Study of JANX007 in Subjects with Metastatic Castration-Resistant Prostate Cancer (ENGAGER-PSMA-01)

Clinicaltrials.gov ID: NCT05519449
db-list-check Status RECRUITING
b-loader Phase PHASE1
b-people Age 18 - 100 Years
b-bullseye-arrow Enrollments 105

Conditions

Prostate Cancer, Metastatic Castration-resistant Prostate Cancer, Castration Resistant Prostatic Cancer

Summary

This study is a first-in-human, Phase 1, open-label, multicenter study to assess the safety, tolerability, pharmacokinetic (PK), pharmacodynamic (PD), and the preliminary efficacy of JANX007 administered as a single agent in adults with metastatic castration-resistant prostate cancer (mCRPC).

Locations

13 locations Found with status Recruiting

Status

  • RECRUITING

Central Contacts

Study Director

  • Janux Therapeutics, MD

Status

  • RECRUITING

Central Contacts

Study Director

  • Janux Therapeutics, MD

Status

  • RECRUITING

Contact Person

Study Director

  • Janux Therapeutics, MD

Status

  • RECRUITING

Study Director

  • Janux Therapeutics, MD

Status

  • RECRUITING

Study Director

  • Janux Therapeutics, MD

Status

  • RECRUITING

Study Director

  • Janux Therapeutics, MD

Status

  • RECRUITING

Study Director

  • Janux Therapeutics, MD

Status

  • RECRUITING

Study Director

  • Janux Therapeutics, MD

Status

  • RECRUITING

Study Director

  • Janux Therapeutics, MD

Status

  • RECRUITING

Study Director

  • Janux Therapeutics, MD

Status

  • RECRUITING

Study Director

  • Janux Therapeutics, MD

Status

  • RECRUITING

Study Director

  • Janux Therapeutics, MD

Status

  • RECRUITING

Study Director

  • Janux Therapeutics, MD

Eligibility Criteria

Inclusion Criteria:

* Male ≥18 years of age at the time of signing informed consent
* Histologically or cytologically confirmed adenocarcinoma of the prostate
* Having mCRPC that progressed after at least one novel anti-androgen therapy and at least one taxane containing regimen. Participants who have actively refused a taxane containing regimen or are medically unsuitable to receive taxane are eligible
* Adequate organ function

Exclusion Criteria:

* Prior solid organ transplant
* Prior treatment with PSMA-targeted CAR-T cell therapy or PSMA-CD3, PSMA-CD28 or other CD3 T-cell engaging bispecific antibodies
* Clinically significant cardiovascular disease
* Active clinically significant infection (bacterial, viral, fungal, mycobacteria or other)
* Any medical condition or clinical laboratory abnormality likely to interfere with assessment of safety or efficacy of study treatment

Study Plan

Dose Escalation

EXPERIMENTAL

IV dosing during 21- or 28-day cycles. Dosage per cohort will increase to determine the maximum tolerable dose.

  • BIOLOGICAL:

    JANX007

    Description:

    JANX007 is dosed via IV in a 21- or 28-day cycle.

Backfill Expansion

EXPERIMENTAL

IV dosing during 21- or 28-day cycles. Subjects will be dosed at levels previously declared tolerable.

  • BIOLOGICAL:

    JANX007

    Description:

    JANX007 is dosed via IV in a 21- or 28-day cycle.

Expansion

EXPERIMENTAL

IV dosing during 21- or 28-day cycles. Subjects will be dosed at preliminary recommended phase 2 dose (RP2D).

  • BIOLOGICAL:

    JANX007

    Description:

    JANX007 is dosed via IV in a 21- or 28-day cycle.

Outcome Measures

Primary Outcome Measures

Incidence of Dose Limiting Toxicities (DLT)

Time Frame: 3 years

Incidence of Adverse Events (AE) and Serious Adverse Events (SAE)

Time Frame: 3 years

Secondary Outcome Measures

Area under the concentration time curve to infinity of JANX007 (AUC0-inf)

Time Frame: Pre-dose and at multiple timepoints post-dose on Days 1, 2, 4, 8, 9, 15, 16, 18 up to end of treatment (Up to 3 years)

Maximum observed concentration of JANX007 (Cmax)

Time Frame: Pre-dose and at multiple timepoints post-dose on Days 1, 2, 4, 8, 9, 15, 16, 18 up to end of treatment (Up to 3 years)

Number of participants who develop anti-drug antibodies against JANX007

Time Frame: Up to 3 years

Duration of Response

Time Frame: Up to 3 years

Prostate Specific Antigen (PSA) response

Time Frame: Up to 3 years

Radiographic Progression Free Survival (rPFS)

Time Frame: Up to 3 years

Overall Response Rate

Time Frame: Up to 3 years

Overall Survival

Time Frame: Up to 3 years

Timeline

  • Last Updated
    September 23, 2024
  • Start Date
    August 29, 2022
  • Today
    January 23, 2025
  • Completion Date ( Estimated )
    December 1, 2026

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