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Recruiting Phase 1

Study Evaluating the Safety, Tolerability, and Efficacy of Xaluritamig in Combination With Androgen Receptor Pathway Inhibitors in Participants With Metastatic Hormone-sensitive Prostate Cancer

NCT07140900 · tracked via the Priya Life Science Australia tracker
Sponsor
Phase
Phase 1
Started
2025-10-07
Last updated
2026-07-02

Condition(s) studied

Metastatic Hormone-sensitive Prostate Cancer (mHSPC)

Investigational drug(s) / intervention(s)

Xaluritamig →Darolutamide →Abiraterone →

Xaluritamig: Participants will receive xaluritamig intravenously.

Darolutamide: Participants will receive darolutamide orally.

Abiraterone: Participants will receive abiraterone orally.

Study summary

The main objective of the trial is to evaluate the safety and tolerability of xaluritamig in combination with darolutamide or abiraterone.

Eligibility

Sex
MALE
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Participants must have histological, pathological, and/or cytological confirmation of adenocarcinoma of the prostate. Mixed histologies (eg, adenocarcinoma with neuroendocrine component) are not permitted. * Participants must have at the time of diagnosis: * De novo (synchronous) mHSPC, defined as metastatic disease with no prior diagnosis of localized prostate cancer, AND started ADT (LHRH agonist/antagonist or orchiectomy) with or without ARPI (defined as abiraterone OR darolutamide) as SOC, first treatment with ADT should be no longer than 12 weeks before screening. Prior docetaxel treatment is not permitted. * Participants must have at the time of diagnosis: * High-volume metastatic disease defined as presence of visceral metastasis or metastases, and/or ≥ 4 bone metastases with at least one outside of the vertebral column and pelvis. * Documented metastatic disease either by a positive bone scan, or for soft tissue or visceral metastases, either by contrast enhanced abdominal/pelvic/chest computed tomography (CT) or magnetic resonance imaging (MRI) scan. * No documented PSA progression following the initial PSA nadir after starting ADT. Exclusion Criteria: * Prior history of central nervous system (CNS) metastases. Note: Participants with asymptomatic and clinically stable dural metastases are eligible. * Unresolved toxicities from prior anti-tumor therapy (excluding those related to ongoing ADT and ARPI) not having resolved to Common Terminology Criteria for Adverse events (CTCAE) version 5.0 grade 1 or baseline, with the exception of alopecia or toxicities that are stable and well-controlled AND there is an agreement to allow inclusion by both the investigator and the sponsor. * Autoimmune disease requiring systemic immunosuppression within the past 2 years. * Participant with symptoms and/or clinical signs and/or radiographic signs that indicate an acute and/or uncontrolled active or systemic infection within 7 days prior to the first dose of study treatment. * Prior six-transmembrane epithelial antigen of the prostate 1 (STEAP1)-targeted therapy. * Prior radioligand therapy (RLT), poly-adenosine diphosphate ribose polymerase (PARP) inhibitor, cytotoxic chemotherapy, aminoglutethimide or ketoconazole for prostate cancer, or any prior systemic biologic therapy, including immunotherapy for prostate cancer. * Prior enzalutamide or apalutamide within 15 days prior to enrolment. * Requirement for chronic systemic corticosteroid therapy (prednisone dose greater than 10 mg per day or local equivalent) or any other immunosuppressive therapies (including anti TNFα therapies) unless stopped (with adequate tapering) within 7 days prior to dosing. * Prior radiotherapy to all metastatic sites of disease. Radiotherapy to some sites of metastatic disease for palliation will be permitted.

Primary outcome measure(s)

  • Number of Participants with Treatment-emergent Adverse Events — Up to approximately 2.5 years
  • Number of Participants with Treatment-related Adverse Events — Up to approximately 2.5 years
  • Number of Participants with Clinically Significant Changes in Vital Signs — Up to approximately 2.5 years
  • Number of Participants with Clinically Significant Changes in Clinical Laboratory Tests — Up to approximately 2.5 years

Trial sites (16)

FacilityCityRegionStatus
University of California San Francisco San Francisco California Recruiting
Dana Farber Cancer Institute Boston Massachusetts Recruiting
University of Minnesota Minneapolis Minnesota Recruiting
Cleveland Clinic Foundation Cleveland Ohio Recruiting
Thomas Jefferson University Philadelphia Pennsylvania Recruiting
University of Pittsburgh Medical Center Hillman Cancer Center Pittsburgh Pennsylvania Recruiting
South Texas Accelerated Research Therapeutics - Carolinas Myrtle Beach South Carolina Recruiting
Sarah Cannon Research Institute Nashville Tennessee Recruiting
Chris OBrien Lifehouse Camperdown New South Wales Recruiting
Calvary Mater Newcastle Hospital Waratah New South Wales Recruiting
Cabrini Hospital Clayton Victoria Recruiting
Peter MacCallum Cancer Centre Melbourne Victoria Recruiting
The Alfred Hospital Melbourne Victoria Recruiting
Kantonsspital Graubuenden Chur Switzerland Recruiting
Centre Hospitalier Universitaire Vaudois Lausanne Switzerland Recruiting
Kantonsspital Sankt Gallen Sankt Gallen Switzerland Recruiting
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT07140900 on ClinicalTrials.gov ↗ ← All trials in Australia