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NCT03690141

An Open-label Study of the Effect of Tomivosertib (eFT508) in Patients With Advanced Castrate-resistant Prostate Cancer

Terminated Phase 2 Results posted Last updated 21 June 2024
What this trial tests

Phase 2 trial testing eFT508 in Castrate-resistant Prostate Cancer (CRPC) in 16 participants. Terminated before completion.

Timeline
27 November 2018
Primary endpoint
27 April 2020
27 April 2020

Quick facts

Lead sponsorEffector Therapeutics
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment16
Start date27 November 2018
Primary completion27 April 2020
Estimated completion27 April 2020
Sites10 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Effector Therapeutics — full company profile →

Who can join

18 and older, male only, with Castrate-resistant Prostate Cancer (CRPC). 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.

Anti-tumor Response as Defined by a Patient Achieving Either of the Following Outcomes: Primary · 52 weeks

* A ≥50% PSA decline from baseline at any time point after therapy and maintained for ≥4 weeks * Objective response according to iRECIST 1.1

GroupValue95% CI
Tomivosertib (eFT508) 200 mg Twice Daily0
PSA Progression-free Survival From Start of Study Therapy Until the Date PSA Progression is First Observed. Secondary · 52 weeks

PSA progression is defined as a ≥25% increase in PSA from nadir or baseline (and by ≥2 ng/mL) and requires confirmation ≥3 weeks later.

GroupValue95% CI
Tomivosertib (eFT508)8.14.1 – 31.1

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events were collected from first dose through 30 days after the last dose of study medication, with a mean duration of study drug treatment of 11.5 weeks per participant. All-Cause Mortality was assessed through study completion, up to 52 weeks.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Tomivosertib (eFT508) 200 mg Twice Daily
Serious: 7/16 (44%)
Deaths: 5/16

Serious adverse events (13 terms)

ReactionSystemTomivosertib (eFT508) 200 …
Chest PainGeneral disorders
DeathGeneral disorders
Disease progressionGeneral disorders
BronchitisInfections and infestations
PneumoniaInfections and infestations
UrosepsisInfections and infestations
HaematuriaRenal and urinary disorders
Obstructive NephropathyRenal and urinary disorders
Urinary bladder ruptureRenal and urinary disorders
DiverticulumGastrointestinal disorders
Urinary tract stoma complicationInjury, poisoning and procedural complications
DehydrationMetabolism and nutrition disorders
SeizureNervous system disorders
Other adverse events (68 terms — click to expand)

ReactionSystemTomivosertib (eFT508) 200 …
nauseaGastrointestinal disorders
VomitingGastrointestinal disorders
ConstipationGastrointestinal disorders
DiarrheaGastrointestinal disorders
FatigueGeneral disorders
TremorNervous system disorders
Decreased appetiteMetabolism and nutrition disorders
HypercalcemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
AnemiaBlood and lymphatic system disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Rectal haemorrhageGastrointestinal disorders
HypokalemiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
Edema peripheralGeneral disorders
Upper respiratory tract infectionInfections and infestations
Blood creatine phosphokinase increasedInvestigations
DyspneaRespiratory, thoracic and mediastinal disorders
HematuriaRenal and urinary disorders
Abdominal painGastrointestinal disorders
DiverticulumGastrointestinal disorders
GastritisGastrointestinal disorders
OesophagitisGastrointestinal disorders
DehydrationMetabolism and nutrition disorders
HyperglycaemiaMetabolism and nutrition disorders
HypocalcaemiaMetabolism and nutrition disorders
HyponatraemiaMetabolism and nutrition disorders
Iron deficiencyMetabolism and nutrition disorders
Chest painGeneral disorders
DeathGeneral disorders
Disease progressionGeneral disorders
Non-cardiac chest painGeneral disorders
PainGeneral disorders
AtaxiaNervous system disorders
Balance disorderNervous system disorders
DysarthriaNervous system disorders
HeadacheNervous system disorders
Poor quality sleepNervous system disorders
Posterior reversible encephalopathy syndromeNervous system disorders
SeizureNervous system disorders

Most-reported serious reactions: Chest Pain, Death, Disease progression, Bronchitis, Pneumonia, Urosepsis, Haematuria, Obstructive Nephropathy.

Data from ClinicalTrials.gov NCT03690141 adverse events section.

Sponsor's own description

This Phase 2 Open-label Study examines the efficacy, safety, tolerability, and pharmacokinetics (PK) of tomivosertib (eFT508) in Patients with advanced CRPC. An Open-label Study Examining the Effect of tomivosertib (eFT508) in Patients with Advanced Castrate-resistant Prostate Cancer (CRPC)

Publications & conference data

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

  1. The Akt/mTOR and MNK/eIF4E pathways rewire the prostate cancer translatome to secrete HGF, SPP1 and BGN and recruit suppressive myeloid cells.
    Brina D, Ponzoni A, Troiani M, Calì B, et al · · 2023 · cited 56× · PMID 37460872 · DOI 10.1038/s43018-023-00594-z
  2. Pharmacological Manipulation of Translation as a Therapeutic Target for Chronic Pain.
    Yousuf MS, Shiers SI, Sahn JJ, Price TJ. · · 2021 · cited 51× · PMID 33203717 · DOI 10.1124/pharmrev.120.000030
  3. Inhibiting the MNK1/2-eIF4E axis impairs melanoma phenotype switching and potentiates antitumor immune responses.
    Huang F, Gonçalves C, Bartish M, Rémy-Sarrazin J, et al · · 2021 · cited 49× · PMID 33690225 · DOI 10.1172/jci140752
  4. Deeping in the Role of the MAP-Kinases Interacting Kinases (MNKs) in Cancer.
    Pinto-Díez C, Ferreras-Martín R, Carrión-Marchante R, González VM, et al · · 2020 · cited 41× · PMID 32340135 · DOI 10.3390/ijms21082967
  5. Translational Regulation of Cancer Metastasis.
    Micalizzi DS, Ebright RY, Haber DA, Maheswaran S. · · 2021 · cited 35× · PMID 33479028 · DOI 10.1158/0008-5472.can-20-2720
  6. The MNK1/2-eIF4E Axis as a Potential Therapeutic Target in Melanoma.
    Prabhu SA, Moussa O, Miller WH, Del Rincón SV. · · 2020 · cited 28× · PMID 32517051 · DOI 10.3390/ijms21114055
  7. Regulation of mRNA Translation by Hormone Receptors in Breast and Prostate Cancer.
    Xie J, Kusnadi EP, Furic L, Selth LA. · · 2021 · cited 17× · PMID 34209750 · DOI 10.3390/cancers13133254
  8. Chemical Probes for Studying the Eukaryotic Translation Initiation Factor 4E (eIF4E)-Regulated Translatome in Cancer.
    O'Rourke RL, Garner AL. · · 2025 · cited 5× · PMID 40109752 · DOI 10.1021/acsptsci.4c00674

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