A Clinical Study of Ifinatamab Deruxtecan Based Treatment Combinations or as Monotherapy to Treat Metastatic Castrate Resistant Prostate Cancer (mCRPC) (MK-2400-01A/IDeate-Prostate02)

NCT ID: NCT06863272

Last Updated: 2025-11-12

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

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

360 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-03

Study Completion Date

2030-02-24

Brief Summary

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The purpose of this substudy is to assess the efficacy and safety of ifinatamab deruxtecan (I-DXd), given alone or with other treatments in participants with metastatic castration-resistant prostate cancer (mCRPC). The goals of this study are to learn about:

* The safety of the study treatment and if people tolerate it.
* A safe dose level of I-DXd that can be used with other treatments.
* Participant levels of prostate specific antigen (PSA) during treatment.

Detailed Description

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This sub study MK-2400-01A assesses treatments for metastatic castration-resistant prostate cancer (mCRPC).

The master screening protocol is MK-2400-U01.

Conditions

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Castration-Resistant Prostatic Cancer Metastasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Docetaxel

Participants will receive docetaxel at a determined dose every 3 weeks (Q3W) for a maximum of 10 cycles. Each cycle is 21 days.

Group Type ACTIVE_COMPARATOR

Docetaxel

Intervention Type DRUG

Administered via Intravenous (IV) infusion at a specified dose on specified days

Ifinatamab Deruxtecan (I-DXd)

Participants will receive I-DXd at a determined dose Q3W until unacceptable toxicity, progressive disease (PD), death or withdrawal of consent.

Group Type EXPERIMENTAL

Ifinatamab Deruxtecan

Intervention Type DRUG

Administered via IV infusion at a specified dose on specified days

I-DXd + MK-5684

Following a dose escalation regimen with I-DXd, participants will receive I-DXd at a determined dose until unacceptable toxicity, PD, death or withdrawal of consent PLUS MK-5684 at a determined dose until any of the criterion for discontinuation of study intervention is met.

Group Type EXPERIMENTAL

Ifinatamab Deruxtecan

Intervention Type DRUG

Administered via IV infusion at a specified dose on specified days

MK-5684

Intervention Type DRUG

Administered orally at a specified dose on specified days

I-DXd +ARPI (Abiraterone or Enzalutamide)

Following a dose escalation regimen with I-DXd, participants will receive I-DXd at a determined dose until unacceptable toxicity, PD, death or withdrawal of consent PLUS ARPI (Androgen Receptor Pathway Inhibitor) - Abiraterone acetate OR Enzalutamide at a determined dose until any of the criterion for discontinuation of study intervention is met.

Group Type EXPERIMENTAL

Ifinatamab Deruxtecan

Intervention Type DRUG

Administered via IV infusion at a specified dose on specified days

Abiraterone

Intervention Type DRUG

Administered orally at a specified dose on specified days

Enzalutamide

Intervention Type DRUG

Administered orally at a specified dose on specified days

Interventions

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Docetaxel

Administered via Intravenous (IV) infusion at a specified dose on specified days

Intervention Type DRUG

Ifinatamab Deruxtecan

Administered via IV infusion at a specified dose on specified days

Intervention Type DRUG

MK-5684

Administered orally at a specified dose on specified days

Intervention Type DRUG

Abiraterone

Administered orally at a specified dose on specified days

Intervention Type DRUG

Enzalutamide

Administered orally at a specified dose on specified days

Intervention Type DRUG

Other Intervention Names

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I-DXd, MK-2400, DS-7300a ODM-208

Eligibility Criteria

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Inclusion Criteria

* Has histologically- or cytologically-confirmed adenocarcinoma of the prostate without small cell histology
* Has prostate cancer progression while on androgen deprivation therapy (ADT) (or post bilateral orchiectomy) within 6 months before Screening
* Has current evidence of metastatic disease
* Has received prior treatment with 1 or 2 androgen receptor pathway inhibitors (ARPIs) and progressed during or after treatment
* Participants receiving bone resorptive therapy (including, but not limited to bisphosphonate or denosumab) must have been on stable doses for ≥4 weeks before allocation/randomization
* An Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 assessed within 10 days before allocation/randomization
* Has prior treatment with poly-ADP-ribose polymerase inhibitors (PARPi) if indicated by local approved regimen or were deemed ineligible to receive PARPi by the investigator

Exclusion Criteria

* History of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids, or has current ILD/pneumonitis or suspected ILD/pneumonitis
* Clinically severe pulmonary compromise resulting from intercurrent pulmonary illnesses
* Uncontrolled or significant cardiovascular disease
* History of pituitary dysfunction
* Poorly controlled diabetes mellitus
* History or current condition of adrenal insufficiency (eg, Addison's disease)
* Has received prior treatment with taxane-based chemotherapy agent for metastatic castration-resistant prostate cancer (mCRPC).
* Chronic steroid treatment (dose of \>10 mg daily prednisone equivalent), except for low-dose inhaled steroids (for asthma/chronic obstructive pulmonary disease), topical steroids (for mild skin conditions), or intra-articular steroid injections
* Received prior radiotherapy within 2 weeks of start of study intervention, or has radiation-related toxicities, requiring corticosteroids
* Known additional malignancy that is progressing or has required active treatment within the past 3 years
* Known active central nervous system (CNS) metastases and/or carcinomatous meningitis
* Active autoimmune disease that has required systemic treatment in the past 2 years
* History of allogeneic tissue/solid organ transplant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Daiichi Sankyo

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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MedStar Georgetown Cancer Institute at MedStar Washington Hospital Center ( Site 0026)

Washington D.C., District of Columbia, United States

Site Status RECRUITING

The West Clinic, PLLC dba West Cancer Center ( Site 0005)

Germantown, Tennessee, United States

Site Status RECRUITING

Instituto Alexander Fleming ( Site 0202)

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Site Status RECRUITING

Fundación CORI para la Investigación y Prevención del Cáncer ( Site 0200)

La Rioja, , Argentina

Site Status RECRUITING

Macquarie University-MQ Health Clinical Trials Unit ( Site 0801)

Macquarie University, New South Wales, Australia

Site Status RECRUITING

Liga Norte Riograndense Contra o Câncer ( Site 0271)

Natal, Rio Grande do Norte, Brazil

Site Status RECRUITING

Irmandade da Santa Casa de Misericórdia de Porto Alegre ( Site 0270)

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Hospital Moinhos de Vento ( Site 0278)

Porto Alegre, Rio Grande do Sul, Brazil

Site Status RECRUITING

Hospital Universitário São Francisco de Assis - Bragança Paulista ( Site 0268)

Bragança Paulista, São Paulo, Brazil

Site Status RECRUITING

Fundação Faculdade Regional de Medicina de São José do Rio Preto ( Site 0263)

São José do Rio Preto, São Paulo, Brazil

Site Status RECRUITING

IPITEC ( Site 0275)

São Paulo, , Brazil

Site Status RECRUITING

IBCC - Instituto Brasileiro de Controle do Câncer ( Site 0269)

São Paulo, , Brazil

Site Status RECRUITING

Clinica Universidad Catolica del Maule ( Site 0236)

Talca, Maule Region, Chile

Site Status RECRUITING

FALP ( Site 0232)

Santiago, Region M. de Santiago, Chile

Site Status RECRUITING

Bradfordhill ( Site 0231)

Santiago, Region M. de Santiago, Chile

Site Status RECRUITING

ONCOCENTRO APYS ( Site 0234)

Viña del Mar, Región de Valparaíso, Chile

Site Status RECRUITING

Institut Bergonié - Centre Régional de Lutte Contre Le Cancer de Bordeaux et Sud Ouest ( Site 0498)

Bordeaux, Gironde, France

Site Status RECRUITING

Centre Oscar Lambret ( Site 0495)

Lille, Nord, France

Site Status RECRUITING

Institut De Cancerologie De L Ouest ( Site 0494)

Saint-Herblain, Pays de la Loire Region, France

Site Status RECRUITING

Centre Hospitalier de la Côte Basque ( Site 0496)

Bayonne, Pyrenees-Atlantiques, France

Site Status RECRUITING

centre hospitalier lyon sud ( Site 0497)

Pierre-Bénite, Rhone, France

Site Status RECRUITING

NCT ( Site 0528)

Heidelberg, Baden-Wurttemberg, Germany

Site Status RECRUITING

Universitaetsklinikum Jena ( Site 0525)

Jena, Thuringia, Germany

Site Status RECRUITING

Universitaetsklinikum Hamburg-Eppendorf ( Site 0524)

Hamburg, , Germany

Site Status RECRUITING

Rambam Health Care Campus ( Site 0400)

Haifa, , Israel

Site Status RECRUITING

Rabin Medical Center ( Site 0402)

Petah Tikva, , Israel

Site Status RECRUITING

Sheba Medical Center ( Site 0401)

Ramat Gan, , Israel

Site Status RECRUITING

Sourasky Medical Center ( Site 0403)

Tel Aviv, , Israel

Site Status RECRUITING

A.O.U. Federico II di Napoli ( Site 0435)

Naples, Napoli, Italy

Site Status RECRUITING

Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia ( Site 0432)

Brescia, , Italy

Site Status RECRUITING

Fondazione IRCCS Istituto Nazionale Dei Tumori ( Site 0431)

Milan, , Italy

Site Status RECRUITING

Fondazione Policlinico Universitario Agostino Gemelli ( Site 0433)

Roma, , Italy

Site Status RECRUITING

UMC St. Radboud ( Site 0679)

Nijmegen, Gelderland, Netherlands

Site Status RECRUITING

Auckland City Hospital ( Site 0831)

Auckland, , New Zealand

Site Status RECRUITING

Uniwersytecki Szpital Kliniczny w Poznaniu ( Site 0590)

Poznan, Greater Poland Voivodeship, Poland

Site Status RECRUITING

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Site 0586)

Warsaw, Masovian Voivodeship, Poland

Site Status RECRUITING

Uniwersyteckie Centrum Kliniczne ( Site 0588)

Gdansk, Pomeranian Voivodeship, Poland

Site Status RECRUITING

Szpital Wojewódzki im. M.Kopernika Oddział Onk. Klinicznej z Pododdziałem Chemioterapii Jednodniowej ( Site 0587)

Koszalin, West Pomeranian Voivodeship, Poland

Site Status RECRUITING

Asan Medical Center ( Site 0925)

Songpagu, Seoul, South Korea

Site Status RECRUITING

Severance Hospital Yonsei University Health System ( Site 0924)

Seoul, , South Korea

Site Status ACTIVE_NOT_RECRUITING

Samsung Medical Center ( Site 0926)

Seoul, , South Korea

Site Status RECRUITING

Hospital Universitario Ramon y Cajal ( Site 0620)

Madrid, , Spain

Site Status RECRUITING

Hospital Clinico San Carlos ( Site 0618)

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario 12 de Octubre ( Site 0622)

Madrid, , Spain

Site Status RECRUITING

Taichung Veterans General Hospital ( Site 0902)

Taichung, , Taiwan

Site Status RECRUITING

Taipei Veterans General Hospital ( Site 0901)

Taipei, , Taiwan

Site Status RECRUITING

Royal Marsden Hospital (Sutton) ( Site 0741)

London, Surrey, United Kingdom

Site Status RECRUITING

Countries

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United States Argentina Australia Brazil Chile France Germany Israel Italy Netherlands New Zealand Poland South Korea Spain Taiwan United Kingdom

Central Contacts

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Toll Free Number

Role: CONTACT

Phone: 1-888-577-8839

Email: [email protected]

Facility Contacts

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Study Coordinator

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Related Links

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http://www.merckclinicaltrials.com

Merck Clinical Trials Information

Other Identifiers

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MK-2400-01A

Identifier Type: OTHER

Identifier Source: secondary_id

2024-516036-94-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

U1111-1310-5406

Identifier Type: REGISTRY

Identifier Source: secondary_id

IDeate-Prostate02

Identifier Type: OTHER

Identifier Source: secondary_id

2400-01A

Identifier Type: -

Identifier Source: org_study_id