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
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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RECRUITING
PHASE1/PHASE2
360 participants
INTERVENTIONAL
2025-07-03
2030-02-24
Brief Summary
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* 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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The master screening protocol is MK-2400-U01.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
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.
Docetaxel
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.
Ifinatamab Deruxtecan
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.
Ifinatamab Deruxtecan
Administered via IV infusion at a specified dose on specified days
MK-5684
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.
Ifinatamab Deruxtecan
Administered via IV infusion at a specified dose on specified days
Abiraterone
Administered orally at a specified dose on specified days
Enzalutamide
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
Ifinatamab Deruxtecan
Administered via IV infusion at a specified dose on specified days
MK-5684
Administered orally at a specified dose on specified days
Abiraterone
Administered orally at a specified dose on specified days
Enzalutamide
Administered orally at a specified dose on specified days
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* 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
* 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
18 Years
ALL
No
Sponsors
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Daiichi Sankyo
INDUSTRY
Merck Sharp & Dohme LLC
INDUSTRY
Responsible Party
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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
The West Clinic, PLLC dba West Cancer Center ( Site 0005)
Germantown, Tennessee, United States
Instituto Alexander Fleming ( Site 0202)
Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
Fundación CORI para la Investigación y Prevención del Cáncer ( Site 0200)
La Rioja, , Argentina
Macquarie University-MQ Health Clinical Trials Unit ( Site 0801)
Macquarie University, New South Wales, Australia
Liga Norte Riograndense Contra o Câncer ( Site 0271)
Natal, Rio Grande do Norte, Brazil
Irmandade da Santa Casa de Misericórdia de Porto Alegre ( Site 0270)
Porto Alegre, Rio Grande do Sul, Brazil
Hospital Moinhos de Vento ( Site 0278)
Porto Alegre, Rio Grande do Sul, Brazil
Hospital Universitário São Francisco de Assis - Bragança Paulista ( Site 0268)
Bragança Paulista, São Paulo, Brazil
Fundação Faculdade Regional de Medicina de São José do Rio Preto ( Site 0263)
São José do Rio Preto, São Paulo, Brazil
IPITEC ( Site 0275)
São Paulo, , Brazil
IBCC - Instituto Brasileiro de Controle do Câncer ( Site 0269)
São Paulo, , Brazil
Clinica Universidad Catolica del Maule ( Site 0236)
Talca, Maule Region, Chile
FALP ( Site 0232)
Santiago, Region M. de Santiago, Chile
Bradfordhill ( Site 0231)
Santiago, Region M. de Santiago, Chile
ONCOCENTRO APYS ( Site 0234)
Viña del Mar, Región de Valparaíso, Chile
Institut Bergonié - Centre Régional de Lutte Contre Le Cancer de Bordeaux et Sud Ouest ( Site 0498)
Bordeaux, Gironde, France
Centre Oscar Lambret ( Site 0495)
Lille, Nord, France
Institut De Cancerologie De L Ouest ( Site 0494)
Saint-Herblain, Pays de la Loire Region, France
Centre Hospitalier de la Côte Basque ( Site 0496)
Bayonne, Pyrenees-Atlantiques, France
centre hospitalier lyon sud ( Site 0497)
Pierre-Bénite, Rhone, France
NCT ( Site 0528)
Heidelberg, Baden-Wurttemberg, Germany
Universitaetsklinikum Jena ( Site 0525)
Jena, Thuringia, Germany
Universitaetsklinikum Hamburg-Eppendorf ( Site 0524)
Hamburg, , Germany
Rambam Health Care Campus ( Site 0400)
Haifa, , Israel
Rabin Medical Center ( Site 0402)
Petah Tikva, , Israel
Sheba Medical Center ( Site 0401)
Ramat Gan, , Israel
Sourasky Medical Center ( Site 0403)
Tel Aviv, , Israel
A.O.U. Federico II di Napoli ( Site 0435)
Naples, Napoli, Italy
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia ( Site 0432)
Brescia, , Italy
Fondazione IRCCS Istituto Nazionale Dei Tumori ( Site 0431)
Milan, , Italy
Fondazione Policlinico Universitario Agostino Gemelli ( Site 0433)
Roma, , Italy
UMC St. Radboud ( Site 0679)
Nijmegen, Gelderland, Netherlands
Auckland City Hospital ( Site 0831)
Auckland, , New Zealand
Uniwersytecki Szpital Kliniczny w Poznaniu ( Site 0590)
Poznan, Greater Poland Voivodeship, Poland
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie ( Site 0586)
Warsaw, Masovian Voivodeship, Poland
Uniwersyteckie Centrum Kliniczne ( Site 0588)
Gdansk, Pomeranian Voivodeship, Poland
Szpital Wojewódzki im. M.Kopernika Oddział Onk. Klinicznej z Pododdziałem Chemioterapii Jednodniowej ( Site 0587)
Koszalin, West Pomeranian Voivodeship, Poland
Asan Medical Center ( Site 0925)
Songpagu, Seoul, South Korea
Severance Hospital Yonsei University Health System ( Site 0924)
Seoul, , South Korea
Samsung Medical Center ( Site 0926)
Seoul, , South Korea
Hospital Universitario Ramon y Cajal ( Site 0620)
Madrid, , Spain
Hospital Clinico San Carlos ( Site 0618)
Madrid, , Spain
Hospital Universitario 12 de Octubre ( Site 0622)
Madrid, , Spain
Taichung Veterans General Hospital ( Site 0902)
Taichung, , Taiwan
Taipei Veterans General Hospital ( Site 0901)
Taipei, , Taiwan
Royal Marsden Hospital (Sutton) ( Site 0741)
London, Surrey, United Kingdom
Countries
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Central Contacts
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Facility Contacts
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Related Links
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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