolerance
* coadministration of CYP3A4 substrates
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Banner-University Medical Center Tucson

Tucson, Arizona, United States

Site Status ACTIVE_NOT_RECRUITING

The University of Arizona Cancer Center-North Campus

Tucson, Arizona, United States

Site Status ACTIVE_NOT_RECRUITING

The University of Arizona Cancer Center

Tucson, Arizona, United States

Site Status ACTIVE_NOT_RECRUITING

Arizona Urology Specialists, PLLC

Tucson, Arizona, United States

Site Status RECRUITING

Pacific Cancer Medical Center INC

Anaheim, California, United States

Site Status ACTIVE_NOT_RECRUITING

City of Hope (City of Hope National Medical Center, City of Hope Medical Center)

Duarte, California, United States

Site Status ACTIVE_NOT_RECRUITING

City of Hope Investigational Drug Services (IDS)

Duarte, California, United States

Site Status ACTIVE_NOT_RECRUITING

Norwalk Hospital

Norwalk, Connecticut, United States

Site Status RECRUITING

The University of Kansas Cancer Center, Investigational Drug Services

Fairway, Kansas, United States

Site Status ACTIVE_NOT_RECRUITING

The University of Kansas Clinical Research Center

Fairway, Kansas, United States

Site Status ACTIVE_NOT_RECRUITING

The University of Kansas Hospital

Kansas City, Kansas, United States

Site Status ACTIVE_NOT_RECRUITING

The University of Kansas Medical Center Medical Office Building

Kansas City, Kansas, United States

Site Status ACTIVE_NOT_RECRUITING

The University of Kansas Cancer Center - Indian Creek Campus

Overland Park, Kansas, United States

Site Status ACTIVE_NOT_RECRUITING

The University of Kansas Cancer Center

Westwood, Kansas, United States

Site Status ACTIVE_NOT_RECRUITING

Norton Cancer Institute Pharmacy, Downtown Pharmacy

Louisville, Kentucky, United States

Site Status ACTIVE_NOT_RECRUITING

Norton Cancer Institute Pharmacy

Louisville, Kentucky, United States

Site Status ACTIVE_NOT_RECRUITING

Norton Cancer Institute, Norton Healthcare Pavilion

Louisville, Kentucky, United States

Site Status ACTIVE_NOT_RECRUITING

Norton Hospital

Louisville, Kentucky, United States

Site Status ACTIVE_NOT_RECRUITING

Maryland Oncology Hematology, P.A.

Rockville, Maryland, United States

Site Status TERMINATED

Brigham and Women's Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status RECRUITING

Dana Farber Cancer Institute- Chestnut Hill

Newton, Massachusetts, United States

Site Status RECRUITING

Oncology Hematology West, PC dba Nebraska Cancer Specialists

Omaha, Nebraska, United States

Site Status RECRUITING

Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status ACTIVE_NOT_RECRUITING

John Theurer Cancer Center at Hackensack University Medical Center

Hackensack, New Jersey, United States

Site Status ACTIVE_NOT_RECRUITING

OU Health University of Oklahoma Medical Center

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Stephenson Cancer Center

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Carolina Urologic Research Center

Myrtle Beach, South Carolina, United States

Site Status RECRUITING

Parkway Surgery Center

Myrtle Beach, South Carolina, United States

Site Status RECRUITING

Tennessee Oncology, PLLC

Dickson, Tennessee, United States

Site Status RECRUITING

Tennessee Oncology PLLC

Franklin, Tennessee, United States

Site Status RECRUITING

Tennessee Oncology, PLLC

Gallatin, Tennessee, United States

Site Status RECRUITING

Tenessee Oncology, PLLC

Hendersonville, Tennessee, United States

Site Status RECRUITING

Tennessee Oncology, PLLC

Hermitage, Tennessee, United States

Site Status RECRUITING

Tennessee Oncology, PLLC

Lebanon, Tennessee, United States

Site Status RECRUITING

Tennessee Oncology PLLC

Murfreesboro, Tennessee, United States

Site Status RECRUITING

Sarah Cannon Research Institute - Pharmacy

Nashville, Tennessee, United States

Site Status RECRUITING

Tennessee Oncolgy, PLLC

Nashville, Tennessee, United States

Site Status RECRUITING

Tennessee Oncology PLLC

Nashville, Tennessee, United States

Site Status RECRUITING

Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Site Status RECRUITING

Tennessee Oncology-PLLC

Nashville, Tennessee, United States

Site Status RECRUITING

The Sarah Cannon Research Institute

Nashville, Tennessee, United States

Site Status RECRUITING

Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Site Status RECRUITING

Tennessee Oncology PLLC

Nashville, Tennessee, United States

Site Status RECRUITING

Tennessee Oncology, PLLC

Nashville, Tennessee, United States

Site Status RECRUITING

Tennessee Oncology, PLLC

Shelbyville, Tennessee, United States

Site Status RECRUITING

Tennessee Oncology, PLLC

Smyrna, Tennessee, United States

Site Status RECRUITING

Texas Oncology - Austin Midtown

Austin, Texas, United States

Site Status TERMINATED

University of Texas Southwestern Medical Center - Simmons Cancer Center

Dallas, Texas, United States

Site Status RECRUITING

UT Southwestern Medical Center

Dallas, Texas, United States

Site Status RECRUITING

UT Southwestern University Hospital - William P. Clements, Jr

Dallas, Texas, United States

Site Status RECRUITING

UT Southwestern University Hospital - Zale Lipshy

Dallas, Texas, United States

Site Status RECRUITING

US Oncology Investigational Product Center (IPC)

Irving, Texas, United States

Site Status TERMINATED

US Oncology Investigational Products Center

Irving, Texas, United States

Site Status TERMINATED

NEXT Oncology

San Antonio, Texas, United States

Site Status ACTIVE_NOT_RECRUITING

Virginia Cancer Specialists, PC

Fairfax, Virginia, United States

Site Status RECRUITING

Olympic Medical Center

Port Angeles, Washington, United States

Site Status RECRUITING

Fred Hutchinson Cancer Center Alliance Peninsula

Poulsbo, Washington, United States

Site Status RECRUITING

Fred Hutchinson Cancer Center

Seattle, Washington, United States

Site Status RECRUITING

Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status RECRUITING

University of Washington Medical Center

Seattle, Washington, United States

Site Status RECRUITING

Specialized Hospital for Active Treatment of Oncology - Haskovo

Haskovo, , Bulgaria

Site Status TERMINATED

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

Hunan Cancer Hospital

Changsha, Hunan, China

Site Status RECRUITING

Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School

Nanjing, Jiangsu, China

Site Status RECRUITING

Zhongda Hospital Southeast University

Nanjing, Jiangsu, China

Site Status RECRUITING

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status RECRUITING

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Site Status RECRUITING

National Cancer Center Hospital East

Kashiwa, Chiba, Japan

Site Status ACTIVE_NOT_RECRUITING

Szpital Wojewódzki im. Mikołaja Kopernika w Koszalinie

Koszalin, , Poland

Site Status ACTIVE_NOT_RECRUITING

Centrum Diagnostyczne Affidea Koszalin

Koszalin, , Poland

Site Status ACTIVE_NOT_RECRUITING

Centrum Medyczne MEDYK

Rzeszów, , Poland

Site Status ACTIVE_NOT_RECRUITING

LUX MED Onkologia Sp. z o.o. Szpital Szamocka

Warsaw, , Poland

Site Status NOT_YET_RECRUITING

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie

Warsaw, , Poland

Site Status ACTIVE_NOT_RECRUITING

Private Medical Institution "Euromedservice"

Pushkin, Sankt-Peterburg, Russia

Site Status ACTIVE_NOT_RECRUITING

LLC "Neyro-klinika"

Moscow, , Russia

Site Status ACTIVE_NOT_RECRUITING

Moscow GBUZ "City clinical hospital n. a. S.P. Botkina" of Moscow health department

Moscow, , Russia

Site Status TERMINATED

SBHI of Moscow City Clinical Hospital

Moscow, , Russia

Site Status TERMINATED

Budgetary Healthcare Institution of Omsk region "Clinical Oncological Dispensary"

Omsk, , Russia

Site Status TERMINATED

Non-governmental Healthcare Institution ¨Railway Clinical Hospital of JSC ¨Russian Railways¨

Saint Petersburg, , Russia

Site Status ACTIVE_NOT_RECRUITING

Federal State Budgetary Institution National Medical Research Center n.a. V.A. Almazov

Saint Petersburg, , Russia

Site Status TERMINATED

Federal State Budgetary Institution National Medical Research Center for Oncology n.a. N.N.

Saint Petersburg, , Russia

Site Status TERMINATED

Saint Petersburg State Budgetary Healthcare Institution "City Clinical Oncological Dispensary"

Saint Petersburg, , Russia

Site Status TERMINATED

State Budgetary Healthcare Institution of the Yaroslavl Region

Yaroslavl, , Russia

Site Status TERMINATED

Seoul National University Bundang Hospital

Seongnam, Kyǒnggi-do, South Korea

Site Status RECRUITING

Seoul National University Hospital

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status ACTIVE_NOT_RECRUITING

Severance Hospital, Yonsei University Health System

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status RECRUITING

Ewha Womans University Mokdong Hospital

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status ACTIVE_NOT_RECRUITING

Chungnam national university hospital

Daejeon, Taejǒn-kwangyǒkshi, South Korea

Site Status ACTIVE_NOT_RECRUITING

Institut Català d´Oncología (ICO)-H. Durán i Reynals

L'Hospitalet de Llobregat, Barecelona, Spain

Site Status RECRUITING

Consorcio Hospitalario Provincial de Castellon

Castellon, Castellon, Spain

Site Status ACTIVE_NOT_RECRUITING

Hospital Quironsalud Madrid

Pozuelo de Alarcón, Madrid, Spain

Site Status RECRUITING

Hospital Quironsalud Barcelona

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status RECRUITING

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status RECRUITING

Hospital Universitario Ramon y Cajal

Madrid, , Spain

Site Status RECRUITING

H.U. Fundación Jiménez Díaz

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario 12 De Octubre

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario HM Sanchinarro

Madrid, , Spain

Site Status RECRUITING

START Madrid CIOCC - HM Sanchinarro Hospital

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Virgen de la Victoria

Málaga, , Spain

Site Status RECRUITING

Hospital Universitari i Politecnic La Fe

Valencia, , Spain

Site Status RECRUITING

Countries

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Italy United States Bulgaria China Japan Poland Russia South Korea Spain

Central Contacts

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Pfizer CT.gov Call Center

Role: CONTACT

Phone: 1-800-718-1021

Email: [email protected]

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=C2321001

To obtain contact information for a study center near you, click here.

Other Identifiers

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EZH2

Identifier Type: OTHER

Identifier Source: secondary_id

2023-509179-18-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

C2321001

Identifier Type: -

Identifier Source: org_study_id