NCT07140900Recruiting
Study Evaluating the Safety, Tolerability, and Efficacy of Xaluritamig in Combination With Androgen Receptor Pathway Inhibitors in Participants With Metastatic Hormone-sensitive Prostate Cancer
Summary
The main objective of the trial is to evaluate the safety and tolerability of xaluritamig in combination with darolutamide or abiraterone.
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.
Contacts
The trial team's contact details are shown on request.
See the official trial record- Status
- Recruiting
- Phase
- Phase 1
- Study type
- Interventional
- Countries
- Switzerland, United States, Australia
- Sponsor
- Amgen(Industry)
- Protocol no.
- 20240361
- Conditions
- Metastatic Hormone-sensitive Prostate Cancer (mHSPC)
- Interventions
- Drug
Treatments studied
- Xaluritamig
- Darolutamide
- Abiraterone
Locations · 16
- Chur, SwitzerlandKantonsspital GraubuendenRecruiting at this site
- Lausanne, SwitzerlandCentre Hospitalier Universitaire VaudoisRecruiting at this site
- Sankt Gallen, SwitzerlandKantonsspital Sankt GallenRecruiting at this site
- San Francisco, United StatesUniversity of California San FranciscoRecruiting at this site
- Boston, United StatesDana Farber Cancer InstituteRecruiting at this site
- Minneapolis, United StatesUniversity of MinnesotaRecruiting at this site
- Cleveland, United StatesCleveland Clinic FoundationRecruiting at this site
- Philadelphia, United StatesThomas Jefferson UniversityRecruiting at this site
- Pittsburgh, United StatesUniversity of Pittsburgh Medical Center Hillman Cancer CenterRecruiting at this site
- Myrtle Beach, United StatesSouth Texas Accelerated Research Therapeutics - CarolinasRecruiting at this site
- Nashville, United StatesSarah Cannon Research InstituteRecruiting at this site
- Camperdown, AustraliaChris OBrien LifehouseRecruiting at this site
- Waratah, AustraliaCalvary Mater Newcastle HospitalRecruiting at this site
- Clayton, AustraliaCabrini HospitalRecruiting at this site
- Melbourne, AustraliaPeter MacCallum Cancer CentreRecruiting at this site
- Melbourne, AustraliaThe Alfred HospitalRecruiting at this site
In total, worldwide, all 16 sites listed in the registry are recruiting.
Site status per the ClinicalTrials.gov registry (last update posted: July 2, 2026).
This status may have changed and says nothing about your eligibility: before taking any step, check with your oncologist or the site.
See also
Other versions
These results are indicative and do not replace medical advice — discuss them with your doctor.