New drug cocktail aims to tackle Hard-to-Treat prostate cancer
NCT ID NCT07181161
First seen Jun 26, 2026 · Last updated Sep 01, 2026 · Updated 5 times
Summary
This study tests a new drug called AZD0516, given alone or with other cancer drugs, in people with metastatic prostate cancer that has spread. The main goals are to check safety, find the best dose, and see early signs of tumor control. About 177 participants will take part across multiple centers.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- AZD0516 (given by IV) and AZD9574 (taken by mouth)
- What this could lead to
- If successful, this could point toward a new treatment option for metastatic prostate cancer that is resistant to current therapies.
- What could go wrong
- This is an early-phase trial (Phase 1/2a) focused on safety and dosing, so it is too soon to know if the drug will work. Side effects are unknown, and many early cancer drugs do not advance to later trials.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 283 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Oct 2025
- Expected to finish
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Jan 2029
An estimate. End dates often move.
- 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 to 130 years
- 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.
Main Inclusion Criteria: * Histologically or cytologically confirmed diagnosis of metastatic adenocarcinoma of the prostate. Focal high grade neuroendocrine features are permitted. * Measurable PSA ≥ 1 μg/L (≥ 1 ng/mL). * Surgically or medically castrated with serum testosterone levels ≤ 50 ng/dL (≤ 1.75 nmol/L) within ≤ 28 days before treatment allocation. Ongoing androgen deprivation therapy (ADT) with a gonadotropin releasing hormone (GnRH) modulator for participants who have not undergone bilateral orchiectomy must be initiated at least 2 weeks prior to consent and must continue throughout the study. * Eastern cooperative oncology group (ECOG) performance status of 0 or 1. * Adequate organ and marrow function in the absence of blood transfusion or growth factor support (within 21 days prior to the scheduled first dose of study intervention). * Provision of baseline archival or newly obtained formalin-fixed paraffin-embedded (FFPE) tumour sample is mandatory. * Documented current evidence of metastatic prostate cancer * Life expectancy of at least 12 weeks in the opinion of the investigator * Documented mCRPC progression at screening as assessed by the investigator with at least one of the following criteria: 1. PSA progression defined by a minimum of 3 rising PSA levels with an interval of ≥ 1 week between each determination. The PSA value at the screening visit should be ≥ 1 μg/L (1 ng/mL). 2. Radiographic disease progression in soft tissue based on response evaluation criteria in solid tumors (RECIST) v1.1 criteria with or without PSA progression as per prostate cancer working group 3 (PCWG3). 3. Radiographic disease progression in bone defined as the appearance of 2 or more new bone lesions on a bone scan as per PCWG3 with or without PSA progression. Main Exclusion Criteria: * Cancer related spinal cord compression, or brain metastases unless asymptomatic, treated and stable and not requiring continuous corticosteroids at a dose of \> 10 mg prednisone/day or equivalent for at least 4 weeks prior to study enrolment. * History of leptomeningeal carcinomatosis. * Unresolved toxicities of Grade ≥ 2 (National Cancer Institute Common Terminology Criteria for Adverse Events v5.0) from prior therapy (excluding vitiligo, alopecia, and endocrine disorders that are controlled with replacement hormone therapy). * Uncontrolled intercurrent illness within the last 12 months. * Cardiovascular disorder (History of arrhythmia, uncontrolled hypertension, symptomatic hypotension, history of brain perfusion problems, symptomatic heart failure, prior or current cardiomyopathy, severe valvular heart disease) * History of malignancy * History of non-infectious interstitial lung disease (ILD)/pneumonitis * Active infection exclusions, including tuberculosis and infections with Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) or Human Immunodeficiency Virus (HIV). * Any known predisposition to bleeding * Clinically severe pulmonary compromise * Participants with Myelodysplastic syndrome (MDS)/Acute Myeloid Leukemia (AML) or with features suggestive of MDS/AML. * Previous treatment with a STEAP2 targeting modality, chemotherapeutic agent that inhibits topoisomerase activity or metabolic enzymes.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
47 sites in 9 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Research Site
RECRUITINGFayetteville, Arkansas, 72703, United States
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Research Site
RECRUITINGLos Angeles, California, 90095, United States
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Research Site
SUSPENDEDTowson, Maryland, 21204, United States
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Research Site
RECRUITINGBoston, Massachusetts, 02114, United States
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Research Site
RECRUITINGAnn Arbor, Michigan, 48109, United States
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Research Site
RECRUITINGDetroit, Michigan, 48201, United States
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Research Site
SUSPENDEDBuffalo, New York, 14263, United States
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Research Site
RECRUITINGNew York, New York, 10065, United States
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Research Site
RECRUITINGProvidence, Rhode Island, 02906, United States
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Research Site
RECRUITINGMyrtle Beach, South Carolina, 29572, United States
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Research Site
RECRUITINGHouston, Texas, 77030, United States
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Research Site
NOT_YET_RECRUITINGBarretos, 14784-400, Brazil
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Research Site
NOT_YET_RECRUITINGPorto Alegre, 90035-001, Brazil
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Research Site
NOT_YET_RECRUITINGSão Paulo, 01401-002, Brazil
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Research Site
NOT_YET_RECRUITINGChangsha, 410013, China
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Research Site
NOT_YET_RECRUITINGChengdu, 610041, China
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Research Site
NOT_YET_RECRUITINGWuhan, 430022, China
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Research Site
WITHDRAWNLyon, 69008, France
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Research Site
WITHDRAWNMontpellier, 34298, France
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Research Site
WITHDRAWNSaint-Herblain, 44805, France
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Research Site
WITHDRAWNSuresnes, 92151, France
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Research Site
WITHDRAWNVillejuif, 94805, France
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Research Site
NOT_YET_RECRUITINGMilan, 20132, Italy
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Research Site
NOT_YET_RECRUITINGMilan, 20133, Italy
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Research Site
NOT_YET_RECRUITINGMilan, 20141, Italy
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Research Site
NOT_YET_RECRUITINGNaples, 80131, Italy
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Research Site
NOT_YET_RECRUITINGRoma, 00168, Italy
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Research Site
NOT_YET_RECRUITINGRozzano, 20089, Italy
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Research Site
RECRUITINGChūōku, 104-0045, Japan
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Research Site
NOT_YET_RECRUITINGKashiwa, 277-8577, Japan
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Research Site
RECRUITINGKōtoku, 135-8550, Japan
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Research Site
NOT_YET_RECRUITINGKoszalin, 75-581, Poland
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Research Site
NOT_YET_RECRUITINGPiotrkow Trybunalski, 97-300, Poland
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Research Site
NOT_YET_RECRUITINGPrzemyśl, 37-700, Poland
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Research Site
NOT_YET_RECRUITINGSeoul, 03080, South Korea
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Research Site
RECRUITINGSeoul, 03722, South Korea
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Research Site
RECRUITINGSeoul, 06351, South Korea
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Research Site
RECRUITINGSeoul, 06591, South Korea
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Research Site
NOT_YET_RECRUITINGSeoul, 5505, South Korea
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Research Site
RECRUITINGBarcelona, 08035, Spain
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Research Site
NOT_YET_RECRUITINGBarcelona, 08036, Spain
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Research Site
NOT_YET_RECRUITINGBarcelona, 08041, Spain
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Research Site
NOT_YET_RECRUITINGL'Hospitalet de Llobregat, 08908, Spain
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Research Site
RECRUITINGMadrid, 28027, Spain
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Research Site
RECRUITINGPamplona, 31005, Spain
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Research Site
NOT_YET_RECRUITINGSantander, 39008, Spain
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Research Site
NOT_YET_RECRUITINGValencia, 46009, Spain
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Research Site
RECRUITINGCambridge, CB2 0QQ, United Kingdom
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Research Site
RECRUITINGLondon, EC1A 7BE, United Kingdom
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Research Site
RECRUITINGLondon, SE1 9RT, United Kingdom
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Research Site
RECRUITINGPlymouth, PL6 8DH, United Kingdom
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Research Site
RECRUITINGSutton, SM2 5PT, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Training a Patient's own immune cells to fight advanced prostate cancer
- Radioactive missile aims at prostate cancer that spread
- First-in-Human biologic JUR-003 put to the test against metastatic prostate cancer
- New drug combo targets CD46 in aggressive prostate cancer
- New antibody aims to preserve immune checkpoint while fighting cancer
- Can a Hormone-Blocking drug boost chemotherapy against prostate cancer?