Trial Outcomes & Findings for Neoadjuvant Dupilumab in Men With Localized High-Risk Prostate Cancer (NCT NCT03886493)
NCT ID: NCT03886493
Last Updated: 2021-10-15
Results Overview
Change in M2-TAM infiltration (number of macrophages / cell nuclei per high power field \[hpf\]) measured in pre- dupilumab biopsy to M2-TAM infiltration measured in post-dupilumab specimen collected at time of radical prostatectomy (up to 59 days post-intervention). Degree of TAM infiltration will be analyzed using immunohistochemical staining for CD206. It is hypothesized that a positive value will be associated with better outcome and a negative value will reflect a worse outcome.
TERMINATED
PHASE2
7 participants
change from baseline to up to 59 days post-intervention
2021-10-15
Participant Flow
Participant milestones
| Measure |
Dupixent Subcutaneous (SQ) Injection
Participants will be treated with dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43. They will then undergo surgery on day 57. 14 days after the last dose of Dupixent, prostate glands will be harvested at the time of radical prostatectomy, and prostate tissue will be examined for the secondary endpoints.
Dupilumab: dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43.
|
|---|---|
|
Overall Study
STARTED
|
7
|
|
Overall Study
COMPLETED
|
6
|
|
Overall Study
NOT COMPLETED
|
1
|
Reasons for withdrawal
| Measure |
Dupixent Subcutaneous (SQ) Injection
Participants will be treated with dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43. They will then undergo surgery on day 57. 14 days after the last dose of Dupixent, prostate glands will be harvested at the time of radical prostatectomy, and prostate tissue will be examined for the secondary endpoints.
Dupilumab: dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43.
|
|---|---|
|
Overall Study
Adverse Event
|
1
|
Baseline Characteristics
Neoadjuvant Dupilumab in Men With Localized High-Risk Prostate Cancer
Baseline characteristics by cohort
| Measure |
Dupixent Subcutaneous (SQ) Injection
n=7 Participants
Participants will be treated with dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43. They will then undergo surgery on day 57. 14 days after the last dose of Dupixent, prostate glands will be harvested at the time of radical prostatectomy, and prostate tissue will be examined for the secondary endpoints.
Dupilumab: dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43.
|
|---|---|
|
Age, Categorical
<=18 years
|
0 Participants
n=5 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
5 Participants
n=5 Participants
|
|
Age, Categorical
>=65 years
|
2 Participants
n=5 Participants
|
|
Sex: Female, Male
Female
|
0 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
7 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
0 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
7 Participants
n=5 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
1 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
6 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
|
Region of Enrollment
United States
|
7 Participants
n=5 Participants
|
PRIMARY outcome
Timeframe: change from baseline to up to 59 days post-interventionPopulation: Data could not be collected for this outcome measure due to COVID-19 pandemic restrictions.
Change in M2-TAM infiltration (number of macrophages / cell nuclei per high power field \[hpf\]) measured in pre- dupilumab biopsy to M2-TAM infiltration measured in post-dupilumab specimen collected at time of radical prostatectomy (up to 59 days post-intervention). Degree of TAM infiltration will be analyzed using immunohistochemical staining for CD206. It is hypothesized that a positive value will be associated with better outcome and a negative value will reflect a worse outcome.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: up to 59 days post-interventionAdverse events defined by NCI Common Toxicity Criteria version 4.0 (NCI CTCAE v4.0)
Outcome measures
| Measure |
Dupixent Subcutaneous (SQ) Injection
n=7 Participants
Participants will be treated with dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43. They will then undergo surgery on day 57. 14 days after the last dose of Dupixent, prostate glands will be harvested at the time of radical prostatectomy, and prostate tissue will be examined for the secondary endpoints.
Dupilumab: dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43.
|
|---|---|
|
Safety as Assessed by Number of Participants Experiencing Adverse Events
|
7 Participants
|
SECONDARY outcome
Timeframe: up to 59 days post-interventionPopulation: Only 6/7 participants had a prostatectomy.
Outcome measures
| Measure |
Dupixent Subcutaneous (SQ) Injection
n=6 Participants
Participants will be treated with dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43. They will then undergo surgery on day 57. 14 days after the last dose of Dupixent, prostate glands will be harvested at the time of radical prostatectomy, and prostate tissue will be examined for the secondary endpoints.
Dupilumab: dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43.
|
|---|---|
|
Feasibility as Assessed by Number of Participants Who Have an Average Blood Loss in Excess of 2500 mL During Prostatectomy
|
0 Participants
|
SECONDARY outcome
Timeframe: up to 59 days post-interventionPopulation: Only 6/7 participants had a prostatectomy.
Outcome measures
| Measure |
Dupixent Subcutaneous (SQ) Injection
n=6 Participants
Participants will be treated with dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43. They will then undergo surgery on day 57. 14 days after the last dose of Dupixent, prostate glands will be harvested at the time of radical prostatectomy, and prostate tissue will be examined for the secondary endpoints.
Dupilumab: dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43.
|
|---|---|
|
Feasibility as Assessed by Number of Participants With Average Prostatectomy Operative Time in Excess of 3.5 Hours
|
2 Participants
|
SECONDARY outcome
Timeframe: up to 59 days post-interventionPopulation: Only 6/7 participants had a prostatectomy
Outcome measures
| Measure |
Dupixent Subcutaneous (SQ) Injection
n=6 Participants
Participants will be treated with dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43. They will then undergo surgery on day 57. 14 days after the last dose of Dupixent, prostate glands will be harvested at the time of radical prostatectomy, and prostate tissue will be examined for the secondary endpoints.
Dupilumab: dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43.
|
|---|---|
|
Feasibility as Assessed by Number of Participants With Average Hospital Stay in Excess of 4 Days Post-prostatectomy
|
0 Participants
|
SECONDARY outcome
Timeframe: up to 59 days post-interventionPopulation: Data could not be collected for this outcome measure due to COVID-19 pandemic restrictions.
mean CD4+ T-cell staining percentage and CD4+/Treg ratio in harvested tumor tissue collected from prostatectomy specimen
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: up to 59 days post-interventionPopulation: Data could not be collected for this outcome measure due to COVID-19 pandemic restrictions.
mean CD4+ T-cell staining percentage and CD4+/Treg ratio in harvested tumor tissue collected from prostatectomy specimen
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: up to 59 days post-interventionPopulation: Data could not be collected for this outcome measure due to COVID-19 pandemic restrictions.
Mean staining percentage of Annexin V in tumor tissue, using TUNEL (Terminal deoxynucleotidyl transferase dUTP nick end labeling) staining.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: up to 59 days post-interventionPopulation: Data could not be collected for this outcome measure due to COVID-19 pandemic restrictions.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 1 month post-prostatectomyPopulation: Data could not be collected for this outcome measure due to COVID-19 pandemic restrictions.
Pathological response is defined as the absence of tumor identification by study pathologist on standard histological analysis of resected prostate specimens.
Outcome measures
Outcome data not reported
SECONDARY outcome
Timeframe: 2 months post-prostatectomyPopulation: Data could not be collected for this outcome measure due to COVID-19 pandemic restrictions.
Proportion of participants with PSA \<0.1ng/mL by 2 months after prostatectomy
Outcome measures
Outcome data not reported
Adverse Events
Dupixent Subcutaneous (SQ) Injection
Serious adverse events
Adverse event data not reported
Other adverse events
| Measure |
Dupixent Subcutaneous (SQ) Injection
n=7 participants at risk
Participants will be treated with dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43. They will then undergo surgery on day 57. 14 days after the last dose of Dupixent, prostate glands will be harvested at the time of radical prostatectomy, and prostate tissue will be examined for the secondary endpoints.
Dupilumab: dupilumab 600 mg SQ on day 1, and then 300 mg SQ on days 8,15, 22, 29, 36, 43.
|
|---|---|
|
Renal and urinary disorders
Urinary incontinence
|
71.4%
5/7 • Number of events 5 • up to 1 year
|
|
General disorders
Headache, intermittent
|
28.6%
2/7 • Number of events 2 • up to 1 year
|
|
Gastrointestinal disorders
Bloating
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Gastrointestinal disorders
Constipation
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Blood and lymphatic system disorders
edema in right calf and ankle
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Blood and lymphatic system disorders
elevated hemoglobin
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Eye disorders
eye pain
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
General disorders
Fatigue
|
28.6%
2/7 • Number of events 2 • up to 1 year
|
|
General disorders
Vivid dreams
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Metabolism and nutrition disorders
hyperkalemia
|
28.6%
2/7 • Number of events 2 • up to 1 year
|
|
Metabolism and nutrition disorders
hypocalcemia
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Metabolism and nutrition disorders
hypoglycemia
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Renal and urinary disorders
Increased creatinine
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Skin and subcutaneous tissue disorders
induration at injection site on abdomen
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Respiratory, thoracic and mediastinal disorders
laryngeal inflammation
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Metabolism and nutrition disorders
loss of appetite
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Skin and subcutaneous tissue disorders
maculo papular rash on abdomen
|
28.6%
2/7 • Number of events 2 • up to 1 year
|
|
Gastrointestinal disorders
nausea
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Skin and subcutaneous tissue disorders
pruritis at site of injection on abdomen
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Reproductive system and breast disorders
reproductive system disorder, other blood in ejaculate
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Skin and subcutaneous tissue disorders
Right AC bruising related to blood draw
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Skin and subcutaneous tissue disorders
Skin ulceration upper lip
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Gastrointestinal disorders
toothache
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
|
Renal and urinary disorders
urinary retention
|
14.3%
1/7 • Number of events 1 • up to 1 year
|
Additional Information
Kenneth Pienta, M.D.
Johns Hopkins University School of Medicine
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place