Radiation Medication (Radium-223 Dichloride) Versus Radium-223 Dichloride Plus Radiation Enhancing Medication (M3814) Versus Radium-223 Dichloride Plus M3814 Plus Avelumab (a Type of Immunotherapy) for Advanced Prostate Cancer Not Responsive to Hormonal Therapy
NCT04071236 · Status: RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 90
Last updated 2026-05-13
Summary
This phase I/II trial studies the best dose of M3814 when given together with radium-223 dichloride or with radium-223 dichloride and avelumab and to see how well they work in treating patients with castrate-resistant prostate cancer that had spread to other places in the body (metastatic). M3814 may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Radioactive drugs, such as radium-223 dichloride, may carry radiation directly to tumor cells and not harm normal cells. Immunotherapy with monoclonal antibodies, such as avelumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. This study is being done to find out the better treatment between radium-223 dichloride alone, radium-223 dichloride in combination with M3814, or radium-223 dichloride in combination with both M3814 and avelumab, to lower the chance of prostate cancer growing or spreading in the bone, and if this approach is better or worse than the usual approach for advanced prostate cancer not responsive to hormonal therapy.
Conditions
- Metastatic Castration-Resistant Prostate Carcinoma
- Metastatic Malignant Neoplasm in the Bone
- Metastatic Malignant Neoplasm in the Lymph Nodes
- Stage IVB Prostate Cancer AJCC v8
Interventions
- DRUG
-
Avelumab
Given IV
- PROCEDURE
-
Biospecimen Collection
Undergo blood sample collection
- PROCEDURE
-
Bone Scan
Undergo bone scan
- PROCEDURE
-
Computed Tomography
Undergo CT
- PROCEDURE
-
Magnetic Resonance Imaging
Undergo MRI
- DRUG
-
Peposertib
Given PO
- OTHER
-
Questionnaire Administration
Ancillary studies
- RADIATION
-
Radium Ra 223 Dichloride
Given IV
Sponsors & Collaborators
-
National Cancer Institute (NCI)
lead NIH
Principal Investigators
-
Hiram A Gay · Yale University Cancer Center LAO
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-10-14
- Primary Completion
- 2027-04-30
- Completion
- 2027-04-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Study of Abiraterone Acetate or Enzalutamide, Atezolizumab, GnRH Analog and Radiation Therapy in Men With Newly Diagnosed Hormone-sensitive Prostate Cancer
NCT04262154 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Study Evaluating the Addition of Pembrolizumab to Radium-223 in mCRPC
NCT03093428 ·Status: COMPLETED ·Phase: PHASE2
-
Comparison of High-Dose Rate Brachytherapy and Stereotactic Ablative Radiotherapy as Monotherapy for the Treatment of Localized Prostate Cancer
NCT04253483 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Brachytherapy in Treating Patients With Recurrent Prostate Cancer
NCT00005939 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Clonal Emergence and Regression During Radium-223 Therapy for Metastatic Prostate Cancer
NCT03677076 ·Status: COMPLETED
-
Radium Ra 223 Dichloride, Hormone Therapy and Stereotactic Body Radiation Therapy in Treating Patients With Metastatic Prostate Cancer
NCT03361735 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Safety and Tolerability of Atezolizumab (ATZ) in Combination With Radium-223 Dichloride (R-223-D) in Metastatic Castrate-Resistant Prostate Cancer (CRPC) Progressed Following Treatment With an Androgen Pathway Inhibitor
NCT02814669 ·Status: COMPLETED ·Phase: PHASE1
-
Chemotherapy With or Without Biological Therapy in Treating Patients With Metastatic Prostate Cancer That Has Not Responded to Hormone Therapy
NCT00005847 ·Status: COMPLETED ·Phase: PHASE2
-
Avelumab Plus 2nd-generation ADT in African American Subjects With mCRPC
NCT03770455 ·Status: TERMINATED ·Phase: PHASE2
-
Phase IB Trial of Radium-223 and Niraparib in Patients With Castrate Resistant Prostate Cancer (NiraRad)
NCT03076203 ·Status: COMPLETED ·Phase: PHASE1
-
Stereotactic Body Radiation Therapy Plus Immediate or Delayed Androgen Receptor Pathway Inhibitor and Androgen Deprivation Therapy or Salvage Radiation Therapy for the Treatment of Prostate Cancer, DIVINE Trial
NCT06378866 ·Status: RECRUITING ·Phase: PHASE2
-
Androgen Ablation Therapy With or Without Niraparib After Radiation Therapy for the Treatment of High-Risk Localized or Locally Advanced Prostate Cancer
NCT04947254 ·Status: RECRUITING ·Phase: PHASE2
-
A Study of Niraparib in Combination With Abiraterone Acetate and Prednisone Versus Abiraterone Acetate and Prednisone for Treatment of Participants With Metastatic Prostate Cancer
NCT03748641 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Androgen Suppression Plus Radiation Therapy in Treating Patients With Prostate Cancer
NCT00006359 ·Status: COMPLETED ·Phase: PHASE2
-
Standard Dose Versus High Dose and Versus Extended Standard Dose Radium-223 Dichloride in Castration-resistant Prostate Cancer Metastatic to the Bone
NCT02023697 ·Status: COMPLETED ·Phase: PHASE2
-
ADXS31-142 Alone and in Combination With Pembrolizumab (MK-3475) in Participants With Previously Treated Metastatic Castration-Resistant Prostate Cancer (mCRPC)
NCT02325557 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
A Study of Niraparib Combination Therapies for the Treatment of Metastatic Castration-Resistant Prostate Cancer
NCT03431350 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
A Randomized Phase IIa Efficacy and Safety Study of Radium-223 Dichloride With Abiraterone Acetate or Enzalutamide in Metastatic Castration-resistant Prostate Cancer (CRPC)
NCT02034552 ·Status: COMPLETED ·Phase: PHASE2
-
A Study to Test Radium-223 With Docetaxel in Patients With Prostate Cancer
NCT03574571 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Hormone Therapy Followed By Internal Radiation Therapy in Treating Patients With Locally Recurrent Prostate Cancer
NCT00032006 ·Status: COMPLETED ·Phase: PHASE2
-
Adenosine Signaling Modulation and Immune Checkpoint Inhibition With Hormone Sensitive Oligometastatic Prostate Cancer
NCT05915442 ·Status: RECRUITING ·Phase: PHASE2
-
Stereotactic Body Radiotherapy (SBRT) for Localized Prostate Cancer
NCT04489745 ·Status: UNKNOWN ·Phase: PHASE2
-
Descriptive Analysis of Clinical Outcomes in Patients With Prostate Gland Cancer, Which Spreads to Other Parts of the Body, Who Were Treated First With Novel Anti-hormone Therapy Followed by a Second Line Treatment With Novel Anti-Hormone Therapy or RadIum-223 (Xofigo).
NCT03896984 ·Status: COMPLETED
-
Phase I/II Trial of Pembrolizumab and Androgen-receptor Inhibitor With or Without 225Ac-J591 for Progressive Metastatic Castration Resistant Prostate Cancer
NCT04946370 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Testing the Safety of Different Doses of Olaparib Given Radium-223 for Men With Advanced Prostate Cancer With Bone Metastasis
NCT03317392 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2