208 Participants NeededMy employer runs this trial

INR731 for Prostate Cancer

Recruiting at 4 trial locations
NP
Overseen ByNovartis Pharmaceuticals
Age: 18+
Sex: Male
Trial Phase: Phase 1
Sponsor: Novartis Pharmaceuticals
Must be taking: Androgen deprivation therapy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment, INR731, for individuals with metastatic prostate cancer, meaning the cancer has spread to other parts of the body. The study aims to determine the safety and tolerability of INR731, both alone and in combination with existing prostate cancer treatments, to assess its potential in fighting tumors. Participants should have prostate cancer that has metastasized and must be undergoing hormone therapy with evidence of the disease on imaging scans. As a Phase 1 trial, this research focuses on understanding how INR731 works in people, offering participants the opportunity to be among the first to receive this new treatment.

Do I have to stop taking my current medications for the trial?

The trial does not specify if you need to stop taking your current medications, but you cannot use medications that prolong the QT interval unless you can stop them for the study. Also, you must not have taken an investigational agent within 7 days before starting the trial.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research shows that INR731 is under study for safety and tolerability in treating prostate cancer, either alone or with other medications like enzalutamide or abiraterone.

For INR731 alone, early studies are still assessing its safety. This marks the first time INR731 is tested in humans, so detailed safety information is still being collected.

When combined with enzalutamide, it is important to note that enzalutamide's safety is well-established. It has been shown to lower the risk of death by 33% in patients with metastatic prostate cancer and is generally well-tolerated, with manageable side effects.

For the combination with abiraterone, past research has demonstrated that abiraterone is relatively safe and has fewer serious side effects compared to standard treatments. It also reduces the risk of death by nearly 40% for men with high-risk advanced prostate cancer.

Overall, while the safety of INR731 is still under study, the medications it is combined with (enzalutamide and abiraterone) are generally well-tolerated. Participants can expect regular monitoring as researchers continue to gather more information.12345

Why are researchers excited about this trial's treatments?

Unlike the standard treatments for prostate cancer, which often include hormone therapies like enzalutamide and abiraterone alone, INR731 is being tested both as a single agent and in combination with these drugs. Researchers are excited about INR731 because it may offer a new mechanism of action that targets prostate cancer cells differently than existing therapies. This could potentially enhance the effectiveness of current hormone treatments and offer a more robust approach to managing the disease. By exploring these combinations, INR731 aims to improve patient outcomes and broaden the arsenal of tools available to fight prostate cancer.

What evidence suggests that this trial's treatments could be effective for prostate cancer?

Research has shown that INR731, which participants in this trial may receive, may help treat prostate cancer. Early studies suggest it could shrink tumors. In this trial, some participants will receive INR731 with enzalutamide, a drug that can lower the risk of death by 33% in prostate cancer patients, potentially improving treatment outcomes. Enzalutamide alone has been shown to extend life and enhance quality of life. Other participants will receive INR731 with abiraterone, which has increased survival by 40% in high-risk cases, potentially offering significant benefits. Overall, these combinations aim to enhance treatment effectiveness for advanced prostate cancer.13678

Are You a Good Fit for This Trial?

This trial is for adults with metastatic prostate cancer who have at least one tumor that has spread, are on hormone therapy to lower testosterone, and have a good performance status. They must have confirmed prostate cancer and low testosterone levels. Some previous treatments are allowed.

Inclusion Criteria

I am able to care for myself and do light activities.
* At least 1 metastatic lesion (according to local radiology assessment by the investigator) present on baseline CT, MRI, or bone scan imaging obtained ≤28 days prior to Cycle 1 Day 1 (C1D1).
I am currently receiving androgen deprivation therapy for my condition.
See 3 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment - Dose Escalation

Participants receive INR731 as a single agent or in combination with enzalutamide or abiraterone to determine the recommended dose

28 days
Multiple visits for dose escalation monitoring

Treatment - Dose Expansion

Further exploration of safety, tolerability, and preliminary anti-tumor activity at the recommended dose

Up to approximately 24 months
Regular visits for treatment and monitoring

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Abiraterone
  • Enzalutamide
  • INR731

Trial Overview

The study tests the safety of a new oral drug called INR731 alone or combined with standard drugs (Enzalutamide or Abiraterone) used for advanced prostate cancer. Patients receive these treatments to find the best dose and check early signs of effectiveness.

How Is the Trial Designed?

3

Treatment groups

Experimental Treatment

Group I: INR731 single agent (Arm A)Experimental Treatment2 Interventions
Group II: INR731 in combination with enzalutamide (Arm B)Experimental Treatment3 Interventions
Group III: INR731 in combination with abiraterone (Arm C)Experimental Treatment3 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Novartis Pharmaceuticals

Lead Sponsor

Trials
2,963
Recruited
4,275,000+
Founded
1996
Headquarters
Basel, Switzerland
Known For
Precision medicine
Top Products
Gleevec, Cosentyx, Entresto, Kisqali
Dr. Vas Narasimhan profile image

Dr. Vas Narasimhan

Novartis Pharmaceuticals

Chief Executive Officer since 2018

MD from Harvard Medical School

Dr. Shreeram Aradhye profile image

Dr. Shreeram Aradhye

Novartis Pharmaceuticals

Chief Medical Officer since 2021

MD

Citations

Study Details | NCT00056407 | "REDUCE"

This 4-year study will compare how safe and effective an oral investigational medicine is (compared to placebo) in preventing the development of prostate ...

A Study to Investigate the Safety and Tolerability of Oral ...

The purpose of this study is to assess the safety, tolerability, pharmacokinetics/pharmacodynamics, preliminary anti-tumor activity, and ...

New prostate cancer hopes from Roche and Novartis

To these efforts INR731 is now being added, with a first-in-human trial starting later this month in the metastatic castration-resistant setting ...

INR731 for Prostate Cancer

The purpose of this study is to assess the safety, tolerability, pharmacokinetics/pharmacodynamics, preliminary anti-tumor activity, ...

Toxicity-benefit analysis of advanced prostate cancer trials ...

In our study, experimental arms exhibited higher toxicity (A-WTS) and favorable efficacy outcomes, with varying degree of benefit. ... Evaluating treatment ...

6.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/40940844/

The Safety of Abiraterone Acetate in Patients with Metastatic ...

More serious adverse events (grade 3 or 4) and deaths (grade 5) occurred in those receiving SOC (71.8%) compared to abiraterone (64.1%). The ...

The Safety of Abiraterone Acetate in Patients with ...

The current study found that more serious adverse events occurred more frequently in the SOC group (71.8%) than in the abiraterone acetate group (64.1%). Odds ...

Real-World Safety and Efficacy Outcomes with Abiraterone ...

The latest data show that an estimated 1.3 million men were diagnosed with prostate cancer in 2018 [2], 450,000 new cases of which were in Europe; this ...