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TerminatedNCT04556617Updated Apr 8, 2025Results posted

PLX2853 in Combination With Abiraterone Acetate and Prednisone and in Combination With Olaparib in Subjects With Metastatic Castration-Resistant Prostate Cancer (mCRPC)

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

Why this study was terminated
study terminated due to business realignment
Phase
Phase 1/2
Study type
Interventional
Enrollment
19
Allocation
Non-randomized
Ages
18 Years and older
Sex
Male
01

Study summary

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)

02

Conditions studied

  • Metastatic Castration-resistant Prostate Cancer

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Keywords

  • PLX2853
  • Metastatic Castration-resistant Prostate Cancer
  • Olaparib
  • Abiraterone Acetate
  • Adenocarcinoma
  • Prostate Cancer
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  1. Age ≥18 years at the time of signing informed consent.
  2. Histologically confirmed adenocarcinoma of the prostate with tumor tissue available for molecular analyses.
  3. Eastern Cooperative Oncology Group Performance Status 0 to 1.
  4. Adequate organ function as demonstrated following laboratory values.
  5. Fertile male subjects with female sexual partners must agree to use a highly effective method of birth control during the study and for 90 days after the last dose of study drug.
  6. Except as specified above for organ function, all drug-related toxicity from previous cancer therapy (including ongoing Abiraterone Acetate + Prednisone therapy if applicable) must be resolved (to Grade ≤1 or baseline per National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0) prior to study treatment administration (Grade 2: alopecia, hot flashes, decreased libido, or neuropathy is allowed).
  7. Willingness and ability to provide written informed consent prior to any study-related procedures and to comply with all study requirements.

Exclusion criteria

Exclusion Criteria:

  1. Prior exposure to a bromodomain inhibitor.
  2. History of autoimmune hemolytic anemia or autoimmune thrombocytopenia.
  3. Clinically significant cardiac disease.
  4. Inability to take oral medication or significant nausea and vomiting, malabsorption, or significant small bowel resection that, in the opinion of the Investigator, would preclude adequate absorption.
  5. Active known second malignancy with the exception of any of the following:

    • Adequately treated basal cell carcinoma or squamous cell carcinoma of the skin.
    • Adequately treated Stage I cancer from which the subject is currently in remission and has been in remission for ≥2 years.
    • Any other cancer from which the subject has been disease-free for ≥3 years.
  6. Subject is participating in any other therapeutic clinical study (observational or registry studies are allowed).
  7. Presence of any other medical, psychological, familial, sociological, or geographic condition potentially hampering compliance with the study protocol or would interfere with the study endpoints or the subject's ability to participate in the study in the judgment of the Investigator.
  8. Receipt of any anti-cancer therapy prior to Cycle 1 Day 1 with less than protocol defined wash-out with the exception of Abiraterone Acetate (for subjects enrolling into Abiraterone Acetate Combination) and GnRH therapy.
04

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
19 participants (actual)

Study arms

  • Experimental
    Phase 1b PLX2853 (20 mg) + Olaparib

    Phase 1b dose escalation

    Drug: PLX2853 20 mg · Drug: Olaparib

  • Experimental
    Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + Prednisone

    Phase 1b dose escalation

    Drug: Abiraterone acetate · Drug: Prednisone · Drug: PLX2853 40 mg

  • Experimental
    Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + Prednisone

    Phase 1b dose escalation

    Drug: Abiraterone acetate · Drug: Prednisone · Drug: PLX2853 80 mg

  • Experimental
    Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + Prednisone

    Phase 2a dose expansion

    Drug: Abiraterone acetate · Drug: Prednisone · Drug: PLX2853 80 mg

  • Experimental
    Phase 1b PLX2853 (40 mg) + Olaparib

    Phase 1b dose escalation

    Drug: Olaparib · Drug: PLX2853 40 mg

Interventions

  • DrugPLX2853 20 mg

    PLX2853 tablets

  • DrugOlaparib

    Olaparib tablets

  • DrugAbiraterone acetate

    Abiraterone acetate tablets

  • DrugPrednisone

    Prednisone (or equivalent) tablets

  • DrugPLX2853 40 mg

    PLX2853 tablets

  • DrugPLX2853 80 mg

    PLX2853 tablets

05

What researchers measure

Primary outcomes

  1. 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)

  2. 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)

  3. 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)

06

Results

Posted Apr 8, 2025

Participant flow

Participant flow — Overall Study
MilestonePhase 1b PLX2853 (20 mg) + OlaparibPhase 1b PLX2853 (40 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 2a PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (40 mg) + Olaparib
Started15751
Completed00000
Not completed15751
Withdrew: Progressive disease02211
Withdrew: Physician decision00200
Withdrew: Adverse event00230
Withdrew: Withdrawal by subject02110
Withdrew: Psa increase01000
Withdrew: Sponsor study termination10000

Outcome measures

PrimaryNumber 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)
Reported as:
Number · participants
Number of Participants With Dose-Limiting Toxicities
participantsPhase 1b PLX2853 (20 mg) + OlaparibPhase 1b PLX2853 (40 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 2a PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (40 mg) + Olaparib
Number of Participants With Dose-Limiting Toxicities00000
PrimaryPhase 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)
Reported as:
Count of participants · Participants
Phase 1b (Both Arms): Incidence of TEAEs That Are Related to Treatment
ParticipantsPhase 1b PLX2853 (20 mg) + OlaparibPhase 1b PLX2853 (40 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 2a PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (40 mg) + Olaparib
Phase 1b (Both Arms): Incidence of TEAEs That Are Related to Treatment15751
PrimaryDetermination 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)
Reported as:
Number · mg
Determination of Maximum Tolerated Dose
mgPhase 1b PLX2853 (20 mg) + OlaparibPhase 1b PLX2853 (40 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 2a PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (40 mg) + Olaparib
Determination of Maximum Tolerated DoseNANANANANA

Adverse events

Collected over Through 30 days after last study drug, an average of 6 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Phase 1b PLX2853 (20 mg) + Olaparib0/1 (0%)1/1 (100%)1/1 (100%)
Phase 1b PLX2853 (40 mg) + Abiraterone Acetate + Prednisone0/5 (0%)1/5 (20%)5/5 (100%)
Phase 1b PLX2853 (80 mg) + Abiraterone Acetate + Prednisone0/7 (0%)3/7 (42.9%)7/7 (100%)
Phase 2a PLX2853 (80 mg) + Abiraterone Acetate + Prednisone0/5 (0%)2/5 (40%)5/5 (100%)
Phase 1b PLX2853 (40 mg) + Olaparib0/1 (0%)0/1 (0%)1/1 (100%)
Most frequent serious events
Most frequent serious events
EventPhase 1b PLX2853 (20 mg) + OlaparibPhase 1b PLX2853 (40 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 2a PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (40 mg) + Olaparib
Pleural effusionRespiratory, thoracic and mediastinal disorders1/10/50/70/50/1
Bone painMusculoskeletal and connective tissue disorders0/11/50/70/50/1
Blood bilirubin increaseInfections and infestations0/10/50/71/50/1
Pulmonary embolismRespiratory, thoracic and mediastinal disorders0/10/50/71/50/1
HyperglycemiaMetabolism and nutrition disorders0/10/51/70/50/1
Urinary tract obstructionRenal and urinary disorders0/10/51/70/50/1
SepsisInfections and infestations0/10/51/70/50/1
Most frequent other events
Showing 10 of 56
Most frequent other events
EventPhase 1b PLX2853 (20 mg) + OlaparibPhase 1b PLX2853 (40 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 2a PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (40 mg) + Olaparib
anemiaBlood and lymphatic system disorders1/11/55/70/51/1
pancytopeniaBlood and lymphatic system disorders1/10/50/75/50/1
nauseaGastrointestinal disorders1/14/57/70/51/1
urinary tract infectionRenal and urinary disorders1/10/50/70/50/1
hypokalemiaMetabolism and nutrition disorders1/10/52/70/50/1
hypophosphatemiaMetabolism and nutrition disorders1/10/51/70/50/1
anorexiaMetabolism and nutrition disorders1/11/52/71/50/1
pleural effusionRespiratory, thoracic and mediastinal disorders1/10/50/70/50/1
diarrheaGastrointestinal disorders0/14/52/73/51/1
fatigueGeneral disorders0/13/56/75/51/1

Baseline characteristics

Age, Continuous
Age, Continuous(years)Phase 1b PLX2853 (20 mg) + OlaparibPhase 1b PLX2853 (40 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 2a PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (40 mg) + OlaparibTotal
Mean69 (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
Sex: Female, Male(Participants)Phase 1b PLX2853 (20 mg) + OlaparibPhase 1b PLX2853 (40 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 2a PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (40 mg) + OlaparibTotal
Female000000
Male1575119
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Phase 1b PLX2853 (20 mg) + OlaparibPhase 1b PLX2853 (40 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 2a PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (40 mg) + OlaparibTotal
American Indian or Alaska Native001001
Asian011002
Native Hawaiian or Other Pacific Islander000000
Black or African American001102
White132309
More than one race000000
Unknown or Not Reported012115
Region of Enrollment
Region of Enrollment(participants)Phase 1b PLX2853 (20 mg) + OlaparibPhase 1b PLX2853 (40 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 2a PLX2853 (80 mg) + Abiraterone Acetate + PrednisonePhase 1b PLX2853 (40 mg) + OlaparibTotal
United States1575119
07

Study locations

8 sites
  • University of Chicago
    Chicago, Illinois 60637, United States
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • Columbia University Medical Center
    New York, New York 10032, United States
  • Carolina Urologic Research Center
    Myrtle Beach, South Carolina 29572, United States
  • Tennessee Oncology/ Sarah Cannon
    Nashville, Tennessee 37203, United States
  • Virginia Cancer Specialist
    Fairfax, Virginia 22031, United States
  • University of Wisconsin
    Madison, Wisconsin 53792, United States
  • Sarah Cannon Research Institute
    London, W1G 6AD, United Kingdom
08

References and documents

Study documents

  • Protocol and statistical analysis plan · Oct 29, 2021

Documents are hosted by the registry — open the source record to download them.

09

Registry details

Key details

Study ID
NCT04556617
Lead sponsor
Opna Bio LLC
Responsible party
Sponsor
First posted
Sep 21, 2020
Start date
Sep 21, 2020
Primary completion
May 24, 2022
Completion
May 24, 2022
Results posted
Apr 8, 2025
Last update
Apr 8, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
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