A Study of Vobramitamab Duocarmazine in Participants With Metastatic Castration Resistant Prostate Cancer and Other Solid Tumors

NCT ID: NCT05551117

Last Updated: 2025-02-18

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

192 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-13

Study Completion Date

2025-01-23

Brief Summary

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Study CP-MGC018-03 is an open-label, two-part, Phase 2 study. Part 1 of the study will enroll participants with metastatic castration-resistant prostate cancer (mCRPC) previously treated with one prior androgen receptor axis-targeted therapy (ARAT). ARAT includes abiraterone, enzalutamide, or apalutamide.

Participants may have received up to 1 prior docetaxel-containing regimen, but no other chemotherapy agents.

This part of the study will assess the efficacy and tolerability of vobramitamab duocarmazine (MGC018) in two experimental arms (2.0 mg/kg every 4 weeks \[Q4W\] and 2.7 mg/kg Q4W) . Approximately 100 participants will be randomized 1:1.

Part 2 of the study will enroll participants with locally advanced or metastatic solid tumors. Participants must have progressive following at least 1 prior line of standard chemotherapy for advanced or metastatic disease. Participants will receive vobramitamab duocarmazine at a dose of 2.7 mg/kg every 4 weeks. Up to 200 participants may be enrolled in Part 2.

In both parts, vobramitamab duocarmazine will be administered intravenously (IV) in clinic on Day 1 of each 4-week cycle. Vobramitamab duocarmazine will be administered until criteria for treatment discontinuation are met. Participants will undergo regular testing for signs of disease progression using computed tomography (CT) scans, magnetic resonance imaging (MRI), bone scans, and prostate-specific antigen (PSA) blood tests. Routine examinations and blood tests will be performed and evaluated by the study doctor.

Detailed Description

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Conditions

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Castration-Resistant Prostatic Cancer Androgen-Independent Prostatic Cancer Androgen-Insensitive Prostatic Cancer Androgen-Resistant Prostatic Cancer Hormone Refractory Prostatic Cancer Anal Cancer Anal Neoplasm Carcinoma, Squamous Cell of Head and Neck Head and Neck Squamous Cell Carcinoma Laryngeal Squamous Cell Carcinoma Oral Squamous Cell Carcinoma Malignant Melanoma Melanoma Non-small Cell Lung Cancer Non-small Cell Carcinoma Small-cell Lung Cancer Small Cell Carcinoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Part 1: MGC018 2.0 mg (Arm A)

MGC018 2.0 mg/kg every 4 weeks

Group Type EXPERIMENTAL

vobramitamab duocarmazine 2.0 mg (Arm A)

Intervention Type BIOLOGICAL

2.0 mg/kg intravenous (IV) every 4 weeks

Part 1: MGC018 2.7 mg (Arm B)

MGC018 2.7 mg/kg every 4 weeks

Group Type EXPERIMENTAL

vobramitamab duocarmazine 2.7 mg (Arm B)

Intervention Type BIOLOGICAL

2.7 mg.kg IV every 4 weeks

Part 2

MGC018 2.7 mg/kg every 4 weeks

Group Type EXPERIMENTAL

vobramitamab duocarmazine

Intervention Type BIOLOGICAL

2.7 mg.kg IV every 4 weeks

Part 1: Control Arm

Patients are administered abiraterone or enzalutamide

Group Type ACTIVE_COMPARATOR

Abiraterone

Intervention Type DRUG

1000 mg once daily

Enzalutamide

Intervention Type DRUG

160 mg daily

Interventions

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vobramitamab duocarmazine 2.0 mg (Arm A)

2.0 mg/kg intravenous (IV) every 4 weeks

Intervention Type BIOLOGICAL

vobramitamab duocarmazine 2.7 mg (Arm B)

2.7 mg.kg IV every 4 weeks

Intervention Type BIOLOGICAL

vobramitamab duocarmazine

2.7 mg.kg IV every 4 weeks

Intervention Type BIOLOGICAL

Abiraterone

1000 mg once daily

Intervention Type DRUG

Enzalutamide

160 mg daily

Intervention Type DRUG

Other Intervention Names

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MGC018 MGC018 MGC018

Eligibility Criteria

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Inclusion Criteria

* Part 1 only: Histologically confirmed adenocarcinoma of the prostate without evidence of neuroendocrine differentiation, signet cell, or small cell features.
* Part 2 only: Histologically confirmed SCC or the anus, melanoma, HNSCC, squamous NSCLC, or SCLC.
* Part 1 only: Received 1 prior ARAT for metastatic or non-metastatic, castration-sensitive or castration-resistant prostate cancer. A second ARAT regimen of \<60 days used as bridging to lutetium-177 is permitted. Up to 3 total prior lines of therapy for mCRPC are permitted..
* Part 2 only: At least 1 prior line of systemic therapy for unresectable or metastatic disease and no more than 2 prior lines of cytotoxic chemotherapy. Participants with HNSCC or melanoma must have received prior PD-1 or PD-L1 inhibitor for advanced or metastatic disease.
* All participants must have ≥ 1 metastatic lesion, according to RECIST 1.1 or PCWG3 criteria, that is present on magnetic resonance imaging (MRI), computed tomography (CT), or bone scan obtained ≤ 28 days prior to initiation of study treatment.
* All participants must have tumor progression, according to disease-specific criteria, following their most recent anti-cancer therapy.
* All participants must have and available archival or formalin-fixed paraffin-embedded (FFPE) tumor tissue sample for participants with metastasis to internal organs
* All participants have acceptable physical condition and laboratory values.
* All participants of childbearing potential must agree to use highly effective methods of birth control.
* All participants must not be pregnant, planning to be pregnant, or breastfeeding.

Exclusion Criteria

* Any underlying medical or psychiatric condition impairing participant's ability to receive, tolerate, or comply with the planned treatment or study procedures.
* Part 1 only: Received \>1 prior taxane-containing regimen for prostate cancer. A second taxane regimen of \<60 days used as bridging for lutetium-177 is permitted.
* Part 1 only: Received \>3 total prior therapies for mCRPC
* Part 1 only: Participants with known BRCA or ATM mutation (germline or somatic) are not eligible unless they received prior treatment with a PARP inhibitor where available, indicated and tolerated.
* Another hematologic or solid tumor ≥ stage 1 malignancy that completed surgery, last dose of radiotherapy, or last dose of systemic anti-cancer therapy ≤ 2 years from first dose of study treatment. Participants who had curative therapy for non-melanomatous skin cancer or for localized malignancy are eligible.
* Untreated, symptomatic central nervous system (CNS) metastasis.
* Prior treatment with any B7-H3 targeted agent for cancer,
* Contradictions to the use of corticosteroid treatment
* Prior stem cell, tissue, or solid organ transplant.
* Part 1 only: Use of products that have published anti-prostate cancer activity or are known to decrease PSA.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MacroGenics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Liudmila Schafer, M.D.

Role: STUDY_DIRECTOR

MacroGenics

Locations

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Compassionate Cancer Care Medical Group

Fountain Valley, California, United States

Site Status

University of California Los Angeles (UCLA) Community Cancer Care

Los Angeles, California, United States

Site Status

The University of Florida Health System - UF Health Urology - Jacksonville

Jacksonville, Florida, United States

Site Status

Mid Florida Hematology and Oncology Center

Orange City, Florida, United States

Site Status

Pontchartrain Cancer Center

Covington, Louisiana, United States

Site Status

The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Baltimore, Maryland, United States

Site Status

Barbara Ann Karmanos Cancer Institute - Hudson-Webber Cancer Research Center

Detroit, Michigan, United States

Site Status

Masonic Cancer Center, University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Gabrail Cancer Center

Canton, Ohio, United States

Site Status

VA Portland Health Care Services

Portland, Oregon, United States

Site Status

Carolina Urologic Research Center

Myrtle Beach, South Carolina, United States

Site Status

University of Virginia Comprehensive Cancer Center

Charlottesville, Virginia, United States

Site Status

Virginia Cancer Specalists

Fairfax, Virginia, United States

Site Status

Fred Hutchinson Cancer Center

Seattle, Washington, United States

Site Status

Ramsay Health Care - Westmead Private Hospital

Westmead, New South Wales, Australia

Site Status

The University of Queensland (UQ) - Princess Alexandra Hospital (PAH)

Woolloongabba, Queensland, Australia

Site Status

Cabrini Health- Malvern

Malvern, Victoria, Australia

Site Status

Peter MacCallum Cancer Centre

Melbourne, Victoria, Australia

Site Status

Cliniques Universitaires Saint-Luc

Woluwe-Saint-Lambert, Brussles, Belgium

Site Status

(Grand Hopital de Charleroi) GHDC

Charleroi, Hainaut, Belgium

Site Status

Centre Hospitalier de Ardenne - Libramont - Clinique du Sein

Libramont, Luxembourg, Belgium

Site Status

Centre Hospitalier Universitaire (CHU) - Universite Catholique de Louvain (UCL) - Namur - Site Godinne (Cliniques Universitaires UCL de Mont-Godinne)

Godinne, Namur, Belgium

Site Status

Algemeen Ziekenhuis Maria Middelares

Ghent, , Belgium

Site Status

Centre Antoine-Lacassagne

Nice, AM, France

Site Status

Institut de Cancerologie Strasbourg Europe (ICANS)

Strasbourg, Bas Rhin, France

Site Status

Institut Bergonié

Bordeaux, Gironde, France

Site Status

Institut régional du Cancer de Montpellier - ICM Val d'Aurelle

Montpellier, Herault, France

Site Status

Centre Hospitalier Privé Saint-Grégoire

Saint-Grégoire, Ille Et Vilaine, France

Site Status

Clinique Victor Hugo

Le Mans, Sarthe, France

Site Status

Gustave Roussy

Villejuif, Val De Marne, France

Site Status

CHRU Brest

Brest, , France

Site Status

Institut Mutualiste Montsouris

Paris, , France

Site Status

Hôpital d'Instruction des Armées Bégin

Saint-Mandé, Île-de-France Region, France

Site Status

Hopital Foch

Suresnes, Île-de-France Region, France

Site Status

AOU San Luigi Gonzaga Oncology Department

Orbassano, TO, Italy

Site Status

Ospedale dell'Angelo

Mestre, Venice, Italy

Site Status

Radiation Oncology Unit, Azienda Ospedaliera Universitaria Careggi, University of Florence

Florence, , Italy

Site Status

Istituto Oncologico Veneto

Padua, , Italy

Site Status

Azienda Provinciale per i Servizi Sanitari - Presidio Ospedaliero S. Chiara

Trento, , Italy

Site Status

Szpital im. Fryderyka Chopina

Otwock, Masovian Voivodeship, Poland

Site Status

Magodent Szpital Elblaska

Warsaw, Masovian Voivodeship, Poland

Site Status

Medical Concierge Centrum Medyczne

Warsaw, Masovian Voivodeship, Poland

Site Status

Grochowski Hospital

Warsaw, Masovian Voivodeship, Poland

Site Status

Szpital Wojewodzki im. Mikolaja Kopernika

Koszalin, West Pomeranian Voivodeship, Poland

Site Status

Przychodnia Lekarska "KOMED"

Konin, WLKP, Poland

Site Status

Kyungpook National University Chilgok Hospital

Bugok, Daegu, South Korea

Site Status

National Cancer Center

Goyang-si, Gyeonggi-do, South Korea

Site Status

Chonnam National University Hospital

Gwangju, , South Korea

Site Status

Seoul National University Hopital

Seoul, , South Korea

Site Status

Yonsei University Health System, Severance Hospital

Seoul, , South Korea

Site Status

Samsung Meical Cemter

Seoul, , South Korea

Site Status

Ewha Womans University Mokdong Hospital

Seoul, , South Korea

Site Status

Asan Medical Center

Seoul, , South Korea

Site Status

Hospital Universitari Parc Taulí

Sabadell, Barcelona, Spain

Site Status

Hospital Universitario Virgen del Rocio

Seville, Seville, Spain

Site Status

Hospital Del Mar

Barcelona, , Spain

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Hospital de la Santa Creu I Sant Pau

Barcelona, , Spain

Site Status

Institut Catala d'Oncologia Hospitalet

Barcelona, , Spain

Site Status

Hospital Universitario Lucus Augusti

Lugo, , Spain

Site Status

Hospital Universitario 12 de Octubre

Madrid, , Spain

Site Status

The Royal Marsden NHS Trust

Sutton, Surrey, United Kingdom

Site Status

Oxford University Hospitals NHS- Churchill Hospital

Oxford, , United Kingdom

Site Status

Countries

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United States Australia Belgium France Italy Poland South Korea Spain United Kingdom

Other Identifiers

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CP-MGC018-03

Identifier Type: -

Identifier Source: org_study_id

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