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rhuMAb 2C4

Phase 2

Prostate Cancer | Small molecule | Oncology |Roche Holding AG|Last Updated: May 17, 2017

Success Probability

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment42

FDA Designations

No designations recorded

Clinical trial landscape

rhuMAb 2C4 · 4 trials · 3 indications

Phase 2 1Phase 1 3
NCT00058539Safety and Efficacy Study of Pertuzumab to Treat Castration-Resistant Prostate CancerProstate Cancer
COMPLETED42 Analytics
PHASE2COMPLETED
Safety and Efficacy Study of Pertuzumab to Treat Castration-Resistant Prostate Cancer
Prostate CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With a Best Overall Confirmed Response of Complete Response (CR) or Partial Response (PR) Based on Response Evaluation Criteria in Solid Tumors (RECIST) and Prostate Specific Antigen (PSA) Response Rate Based on Bubley Criteria
Screening, Day 1 of Cycles 1-17, and at 30 days after the last dose of pertuzumab

Response by tumor measurement occurred if there was documented and confirmed CR or PR. Response was assessed by both the RECIST and by PSA levels measurement, based on measurable or non-measurable disease at baseline. Per RECIST, CR: disappearance of all target and non-target lesions and normalization of tumor marker level; PR: at least a 30 percent (%) decrease in the sum of the longest diameter of target lesions, taking as reference the baseline sum of longest diameter. A PSA response was defined as a PSA decline of greater than or equal to (≥) 50%, which had to be confirmed by a second PSA value at least 4 weeks later.

Kaplan Meier Estimate of Percentage of Participants With Disease Progression at 3 Months
3 months

Per RECIST, disease progression was defined as at least a 20% increase in the sum of the longest diameter of target lesions, taking as reference the smallest sum of longest diameter recorded since the treatment started or the appearance of 1 or more new lesions, and/or unequivocal progression of existing non-target lesions.

Maximum Tolerated Dose (MTD) of Docetaxel in Combination of Pertuzumab
Cycle 1 Up to Day 15

A prior dose level was defined as an MTD if at a certain dose level, there were greater than or equal to (≥) 2 out of 6 participants who had Dose Limiting Toxicities (DLTs). If there were no DLTs or DLTs were seen in less than (\<) 2 participants in the highest dose level, that was considered as MTD. Participants received escalating doses of docetaxel and pertuzumab until DLTs were observed. DLTs were defined as any of the following: 1) Any non-hematological toxicity ≥ Grade 3 according to Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 except for fever, chills and flu-like symptoms, in spite of adequate toxicity management, 2) Grade 4 neutropenia lasting greater than (\>) 7 days, 3) Febrile neutropenia, 4) Thrombocytopenia Grade 4 or any thrombocytopenia requiring platelet transfusion or 5) Any subjectively intolerable toxicity felt by the investigator to be related to either one of the compounds.

Maximum Tolerated Dose (MTD) of the Combination of Pertuzumab and Capecitabine
Cycle 1 (3 Weeks)

MTD was defined as the highest tolerated dose combination of capecitabine (825 mg, 1000 mg or 1250 mg) and pertuzumab, without causing Dose Limiting Toxicities (DLTs). DLTs were defined as follows: 1) Any non-hematological toxicity greater than or equal to (≥) Grade 3 according to Common Terminology Criteria for Adverse Events (CTCAE) version 3.0 except for fever, chills and flu-like symptoms, in spite of adequate toxicity management; 2) Grade 4 neutropenia lasting \> 7 days; 3) Febrile neutropenia; 4) Thrombocytopenia Grade 4 or any thrombocytopenia requiring platelet transfusion; 5) Any subjectively intolerable toxicity felt by the investigator to be related to either one of the compounds. Participants who withdrew from the study without completing the first treatment cycle for reasons other than DLT were not considered evaluable for DLT. MTD was measured in mg/m\^2.

Number of Participants With an Adverse Event (AE), Serious Adverse Event (SAE), or Death
Days 1, 2, 5, 8, and 15 of Cycle 1; Days 1, 8, and Week 3, of Cycles 2 and beyond up to 1 year and at the follow-up visit (4 weeks after last infusion)

For this protocol, an AE is defined any untoward medical occurrence (e.g., sign, symptom, disease, syndrome, intercurrent illness, abnormal laboratory finding) that emerges or worsens relative to pretreatment baseline during the treatment or post-treatment periods, regardless of the suspected cause. For this protocol an SAE was defined as any AE that occurred at any dose if: * It resulted in death (i.e., the AE caused or led to death), * It was life threatening, * It required or prolonged inpatient hospitalization, * It was disabling, * It resulted in a congenital anomaly/birth defect, * It may have jeopardized the participant or may have required medical or surgical intervention to prevent one of the outcomes listed above. The primary cause of death for all reported cases was disease progression, and all of the deaths occurred following study discontinuation, with one death occurring within 4 weeks of the last treatment day.

Number of Participants With Dose-Limiting Toxicities (DLTs)
Day 1 of Cycles 1 and 2, and 24 hours after Cycle 2 infusion

Incidence of DLTs defined as any Grade 3 or 4 major organ toxicity according to the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2 or any subjectively intolerable toxicity felt by the investigator to be related to rhuMAb 2C4. One participant in the 15.0 mg/kg dose group experienced a gastrointestinal hemorrhage on Day 16. This event was judged by the investigator to be related to study drug. The participant recovered in 3 days and continued to receive rhuMAb 2C4 beyond Cycle 2.This was the only DLT reported during the first two treatment cycles.

Secondary Endpoints

Percentage of Participants With Disease Progression or Death (Progression Free Survival [PFS])
Screening, Day 1 of Cycles 1-17, and at 30 days after the last dose of pertuzumab
Median Time of PFS
Screening, Day 1 of Cycles 1-17, and at 30 days after the last dose of pertuzumab
Duration of Response
Screening, Day 1 of Cycles 1-17, and at 30 days after the last dose of pertuzumab
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
RhuMab 2C4 + Docetaxel 100 mg/m^2 (Level 3)EXPERIMENTALDocetaxel will be administered via intravenous (IV) infusion on Day 1 of each 3-week cycle at a dose of 100 mg/m\^2 per day, and rhuMab 2C4 will be given on Day 1 of each 3-week cycle as a fixed-dose 420-mg IV infusion. For Cycle 1 only, rhuMab 2C4 administration will be delayed to Day 2 with an initial 840-mg loading dose. The incidence of DLTs will be used to guide intrapatient dose modification, as well as subsequent enrollment.
RhuMab 2C4 + Docetaxel 60 mg/m^2 (Level 1)EXPERIMENTALDocetaxel will be administered via IV infusion on Day 1 of each 3-week cycle at a dose of 60 mg/m\^2 per day, and rhuMab 2C4 will be given on Day 1 of each 3-week cycle as a fixed-dose 420-mg IV infusion. For Cycle 1 only, rhuMab 2C4 administration will be delayed to Day 2 with an initial 840-mg loading dose. The incidence of DLTs will be used to guide intrapatient dose modification, as well as subsequent enrollment.
RhuMab 2C4 + Docetaxel 75 mg/m^2 (Level 2)EXPERIMENTALDocetaxel will be administered via IV infusion on Day 1 of each 3-week cycle at a dose of 75 mg/m\^2 per day, and rhuMab 2C4 will be given on Day 1 of each 3-week cycle as a fixed-dose 420-mg IV infusion. For Cycle 1 only, rhuMab 2C4 administration will be delayed to Day 2 with an initial 840-mg loading dose. The incidence of DLTs will be used to guide intrapatient dose modification, as well as subsequent enrollment.
RhuMab 2C4 + Capecitabine 1000 mg/m^2 (Level 2)EXPERIMENTALParticipants will receive a single 1000-mg/m\^2 dose of oral (PO) capecitabine on Day -7 for pretreatment assessment. Capecitabine will then be administered on Days 1 to 14 of each 3-week cycle at a dose of 1000 mg/m\^2 twice daily, and rhuMab 2C4 will be given on Day 1 of each 3-week cycle as a fixed-dose 1050-mg IV infusion. The incidence of DLTs will be used to guide intrapatient dose modification, as well as subsequent enrollment.
RhuMab 2C4 + Capecitabine 1250 mg/m^2 (Level 3)EXPERIMENTALParticipants will receive a single 1250-mg/m\^2 dose of PO capecitabine on Day -7 for pretreatment assessment. Capecitabine will then be administered on Days 1 to 14 of each 3-week cycle at a dose of 1250 mg/m\^2 twice daily, and rhuMab 2C4 will be given on Day 1 of each 3-week cycle as a fixed-dose 1050-mg IV infusion. The incidence of DLTs will be used to guide intrapatient dose modification, as well as subsequent enrollment.
RhuMab 2C4 + Capecitabine 825 mg/m^2 (Level 1)EXPERIMENTALParticipants will receive a single 825-mg/m\^2 dose of PO capecitabine on Day -7 for pretreatment assessment. Capecitabine will then be administered on Days 1 to 14 of each 3-week cycle at a dose of 825 mg/m\^2 twice daily, and rhuMab 2C4 will be given on Day 1 of each 3-week cycle as a fixed-dose 1050-mg IV infusion. The incidence of DLTs will be used to guide intrapatient dose modification, as well as subsequent enrollment.

Interventions

NameTypeDescription
rhuMAb 2C4 (pertuzumab)DRUG -
DocetaxelDRUGParticipants will receive docetaxel on Day 1 of each 3-week cycle as 60, 75, or 100 mg/m\^2 via IV infusion. Treatment may continue until disease progression, unacceptable toxicity, or consent withdrawal.
RhuMab 2C4DRUGParticipants will receive rhuMab 2C4 on Day 1 of each 3-week cycle as 420 mg via IV infusion. For Cycle 1 ony, rhuMab will be administered on Day 2, at least 24 hours after docetaxel and following an initial 840-mg loading dose. Treatment may continue until disease progression, unacceptable toxicity, or consent withdrawal.
CapecitabineDRUGParticipants will receive capecitabine on Days 1 to 14 of each 3-week cycle as 825, 1000, or 1250 mg/m\^2 PO twice daily. Treatment may continue until disease progression, unacceptable toxicity, or consent withdrawal.
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Eligibility Criteria

Age Range18 Years to N/A
SexMALE
Healthy VolunteersNo

Inclusion Criteria: * Signed informed consent * Age \>= 18 years old * Histologically documented adenocarcinoma of the prostate, clinically refractory or resistant to hormone therapy, as assessed by progression following at least one hormonal therapy (orchiectomy or luteinizing hormone-releasing ho...

Countries:NetherlandsUnited KingdomSpainUnited States
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Competitive Landscape -Prostate Cancer 254 trials

Frequently asked questions about rhuMAb 2C4

What is RhuMab 2C4 used for?

RhuMab 2C4 is an investigational drug being studied for the treatment of solid tumors, neoplasms, and prostate cancer. It has been evaluated in clinical trials for advanced solid tumors and castration-resistant prostate cancer. The drug is still in clinical development and has not been approved by regulatory authorities.

What does RhuMab 2C4 target?

RhuMab 2C4 is a recombinant humanized antibody that targets HER2, as indicated in one of its clinical trial titles. It is being studied in oncology for solid tumors and prostate cancer. The drug is designed to interfere with HER2 signaling, which is relevant in certain cancer types.

Who makes RhuMab 2C4?

RhuMab 2C4 is being developed by Roche Holding AG, a multinational healthcare company. Roche is conducting clinical trials to evaluate the safety and efficacy of this investigational drug in patients with advanced solid tumors and prostate cancer.

What phase is RhuMab 2C4 in?

RhuMab 2C4 has completed Phase 1 and Phase 2 clinical trials. The trials listed include Phase 1 studies for advanced solid tumors and a Phase 2 study for castration-resistant prostate cancer. All trials are completed, and the drug remains investigational.

What clinical trials is RhuMab 2C4 in?

RhuMab 2C4 has been studied in several completed clinical trials, including NCT00027027 for advanced solid tumors, NCT00058539 for castration-resistant prostate cancer, NCT02490475 combining RhuMab 2C4 with docetaxel for advanced solid tumors, and NCT02494596 combining it with capecitabine for advanced solid tumors.

Is RhuMab 2C4 the same as Pertuzumab?

Yes, RhuMab 2C4 is also known as Pertuzumab. In one clinical trial, the drug is referred to as Pertuzumab, and in another as rhuMAb2c4 (Omnitarg). These names refer to the same investigational antibody being developed by Roche for cancer treatment.