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RecruitingPHASE3INTERVENTIONAL

A Clinical Study of Ifinatamab Deruxtecan (I-DXd) in People With Metastatic Prostate Cancer (MK-2400-001)

This research is looking into a new treatment for men with advanced prostate cancer where the cancer has spread to other parts of the body and is resistant to hormone treatment. This type of cancer is called metastatic castration-resistant prostate cancer (mCRPC). The new medicine being tested is called ifinatamab deruxtecan, or I-DXd. We're trying to find out if I-DXd helps people live longer overall and keeps their cancer from growing or spreading for a longer time, when compared to traditional chemotherapy treatments. The study aims to understand if this new approach offers a better option for men facing this form of prostate cancer.

At a glance

Status
Recruiting
Phase
PHASE3
Sponsor
Merck Sharp & Dohme LLC
Enrolment target
1,440
Start
13 May 2025
Estimated completion
06 Jan 2031

What is this study about?

This study is about finding new ways to treat prostate cancer that has spread to other parts of the body (metastatic) and is no longer responding to hormone therapy. This can be a challenging type of cancer to treat, so researchers are always looking for more effective options.

The new medicine being tested is called ifinatamab deruxtecan, or I-DXd. It's designed to specifically target cancer cells. The main goal of this study is to compare I-DXd with chemotherapy, which is a standard treatment. We want to see if men who receive I-DXd live longer and if their cancer is controlled for a longer period of time without growing or spreading further.

This research is important because it could potentially offer a new treatment choice for men with this advanced form of prostate cancer. By understanding how I-DXd works compared to existing treatments, doctors can make more informed decisions about the best care for their patients.

Key takeaways

  • This study is for men with advanced prostate cancer that has spread and resists hormone therapy.
  • It compares a new medicine (I-DXd) with standard chemotherapy.
  • The goal is to see if I-DXd helps men live longer and controls their cancer better.
  • You must have already tried certain hormone-blocking treatments.
  • There are specific health conditions that might prevent you from joining.
  • You'd have regular check-ups and tests if you participate.

Who may be eligible?

This study is for men aged 18 and over who have prostate cancer that has spread. To be considered, your prostate cancer must have been confirmed by a doctor, and it needs to have continued to grow despite hormone therapy in the last six months. Doctors also need to see clear signs that the cancer has spread, either in your bones or other soft tissues.

You would need to have already been treated with one or two types of hormone-blocking medicines (called ARPIs) for at least eight weeks, and the cancer must have progressed after these treatments. We also need a recent tissue sample from your cancer that wasn't previously treated with radiation.

However, there are reasons why you might not be able to join. For example, if you can't swallow pills, have certain lung conditions, serious heart problems, or have previously had particular chemotherapy or antibody treatments that caused severe side effects. The medical team will check all these details carefully to make sure the study is right for you.

Could this study suit you?

Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.

  1. Are you a man aged 18 or older?
  2. Do you have prostate cancer that a doctor has confirmed has spread?
  3. Has your prostate cancer continued to grow despite hormone therapy in the last 6 months?
  4. Have you previously received 1 or 2 types of hormone-blocking medicines for your prostate cancer?
  5. Do you not have a severe lung condition or certain heart problems?
  6. Can you swallow tablets or capsules easily?
Answer every question to see your result.

What does participation involve?

If you join this study, you'll be given either the new medicine, ifinatamab deruxtecan, or standard chemotherapy (docetaxel and prednisone). The specific details about hospital visits, tests, and how often you'd receive medicine would be explained by the study team. You would also receive what's called a 'rescue medication' if needed.

Taking part would involve regular check-ups, scans, and blood tests to monitor your health and how the treatment is working. These appointments are important to ensure your safety and to gather necessary information for the study. The total length of your participation would depend on how your treatment is going, and the study team would discuss this with you. They will explain everything clearly before you decide to join.

Potential risks and benefits

Being part of this study might offer the benefit of receiving a new, potentially effective treatment for your prostate cancer that isn't widely available yet. However, like all medicines, the study treatments can have side effects, which the study team will fully explain. You have the right to leave the study at any time, for any reason, without it affecting your usual medical care.

Locations (285)

Some site locations are approximate. We're improving this — please verify with the trial team before travelling.
  • Mayo Clinic in Arizona - Phoenix ( Site 0044)
    Verified postcode
    Phoenix, United States· Recruiting
  • City of Hope Comprehensive Cancer Center ( Site 0049)
    Verified postcode
    Duarte, United States· Recruiting
  • City of Hope Lennar Foundation Cancer Center ( Site 0059)
    Verified postcode
    Irvine, United States· Recruiting
  • Moores Cancer Center ( Site 0010)
    Verified postcode
    La Jolla, United States· Recruiting
  • Cedars-Sinai Medical Center ( Site 0068)
    Verified postcode
    Los Angeles, United States· Recruiting
  • UCLA Hematology/Oncology - Santa Monica ( Site 0002)
    Verified postcode
    Los Angeles, United States· Recruiting
  • University of California, Irvine (UCI) Health - UC Irvine Medical Center ( Site 0006)
    Verified postcode
    Orange, United States· Recruiting
  • Stanford Cancer Center ( Site 0046)
    Verified postcode
    Palo Alto, United States· Recruiting
  • Rocky Mountain Regional Veterans Affairs Medical Center ( Site 0053)
    Verified postcode
    Aurora, United States· Recruiting
  • Yale-New Haven Hospital-Yale Cancer Center ( Site 0050)
    Verified postcode
    New Haven, United States· Recruiting
  • Veterans Affairs Connecticut Healthcare System ( Site 0062)
    Verified postcode
    West Haven, United States· Recruiting
  • The GW Medical Faculty Associates ( Site 0057)
    Verified postcode
    Washington D.C., United States· Recruiting

Common questions

What is 'metastatic castration-resistant prostate cancer'?

This is prostate cancer that has spread to other parts of your body (metastatic) and is no longer responding well to hormone treatments (castration-resistant).

What is ifinatamab deruxtecan (I-DXd)?

It's a new study medicine designed to target and treat prostate cancer cells.

Will I get the new medicine or regular chemotherapy?

Participants will be assigned one or the other as part of the study; the medical team will discuss this with you.

What are the common side effects of chemotherapy?

While specific side effects vary, common ones can include feeling tired, hair loss, and changes in blood counts. The study team will provide full details.

How long does the study last?

The full duration of your participation would depend on how the treatment works for you and will be explained by the study team.

How to find out more

Toll Free Number

Always speak to your GP or specialist before deciding to take part in a study.

Interested in taking part?

Register your interest

Share your details and the research team for "A Clinical Study of Ifinatamab Deruxtecan (I-DXd) in People …" will contact you if you may be eligible. Always speak to your GP before agreeing to take part.

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