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Onapristone

Phase 2

Refractory Endometrial Adenocarcinoma | Small molecule | Oncology |Context Therapeutics Inc.|Last Updated: Jan 8, 2025

Target and mechanism

Molecular targetPGR
Target classAntagonist
ModalitySmall molecule

Also known as Extended-release Onapristone

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment14

FDA Designations

No designations recorded

Clinical trial landscape

Onapristone · 1 trial · 7 indications

Phase 2 1
NCT04719273Onapristone and Anastrozole for the Treatment of Refractory Hormone Receptor Positive Endometrial CancerRefractory Endometrial Adenocarcinoma
ACTIVE NOT_RECRUITING14 Analytics
PHASE2ACTIVE NOT_RECRUITING
Onapristone and Anastrozole for the Treatment of Refractory Hormone Receptor Positive Endometrial Cancer
Refractory Endometrial AdenocarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Objective response rate (ORR)
Up to 1 year post-treatment

Defined by the percentage of patients with tumor response (complete response \[CR\] or partial response \[PR\]) as defined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.

Progression-Free Survival (PFS)
At 4 months

4 month PFS is defined as a binary endpoint, from first dose of onapristone and anastrozole to 4 months of therapy as "confirmed progression-free" or "not progression-free" (including cancer progression or censored subjects). Will use the date of first documented disease progression or recurrence, as assessed by using RECIST 1.1 criteria, or death due to any cause, whichever occurs first.

Secondary Endpoints

Disease Control Rate
Up to 1 year post-treatment
Time to Response
From randomization to first documented response (CR or PR) in months, assessed up to 1 year post-treatment
Duration of Response
From the first date of documented response to progression or death due to endometrial cancer, assessed up to 1 year post-treatment
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Treatment (onapristone, anastrozole)EXPERIMENTALPatients receive onapristone PO BID and anastrozole PO QD on days 1-28. Treatment repeats every 28 days for up to 24 cycles (24 months) until November 30, 2023 or in the absence of disease progression or unacceptable toxicity.

Interventions

NameTypeDescription
Extended-release OnapristoneDRUGGiven PO
AnastrozoleDRUGGiven PO
Quality-of-Life AssessmentOTHERAncillary studies
Questionnaire AdministrationOTHERAncillary studies
Estrogen Receptor Positive (Positive Estrogen Receptor; ESR Positive; ESR1 Positive; ER Positive; Estrogen Receptor Alpha Positive)DIAGNOSTIC_TESTImmunohistochemistry (IHC):Integral : Tissue
Progesterone Receptor Positive ( PGR Positive; PR Positive)DIAGNOSTIC_TESTImmunohistochemistry (IHC)
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Eligibility Criteria

Age Range18 Years to N/A
SexFEMALE
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Age greater than or equal to 18 years old * Histologically confirmed diagnosis of endometrial cancer with ER and/or PR expression \>= 1% by IHC on archival tissue taken within the prior 3 years or new biopsy if no archival tissue is available. IHC results do not have to be fro...

Countries:United States
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Frequently asked questions about Onapristone

What is Onapristone used for?

Onapristone is an investigational small molecule being studied for the treatment of refractory endometrial adenocarcinoma, a type of endometrial cancer. It is currently in Phase 2 clinical development and is not yet approved by regulatory authorities.

How does Onapristone work?

Onapristone is a small molecule that targets the progesterone receptor. By blocking this receptor, it may inhibit the growth of hormone receptor positive endometrial cancer cells. It is being studied in combination with anastrozole for refractory endometrial cancer.

Who makes Onapristone?

Onapristone is being developed by Context Therapeutics Inc., a biopharmaceutical company. The company's stock is traded under the ticker symbol CNTX.

What phase is Onapristone in?

Onapristone is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA. The ongoing Phase 2 trial is active but not recruiting participants.

What clinical trials is Onapristone in?

Onapristone is being studied in a Phase 2 clinical trial with the identifier NCT04719273. The trial is testing onapristone in combination with anastrozole for the treatment of refractory hormone receptor positive endometrial cancer, with an enrollment of 14 participants in the United States.

Is Onapristone the same as extended-release Onapristone?

Yes, Onapristone is also known as extended-release Onapristone. This formulation is being studied in clinical trials for the treatment of refractory endometrial adenocarcinoma.