New drug targets Hard-to-Treat prostate cancer in early trial
NCT ID NCT03792841
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase study tested a new drug called acapatamab in 212 men with advanced prostate cancer that had stopped responding to standard hormone therapy and chemotherapy. The drug works by helping the body's immune cells attack cancer cells. The main goals were to check safety and find the best dose, but the study was stopped early.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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212 people
The number who actually took part.
- Started
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Feb 2019
- Finished
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Jun 2023
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Male participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
All Parts Inclusion Criteria: * Subject has provided informed consent prior to initiation of any study specific activities/procedures * Subjects with histologically or cytologically confirmed mCRPC who are refractory to a novel antiandrogen therapy (abiraterone, enzalutamide, and/or apalutamide) and have failed at least 1 (but not more than 2) taxane regimens (or who are deemed medically unsuitable to be treated with a taxane regimen or have actively refused treatment with a taxane regimen). Progression on novel antiandrogen therapy may have occurred in the non-metastatic CRPC setting * Subjects must have undergone bilateral orchiectomy or must be on continuous ADT with a gonadotropin releasing hormone (GnRH) agonist or antagonist * Total serum testosterone \</= 50 ng/dL or 1.7 nmol/L * Evidence of progressive disease, defined as 1 or more PCWG3 criteria: * PSA level \>/= 1 ng/mL that has increased on at least 2 successive occasions at least 1 week apart * nodal or visceral progression as defined by RECIST 1.1 with PCGW3 modifications * appearance of 2 or more new lesions in bone scan * Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 1 * Life expectancy \>/= 6months Exclusion Criteria: * Any anticancer therapy or immunotherapy within 4 weeks of start of first dose, not including luteinizing hormone-releasing hormone agonist (LHRH)/GnRH analogue (agonist/antagonist). Subjects on a stable bisophosphonate or denosumab regimen for \>/= 30 days prior to randomization are eligible * Prior PSMA-targeted therapy (subjects on prior therapy may be eligible if discussed with Amgen medical monitor prior to enrollment) * Central nervous system (CNS) metastases, leptomeningeal disease, or spinal cord compression * Active autoimmune disease or any other diseases requiring immunosuppressive therapy while on study * Needing chronic systemic corticosteroid therapy (prednisone \> 10 mg per day or equivalent) or any other immunosuppressive therapies (including anti-tumor necrosis factor alpha \[TNF alpha\] therapies) unless stopped 7 days prior to start of first dose * Myocardial infarction, unstable angina, cardiac arrhythmia requiring medication, and/or symptomatic congestive heart failure (New York Heart Association \> class II) within 12 months of first dose of acapatamab Part 2 only: * Subjects on a prior PD-1 or PD-L1 inhibitor who experienced a Grade 3 or higher immune-related adverse event prior to first day of dosing * History or evidence of interstitial lung disease or active, non-infectious pneumonitis Part 3 only: \- Evidence of active tuberculosis on chest radiograph within 3 months prior to the first dose of investigational product Part 6 only: Subjects are excluded from this cohort if any of the following additional criteria apply: * Subjects taking strong OAT3 inhibitors (eg, probenecid) or adjust the dosing to 1 mg PO QD. * Subjects with latent or active tuberculosis at screening
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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BC Cancer Vancouver
Vancouver, British Columbia, V5Z 4E6, Canada
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Chris OBrien Lifehouse
Camperdown, New South Wales, 2050, Australia
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City of Hope National Medical Center
Duarte, California, 91010, United States
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City of Hope at Long Beach Elm
Long Beach, California, 90813, United States
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Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169, United States
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El Camino Hospital
Campbell, California, 95008, United States
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Emory University
Atlanta, Georgia, 30322, United States
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Erasmus Medisch Centrum
Rotterdam, 3015 GD, Netherlands
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Indiana University
Indianapolis, Indiana, 46202, United States
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Institut Gustave Roussy
Villejuif, 94805, France
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Krankenhaus der Barmherzigen Brueder Wien
Vienna, 1020, Austria
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Landeskrankenhaus Salzburg
Salzburg, 5020, Austria
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Linkou Chang Gung Memorial Hospital of Chang Gung Medical Foundation
Taoyuan, 33305, Taiwan
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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National Cancer Center Hospital East
Kashiwa-shi, Chiba, 277-8577, Japan
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National Cancer Centre Singapore
Singapore, 169610, Singapore
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National University Hospital
Singapore, 119074, Singapore
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Ordensklinikum Linz Elisabethinen
Linz, 4020, Austria
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Peter MacCallum Cancer Centre
Parkville, Victoria, 3050, Australia
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Scientia Clinical Research Ltd
Randwick, New South Wales, 2031, Australia
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Tulane Medical Center
New Orleans, Louisiana, 70112, United States
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Universitaetsklinikum Allgemeines Krankenhaus Wien
Vienna, 1090, Austria
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Universitair Ziekenhuis Gent
Ghent, 9000, Belgium
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Universite Catholique de Louvain Cliniques Universitaires Saint Luc
Brussels, 1200, Belgium
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University of California Los Angeles
Los Angeles, California, 90095, United States
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University of Iowa Hospitals and Clinics
Iowa City, Iowa, 52242, United States
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University of Texas Southwestern Medical Center
Dallas, Texas, 75390, United States
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Washington University
St Louis, Missouri, 63110, United States
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Weill Cornell Medical College
New York, New York, 10065, United States
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Yokohama City University Medical Center
Yokohama, Kanagawa, 232-0024, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A scanner in the operating room could show surgeons exactly where prostate cancer remains
- New PET tracer aims to light up hidden cancer targets
- Can daily adaptive radiotherapy spare healthy tissue in prostate cancer?
- Can a radioactive tracer and MRI reveal prostate Cancer's true extent?
- Five-Fraction radiation plus hormone therapy tested against High-Risk prostate cancer
- Can a 10-Hour eating window fight cancer fatigue?