Clinical Trial · NCT03030885

Use of an Experimental Radiopharmaceutical (131I-MIP-1095) in Men With Metastatic Castration-Resistant Prostate Cancer (mCRPC)

Overview

The main purpose of this study to determine the safety of an experimental medicine called 131I-MIP-1095. 131I-MIP-1095 is an investigational drug, meaning it has not been approved by the U.S. Food \& Drug Administration (FDA).

Sponsor

Memorial Sloan Kettering Cancer Center

Phase

Phase 1

Contacts

Michael Morris, MD (PRINCIPAL_INVESTIGATOR)

ClinicalTrials.gov

NCT03030885

Drug / Compound

MIP-1095

Isotope(s):

Target(s):

PSMA

Ligand Class: Small Molecules

Eligibility

Inclusion

platelet count ≥ 100,000/μL
Subjects must agree to use a medically acceptable method of birth control (e.g., spermicide in conjunction with a barrier such as a condom) or sexual abstinence for the duration of the study, including 30 days after the last dose of study drug. Sperm donation is prohibited during the study and for 30 days after the last dose of study drug. Female partners must use hormonal or barrier contraception unless postmenopausal or abstinent.
Adequate organ reserve as evidenced by:
Subjects must have metastatic disease detectable by either bone scan or cross sectional imaging by CT or MRI as per the PCWG3 guidelines
Subjects must be castration resistant with evidence of progressive prostate cancer despite castrate levels of testosterone (≤ 50 ng/dL) according to the PCWG3 criteria
Subjects who received combined androgen blockade as their first-line hormonal therapy with an antiandrogen must have shown PSA progression after discontinuing the antiandrogen for ≥ 6 weeks prior to study treatment. No washout is needed after abiraterone or enzalutamide are discontinued. First generation antiandrogens such as bicalutamide must be withdrawn if given as first-line therapy.
Bone disease progression defined by PCWG3 with two or more new lesions on bone scan.Note: For subjects enrolling on the basis of soft tissue or bone progression, the baseline scan must show progression relative to a comparison scan performed during prior therapy. If the comparison scan is not available, the baseline scan report must reference the previous scan to document progression
serum amylase ≤ ULN
Subjects must have histologically or cytologically confirmed adenocarcinoma of the prostate
Subjects must have progressive disease at study entry defined as 1 or more of the following 3 criteria that occurred while the subject was on androgen deprivation therapy:
hemoglobin ≥ 9.5 g/dL
PSA progression defined by a minimum of two rising PSA levels with an interval of ≥1 week between each determination. Subjects who received an anti-androgen as part of their primary hormonal therapy must demonstrate progression after withdrawal. The PSA value at screening should be ≥ 2 μg/L (2 ng/mL).
total bilirubin level ≤1.5 x ULN
neutrophil count ≥ 1500 μL
serum creatinine ≤1.5 x ULN or calculated creatinine clearance ≥ 60 mL/min (Cockroft Gault equation)
lipase ≤ ULN
ECOG Performance status of 0-1.
Soft tissue disease progression defined by RECIST 1.1
Serum albumin of \> 3.0 g/dL
Subjects must have received, were ineligible to receive, or refused at least one cytotoxic chemotherapy and enzalutamide or abiraterone or both enzalutamide and abiraterone.
clearance of 99mTc MAG3 within 1.5 x ULN and no evidence of obstruction on the scan.
AST and ALT ≤2.5 x ULN
Life expectancy ≥ 6 months

Exclusion

Subject is currently on renal dialysis
Subject has predominant histologically or cytologically confirmed neuroendocrine prostate cancer (mixed histology is permissible, as is positivity of serum CgA and CEA).
diabetes mellitus requiring hospital admission in the year prior to study entry
substance abuse
NYHA Class III or Class IV heart failure
Subject has received an investigational therapeutic agent for prostate cancer within 4 weeks prior to the administration of 131I-MIP-1095.
chronic liver disease
Subject has started treatment with denosumab \< 1 month prior to study entry. Subjects are allowed to be on bisphosphonates or denosumab provided they are on a stable dose for ≥ 4 weeks before administration of study drug
unstable angina
any uncontrolled infection
Subject who has not recovered from the effects of any major surgery prior to initial treatment
Subject using chronic systemic steroids greater than the equivalent of 10 mg of prednisone/prednisolone per day in the 2 weeks preceding study entry ; replacement doses of steroids, topical, inhalational, nasal and ophthalmic steroids are permitted.
myocardial infarction within the 6 months prior to study entry
Subject has received treatment with a systemic therapeutic radioisotope (89Sr, 223Ra dichloride, 153Sm-lexidronam) or has received prior external beam radiation therapy (EBRT) of the head and/or neck.
Unable or unwilling to follow post-therapy radiation protection procedures
hypothyroidism (TSH level \> 3.0 mIU/L)
Any other serious illness or medical condition or social circumstance that might interfere with the subject's participation in the trial or interfere with the interpretation of the results, including, but not limited to:
COPD requiring hospital admission in the year prior to study entry
uncontrolled hypertension (systolic BP \> 160 mmHg despite 2 antihypertensive medications)