This Study Will Explore Whether a Combination of the Investigational Drug Mevrometostat (PF-06821497) and Enzalutamide Will Work Better Than Taking Enzalutamide Alone in Participants With mCSPC Who Are ARPI naïve.

NCT ID: NCT07028853

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

PHASE3

Total Enrollment

1000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-28

Study Completion Date

2034-12-08

Brief Summary

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This study will explore whether a combination of the investigational drug mevrometostat (PF-06821497) and enzalutamide will work better than taking enzalutamide alone in participants with mCSPC who are ARPI naïve and have not yet received chemotherapy in the mCSPC setting.

Detailed Description

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This is a global, multicenter, randomized, double-blind, placebo-controlled Phase 3 study evaluating mevrometostat in combination with enzalutamide versus placebo in combination with enzalutamide in participants with mCSPC who have not received systemic anticancer treatments with the exception of androgen-deprivation therapy (ADT) and first-generation antiandrogen agents. Prior therapy with up to 3 months of ADT (chemical or surgical) is allowed, with no radiographic evidence of disease progression or rising PSA levels prior to Day 1.

This study consists of a Screening Phase, Randomization, Treatment Phase, Safety Follow-up, and Long-Term Follow-up. Participants will be randomized on a 1:1 basis to receive (Arm A) mevrometostat (PF-06821497) in combination with enzalutamide, or (Arm B) placebo in combination with enzalutamide.

Conditions

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Metastatic Castration Sensitive Prostate Cancer (mCSPC) Hormone Sensitive Prostate Cancer Prostate Cancer Cancer of the Prostate

Keywords

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Hormone Sensitive Prostate Cancer Mevrometostat Metastatic castration sensitive prostate cancer PF-06821497 EZH2 enhancer of zeste homologue-2 enzalutamide mCSPC HSPC Prostate cancer castrate sensitive prostate cancer prostatecancer-study.com Phase 3 efficacy safety pharmacokinetics pharmacodynamics

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
This is a double-blind study. Participants will receive mevrometostat or matching placebo in a blinded fashion. Participants, investigators and site staff, and sponsor staff will be aware that participants in both study arms are receiving enzalutamide. Enzalutamide will be provided in an open-label manner to participants in each treatment arm.

Participants and their caregivers will be blinded to their assigned study intervention.

Investigators and other site staff will be blinded to participants' assigned study intervention Sponsor staff will be blinded to participants' assigned study intervention, except for sponsor staff involved in the assignment or distribution of study intervention.

Study Groups

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Arm A

Participants will receive mevrometostat/PF-06821497 (875 mg) BID (twice daily) + enzalutamide 160 mg QD (once daily)

Group Type EXPERIMENTAL

Mevrometostat

Intervention Type DRUG

Oral continuous

Enzalutamide

Intervention Type DRUG

Oral continuous

Arm B

Participants will receive Placebo BID (twice daily) + enzalutamide 160 mg QD (once daily)

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type DRUG

Oral continuous

Enzalutamide

Intervention Type DRUG

Oral continuous

Interventions

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Mevrometostat

Oral continuous

Intervention Type DRUG

Placebo

Oral continuous

Intervention Type DRUG

Enzalutamide

Oral continuous

Intervention Type DRUG

Other Intervention Names

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PF-06821497 Xtandi

Eligibility Criteria

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Inclusion Criteria

* Male participants aged ≥18 years (or the minimum age of consent in accordance with local regulations) at screening.
* Histologically or cytologically confirmed adenocarcinoma of the prostate without small cell features.
* Metastatic prostate cancer documented by positive bone scan (for bone disease) or metastatic lesion(s) on CT or MRI (for soft tissue/visceral disease).
* Resolution of acute effects of any prior therapy to either baseline severity or CTCAE Grade ≤1 (except for AEs which do not constitute a safety risk in the investigator's judgement).
* Participants must have ECOG PS 0 or 1.

Exclusion Criteria

* Any medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study.
* Clinically significant cardiovascular disease.
* Known or suspected brain metastasis or active leptomeningeal disease.
* Participants must be treatment naïve at the mCSPC stage, eg, participants cannot have received any cytotoxic chemotherapy with the following exceptions: Treatment with first-generation antiandrogen (ADT) agents is allowed for mCSPC.
* Previous administration with an investigational product (drug or vaccine) within 30 days.
* Current use or anticipated need for drugs that are known strong CYP3A4/5 inhibitors and inducers (with exception of enzalutamide as part of this study).
* Inadequate organ function.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Ironwood Cancer & Research Centers

Chandler, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Gilbert, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Glendale, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Goodyear, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Mesa, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Mesa, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Phoenix, Arizona, United States

Site Status RECRUITING

Ironwood Cancer & Research Centers

Scottsdale, Arizona, United States

Site Status RECRUITING

Highlands Oncology Group, PA

Fayetteville, Arkansas, United States

Site Status RECRUITING

Highlands Oncology Group, PA

Rogers, Arkansas, United States

Site Status RECRUITING

Highlands Oncology Group, PA

Springdale, Arkansas, United States

Site Status RECRUITING

Cancer Care Specialists of Illinois

Decatur, Illinois, United States

Site Status NOT_YET_RECRUITING

Cancer Care Specialists of Illinois

O'Fallon, Illinois, United States

Site Status NOT_YET_RECRUITING

Montefiore Einstein Comprehensive Cancer Center

The Bronx, New York, United States

Site Status NOT_YET_RECRUITING

Montefiore Medical Center- Montefiore Medical Park

The Bronx, New York, United States

Site Status NOT_YET_RECRUITING

TriState Urologic Services PSC Inc. dba The Urology Group

Cincinnati, Ohio, United States

Site Status NOT_YET_RECRUITING

The Centers for Advanced Urology, LLP d/b/a Keystone Urology Specialists

Lancaster, Pennsylvania, United States

Site Status RECRUITING

Grand Strand Medical Center

Myrtle Beach, South Carolina, United States

Site Status NOT_YET_RECRUITING

Carolina Urologic Research Center, LLC

Myrtle Beach, South Carolina, United States

Site Status NOT_YET_RECRUITING

Parkway Surgery Center

Myrtle Beach, South Carolina, United States

Site Status NOT_YET_RECRUITING

Urology Associates, P.C.

Nashville, Tennessee, United States

Site Status NOT_YET_RECRUITING

US Oncology Investigational Product Center (IPC)

Irving, Texas, United States

Site Status NOT_YET_RECRUITING

Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status NOT_YET_RECRUITING

Blue Ridge Cancer Care

Blacksburg, Virginia, United States

Site Status NOT_YET_RECRUITING

Blue Ridge Cancer Care

Low Moor, Virginia, United States

Site Status NOT_YET_RECRUITING

Blue Ridge Cancer Care

Roanoke, Virginia, United States

Site Status NOT_YET_RECRUITING

Blue Ridge Cancer Care

Salem, Virginia, United States

Site Status NOT_YET_RECRUITING

Blue Ridge Cancer Care

Wytheville, Virginia, United States

Site Status NOT_YET_RECRUITING

Northwest Medical Specialties, PLLC

Bonney Lake, Washington, United States

Site Status RECRUITING

Northwest Medical Specialties, PLLC

Federal Way, Washington, United States

Site Status RECRUITING

Northwest Medical Specialties, PLLC

Gig Harbor, Washington, United States

Site Status RECRUITING

Northwest Medical Specialties, PLLC

Puyallup, Washington, United States

Site Status RECRUITING

Northwest Medical Specialties, PLLC

Tacoma, Washington, United States

Site Status RECRUITING

ICON Cancer Centre - Kurralta Park

Kurralta Park, South Australia, Australia

Site Status NOT_YET_RECRUITING

Diex Recherche Trois-Rivieres

Trois-Rivières, Quebec, Canada

Site Status RECRUITING

Wannan Medical College Yijishan Hospital

Wuhu, Anhui, China

Site Status RECRUITING

Peking University First Hospital

Beijing, Beijing Municipality, China

Site Status NOT_YET_RECRUITING

Beijing Friendship Hospital Affiliate of Capital University

Beijing, Beijing Municipality, China

Site Status RECRUITING

Chongqing University Cancer Hospital

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

The First Affiliated Hospital of Chongqing Medical University

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

Lanzhou university second hospital

Lanzhou, Gansu, China

Site Status NOT_YET_RECRUITING

The First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

Site Status NOT_YET_RECRUITING

Union Hospital Tongji Medical College Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

Hunan Cancer Hospital

Changsha, Hunan, China

Site Status RECRUITING

First Huai'an Hospital Affiliated to Nanjing Medical University

Huai'an, Jiangsu, China

Site Status RECRUITING

Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School

Nanjing, Jiangsu, China

Site Status RECRUITING

Nantong Tumor Hospital

Nantong, Jiangsu, China

Site Status RECRUITING

The Second Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Xi'an Jiaotong University

Xi'an, Shaanxi, China

Site Status RECRUITING

Shandong Provincial Hospital

Jinan, Shandong, China

Site Status NOT_YET_RECRUITING

Qilu Hospital of Shandong University

Jinan, Shandong, China

Site Status NOT_YET_RECRUITING

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Suining Central Hospital

Suining, Sichuan, China

Site Status RECRUITING

Zhejiang Provincial People's Hospital

Hangzhou, Zhejiang, China

Site Status NOT_YET_RECRUITING

Sir Run Run Shaw Hospital of Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status RECRUITING

The first affiliated hospital of Ningbo university

Ningbo, Zhejiang, China

Site Status NOT_YET_RECRUITING

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Site Status RECRUITING

The Third Affiliated Hospital of Southern Medical University

Guangzhou, , China

Site Status RECRUITING

Rabin Medical Center

Petah Tikva, Central District, Israel

Site Status NOT_YET_RECRUITING

Shaare Zedek Medical Center

Jerusalem, Jerusalem, Israel

Site Status NOT_YET_RECRUITING

Chiba cancer center

Chiba, Chiba, Japan

Site Status RECRUITING

National Hospital Organization Shikoku Cancer Center

Matsuyama, Ehime, Japan

Site Status RECRUITING

National Hospital Organization Hokkaido Cancer Center

Sapporo, Hokkaido, Japan

Site Status NOT_YET_RECRUITING

Hokkaido University Hospital

Sapporo, Hokkaido, Japan

Site Status RECRUITING

Kobe University Hospital

Kobe, Hyōgo, Japan

Site Status RECRUITING

Kanazawa University Hospital

Kanazawa, Ishikawa-ken, Japan

Site Status RECRUITING

Yokosuka Kyosai Hospital

Yokosuka, Kanagawa, Japan

Site Status RECRUITING

The University of Osaka Hospital

Suita, Osaka, Japan

Site Status RECRUITING

Keio university hospital

Shinjuku-ku, Tokyo, Japan

Site Status RECRUITING

National Hospital Organization Kyushu Cancer Center

Fukuoka, , Japan

Site Status RECRUITING

National Hospital Organization Kumamoto Medical Center

Kumamoto, , Japan

Site Status RECRUITING

Osaka International Cancer Institute

Osaka, , Japan

Site Status RECRUITING

Yamagata University Hospital

Yamagata, , Japan

Site Status RECRUITING

Samsung Medical Center

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status NOT_YET_RECRUITING

Ewha Womans University Mokdong Hospital

Seoul, Seoul-teukbyeolsi [seoul], South Korea

Site Status NOT_YET_RECRUITING

Kyungpook National University Chilgok Hospital

Deagu, Taegu-kwangyǒkshi, South Korea

Site Status NOT_YET_RECRUITING

Chungnam national university hospital

Junggu, Taejǒn-kwangyǒkshi, South Korea

Site Status NOT_YET_RECRUITING

Taichung Veterans General Hospital

Taichung, , Taiwan

Site Status NOT_YET_RECRUITING

Countries

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United States Australia Canada China Israel Japan South Korea Taiwan

Central Contacts

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Pfizer CT.gov Call Center

Role: CONTACT

Phone: 1-800-718-1021

Email: [email protected]

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=C2321008

To obtain contact information for a study center near you, click here.

Other Identifiers

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MEVPRO-3

Identifier Type: OTHER

Identifier Source: secondary_id

2024-519369-24-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

C2321008

Identifier Type: -

Identifier Source: org_study_id