A Study of Opevesostat (MK-5684) in China Participants With Metastatic Castration-Resistant Prostate Cancer (mCRPC) (MK-5684-001)

NCT ID: NCT06136598

Last Updated: 2025-12-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-30

Study Completion Date

2027-03-14

Brief Summary

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The primary objectives of this study are to evaluate the safety and tolerability of opevesostat in the treatment of male Chinese participants with metastatic castration-resistant prostate cancer (mCRPC) and to characterize the pharmacokinetic profile of opevesostat. There are no formal hypotheses to be tested in this study.

Detailed Description

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Conditions

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Prostatic Neoplasms Metastatic Castration-Resistant Prostate Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Opevesostat

Participants will receive opevesostat by oral tablets twice daily plus dexamethasone and fludrocortisone by oral tablets once daily continuously until unacceptable toxicity or documented progression. Hydrocortisone will also be provided to participants for use as rescue medication.

Group Type EXPERIMENTAL

Opevesostat

Intervention Type DRUG

Tablets to be taken orally.

Dexamethasone

Intervention Type DRUG

Tablets to be taken orally

Fludrocortisone

Intervention Type DRUG

Tablets to be taken orally.

Hydrocortisone

Intervention Type DRUG

Tablet to be taken orally as a rescue medication.

Interventions

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Opevesostat

Tablets to be taken orally.

Intervention Type DRUG

Dexamethasone

Tablets to be taken orally

Intervention Type DRUG

Fludrocortisone

Tablets to be taken orally.

Intervention Type DRUG

Hydrocortisone

Tablet to be taken orally as a rescue medication.

Intervention Type DRUG

Other Intervention Names

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MK-5684 Dexamethasone acetate Fludrocortisone acetate Hydrocortisone acetate

Eligibility Criteria

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Inclusion Criteria

* Has histologically or cytologically confirmed adenocarcinoma of the prostate without small cell histology.
* Has prostate cancer while receiving androgen deprivation therapy (ADT), or post-bilateral orchiectomy, within 6 months before screening.
* Has evidence of progression \>4 weeks since last flutamide treatment or \>6 weeks since last bicalutamide or nilutamide treatment.
* Has evidence of metastatic disease documented by either bone lesions on bone scan and/or soft tissue shown by CT/MRI.
* Has disease that progressed during or after treatment with at least 1 line of next-generation hormonal agents (NHAs) for hormone-sensitive prostate cancer (HSPC) or castration-resistant prostate cancer (CRPC) for at least 8 weeks (at least 14 weeks for participants with bone progression).
* Has received at least 1 line of taxane-based chemotherapy for HSPC or CRPC and have had progressed disease during or on treatment, or refused or ineligible to receive chemotherapy.
* Has a life expectancy of \>3 months.

Exclusion Criteria

* Has history of a second malignancy, unless potentially curative treatment has been completed with no evidence of malignancy for 3 years.
* Has presence of gastrointestinal condition, e.g. malabsorption, that might affect the adsorption of study intervention.
* Has a history of pituitary dysfunction.
* Has poorly controlled diabetes mellitus.
* Has active or unstable cardio/cerebro-vascular disease, including thromboembolic events.
* Has undergone major surgery, including local prostate intervention (except prostate biopsy), within 4 weeks of the date of allocation.
* Has received an anticancer monoclonal antibody (mAb) within 4 weeks of allocation, or has not recovered from adverse events (AEs) due to mAbs administered more than 4 weeks before the date of allocation.
* Received prior systemic anticancer therapy including investigational agents within 4 weeks before the date of allocation.
* Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any form of immunosuppressive therapy within 7 days prior to the start of study intervention.
* Has a known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
* Has an active autoimmune disease that has required systemic treatment in the past 2 years.
* Has a history of or current human immunodeficiency virus (HIV) infection.
* Has a concurrent Hepatitis B or Hepatitis C virus infection.
* Has a history of allogenic tissue or solid organ transplant.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Orion Corporation, Orion Pharma

INDUSTRY

Sponsor Role collaborator

Merck Sharp & Dohme LLC

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Medical Director

Role: STUDY_DIRECTOR

Merck Sharp & Dohme LLC

Locations

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Peking University First Hospital-Urology ( Site 0001)

Beijing, Beijing Municipality, China

Site Status

Sun Yat-sen University Cancer Center-Neurosurgery department ( Site 0003)

Guangzhou, Guangdong, China

Site Status

Tongji Hospital Tongji Medical,Science & Technology ( Site 0002)

Wuhan, Hubei, China

Site Status

Countries

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China

Related Links

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http://www.merckclinicaltrials.com

Merck Clinical Trials Information

Other Identifiers

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MK-5684-001

Identifier Type: OTHER

Identifier Source: secondary_id

5684-001

Identifier Type: -

Identifier Source: org_study_id