A Study of GSK5458514 Administered Alone or In Combination With Other Anti-Cancer Agents in Participants With Prostate Cancer
A Phase 1/2 First-Time-in-Human, Open-label, Multicenter, Dose Escalation and Expansion Study of GSK5458514 PSMA Targeting T Cell Engager Alone or in Combination With Other Anti-cancer Agents in Adult Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC)
Who can join
As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.
- Age
- 18 Years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Compensation
- Not stated
Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.
What to expect
No one can promise a trial will help you personally — that is what the research is trying to find out.
What participation involves
Not stated in the study description — ask the study team about visits and procedures.
- Compensation
- Not stated
- Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
- Participants are monitored closely by the research team throughout the study.
- Some participants may receive access to an investigational treatment, which is still being studied.
- Your participation helps researchers learn whether this approach could help future patients.
About this study
In plain language
This study tests the safety of GSK5458514 and how the body handles it, alone or with other cancer drugs. It is for adult men with prostate cancer that has spread and keeps growing despite treatments that lower or block male hormones.
The goal of the study is to evaluate how safe and how well the body handles GSK5458514 when administered in participants with prostate cancer. The study will be conducted in two parts - Part 1 (dose escalation phase) and Part 2 (dose expansion phase).
Compensation is read from the study's own description and may be missing — always confirm with the study team.
Eligibility
Who can join
- Be a man age 18 or older, or the local legal age to consent. Sign a consent form and agree to follow study rules.
- Have prostate adenocarcinoma, a type of prostate cancer, confirmed by a tissue or cell test. The cancer must have spread and resist hormone-lowering treatment.
- Have cancer that worsened on the latest drug treatment. A newer hormone-blocking drug and 1–2 taxane chemotherapy treatments must have failed.
- Have tumors seen on scans, rising PSA blood test levels with soft-tissue cancer, or at least 2 cancer spots on a bone scan. Each option has specific study rules.
- Have testosterone below 50 ng/dL. Both testicles must have been removed, or hormone-lowering medicine must start at least 4 weeks before study group assignment and continue during the study.
- Be fully active or able to do light work, with no decline in the 2 weeks before treatment starts. Your organs must work well enough for the study.
- Provide a new or stored tumor sample for testing. A new sample is preferred.
- Do not donate sperm during treatment or for at least 195 days afterward. During that time, continue usual long-term abstinence from sex with women, or use condoms with women who could become pregnant.
Who can't join
- Have a prostate cancer type other than adenocarcinoma, or a history of cancer spreading to the brain, spinal cord, or their lining.
- Have another invasive cancer now or within the past 5 years. Some cancers treated successfully may be allowed.
- Still have more than mild side effects from past treatment, with some exceptions. Certain severe brain or mental health conditions, or allergies to study drug ingredients, may also prevent joining.
- Have an immune system disease that needed whole-body treatment within 2 years, with some exceptions. Certain lung inflammation or scarring also prevents joining.
- Have had cancer treatment within 30 days, or PSMA-targeted radiation treatment within 2 months unless fewer than 2 cycles were given. Certain past immune-cell treatments aimed at prostate cancer also prevent joining.
- Have ever had a bone marrow or solid organ transplant, or had major surgery within 4 weeks before the first dose.
- Have had a serious infection within 4 weeks, IV antibiotics for an active infection within 2 weeks, or oral antibiotics for an active infection within 1 week. Antibiotics used to prevent infections are allowed.
- Have certain high liver blood test results, liver scarring, unstable liver or bile duct disease, or positive hepatitis B or C tests. A past hepatitis C infection may be allowed if testing shows the virus is gone.
Simplified for readability. The official criteria below are what the study team uses.
Official eligibility criteria
Inclusion Criteria: * Provide signed informed consent. Participants must be capable of providing informed consent, which includes compliance with the requirements and restrictions listed in the Informed consent form (ICF) and in this protocol. * Male participants greater than equal to (\>=)18 years of age (or the legal age of consent in the jurisdiction in which the study is taking place) at the time of signing the ICF. Male participants are eligible to participate if they agree to the following during the study intervention period and for at least 195 days, after the last dose of study intervention: Refrain from donating sperm PLUS either: Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) and agree to remain abstinent. OR Must agree to use contraception as detailed below: Agree to use a male condom and should also be advised of the benefit for a female partner to use a highly effective method of contraception as a condom may break or leak when having sexual intercourse with a woman of childbearing potential (WOCBP) who is not currently pregnant. * Participants with mCRPC: * Histologically or cytologically confirmed adenocarcinoma of the prostate * Metastatic disease diagnosed either by radiologic imaging (Positron emission tomography \[PET\]- Computed tomography \[CT\]) and/or regular CT and/or Magnetic resonance imaging (MRI) and/or bone scan * Castration-resistant status as per PCWG3 criteria * Has prior novel anti-androgen receptor therapy failure and had treatment failure with 1-2 taxane-based chemotherapy regimens including for metastatic hormone sensitive prostate cancer. * Has (1) at least 1 soft tissue target lesion per Prostate Cancer Working Group 3 (PCWG3)-modified Response Evaluation Criteria in Solid Tumors, version 1.1 (RECIST 1.1) OR (2) if Non-Target soft tissue disease only per PCWG3-modified RECIST 1.1, may be included if a rise in Prostate-specific antigen (PSA) on 2 successive determinations at least 1 week apart (the most recent screening measurement must have been \>= 2 nanograms per milliliter (ng/mL) with testosterone levels \<50 nanograms per deciliter (ng/dL), OR (3) bone disease defined by PCWG3 (2 or more lesions on bone scan at screening), as determined by the investigator. * Documented disease progression on most recent systemic anti-cancer therapy defined by fulfilling at least 1 of the PCWG3 criteria * Have serum testosterone \<50 ng/dL (\<1.7 nM). Patients must have undergone bilateral orchiectomy or be on continuous androgen-deprivation therapy with a Gonadotropin-releasing hormone (GnRH) agonist or antagonist; this therapy must have been initiated at least 4 weeks prior to randomization and treatment must be continued throughout the study. * Eastern Cooperative Oncology Group (ECOG) performance status \<=1, with no deterioration in the 2 weeks before step-up treatment period Day 1. * Have supplied tumor tissue from a newly obtained biopsy or archival tumor tissue for retrospective detection of Prostate-specific membrane antigen (PSMA) expression and other biomarker analysis. Tissue from a newly obtained biopsy is preferred. If a newly obtained biopsy is not feasible, archival tumor tissue preferably taken after the completion of the participant's last line of therapy prior to the first dose of study drug is acceptable. * Participants must have adequate organ function Exclusion criteria: * Pathological finding consistent with small cell, neuroendocrine carcinoma of the prostate or any histology different from adenocarcinoma. * History of central nervous system (CNS) metastases or leptomeningeal disease. * Diagnosis of invasive malignancy or history of invasive malignancy other than the disease under study within the last 5 years, except as noted below: * History of an invasive malignancy for which the participant was definitively treated, and in which the participant has been disease free for at least 2 years, and which, in the opinion of the principal investigator and medical monitor, is not expected to affect the evaluation of the effects of the study intervention on the currently targeted disease under study * Curatively treated basal cell carcinoma of the skin, superficial bladder cancer, squamous cell carcinoma of the skin, and/or in situ breast cancer may be enrolled * Has ongoing adverse reaction(s) from prior therapy that have not recovered to \<=Grade 1 or to the baseline status preceding prior therapy, excluding \[e.g., alopecia, hearing loss, vitiligo, endocrinopathy managed with replacement therapy, and Grade 2 neuropathy\], or that the investigator, with the agreement of the sponsor, considers to be not clinically relevant for the tolerability of study intervention in the current clinical study. * Confirmed history or recurrent autoimmune disease that has required systemic treatments in the 2 years prior to screening. Participants with prior history of autoimmune disease must be discussed with the medical monitor. Replacement therapy is not considered a form of systemic therapy (e.g., thyroid hormone for autoimmune thyroiditis or insulin is not exclusionary). * Has evidence of interstitial lung disease, non-infectious pneumonitis, and/or a history of interstitial lung disease, non-infectious pneumonitis that required steroid. * Has received any anti-cancer therapy or prior systemic biologic therapy, including immunotherapy within 30 days prior to first dose of study intervention. * Prior PSMA radionuclide therapy within 2 months prior to GSK5458514 unless participant received \<2 cycles. * Prior PSMA-Chimeric antigen receptor T cell therapy (CAR-T) cell therapy and PSMA (T cell engager) TCE/ Bispecific T cell engagers (BiTE) or other prostate Tumor-associated antigens (TAA) specific T cell engager (TCE). * Has any history of prior allogenic or autologous bone marrow transplant or other solid organ transplant. * Has known sensitivity to study intervention components or excipients or other allergy that, in the opinion of the investigator or medical monitor, contraindicates participation in the study. * History of severe neurological or psychiatric disorder, including epilepsy, dementia, or major depression deemed to interfere with study assessments. * Has had any major surgery (such as craniotomy, thoracotomy, or laparotomy, etc.) within 4 weeks prior to first dose of study intervention. * Serious infections within 4 weeks prior to the first dose, including but not limited to infectious complications, bacteremia, severe pneumonia treated with IV antibiotics for \>=2 weeks; active infections with therapeutic IV antibiotics within 2 weeks prior to the first dose or oral antibiotics within 1 week prior to the first dose. Participants who are receiving or have received prophylactic antibiotics (e.g., prophylaxis against urinary infections) are allowed. Liver safety exclusion criteria: * Has an Alanine aminotransferase (ALT) value \>2.5x upper limit of normal (ULN) or \>5x ULN if documented history of liver metastases. * Has a total bilirubin value \>1.5x ULN. * Has cirrhosis or current unstable liver or biliary disease per investigator assessment defined by the presence of ascites, encephalopathy, coagulopathy, hypoalbuminemia, esophageal/gastric varices, or persistent jaundice. * Has documented presence of Hepatitis B surface antigen (HBsAg), at screening or within 3 months prior to the first dose of study intervention. * Has a positive Hepatitis C virus (HCV) antibody test result at screening or within 3 months prior to Cycle 1 Day 1 unless the participant can meet the following criteria: NOTE: Participants with a positive HCV antibody test result due to prior resolved disease can be enrolled if a confirmatory negative HCV RNA test is obtained and the participant otherwise meets entry criteria * Has a positive HCV ribonucleic acid (RNA) test result at screening or within 3 months prior to the first dose of study intervention. NOTE: The HCV RNA test is optional, and participants with a negative HCV antibody test are not required to undergo HCV RNA testing as well. * Is unable to adhere to the protocol defined SoA, including requirements for the Follow-up Period of the study, study procedures, restrictions, and requirements as determined by the investigator.
Study sites (6)
AZ
- GSK Investigational Site · Phoenix, AZ 85054US GSK Clinical Trials Call Center · Study contact · 877-379-3718 · GSKClinicalSupportHD@gsk.comEU GSK Clinical Trials Call Centre · Study contact · +44 (0) 20 8990 4466 · GSKClinicalSupportHD@gsk.comYousef Zakharia · Principal investigatorMore trials in Phoenix
CO
- GSK Investigational Site · Denver, CO 80218-1234US GSK Clinical Trials Call Center · Study contact · 877-379-3718 · GSKClinicalSupportHD@gsk.comEU GSK Clinical Trials Call Centre · Study contact · +44 (0) 20 8990 4466 · GSKClinicalSupportHD@gsk.comGerald Falchook · Principal investigatorMore trials in Denver
CT
- GSK Investigational Site · New Haven, CT 06510US GSK Clinical Trials Call Center · Study contact · 877-379-3718 · GSKClinicalSupportHD@gsk.comEU GSK Clinical Trials Call Centre · Study contact · +44 (0) 20 8990 4466 · GSKClinicalSupportHD@gsk.comDaniel Petrylak · Principal investigatorMore trials in New Haven
MN
- GSK Investigational Site · Rochester, MN 55905US GSK Clinical Trials Call Center · Study contact · 877-379-3718 · GSKClinicalSupportHD@gsk.comEU GSK Clinical Trials Call Centre · Study contact · +44 (0) 20 8990 4466 · GSKClinicalSupportHD@gsk.comDan Childs · Principal investigatorMore trials in Rochester
NJ
- GSK Investigational Site · East Brunswick, NJ 08816US GSK Clinical Trials Call Center · Study contact · 877-379-3718 · GSKClinicalSupportHD@gsk.comEU GSK Clinical Trials Call Centre · Study contact · +44 (0) 20 8990 4466 · GSKClinicalSupportHD@gsk.comBruno Fang · Principal investigatorMore trials in East Brunswick
TN
- GSK Investigational Site · Nashville, TN 37203US GSK Clinical Trials Call Center · Study contact · 877-379-3718 · GSKClinicalSupportHD@gsk.comEU GSK Clinical Trials Call Centre · Study contact · +44 (0) 20 8990 4466 · GSKClinicalSupportHD@gsk.comBenjamin Garmezy · Principal investigatorMore trials in Nashville