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CompletedNCT05538572Updated Jul 1, 2024

A Study of PRT3645 in Participants With Select Advanced or Metastatic Solid Tumors

A Phase 1 interventional study of PRT3645 in Breast Cancer, Glioblastoma and Head and Neck Squamous Cell Carcinoma, sponsored by Prelude Therapeutics. Completed at 13 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-01.

Sponsored by Prelude Therapeutics · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jun 2024, 2 years 3 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
22
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 1 dose-escalation study of PRT3645, a Cyclin-dependent Kinase 4/6 (CDK4/6) inhibitor, in patients with advanced or metastatic solid tumors. The purpose of this study is to investigate the safety, tolerability, dose limiting toxicity, and to determine maximally tolerated dose and recommended phase 2 dose to be used in subsequent development of PRT3645.

Read the detailed description

This is an open-label, multicenter, dose-escalation Phase 1 study of PRT3645, a CDK4/6 inhibitor, evaluating patients with selected advanced or metastatic solid tumors including breast cancer (BC), glioblastoma (GBM), non-small cell lung cancer (NSCLC), sarcomas, head and neck squamous cell carcinoma (HNSCC), malignant mesothelioma, and endometrial cancer. The study plan expects to evaluate approximately eight dose levels however additional dose levels may be explored. Taking into account pharmacokinetic and pharmacodynamic data from the preceding dose levels, the dose may be escalated until a dose limiting toxicity is identified. Up to 15 patients may be enrolled at a dose shown to be tolerated for confirmation of the MTD and/or RP2D.

02

Conditions studied

  • Breast Cancer
  • Glioblastoma
  • Head and Neck Squamous Cell Carcinoma
  • Malignant Mesothelioma
  • Non-small Cell Lung Cancers
  • Sarcoma
  • Endometrial Cancer

Keywords

  • Advanced Solid Tumors
  • Breast Cancer
  • CDK4/6
  • Cyclin-dependent Kinase 4
  • Cyclin-dependent Kinase 6
  • Glioblastoma
  • Head and Neck Squamous Cell Carcinoma
  • HNSCC
  • Malignant Mesothelioma
  • Metastatic Solid Tumors
  • Non-small Cell Lung Cancers
  • NSCLC
  • PRT3645
  • Sarcoma
  • Endometrial Cancer
03

In context

Carcinoma, Non-Small-Cell Lung

6,488 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,632 are open to participants now.

This study's enrollment of 22 is below the median of 62 across 5,213 interventional studies indexed under Carcinoma, Non-Small-Cell Lung.

Browse Carcinoma, Non-Small-Cell Lung studies →

Lead sponsor

Prelude Therapeutics is the lead sponsor of 11 studies on the registry; none are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Inclusion criteria

  • Histologically confirmed advanced, recurrent, or metastatic solid tumor malignancy that have either progress or ineligible for standard of care therapy:

    1. HR+ and HER2- or HR+ and HER2+ breast cancer
    2. Recurrent GBM (IDH wild type) or CDKN2A/B homozygous deleted IDH-mutant astrocytoma
    3. KRAS-mutant or SMARCA4 loss NSCLC
    4. CDK pathway alternation in any of the following tumor types: malignant mesothelioma, HPV-negative HNSCC (including oral cavity, oropharynx, hypopharynx, and larynx), sarcoma, or NSCLC
    5. Estrogen receptor positive with TP53 wild type endometrial cancer
  • Willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures
  • Must have measurable or non-measureable (but evaluable) disease
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 or Karnofsky Performance Status (KPS) ≥80% (KPS is for GBM only)
  • Adequate organ function.
  • Able to swallow and retain oral medication.
  • Must provide either archival or fresh tumor tissue sample during screening.

Exclusion criteria

Exclusion Criteria:

  • Participants with advanced, symptomatic, extensive visceral disease.
  • Active inflammatory bowel disease or chronic diarrhea, short bowel syndrome, any upper gastrointestinal surgery including gastric resection, known malabsorption syndrome, or other condition that may impair absorption of PRT3645.
  • Treatment with strong inhibitors of CYP3A4.
  • History of another malignancy within 3 years except for adequately treated basal cell or squamous cell skin cancer, superficial bladder cancer, prostate intraepithelial neoplasm, carcinoma in situ of the cervix, or other noninvasive or indolent malignancies, or malignancies previously treated with curative intent and not on active therapy or expected to require treatment or recurrence during the study.
  • Clinically significant or uncontrolled cardiac disease, uncontrolled electrolyte disorders, uncontrolled or symptomatic CNS metastases or leptomeningeal disease except for GBM.
  • Endometrial cancer patients who had received prior treatment with a CDK 4/6 inhibitor.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    PRT3645

    PRT3645 capsules will be self-administered once daily, continuously, at the dose-level assigned

    Drug: PRT3645

Interventions

  • DrugPRT3645

    PRT3645 capsules will be self-administered once daily, continuously, at the dose-level assigned

06

What researchers measure

Primary outcomes

  1. Dose limiting toxicity (DLT) of PRT3645

    Dose limiting toxicity will be evaluated over the 28-day observation period

    Time frame: Baseline through Day 28

  2. Safety and tolerability of PRT3645: AEs, CTCAE Assessments

    Safety and tolerability will be evaluated by incidence of DLTs, laboratory measurements, severity of adverse events (AEs) according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0.

    Time frame: Baseline through approximately 2 years

  3. Maximally tolerated dose (MTD)/Recommended phase 2 dose (RP2D) of PRT3645

    The MTD/RP2D will be established for further investigation in participants with advanced solid tumors

    Time frame: Baseline through approximately 2 years

Secondary outcomes

  1. Efficacy of PRT3645: Tumor assessment and responses

    Objective response rate (ORR), Progression-free survival (PFS), Disease control rate (DCR) and Duration of response (DOR) will use RECIST v1.1, mRECIST v1.1, and/or RANO as primary measure for tumor assessment and response.

    Time frame: Baseline through approximately 2 years

  2. Pharmacokinetic profile of PRT3645: Minimum and maximum observed plasma concentration

    PRT3645 pharmacokinetics will be calculated including the minimum and maximum observed plasma concentration.

    Time frame: Baseline through approximately 2 years

  3. Pharmacodynamic effect of PRT3645: Target engagement

    Pharmacodynamic effect of PRT3645 demonstrating target engagement by assessment of phosphorylation of Rb.

    Time frame: Baseline through approximately 2 years

07

Study locations

13 sites
  • Smilow Cancer Hospital Phase 1 Unit
    New Haven, Connecticut 06511, United States
  • AdventHealth Medical Group Oncology Research at Celebration
    Celebration, Florida 34747, United States
  • Miami Cancer Institute
    Miami, Florida 33176, United States
  • Florida Cancer Specialists
    Sarasota, Florida 34232, United States
  • Winship Cancer Institute, Emory University
    Atlanta, Georgia 30322, United States
  • Laura and Isaac Perlmutter Cancer Center/ NYU Langone Health
    New York, New York 10016, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • Hospital of the University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • Thomas Jefferson University, Sidney Kimmel Cancer Center
    Philadelphia, Pennsylvania 19107, United States
  • Tennessee Oncology, PLLC
    Nashville, Tennessee 37203, United States
  • South Texas Accelerated Research Therapeutics, LLC
    San Antonio, Texas 78229, United States
  • NEXT Virginia
    Fairfax, Virginia 22031, United States
  • National Cancer Centre Singapore
    Singapore, 168583, Singapore
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 1, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05538572
Lead sponsor
Prelude Therapeutics
Responsible party
Sponsor
First posted
Sep 14, 2022
Start date
Dec 27, 2022
Primary completion
Jun 26, 2024
Completion
Jun 26, 2024
Last update
Jul 1, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2024. You cannot join it, but the record below documents what was studied.

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