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An Open-Label, Phase 1/1b, Study of ORIC-944 in Patients with Metastatic Prostate Cancer
Cancer Categories
Genitourinary (GU)
Karmanos Trial ID
2022-031
NCT ID
NCT05413421
Age Group
Adult
Scope
National
Phase
Phase I
Includes initial studies to determine the metabolism and pharmacologic actions of drugs in humans, the side effects associated with increasing doses, and to gain early evidence of effectiveness; may include healthy participants and/or patients.
Phase I
Principal Investigator
Elisabeth
Heath, M.D., FACP
Oncology - Medical
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Objective:
Primary Objectives:
To assess the safety and tolerability of ORIC-944
To assess the pharmacokinetics (PK) of ORIC-944
Secondary Objectives:
To evaluate the preliminary antitumor activity of ORIC-944
Exploratory Objectives:
To evaluate additional indicators of antitumor activity of ORIC-944
To characterize and/or quantify metabolites of ORIC-944 in plasma
To evaluate target engagement and the association of pharmacodynamic (PD) biomarkers with ORIC-944 antitumor activity and/or PK
To evaluate the association between potential predictive biomarkers and antitumor activity of ORIC-944
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Eligibility
Locations
Applicable Disease Site
Therapies | Drugs | Devices
Eligibility
Eligibility
Inclusion Criteria:
Patients with metastatic prostate cancer, including those with neuroendocrine prostate cancer (NEPC) and/or small cell features
Must have undergone bilateral orchiectomy or be willing to continue GnRH analogue or antagonist to maintain castrate levels of testosterone
Any number of prior therapies are allowed, but must have progressed after at least one line of next generation androgen receptor antagonist (abiraterone, enzalutamide, apalutamide, darolutamide) and must not have received more than 2 chemotherapy regimens in the mCRPC setting
Evidence of progressive disease by PCWG3 criteria for study entry
rising PSA, defined as a minimum of 2 rising values obtained a minimum of one week apart with the latest result being at least 2.0 ng/mL (or 1.0 ng/mL if PSA rise is the only indication of progression), or
confirmation of 2 new bone lesions on last systemic therapy, or
soft tissue progression per RECIST 1.1
Measurable and/or evaluable disease by RECIST 1.1
Agreement and ability to undergo on-study punch skin biopsies and core tumor biopsies
ECOG performance status of 0 or 1
Adequate organ function
Exclusion Criteria:
History or presence of CNS metastases, unless previously treated and stable
History of class III or IV congestive heart failure or severe non-ischemic cardiomyopathy, unstable or poorly controlled angina, myocardial infarction, or ventricular arrhythmia within the previous 6 months
Known, symptomatic human immunodeficiency virus (HIV) infection
Active symptomatic Hepatitis B or C infection; patients with well controlled disease are eligible
Active gastrointestinal disease (eg, Crohn's disease, ulcerative colitis, short gut syndrome, etc) or other malabsorption syndromes that would reasonably impact drug absorption per investigator judgement
Any other condition or circumstance (eg, clinical, psychological, familial, sociological, inability to swallow oral study drug) that, in the opinion of the investigator, may interfere with protocol compliance or contraindicates participation in the study
Locations
Locations
Karmanos Cancer Institute - Detroit Headquarters
4100 John R
Detroit, MI 48201
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Phone:
800-527-6266
Karmanos Cancer Institute at Weisberg Cancer Center - Farmington Hills
31995 Northwestern Hwy
Farmington Hills, MI 48334
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Phone:
800-527-6266
Applicable Disease Site
Applicable Disease Site
Prostate
Therapies, Drugs, Devices
Therapies | Drugs | Devices
Therapies
Biological Therapy, Chemotherapy
Drugs
Apalutamide; Darolutamide; Enzalutamide; ORIC-944
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