A Phase 1/2 interventional study of PLX2853 20 mg and Olaparib in Metastatic Castration-resistant Prostate Cancer, sponsored by Opna Bio LLC. Terminated at 8 sites in 2 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-04-08.
Sponsored by Opna Bio LLC · Phase 1/2, Interventional, and Treatment
The purpose of this research study is to evaluate safety, pharmacokinetics, pharmacodynamics and preliminary efficacy of the investigational drug PLX2853 in subjects with Metastatic Castration-Resistant Prostate Cancer (mCRPC)
Exclusion Criteria:
Active known second malignancy with the exception of any of the following:
Phase 1b dose escalation
Drug: PLX2853 20 mg · Drug: Olaparib
Phase 1b dose escalation
Drug: Abiraterone acetate · Drug: Prednisone · Drug: PLX2853 40 mg
Phase 1b dose escalation
Drug: Abiraterone acetate · Drug: Prednisone · Drug: PLX2853 80 mg
Phase 2a dose expansion
Drug: Abiraterone acetate · Drug: Prednisone · Drug: PLX2853 80 mg
Phase 1b dose escalation
Drug: Olaparib · Drug: PLX2853 40 mg
PLX2853 tablets
Olaparib tablets
Abiraterone acetate tablets
Prednisone (or equivalent) tablets
PLX2853 tablets
PLX2853 tablets
Number of Participants With Dose-Limiting Toxicities
Dose limiting toxicity defined as clinically significant adverse events or laboratory abnormalities occurring during first cycle of study drug administration that are possibly related to study drug and that meet specific criteria defined in the protocol
Time frame: From time of first dose of PLX2853 and combination agent(s) through completion of Cycle 1 (21 days)
Phase 1b (Both Arms): Incidence of TEAEs That Are Related to Treatment
Treatment-emergent adverse events are those reported after study drug has been administered.
Time frame: From time of first dose of PLX2853 and combination agent(s) until 30 days from end of treatment (an average of 103 days)
Determination of Maximum Tolerated Dose
To be evaluated in both PLX2853 + AA + pred and PLX2853 + olap group; If DLTs observed in 2 or more subjects the dose will be considered intolerable and MTD will have been reached.
Time frame: From time of first dose of PLX2853 and combination agent(s) through completion of Cycle 1 (21 days)
| Milestone | Phase 1b PLX2853 (20 mg) + Olaparib | Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (40 mg) + Olaparib |
|---|---|---|---|---|---|
| Started | 1 | 5 | 7 | 5 | 1 |
| Completed | 0 | 0 | 0 | 0 | 0 |
| Not completed | 1 | 5 | 7 | 5 | 1 |
| Withdrew: Progressive disease | 0 | 2 | 2 | 1 | 1 |
| Withdrew: Physician decision | 0 | 0 | 2 | 0 | 0 |
| Withdrew: Adverse event | 0 | 0 | 2 | 3 | 0 |
| Withdrew: Withdrawal by subject | 0 | 2 | 1 | 1 | 0 |
| Withdrew: Psa increase | 0 | 1 | 0 | 0 | 0 |
| Withdrew: Sponsor study termination | 1 | 0 | 0 | 0 | 0 |
Dose limiting toxicity defined as clinically significant adverse events or laboratory abnormalities occurring during first cycle of study drug administration that are possibly related to study drug and that meet specific criteria defined in the protocol
| participants | Phase 1b PLX2853 (20 mg) + Olaparib | Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (40 mg) + Olaparib |
|---|---|---|---|---|---|
| Number of Participants With Dose-Limiting Toxicities | 0 | 0 | 0 | 0 | 0 |
Treatment-emergent adverse events are those reported after study drug has been administered.
| Participants | Phase 1b PLX2853 (20 mg) + Olaparib | Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (40 mg) + Olaparib |
|---|---|---|---|---|---|
| Phase 1b (Both Arms): Incidence of TEAEs That Are Related to Treatment | 1 | 5 | 7 | 5 | 1 |
To be evaluated in both PLX2853 + AA + pred and PLX2853 + olap group; If DLTs observed in 2 or more subjects the dose will be considered intolerable and MTD will have been reached.
| mg | Phase 1b PLX2853 (20 mg) + Olaparib | Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (40 mg) + Olaparib |
|---|---|---|---|---|---|
| Determination of Maximum Tolerated Dose | NA | NA | NA | NA | NA |
Collected over Through 30 days after last study drug, an average of 6 months. Non-serious events are listed at a 0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Phase 1b PLX2853 (20 mg) + Olaparib | 0/1 (0%) | 1/1 (100%) | 1/1 (100%) |
| Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + Prednisone | 0/5 (0%) | 1/5 (20%) | 5/5 (100%) |
| Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | 0/7 (0%) | 3/7 (42.9%) | 7/7 (100%) |
| Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | 0/5 (0%) | 2/5 (40%) | 5/5 (100%) |
| Phase 1b PLX2853 (40 mg) + Olaparib | 0/1 (0%) | 0/1 (0%) | 1/1 (100%) |
| Event | Phase 1b PLX2853 (20 mg) + Olaparib | Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (40 mg) + Olaparib |
|---|---|---|---|---|---|
| Pleural effusionRespiratory, thoracic and mediastinal disorders | 1/1 | 0/5 | 0/7 | 0/5 | 0/1 |
| Bone painMusculoskeletal and connective tissue disorders | 0/1 | 1/5 | 0/7 | 0/5 | 0/1 |
| Blood bilirubin increaseInfections and infestations | 0/1 | 0/5 | 0/7 | 1/5 | 0/1 |
| Pulmonary embolismRespiratory, thoracic and mediastinal disorders | 0/1 | 0/5 | 0/7 | 1/5 | 0/1 |
| HyperglycemiaMetabolism and nutrition disorders | 0/1 | 0/5 | 1/7 | 0/5 | 0/1 |
| Urinary tract obstructionRenal and urinary disorders | 0/1 | 0/5 | 1/7 | 0/5 | 0/1 |
| SepsisInfections and infestations | 0/1 | 0/5 | 1/7 | 0/5 | 0/1 |
| Event | Phase 1b PLX2853 (20 mg) + Olaparib | Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (40 mg) + Olaparib |
|---|---|---|---|---|---|
| anemiaBlood and lymphatic system disorders | 1/1 | 1/5 | 5/7 | 0/5 | 1/1 |
| pancytopeniaBlood and lymphatic system disorders | 1/1 | 0/5 | 0/7 | 5/5 | 0/1 |
| nauseaGastrointestinal disorders | 1/1 | 4/5 | 7/7 | 0/5 | 1/1 |
| urinary tract infectionRenal and urinary disorders | 1/1 | 0/5 | 0/7 | 0/5 | 0/1 |
| hypokalemiaMetabolism and nutrition disorders | 1/1 | 0/5 | 2/7 | 0/5 | 0/1 |
| hypophosphatemiaMetabolism and nutrition disorders | 1/1 | 0/5 | 1/7 | 0/5 | 0/1 |
| anorexiaMetabolism and nutrition disorders | 1/1 | 1/5 | 2/7 | 1/5 | 0/1 |
| pleural effusionRespiratory, thoracic and mediastinal disorders | 1/1 | 0/5 | 0/7 | 0/5 | 0/1 |
| diarrheaGastrointestinal disorders | 0/1 | 4/5 | 2/7 | 3/5 | 1/1 |
| fatigueGeneral disorders | 0/1 | 3/5 | 6/7 | 5/5 | 1/1 |
| Age, Continuous(years) | Phase 1b PLX2853 (20 mg) + Olaparib | Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (40 mg) + Olaparib | Total |
|---|---|---|---|---|---|---|
| Mean | 69 (69 to 69) | 66.4 (60 to 78) | 68.9 (58 to 80) | 68.2 (63 to 76) | 73 (73 to 73) | 68.3 (58 to 80) |
| Sex: Female, Male(Participants) | Phase 1b PLX2853 (20 mg) + Olaparib | Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (40 mg) + Olaparib | Total |
|---|---|---|---|---|---|---|
| Female | 0 | 0 | 0 | 0 | 0 | 0 |
| Male | 1 | 5 | 7 | 5 | 1 | 19 |
| Race (NIH/OMB)(Participants) | Phase 1b PLX2853 (20 mg) + Olaparib | Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (40 mg) + Olaparib | Total |
|---|---|---|---|---|---|---|
| American Indian or Alaska Native | 0 | 0 | 1 | 0 | 0 | 1 |
| Asian | 0 | 1 | 1 | 0 | 0 | 2 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 | 0 | 0 |
| Black or African American | 0 | 0 | 1 | 1 | 0 | 2 |
| White | 1 | 3 | 2 | 3 | 0 | 9 |
| More than one race | 0 | 0 | 0 | 0 | 0 | 0 |
| Unknown or Not Reported | 0 | 1 | 2 | 1 | 1 | 5 |
| Region of Enrollment(participants) | Phase 1b PLX2853 (20 mg) + Olaparib | Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + Prednisone | Phase 1b PLX2853 (40 mg) + Olaparib | Total |
|---|---|---|---|---|---|---|
| United States | 1 | 5 | 7 | 5 | 1 | 19 |
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