Status:

WITHDRAWN

A Study of Copanlisib in Combination with Degarelix in People with Prostate Cancer

Lead Sponsor:

Memorial Sloan Kettering Cancer Center

Conditions:

Prostate Cancer

Eligibility:

MALE

18+ years

Phase:

PHASE1

PHASE2

Brief Summary

The researchers are doing this study to find out whether copanlisib in combination with degarelix, given before standard surgical treatment (radical prostatectomy), is a safe and effective treatment t...

Eligibility Criteria

Inclusion

  • Willing and able to provide written informed consent and privacy authorization for the release of personal health information. A signed informed consent must be obtained before screening procedures are performed.
  • Individuals with prostate cancer 18 years of age and above
  • Histological or cytological evidence of prostate cancer
  • Documented high-risk localized prostate cancer based on one or more of the following NCCN criteria:
  • PSA \>20ng/ml or
  • Gleason ≥8 or
  • Clinical stage ≥cT3a
  • Known PTEN status:
  • PTEN loss by IHC for participants in the PTEN loss cohort
  • PTEN intact by IHC for participants in the exploratory PTEN intact cohort (only available if PTEN intact cohort is opened)
  • Candidate for RP as determined by treating physician
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 (Appendix A: Performance Status Criteria)
  • Normal organ function with acceptable initial laboratory values within 28 days of registration:
  • ANC ≥ 1.5 K/mcL
  • Hemoglobin ≥ 9g/dL
  • Platelet count ≤100 K/mcL
  • Creatinine ≤ 1.5 x the institutional upper limit of normal (ULN)
  • Potassium within institutional normal range
  • Total Bilirubin ≤ 1.5 x ULN (Note: In participants with Gilbert's syndrome, if total bilirubin is \>1.5 × ULN, measure direct and indirect bilirubin and if direct bilirubin is ≤1.5 × ULN, participant may be eligible)
  • SGOT (AST) ≤ 2.5 x ULN
  • SGPT (ALT) ≤ 2.5 x ULN
  • GFR (MDRD) ≥ 30 mL/min/1.73 m\^2
  • Participants must agree to use a medically acceptable method of birth control (i.e., spermicide in conjunction with a barrier such as a condom) or sexual abstinence prior to registration, for the duration of study participation and for at least 5 months after the last treatment with copanlisib.

Exclusion

  • Radiographic evidence of distant (extra-pelvic) metastatic prostate cancer on CT and/or MRI, bone scan or PET scan
  • On ADT (GnRH agonists or antagonists) for \> 4 weeks at time of consent
  • Prior radiation to prostate
  • Medical conditions such as uncontrolled hypertension or cardiac disease that would, in the opinion of the investigator preclude participation in this protocol
  • A diagnosis of diabetes (type 1 or 2) on medications for the purpose of treating hyperglycemia or HgbA1C \> 7 will be excluded from study
  • Any other active malignancy at time of first dose of study treatment or diagnosis of another malignancy within 3 years prior to first dose of study treatment that requires active treatment, except for basal or squamous cell skin cancer or superficial bladder cancer that has previously been treated.
  • Use of any prohibited concomitant medications including herbal supplements Medications With the Potential for Drug-Drug Interactions) within 2 weeks prior to treatment start
  • Receiving any other investigational agents within 4 weeks or 5x the half-life of investigational agent (whichever is longer) from this study's treatment start
  • Known allergy to any of the compounds under investigation
  • Any other condition which, in the opinion of the Investigator, would preclude participation in this trial

Key Trial Info

Start Date :

January 11 2024

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2027

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT06218667

Start Date

January 11 2024

End Date

January 1 2027

Last Update

October 31 2024

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