A Study of Pasritamig With Docetaxel Versus Docetaxel in Participants With Metastatic Castration-Resistant Prostate Cancer

Sponsor: Janssen Research & Development, LLC

Sponsor score: 60

ClinicalTrials ID:NCT07225946

This clinical trial evaluates the efficacy of pasritamig combined with docetaxel in extending radiographic progression-free survival in mCRPC patients. Eligible participants must have metastatic adenocarcinoma of the prostate, ongoing ADT, and prior ARPI treatment. Interventions include pasritamig, docetaxel, and prednisone, with an ECOG status of 0-1 required.

Patient Parameters

Program Overview

The purpose of this study is to find out whether treatment with pasritamig and docetaxel prolongs radiographic progression free survival (rPFS) (the length of time from start of treatment until disease worsens as determined by scans) when compared to treatment with docetaxel in participants with metastatic castrate-resistant prostate cancer (mCRPC; a cancer of prostate, a male reproductive gland found below the bladder, that grows despite low levels of male hormones).

Eligibility Criteria

Inclusion Criteria

  • Have histologically confirmed adenocarcinoma of the prostate
  • Have disease that is metastatic at the time of the screening as determined by the investigator
  • Participants must receive ongoing androgen deprivation therapy (ADT) with a gonadotropin releasing hormone (GnRH) analog throughout the treatment or have had prior bilateral orchiectomy, and have serum testosterone less than or equal to (<=) 50 nanogram per milliliter (ng/dL) (<= 1.73 nanomoles per Liter [nmol/L]) at screening
  • Have progressed on at least 1 novel androgen receptor pathway inhibition (ARPI) but received no more than 2 different ARPI for any stage of disease. Must have discontinued ARPI before randomization into the study
  • Have an eastern cooperative oncology group (ECOG) performance status of 0 to 1

Exclusion Criteria

  • Known history of either brain or leptomeningeal prostate cancer metastases
  • Participants with known breast cancer gene 1/2 (BRCA 1/2) mutations (germline or somatic) who have not received treatment with a poly (ADP-ribose) polymerase (PARP) inhibitor, unless not available or contraindicated
  • Prior or concurrent second malignancy (other than the disease under study) because the natural history or treatment could interfere with study endpoints
  • Received cytotoxic chemotherapy for prostate cancer in any setting
  • Received prior treatment with human kallikrein 2 (KLK-2) directed therapies

Locations

FACILITYZIPCITYSTATE
Arkansas Urology72211Little RockArkansas
Valkyrie Clinical Trials90067Los AngelesCalifornia
Kaiser Permanente Southern California92505RiversideCalifornia
Grand Valley Oncology81505Grand JunctionColorado
Colorado Clinical Research80228LakewoodColorado
Duly Health and Care60532LisleIllinois
Cancer Center of Kansas Heritage Plaza Medical Building67214WichitaKansas
East Jefferson General Hospital70006MetairieLouisiana
Profound Research LLC at Cancer and Leukemia Center48314Sterling HeightsMichigan
HealthPartners Frauenshuh Cancer Center CRC West55426Saint Louis ParkMinnesota

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