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NCT06991556PHASE2Recruiting

An Open-label Study of JSB462 (Luxdegalutamide) in Combination With Abiraterone in Adult Male Patients With Metastatic Hormone-sensitive Prostate Cancer (mHSPC)

Novartis Pharmaceuticals

Start Date

7/7/2025

Completion Date

10/19/2035

Summary

This Phase II study aims to evaluate efficacy and safety of the combination of JSB462 (also known as luxdegalutamide) at 100 mg and 300 mg once a day (QD) doses + abiraterone compared with an androgen receptor pathway inhibitor (ARPI, abiraterone or enzalutamide) in participants with metastatic Hormone Sensitive Prostate Cancer (mHSPC) and to select the recommended dose of the combination for phase III. Towards that end, the totality of the efficacy, safety, tolerability and PK data from participants randomized in the study will be evaluated

Detailed Description

The study for each participant consists of a Screening period (28 days), a treatment period, a post-treatment safety follow-up (30 days) followed by a long-term follow-up period. During the treatment period: * JSB462 is administered from randomization, orally, daily and continuously (100 mg or 300 mg QD) until disease progression per PCWG3-modified RECIST 1.1 as assessed by the investigator, the occurrence of unacceptable toxicities, death, participant decision or investigator decision. * Abiraterone 1000 mg or enzalutamide 160 mg are administered from randomization, orally, daily, and continuously until disease progression per PCWG3-modified RECIST 1.1 as assessed by the investigator, the occurrence of unacceptable toxicities, death, participant decision or investigator decision. During the post-treatment follow up period: * Safety follow-Up: After discontinuation of study treatment, all participants will be followed for at least 1 safety follow-up visit (30 days \[+/- 7 days\] after treatment discontinuation). Subsequent lines of therapy may be administered according to investigator's discretion after treatment discontinuation. * Long-term follow-up: Starts after the Safety follow-up period and lasts until the end of study. Safety, efficacy and survival information may be collected from participants during this period.

Eligibility Criteria

Age Range: 18 years to No maximum

Key Inclusion Criteria: * An Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) ≤2 * Histologically confirmed adenocarcinoma of the prostate. Participants with mixed histology (neuroendocrine) are not eligible * High-volume mHSPC, defined by the presence of ≥1 metastatic visceral non-nodal lesion and/or ≥4 metastatic bone lesions (with at least one lesion outside the vertebral column and/or pelvis) in imaging exams (CT/MRI or bone scan) according to local radiology assessment by the investigator obtained ≤28 days prior to randomization * Participants must have a castrate level of serum/plasma testosterone (\<50 ng/dL or \<1.7 nmol/L). Ongoing ADT (as defined by prior orchiectomy and/or ongoing GnRH analog/antagonist) for ≤90 days is allowed prior to randomization, provided that PSA zero (PSA level \<0.2 ng/ml according to local laboratory as assessed by the investigator) is not achieved prior to randomization. Key Exclusion Criteria: * Prior exposure to a second generation ARPI (such as enzalutamide/darolutamide/apalutamide and/or abiraterone) for the treatment of advanced/metastatic disease is not allowed. Prior exposure to ARPI, to taxane chemotherapy (up to 6 cycles) or to RLT in the context of (neo)adjuvant treatment for localized prostate cancer is allowed, if the last dose of this treatment was administered \>12 months from randomization. Prior use of a first generation ARPI (such as bicalutamide) in the context of ADT initiation with a GnRH analog is allowed, provided the first generation ARPI was administered for ≤14 days and last dose was administered ≥7 days from randomization. * Participants with biochemical recurrence only or those without evidence of metastatic disease by radiological imaging (CT/MRI or bone scan) are not eligible Other inclusion/exclusion criteria may apply.

Interventions

DRUG

JSB462

DRUG

Abiraterone

DRUG

Enzalutamide

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Conditions

Metastatic Hormone-sensitive Prostate Cancer

Locations

University of California San Diego - Moores Cancer Center

La Jolla, California 92093-0658

United States

Saint Johns Cancer Institute

Santa Monica, California 90404

United States

Rocky Mountain Cancer Centers

Denver, Colorado 80218

United States

Yale Cancer Center

New Haven, Connecticut 06520

United States

Advanced Urology Ins Daytona Beach

Daytona Beach, Florida 32114

United States

Emory University School of Medicine-Winship Cancer Institute

Atlanta, Georgia 30322

United States

Associated Urological Specialists

Chicago Ridge, Illinois 60415

United States

American Oncology Partners PA Center for Cancer and Blood Disorders

Bethesda, Maryland 20817

United States

Mass General Hospital

Boston, Massachusetts 02114

United States

Michigan Institute of Urology

West Bloomfield, Michigan 48322

United States

XCancer Omaha LLC

Omaha, Nebraska 68130

United States

Perlmutter Cancer Centre

New York, New York 10016

United States

Associated Med Professionals of NY

Syracuse, New York 13210

United States

Montefiore Medical Center

The Bronx, New York 10467

United States

MidLantic Urology

Bala-Cynwyd, Pennsylvania 19004

United States

Fox Chase Cancer Center

Philadelphia, Pennsylvania 19111

United States

Carolina Urologic Research Center

Myrtle Beach, South Carolina 29572

United States

Tennessee Oncology

Nashville, Tennessee 37203

United States

Urology San Antonio

San Antonio, Texas 78229

United States

Virginia Oncology Associates

Norfolk, Virginia 23502

United States

Fred Hutch Cancer Research

Seattle, Washington 98109

United States

Novartis Investigative Site

Adelaide, South Australia 5000

Australia

Novartis Investigative Site

Clayton, Victoria 3168

Australia

Novartis Investigative Site

Fortaleza, Ceará 60140-025

Brazil

Novartis Investigative Site

São Paulo, São Paulo 01221-020

Brazil

Novartis Investigative Site

Vancouver, British Columbia V5Z 1M9

Canada

Novartis Investigative Site

Halifax, Nova Scotia B3H 2Y9

Canada

Novartis Investigative Site

Montreal, Quebec H4A 3J1

Canada

Novartis Investigative Site

Beijing, Chaoyang 100021

China

Novartis Investigative Site

Beijing, 100034

China

Novartis Investigative Site

Brno, 656 53

Czechia

Novartis Investigative Site

Olomouc, 779 00

Czechia

Novartis Investigative Site

Prague, 150 06

Czechia

Novartis Investigative Site

Nice, Alpes Maritimes 06189

France

Novartis Investigative Site

Marseille, 13273

France

Novartis Investigative Site

Quint-Fonsegrives, 31130

France

Novartis Investigative Site

Suresnes, 92150

France

Novartis Investigative Site

Düsseldorf, North Rhine-Westphalia 40225

Germany

Novartis Investigative Site

Hamburg, 20246

Germany

Novartis Investigative Site

Lübeck, 23538

Germany

Novartis Investigative Site

Nürtingen, 72622

Germany

Novartis Investigative Site

Asti, AT 14100

Italy

Novartis Investigative Site

Padova, PD 35128

Italy

Novartis Investigative Site

Trento, TN 38122

Italy

Novartis Investigative Site

Orbassano, TO 10043

Italy

Novartis Investigative Site

Verona, VR 37134

Italy

Novartis Investigative Site

Zwolle, Overijssel 8025 AB

Netherlands

Novartis Investigative Site

Dordrecht, South Holland 3318 AT

Netherlands

Novartis Investigative Site

Hoofddorp, 2134 TM

Netherlands

Novartis Investigative Site

Schiedam, 3118 JH

Netherlands

Novartis Investigative Site

Kielce, 25-640

Poland

Novartis Investigative Site

Olsztyn, 10-288

Poland

Novartis Investigative Site

Oświęcim, 32-600

Poland

Novartis Investigative Site

Skorzewo, 60-185

Poland

Novartis Investigative Site

Singapore, 119074

Singapore

Novartis Investigative Site

Singapore, 169608

Singapore

Novartis Investigative Site

Singapore, S308433

Singapore

Novartis Investigative Site

Seoul, 03080

South Korea

Novartis Investigative Site

Seoul, 06351

South Korea

Novartis Investigative Site

Santander, Cantabria 39008

Spain

Novartis Investigative Site

Badajoz, Extremadura 06080

Spain

Novartis Investigative Site

Lugo, Galicia 27003

Spain

Novartis Investigative Site

Pamplona, Navarre 31008

Spain

Novartis Investigative Site

Barcelona, 08036

Spain

Novartis Investigative Site

Córdoba, 14004

Spain

Novartis Investigative Site

Kaohsiung City, 83301

Taiwan

Novartis Investigative Site

Tainan, 704302

Taiwan