Study of AZD0516 as Monotherapy and in Combination in Participants With Metastatic Prostate Cancer

NCT ID: NCT07181161

Last Updated: 2026-01-12

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

177 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-01

Study Completion Date

2029-01-18

Brief Summary

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The main purpose of this study is to assess the safety and tolerability of AZD0516 as monotherapy and/or in combination with other anti-cancer agents for treatment of metastatic prostate cancer.

Detailed Description

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This is a first-in-human modular, Phase I/IIa, open-label, multi-centre study of AZD0516 in participants with metastatic prostate cancer. The study will consist of individual modules, each evaluating the safety, tolerability, preliminary efficacy, PK, pharmacodynamic, and immunogenicity of AZD0516.

Module 1: Evaluates AZD0516 as monotherapy. It may include 3 parts, Part A- Dose Escalation, Part B- Dose Optimisation, and Part C- Efficacy Expansion.

Module 2: Evaluates AZD0516 in combination with AZD9574. It may include 2 parts, Part A - Dose Escalation and Part B Dose Optimisation.

Conditions

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Metastatic Prostate Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm 1: AZD0516 monotherapy

Participants with mCRPC will receive AZD0516 monotherapy.

Group Type EXPERIMENTAL

AZD0516

Intervention Type DRUG

AZD0516 will be administered via intravenous infusion.

Arm 2: AZD0516 + AZD9574

Participants with mCRPC will receive AZD0516 in combination with AZD9574.

Group Type EXPERIMENTAL

AZD0516

Intervention Type DRUG

AZD0516 will be administered via intravenous infusion.

AZD9574

Intervention Type DRUG

AZD9574 will be administered orally.

Interventions

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AZD0516

AZD0516 will be administered via intravenous infusion.

Intervention Type DRUG

AZD9574

AZD9574 will be administered orally.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically or cytologically confirmed diagnosis of metastatic adenocarcinoma of the prostate. Focal high grade neuroendocrine features are permitted.
* Measurable PSA ≥ 1 μg/L (≥ 1 ng/mL).
* Surgically or medically castrated with serum testosterone levels ≤ 50 ng/dL (≤ 1.75 nmol/L) within ≤ 28 days before treatment allocation. Ongoing androgen deprivation therapy (ADT) with a gonadotropin releasing hormone (GnRH) modulator for participants who have not undergone bilateral orchiectomy must be initiated at least 2 weeks prior to consent and must continue throughout the study.
* Eastern cooperative oncology group (ECOG) performance status of 0 or 1.
* Adequate organ and marrow function in the absence of blood transfusion or growth factor support (within 21 days prior to the scheduled first dose of study intervention).
* Provision of baseline archival or newly obtained formalin-fixed paraffin-embedded (FFPE) tumour sample is mandatory.
* Documented current evidence of metastatic prostate cancer
* Life expectancy of at least 12 weeks in the opinion of the investigator
* Documented mCRPC progression at screening as assessed by the investigator with at least one of the following criteria:

1. PSA progression defined by a minimum of 3 rising PSA levels with an interval of ≥ 1 week between each determination. The PSA value at the screening visit should be ≥ 1 μg/L (1 ng/mL).
2. Radiographic disease progression in soft tissue based on response evaluation criteria in solid tumors (RECIST) v1.1 criteria with or without PSA progression as per prostate cancer working group 3 (PCWG3).
3. Radiographic disease progression in bone defined as the appearance of 2 or more new bone lesions on a bone scan as per PCWG3 with or without PSA progression.

Exclusion Criteria

* Cancer related spinal cord compression, or brain metastases unless asymptomatic, treated and stable and not requiring continuous corticosteroids at a dose of \> 10 mg prednisone/day or equivalent for at least 4 weeks prior to study enrolment.
* History of leptomeningeal carcinomatosis.
* Unresolved toxicities of Grade ≥ 2 (National Cancer Institute Common Terminology Criteria for Adverse Events v5.0) from prior therapy (excluding vitiligo, alopecia, and endocrine disorders that are controlled with replacement hormone therapy).
* Uncontrolled intercurrent illness within the last 12 months.
* Cardiovascular disorder (History of arrhythmia, uncontrolled hypertension, symptomatic hypotension, history of brain perfusion problems, symptomatic heart failure, prior or current cardiomyopathy, severe valvular heart disease)
* History of malignancy
* History of non-infectious interstitial lung disease (ILD)/pneumonitis
* Active infection exclusions, including tuberculosis and infections with Hepatitis B Virus (HBV), Hepatitis C Virus (HCV) or Human Immunodeficiency Virus (HIV).
* Any known predisposition to bleeding
* Clinically severe pulmonary compromise
* Participants with Myelodysplastic syndrome (MDS)/Acute Myeloid Leukemia (AML) or with features suggestive of MDS/AML.
* Previous treatment with a STEAP2 targeting modality, chemotherapeutic agent that inhibits topoisomerase activity or metabolic enzymes.
Minimum Eligible Age

18 Years

Maximum Eligible Age

130 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Parexel

INDUSTRY

Sponsor Role collaborator

AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Fayetteville, Arkansas, United States

Site Status RECRUITING

Research Site

Los Angeles, California, United States

Site Status NOT_YET_RECRUITING

Research Site

Boston, Massachusetts, United States

Site Status NOT_YET_RECRUITING

Research Site

Ann Arbor, Michigan, United States

Site Status NOT_YET_RECRUITING

Research Site

Detroit, Michigan, United States

Site Status RECRUITING

Research Site

Buffalo, New York, United States

Site Status NOT_YET_RECRUITING

Research Site

New York, New York, United States

Site Status NOT_YET_RECRUITING

Research Site

Providence, Rhode Island, United States

Site Status RECRUITING

Research Site

Myrtle Beach, South Carolina, United States

Site Status RECRUITING

Research Site

Houston, Texas, United States

Site Status NOT_YET_RECRUITING

Research Site

Barretos, , Brazil

Site Status NOT_YET_RECRUITING

Research Site

Porto Alegre, , Brazil

Site Status NOT_YET_RECRUITING

Research Site

São Paulo, , Brazil

Site Status NOT_YET_RECRUITING

Research Site

Changsha, , China

Site Status NOT_YET_RECRUITING

Research Site

Chengdu, , China

Site Status NOT_YET_RECRUITING

Research Site

Wuhan, , China

Site Status NOT_YET_RECRUITING

Research Site

Lyon, , France

Site Status NOT_YET_RECRUITING

Research Site

Montpellier, , France

Site Status NOT_YET_RECRUITING

Research Site

Saint-Herblain, , France

Site Status NOT_YET_RECRUITING

Research Site

Suresnes, , France

Site Status NOT_YET_RECRUITING

Research Site

Villejuif, , France

Site Status NOT_YET_RECRUITING

Research Site

Milan, , Italy

Site Status NOT_YET_RECRUITING

Research Site

Milan, , Italy

Site Status NOT_YET_RECRUITING

Research Site

Milan, , Italy

Site Status NOT_YET_RECRUITING

Research Site

Napoli, , Italy

Site Status NOT_YET_RECRUITING

Research Site

Roma, , Italy

Site Status NOT_YET_RECRUITING

Research Site

Rozzano, , Italy

Site Status NOT_YET_RECRUITING

Research Site

Chūōku, , Japan

Site Status RECRUITING

Research Site

Kashiwa, , Japan

Site Status NOT_YET_RECRUITING

Research Site

Kōtoku, , Japan

Site Status RECRUITING

Research Site

Koszalin, , Poland

Site Status NOT_YET_RECRUITING

Research Site

Piotrkow Trybunalski, , Poland

Site Status NOT_YET_RECRUITING

Research Site

Przemyśl, , Poland

Site Status NOT_YET_RECRUITING

Research Site

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Research Site

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Research Site

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Research Site

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Research Site

Seoul, , South Korea

Site Status NOT_YET_RECRUITING

Research Site

Barcelona, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Barcelona, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Barcelona, , Spain

Site Status NOT_YET_RECRUITING

Research Site

L'Hospitalet de Llobregat, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Madrid, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Pamplona, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Santander, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Valencia, , Spain

Site Status NOT_YET_RECRUITING

Research Site

Cambridge, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

London, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

London, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

Plymouth, , United Kingdom

Site Status NOT_YET_RECRUITING

Research Site

Sutton, , United Kingdom

Site Status NOT_YET_RECRUITING

Countries

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United States Brazil China France Italy Japan Poland South Korea Spain United Kingdom

Central Contacts

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AstraZeneca Clinical Study Information Center

Role: CONTACT

1-877-240-9479

Other Identifiers

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2024-520026-11-00

Identifier Type: OTHER

Identifier Source: secondary_id

D9520C00001

Identifier Type: -

Identifier Source: org_study_id

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