New drug targets Hard-to-Treat prostate cancer
NCT ID NCT06842498
First seen Jun 27, 2026 · Last updated Aug 18, 2026 · Updated 2 times
Summary
This phase 2 trial tests a drug called FG-3246, which is designed to seek out and attack prostate cancer cells that have a specific marker (CD46) on their surface. The study will enroll 75 men with metastatic castration-resistant prostate cancer that has worsened after hormone therapy. Researchers will monitor safety, how well the drug works, and how long it keeps the cancer from growing.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- FG-3246 (a CD46-targeted antibody-drug conjugate)
- What this could lead to
- If successful, this could provide a new treatment option for men with advanced prostate cancer that has stopped responding to standard hormone therapy.
- What could go wrong
- This is an early Phase 2 trial with only 75 participants, so results may not apply to all patients. The drug may cause side effects or fail to improve survival.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 75 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2026
- Expected to finish
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Mar 2028
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 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.
Key Inclusion Criteria: * Participant must have histological, and/or cytological confirmation of prostate adenocarcinoma on all prior tumor biopsies. * Participant with soft tissue disease and a safely accessible soft tissue tumor lesion(s) must agree to biopsy of a primary or metastatic lesion during screening. Alternatively, participant may provide a suitable archival biopsy of a primary or metastatic lesion. * Participant must have serum testosterone levels \<50 nanograms (ng)/deciliter (dL) during screening. * Participant is required to have progressed on no more than one prior treatment with a second generation ARSI (abiraterone acetate, enzalutamide, apalutamide, or darolutamide) initiated in either the castration-sensitive or castration-resistant setting. * Participant must have progressive mCRPC following last treatment at screening. * Participant must have ≥1 metastatic lesion that is present on baseline Computed Tomography (CT), Magnetic Resonance Imaging (MRI), or bone scan obtained ≤28 days prior to randomization. * Participant must have adequate organ function during screening. Key Exclusion Criteria: * Participant has received previous treatment with a therapeutic targeting CD46. * Participant has small cell neuroendocrine carcinoma (pure or mixed) on any prior histologic evaluation of primary or metastatic lesion. * Participant has progressed on more than one prior second-generation ARSI in any setting or has received more than two prior second-generation ARSIs in any setting. * Participants must not have received recent anticancer treatments before enrollment. Ongoing supportive or hormonal therapies are allowed if they were started well before randomization and are continued without change. * Participant has received any prior radiation therapy within 14 days prior to randomization. * Participant has a known actionable mutation or gene alteration, for example, BRCA1 mutation, for which approved therapies are available, for example, PARP inhibitors, unless these therapies are not appropriate for the participant as determined by the investigator or the participant refuses such therapy. * Participant has National Cancer institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) ≥Grade 2 peripheral neuropathy at the time of screening from any etiology. * Participant has received any prior chemotherapy; however, one prior taxane-based chemotherapy in the castration-sensitive setting is allowed if completed \>12 months before randomization. * Participant has known hypersensitivity to the components of FG-3246 or its analogs or a history of allergic or anaphylactic reaction to human, humanized, or chimeric monoclonal antibodies. * Participant has diagnosis with any other malignancy in the past 5 years, except for adequately treated basal cell or squamous cell carcinoma of the skin. * Participant requires treatment with a strong cytochrome P450 3A4 (CYP3A4) inhibitor or inducer drug that cannot be safely discontinued. NOTE: Other protocol-defined inclusion/exclusion may apply.
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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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
23 sites. 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
Show contact details
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Genom att skicka in godkänner du våra Användarvillkor
Locations
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Biogenix Molecular, LLC
RECRUITINGMiami, Florida, 33165, United States
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Bioresearch Partner - Aventura
RECRUITINGAventura, Florida, 33180, United States
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Bioresearch Partner - Hialeah
RECRUITINGHialeah, Florida, 33013, United States
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Carolina Urologic Research Center
RECRUITINGMyrtle Beach, South Carolina, 29572, United States
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Duke University Medical Center - Duke Cancer Center
RECRUITINGDurham, North Carolina, 27710, United States
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East Jefferson General Hospital Metairie
RECRUITINGNew Orleans, Louisiana, 70112, United States
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Fred Hutchinson Cancer Center
RECRUITINGSeattle, Washington, 98109, United States
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Henry-Joyce Cancer Clinic
RECRUITINGNashville, Tennessee, 37232, United States
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HonorHealth Research Institute
RECRUITINGScottsdale, Arizona, 85258, United States
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New Haven Hospital - Yale Cancer Center
RECRUITINGNew Haven, Connecticut, 06519, United States
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New Mexico Oncology Hematology Consultants, Ltd.
RECRUITINGAlbuquerque, New Mexico, 87109, United States
Contact Email: •••••@•••••
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Northwest Medical Specialties, PLLC - Tacoma
RECRUITINGTacoma, Washington, 98405, United States
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Oncology Consultants
RECRUITINGHouston, Texas, 77030, United States
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The University of Arizona Cancer Center - North Campus
RECRUITINGTucson, Arizona, 85719, United States
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UCLA Clark Urology Center
RECRUITINGLos Angeles, California, 90095, United States
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University Hospitals Cleveland Medical Center
RECRUITINGCleveland, Ohio, 44106, United States
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University of California San Francisco
RECRUITINGSan Francisco, California, 94158, United States
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University of Texas Southwestern Medical Center
RECRUITINGDallas, Texas, 75390, United States
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University of Virginia Comprehensive Cancer Center
RECRUITINGCharlottesville, Virginia, 22908, United States
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University of Washington Medical Center
RECRUITINGSeattle, Washington, 98195, United States
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VA Greater Los Angeles Healthcare System
RECRUITINGLos Angeles, California, 90073, United States
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Western Regional Medical Center - City of Hope Phoenix Goodyear
RECRUITINGGoodyear, Arizona, 85338, United States
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Winship Cancer Institute, Emory University
RECRUITINGAtlanta, Georgia, 30322, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- First-in-Human biologic JUR-003 put to the test against metastatic prostate cancer
- New drug combo targets CD46 in aggressive prostate cancer
- Can a Hormone-Blocking drug boost chemotherapy against prostate cancer?
- Can a Cancer-Targeting drug slow advanced prostate cancer?
- Can a smart radiation drug hunt down prostate cancer cells?
- Can a new daily pill slow advanced prostate cancer?