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NCT07140900PHASE1Recruiting

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

Amgen

Start Date

10/7/2025

Completion Date

3/30/2030

Summary

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

Eligibility Criteria

Age Range: 18 years to No maximum

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.

Interventions

DRUG

Xaluritamig

DRUG

Darolutamide

DRUG

Abiraterone

Interested in This Trial?

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Conditions

Metastatic Hormone-sensitive Prostate Cancer (mHSPC)

Locations

University of California San Francisco

San Francisco, California 94158

United States

Dana Farber Cancer Institute

Boston, Massachusetts 02215

United States

University of Minnesota

Minneapolis, Minnesota 55455

United States

Cleveland Clinic Foundation

Cleveland, Ohio 44195

United States

Thomas Jefferson University

Philadelphia, Pennsylvania 19107

United States

University of Pittsburgh Medical Center Hillman Cancer Center

Pittsburgh, Pennsylvania 15232

United States

South Texas Accelerated Research Therapeutics - Carolinas

Myrtle Beach, South Carolina 29572

United States

Sarah Cannon Research Institute

Nashville, Tennessee 37203

United States

Chris OBrien Lifehouse

Camperdown, New South Wales 2050

Australia

Calvary Mater Newcastle Hospital

Waratah, New South Wales 2298

Australia

Cabrini Hospital

Clayton, Victoria 3168

Australia

Peter MacCallum Cancer Centre

Melbourne, Victoria 3000

Australia

The Alfred Hospital

Melbourne, Victoria 3004

Australia

Kantonsspital Graubuenden

Chur, 7000

Switzerland

Centre Hospitalier Universitaire Vaudois

Lausanne, 1011

Switzerland

Kantonsspital Sankt Gallen

Sankt Gallen, 9007

Switzerland