Last reviewed · How we verify

NCT01834651

A Phase II Study of Cabozantinib (XL184) Therapy in Castrate Resistant Prostate Cancer (CRPC) With Visceral Metastases

Completed Phase 2 Results posted Last updated 27 September 2017
What this trial tests

Phase 2 trial testing Cabozantinib in Prostate Cancer in 17 participants. Completed in 18 July 2016.

Timeline
30 April 2013
Primary endpoint
18 July 2016
18 July 2016

Quick facts

Lead sponsorEdwin Posadas, MD
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment17
Start date30 April 2013
Primary completion18 July 2016
Estimated completion18 July 2016
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Edwin Posadas, MD — full company profile →

Who can join

18 and older, male only, with Prostate Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Clinical Benefit Rate From Cabozantinib (XL184) Primary · Baseline to 12 weeks after starting therapy

Clinical benefit rate is defined as the combination of complete response, partial response, and stable disease as defined by modified Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 as assessed by CT imaging and Prostate Cancer Working Group 2 (PCWG2) criteria. Complete response (CR) defined as disappearance of all target lesions; Partial response (PR) \>=30% decrease in som of diameters of target lesions (taking as reference the baseline), and stable disease, neither sufficient shrinkage to qualify for PR nor increase to qualify for progressive disease.

GroupValue95% CI
Treatment (Cabozantinib)10
Change in Number of Circulating Tumor Cells (CTC) in Response to Cabozantinib Secondary · Baseline and 12 weeks

Change in number of CTC from baseline at 12 weeks

GroupValue95% CI
Treatment (Cabozantinib)53.2± 217.8
Number of Patients With NanoVelcro Appropriate for RNA in Circulating Tumor Cells Secondary · 12 weeks

This is to provide a measure of feasibility using NanoVelcro to measure RNA in circulating tumor cells (CTC)

GroupValue95% CI
Treatment (Cabozantinib)16
Change in Levels of Serum Hepatocyte Growth Factor (HGF) and Vascular Endothelial Growth Factor (VEGF) Concentration Secondary · 12 weeks

Mean change from baseline in levels of HGF and VEGF

GroupValue95% CI
Treatment (Cabozantinib) HGF Levels-322.96± 1981.19
Treatment (Cabozantinib) VEGF Levels191.1± 302.1
Number of Participants With Grade 3/4 Adverse Events Related to Cabozantinib as Assessed Using CTCAE (v.4) Secondary · Every 2 weeks for first 3 Cycles and every 4 weeks thereafter for an expected average of 28 weeks.

Each cycle is 28 days. Safety and tolerability was defined as related grade 3-4 AEs of doses of cabozantinib below 100 mg daily using common terminology criteria for adverse events (CTCAE)

AST increased
GroupValue95% CI
Treatment (Cabozantinib)4
Alkaline phosphatase increased
GroupValue95% CI
Treatment (Cabozantinib)2
Anemia
GroupValue95% CI
Treatment (Cabozantinib)1
Corneal Epithelial Defect
GroupValue95% CI
Treatment (Cabozantinib)1
Dehydration
GroupValue95% CI
Treatment (Cabozantinib)1
Diarrhea
GroupValue95% CI
Treatment (Cabozantinib)1
GGT increased
GroupValue95% CI
Treatment (Cabozantinib)1
Hematuria
GroupValue95% CI
Treatment (Cabozantinib)1
Number of Patients With Evaluable Protein Content of Large Oncosomes From Baseline to First Documented Progression or Date of Death Secondary · From baseline until the date of first documented progression or date of death from any cause, whichever comes first, assessed for an expected average of 28 weeks.

This is a feasibility outcome to assess ability to measure protein content in large oncosomes in this population.

GroupValue95% CI
Treatment (Cabozantinib)12

Adverse events — posted to ClinicalTrials.gov

Time frame: From signed consent up to 30 days after last treatment. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Cabozantinib)
Serious: 14/17 (82%)
Deaths:

Serious adverse events (11 terms)

ReactionSystemTreatment (Cabozantinib)
AnemiaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
Chest Pain- CardiacCardiac disorders
CholecystitisHepatobiliary disorders
ConfusionPsychiatric disorders
DyspneaRespiratory, thoracic and mediastinal disorders
FeverGeneral disorders
HematuriaRenal and urinary disorders
KeratitisEye disorders
Rectal fistulaGastrointestinal disorders
Retinal detachmentEye disorders
Other adverse events (119 terms — click to expand)

ReactionSystemTreatment (Cabozantinib)
ALT increasedInvestigations
AST increasedInvestigations
Palmar-Plantar Erythrodysesthesia SyndromeSkin and subcutaneous tissue disorders
Alkaline Phosphatase increasedInvestigations
Lymphocyte Count DecreasedBlood and lymphatic system disorders
White Blood Cell DecreasedInvestigations
DiarrheaGastrointestinal disorders
GGT IncreasedInvestigations
HoarsenessRespiratory, thoracic and mediastinal disorders
HypoalbuminemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
AnorexiaMetabolism and nutrition disorders
FatigueGeneral disorders
NauseaGastrointestinal disorders
proteinuriaMetabolism and nutrition disorders
AnemiaBlood and lymphatic system disorders
Platelet Count DecreasedInvestigations
Mucositis OralGastrointestinal disorders
ConstipationGastrointestinal disorders
HypomagnesemiaMetabolism and nutrition disorders
Weight LossInvestigations
Abdominal painGastrointestinal disorders
Back painMusculoskeletal and connective tissue disorders
Blood Bilirubin IncreasedInvestigations
Dry mouthGastrointestinal disorders
Edema limbsGeneral disorders
FeverGeneral disorders
Gastroesophageal Reflux DiseaseGastrointestinal disorders
HyperkalemiaMetabolism and nutrition disorders
HypertensionVascular disorders
HypocalcemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
Dry eyeEye disorders
DysguesiaNervous system disorders
Hair Color ChangeSkin and subcutaneous tissue disorders
HypophosphatemiaMetabolism and nutrition disorders
HypothyroidismMetabolism and nutrition disorders
Lipase IncreasedInvestigations
MyalgiaMusculoskeletal and connective tissue disorders
Neutrophil Count DecreasedInvestigations

Most-reported serious reactions: Anemia, Nausea, Chest Pain- Cardiac, Cholecystitis, Confusion, Dyspnea, Fever, Hematuria.

Data from ClinicalTrials.gov NCT01834651 adverse events section.

Sponsor's own description

This research study is being done to measure the clinical benefit associated with cabozantinib (XL184) in men who have prostate cancer that has spread to visceral organs (organs other than bone or lymph nodes) and no longer responds to initial hormonal (castration) therapy. This type of prostate cancer is called metastatic, castrate-resistant prostate cancer.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. EGFR-TKIs resistance via EGFR-independent signaling pathways.
    Liu Q, Yu S, Zhao W, Qin S, et al · · 2018 · cited 283× · PMID 29455669 · DOI 10.1186/s12943-018-0793-1
  2. A Review of Circulating Tumour Cell Enrichment Technologies.
    Rushton AJ, Nteliopoulos G, Shaw JA, Coombes RC. · · 2021 · cited 126× · PMID 33652649 · DOI 10.3390/cancers13050970
  3. Receptor tyrosine kinases and downstream pathways as druggable targets for cancer treatment: the current arsenal of inhibitors.
    Montor WR, Salas AROSE, Melo FHM. · · 2018 · cited 80× · PMID 29455659 · DOI 10.1186/s12943-018-0792-2
  4. BDNF and its signaling in cancer.
    Malekan M, Nezamabadi SS, Samami E, Mohebalizadeh M, et al · · 2023 · cited 48× · PMID 36173463 · DOI 10.1007/s00432-022-04365-8
  5. Current and emerging therapies for bone metastatic castration-resistant prostate cancer.
    Frieling JS, Basanta D, Lynch CC. · · 2015 · cited 40× · PMID 25504285 · DOI 10.1177/107327481502200114
  6. Recent progress in pharmaceutical therapies for castration-resistant prostate cancer.
    Yin L, Hu Q, Hartmann RW. · · 2013 · cited 35× · PMID 23880851 · DOI 10.3390/ijms140713958
  7. Retrospective study testing next generation sequencing of selected cancer-associated genes in resected prostate cancer.
    Lo Iacono M, Buttigliero C, Monica V, Bollito E, et al · · 2016 · cited 24× · PMID 26887047 · DOI 10.18632/oncotarget.7343
  8. The treatment landscape in thyroid cancer: a focus on cabozantinib.
    Weitzman SP, Cabanillas ME. · · 2015 · cited 24× · PMID 26316818 · DOI 10.2147/cmar.s68373

Verify or expand the search:

Other trials of Cabozantinib

Trials testing the same drug.

Other recruiting trials for Prostate Cancer

Currently open trials in the same condition.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01834651.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing