Metastatic Castrate Resistant Prostate Cancer (mCRPC)Phase 3MEVPRO-1NCT06551324
A Study to Learn About the Investigational Medicine Called PF-06821497 (Mevrometostat) in Men With mCRPC Who Were Previously Treated With Abiraterone Acetate for Prostate Cancer (MEVPRO-1).
A Phase 3 study testing PF-06821497, Docetaxel and Enzalutamide in people with Metastatic Castrate Resistant Prostate Cancer (mCRPC), run by Pfizer at 224 sites in 23 countries.
Trial summary
Pfizer MEVPRO-1 (C2321014) is a randomized, open-label, multi-center clinical trial evaluating whether combining the study medicine (PF-06821497) with enzalutamide is safe and effective compared to physician's choice of either second-line androgen receptor (AR) directed therapy with enzalutamide or docetaxel… Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Metastatic Castrate Resistant Prostate Cancer (mCRPC)
- What is being tested?
- PF-06821497, Docetaxel and Enzalutamide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 609 participants
- Where
- 224 sitesin 23 countries
- Study dates
- 21 Oct 2024to 29 Oct 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed adenocarcinoma of the prostate without small cell features.
- Metastatic disease in bone documented on bone scan, or in soft tissue documented on CT/MRI scan.
- Progressive disease in the setting of surgical or medical castration with evidence of disease progression on treatment with abiraterone acetate in the mCSPC setting or first line mCRPC setting is required.
- Eastern Cooperate Oncology Group (ECOG) performance status 0 - 2, with life expectancy of at least 6 months as assessed by the investigator.
Who cannot join
- Any medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may make the participant inappropriate for the study.
- Know history of active inflammatory gastrointestinal disease, chronic diarrhea, or previous gastric resection or lap-band surgery.
- Clinically significant cardiovascular disease.
- Known or suspected brain metastasis or active leptomeningeal disease or clinically significant history of seizure.
- Prior treatment for prostate cancer at any stage with any cytotoxic chemotherapy, radioligand therapy (i.e. 177Lu-PSMA-617, radium 223), androgen receptor signaling inhibitors (ARSi) including enzalutamide, apalutamide, darolutamide, poly ADP-ribose polymerase (PARP) monotherapy, CDK4/6 inhibitors, or other systemic anti-cancer treatment, with the following exceptions:
- Treatment with first-generation antiandrogen agents, if discontinued prior to first dose of study intervention.
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- Docetaxel treatment is allowed for mCSPC, as long as no signs of failure, or disease progression occurred during treatment or within 3 months of treatment completion.
- Use of 5-alpha reductase inhibitors within 28 days of randomization.
- Previous administration with an investigational product within 30 days or 5 half-lives preceding the first dose of study intervention (whichever is longer).
- Inadequate organ function.
Trial locations and contacts
224 sites in 23 countries.
224 sites in 23 countries
United States70 sites
Los Angeles Cancer Network
Anaheim, California, 92805
University of Miami Sylvester Comprehensive Cancer Center - Aventura
Aventura, Florida, 33180
UCSF Cancer Center Berkeley
Berkeley, California, 94702
Florida Cancer Specialists
Bradenton, Florida, 34211
UCSF Cancer Center Burlingame
Burlingame, California, 94010
Florida Cancer Specialists
Cape Coral, Florida, 33909
AtlantiCare Health Park - Cape May Court House
Cape May Court House, New Jersey, 08210
Ironwood Cancer & Research Centers
Chandler, Arizona, 85224
University of Miami Sylvester Comprehensive Cancer Center - The Lennar Foundation Medical Center
Coral Gables, Florida, 33146
University of Miami Sylvester Comprehensive Cancer Center - Deerfield Beach
Deerfield Beach, Florida, 33442
University of Miami Hospital and Clinics - Doral
Doral, Florida, 33166
AtlantiCare
Egg Harbor, New Jersey, 08234
Florida Cancer Specialists
Fort Myers, Florida, 33905
Florida Cancer Specialists
Fort Myers, Florida, 33908
Los Angeles Cancer Network
Fountain Valley, California, 92708
Ironwood Cancer & Research Centers
Gilbert, Arizona, 85297
Ironwood Cancer & Research Centers
Glendale, Arizona, 85306
Los Angeles Cancer Network
Glendale, California, 91204
Los Angeles Cancer Network
Glendale, California, 91206
Urology Centers of Alabama
Homewood, Alabama, 35209
University of Miami Sylvester Comprehensive Cancer Center - Kendall
Kendall, Florida, 33176
Colorado Clinical Research
Lakewood, Colorado, 80228
The Centers for Advanced Urology, LLP d/b/a Keystone Urology Specialists
Lancaster, Pennsylvania, 17604
Duly Health and Care
Lisle, Illinois, 60532
NextStage Clinical Research-Chicago-(04)
Lisle, Illinois, 60532
Los Angeles Cancer Network
Los Angeles, California, 90017
Los Angeles Cancer Network
Los Angeles, California, 90067
The University of Louisville, James Graham Brown Cancer Center
Louisville, Kentucky, 40202
University of Louisville Hospital
Louisville, Kentucky, 40202
UofL Health Medical Center Northeast
Louisville, Kentucky, 40245
Ironwood Cancer & Research Centers
Mesa, Arizona, 85202
Ironwood Cancer & Research Centers
Mesa, Arizona, 85206
University of Miami Hospital and Clinics, Sylvester Cancer Center
Miami, Florida, 33136
University of Miami Hospital and Clinics, UHealth Tower
Miami, Florida, 33136
University of Miami Sylvester Comprehensive Cancer Center - Griffin Cancer Research Building
Miami, Florida, 33136
Circuit Clinical /Crystal Run Healthcare LLP
Middletown, New York, 10941
Circuit Clinical
Middletown, New York, 10941
Crystal Run Healthcare
Monroe, New York, 10950
AUC Urologists, LLC
Myrtle Beach, South Carolina, 29572
Carolina Urologic Research Center, LLC
Myrtle Beach, South Carolina, 29572
Grand Strand Medical Center
Myrtle Beach, South Carolina, 29572
Parkway Surgery Center
Myrtle Beach, South Carolina, 29572
Florida Cancer Specialists
N. Venice, Florida, 34275
Florida Cancer Specialists
Naples, Florida, 34102
SCRI Oncology Partners
Nashville, Tennessee, 37203
AdventHealth Hematology and Oncology
Orlando, Florida, 32804
AdventHealth Orlando Infusion Center
Orlando, Florida, 32804
Stanford Cancer Center
Palo Alto, California, 94305
Ironwood Cancer & Research Centers
Phoenix, Arizona, 85028
University of Miami Sylvester Comprehensive Cancer Center - Plantation
Plantation, Florida, 33324
Florida Cancer Specialists
Port Charlotte, Florida, 33980
Salisbury VA Medical Center
Salisbury, North Carolina, 28144
Huntsman Cancer Institute
Salt Lake City, Utah, 84112
USA Clinical Trials
San Antonio, Texas, 78229
UCSF Investigational Drug Pharmacy
San Francisco, California, 94158
UCSF Medical Center at Mission Bay
San Francisco, California, 94158
UCSF Cancer Center San Mateo
San Mateo, California, 94402
Sutter Santa Rosa
Santa Rosa, California, 95403
Florida Cancer Specialists
Sarasota, Florida, 34236
Florida Cancer Specialists
Sarasota, Florida, 34239
Ironwood Cancer & Research Centers
Scottsdale, Arizona, 85260
Harborview Medical Center
Seattle, Washington, 98104
Fred Hutchinson Cancer Center
Seattle, Washington, 98109
University of Washington Medical Center - Montlake
Seattle, Washington, 98195
VA St. Louis Health Care System
St Louis, Missouri, 63106
Stanford Health Care Attention: Investigational Pharmacy
Stanford, California, 94305
James J. Peters VA Medical Center
The Bronx, New York, 10468
New England Cancer Specialists
Topsham, Maine, 04086
New England Cancer Specialists
Westbrook, Maine, 04092
Duly Health and Care
Westmont, Illinois, 60559
China26 sites
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality, 100050
Peking University Third Hospital
Beijing, Beijing Municipality, 100191
Hunan Cancer Hospital
Changsha, Hunan, 410013
West China Hospital, Sichuan University
Chengdu, Sichuan, 610041
Chongqing University Cancer Hospital
Chongqing, Chongqing Municipality, 400030
Fujian Medical University Union Hospital
Fuzhou, Fujian, 350001
Fujian Cancer Hospital
Fuzhou, Fujian, 350014
Guangzhou First People's Hospital
Guangzhou, Guangdong, 510180
The Second Affiliated Hospital of Guilin Medical University
Guilin, Guangxi, 541199
Sir Run Run Shaw Hospital, Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310016
Huai'an First People's Hospital
Huai'an, Jiangsu, 223300
The First Hospital of Jiaxing
Jiaxing, Zhejiang, 314001
Lanzhou university second hospital
Lanzhou, Gansu, 730030
Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School
Nanjing, Jiangsu, 210008
Nantong Tumor Hospital
Nantong, Jiangsu, 226361
The first affiliated hospital of Ningbo university
Ningbo, Zhejiang, 315010
Tongji Hospital of Tongji University
Shanghai, Shanghai Municipality, 200065
The First Hospital of China Medical University
Shenyang, Liaoning, 110167
The First Hospital of China Medical University
Shenyang, Liaoning
The Second Affiliated Hospital of Soochow University
Suzhou, Jiangsu, 215004
The First Affiliated Hospital of Wenzhou Medical University
Wenzhou, Zhejiang, 325000
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan, Hubei, 430022
Wannan Medical College Yijishan Hospital
Wuhu, Anhui, 241001
The First Affiliated Hospital of Xi'an Jiaotong University
Xi'an, Shaanxi, 710061
Shaanxi Provincial People' Hospital
Xi'an, Shaanxi, 710068
Yantai Yuhuangding Hospital
Yantai, Shandong, 264099
Japan15 sites
Chiba cancer center
Chiba, Chiba, 260-8717
National Hospital Organization Kyushu Cancer Center
Fukuoka, 811-1395
Kanazawa University Hospital
Kanazawa, Ishikawa-ken, 920-8641
National Cancer Center Hospital East
Kashiwa, Chiba, 277-8577
Kobe University Hospital
Kobe, Hyōgo, 650-0017
National Hospital Organization Kumamoto Medical Center
Kumamoto, 860-0008
National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, 791-0280
Osaka International Cancer Institute
Osaka, 541-8567
National Hospital Organization Hokkaido Cancer Center
Sapporo, Hokkaido, 003-0804
Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648
Keio university hospital
Shinjuku-ku, Tokyo, 1608582
The University of Osaka Hospital
Suita, Osaka, 565-0871
Yamagata University Hospital
Yamagata, 990-9585
Yokohama City University Medical Center
Yokohama, Kanagawa, 232-0024
Yokosuka Kyosai Hospital
Yokosuka, Kanagawa, 238-8558
France13 sites
CHRU de Brest
Brest, Finistère, 29200
Centre Jean Perrin - Centre Régional de Lutte contre le Cancer d'Auvergne
Clermont-Ferrand, 63011
Centre Oscar Lambret
Lille, Hauts-de-France, 59020
Centre Leon Berard
Lyon Cedex08, Auvergne-Rhône-Alpes, 69373
Centre Antoine-Lacassagne
Nice, Alpes-maritimes, 06189
Centre Hospitalier Universitaire de Nîmes - Institut de Cancérologie du Gard - Hôpital Universitaire
Nîmes, GARD, 30029
Centre Hospitalier Lyon Sud
Pierre-Bénite, Rhône, 69310
Institut Jean Godinot
Reims, Marne, 51726
Centre Hospitalier Privé Saint-Grégoire
Saint-Grégoire, Ille-et-vilaine, 35760
Hopitaux Universitaire de Strasbourg - Hopital Hautepierre
Strasbourg, Bas-rhin, 67091
Hôpital Foch
Suresnes, Hauts-de-seine, 92151
Oncopole Claudius Regaud
Toulouse, Haute-garonne, 31059
Gustave Roussy
Villejuif, Val-de-marne, 94800
Spain10 sites
Hospital Clínic de Barcelona
Barcelona, Catalunya [cataluña], 08036
Hospital de la Santa Creu i Sant Pau
Barcelona, Catalunya [cataluña], 08041
Institut Català d'Oncologia - L'Hospitalet
L'Hospitalet de Llobregat, Barcelona, 08908
Hospital Universitario Ramón y Cajal
Madrid, Madrid, Comunidad de, 28034
Hospital Universitario 12 de Octubre
Madrid, Madrid, Comunidad de, 28041
Hospital General Universitario Gregorio Marañon
Madrid, 28007
Hospital Universitario Fundación Jiménez Díaz
Madrid, 28040
Hospital Universitario HM Sanchinarro
Madrid, 28050
Althaia, Xarxa Assistencial Universitària de Manresa
Manresa, 8423
Hospital Universitari i Politecnic La Fe
Valencia, 46026
Turkey (Türkiye)10 sites
Adana City Hospital
Adana, 01370
Gulhane Egitim Arastirma Hastanesi
Ankara, 06010
Memorial Ankara Hastanesi
Ankara, 06520
Gazi University Health Research and Application Center Gazi Hospital
Ankara, 06560
Ankara University Health Practice and Research Hospitals
Ankara, 06620
I.E.U. Medical Point Hastanesi
Cordaleo, İzmir, 35575
Koç Üniversitesi Hastanesi
Istanbul, İ̇stanbul, 34010
Istanbul Universitesi Cerrahpasa
Istanbul, İ̇stanbul, 34668
TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi
Istanbul, İ̇stanbul, 34722
Marmara Universitesi Pendik Egitim Arastirma Hastanesi
Istanbul, İ̇stanbul, 34899
Argentina8 sites
IMAXE
Buenos Aires, C1120
Asociación de Beneficencia Hospital Sirio Libanés
Buenos Aires, C1419AHN
Centro de Educación Médica e Investigaciones clínicas "Dr. Norberto Quirno" (CEMIC)
Buenos Aires, C1431FWO
Centro de Urología (CDU)
CABA, Buenos Aires, C1120AAT
Centro Medico Privado CEMAIC
Capital, Córdoba Province, X5008HHW
Instituto Alexander Fleming
Ciudad Autónoma de Buenos Aires, Buenos Aires, C1426ANZ
Imagenes Mdq
Mar del Plata, Buenos Aires, 7600
Instituto de Investigaciones Clínicas Mar del Plata
Mar del Plata, Buenos Aires, B7600FZO
Brazil8 sites
Hospital São Carlos
Fortaleza, Ceará, 60135-237
Crio - Centro Regional Integrado de Oncologia
Fortaleza, Ceará, 60336232
Hospital São Lucas da PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia
Santo André, São Paulo, 09060-650
Hospital de Base de São José do Rio Preto
São José do Rio Preto, São Paulo, 15090-000
Hospital Alemao Oswaldo Cruz
São Paulo, São Paulo, 01327-001
Instituto do Cancer Arnaldo Vieira de Carvalho
São Paulo, 01221-020
IBCC - Núcleo de Pesquisa e Ensino
São Paulo, 04014-002
South Korea8 sites
Kyungpook National University Chilgok Hospital
Daegu, Taegu-kwangyǒkshi, 41404
National Cancer Center
Goyang-si, Kyǒnggi-do, 10408
Chonnam National University Hwasun Hospital
Hwasun, Jeonranamdo, 58128
Seoul National University Hospital
Seoul, Seoul-teukbyeolsi [seoul], 03080
Severance Hospital, Yonsei University Health System
Seoul, Seoul-teukbyeolsi [seoul], 03722
Asan Medical Center
Seoul, Seoul-teukbyeolsi [seoul], 05505
Samsung Medical Center
Seoul, Seoul-teukbyeolsi [seoul], 06351
Ewha Womans University Mokdong Hospital
Seoul, Seoul-teukbyeolsi [seoul], 07985
Poland7 sites
Regionalny Szpital Specjalistyczny im. dr. Władyslawa Biegańskiego
Grudziądz, Kuyavian-Pomeranian Voivodeship, 86-300
Szpital Wojewódzki im. Mikołaja Kopernika w Koszalinie
Koszalin, 75-581
Centrum Badań Klinicznych Jagiellońskie Centrum Innowacji sp. z o.o.
Krakow, Lesser Poland Voivodeship, 30-348
Szpital Specjalistyczny im. Ludwika Rydygiera w Krakowie
Krakow, Lesser Poland Voivodeship, 31-826
SP ZOZ Opolskie Centrum Onkologii im. prof. Tadeusza Koszarowskiego w Opolu
Opole, Opole Voivodeship, 45-061
MICS Centrum Medyczne Torun
Torun, Kuyavian-Pomeranian Voivodeship, 87-100
4 Wojskowy Szpital Kliniczny z Polikliniką SPZOZ
Wroclaw, Lower Silesian Voivodeship, 50-981
United Kingdom7 sites
Royal Blackburn Hospital
Blackburn, Blackburn WITH Darwen, BB2 3HH
Western General Hospital
Edinburgh, Midlothian, EH4 2XU
The Beatson West of Scotland Cancer Centre
Glasgow, G12 0YN
University College London Hospitals NHS Trust
London, NW1 2PG
The Clatterbridge Cancer Centre
Metropolitan Borough of Wirral, CH63 4JY
Singleton Hospital
Swansea, SA2 8QA
Mid and South Essex NHS Foundation Trust
Westcliff-on-Sea, Essex, SS0 0RY
Taiwan6 sites
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 807
Taichung Veterans General Hospital
Taichung, 407
National Cheng Kung University Hospital
Tainan, 704
National Taiwan University Hospital
Taipei, 100225
Taipei Veterans General Hospital
Taipei, 11217
Chang Gung Medical Foundation-Linkou Branch
Taoyuan, 333
Germany5 sites
Universitaetsklinikum Hamburg-Eppendorf
Hamburg, 20246
Urologie Neandertal - Praxis Mettmann
Mettmann, North Rhine-Westphalia, 40822
Universitätsklinikum Münster - Albert Schweitzer Campus
Münster, North Rhine-Westphalia, 48149
Studienpraxis Urologie
Nürtingen, Baden-Wurttemberg, 72622
Universitaetsklinikum Tuebingen
Tübingen, Baden-Wurttemberg, 72076
Canada4 sites
Arthur J.E. Child Comprehensive Cancer Centre
Calgary, Alberta, T2N 5G2
Centre Hospitalier de l'Université de Montréal
Montreal, Quebec, H2X 3E4
Sunnybrook Research Institute
Toronto, Ontario, M4N 3M5
BC Cancer Vancouver
Vancouver, British Columbia, V5Z 4E6
Czechia4 sites
Fakultni nemocnice Olomouc
Olomouc, Olomouc Region, 779 00
Multiscan
Pardubice, Pardubice Region, 53203
Fakultni nemocnice Kralovske Vinohrady
Prague, Praha 10, 10034
Fakultni Thomayerova nemocnice
Prague, Praha 4, 14059
Greece4 sites
Alexandra General Hospital of Athens
Athens, Attikí, 115 28
Athens Medical Center
Athens, Attikí, 151 25
Metropolitan General Hospital
Athens, Attikí, 155 62
University General Hospital "ATTIKON" - General Hospital of West Attica "H AGIA VARVARA"
Chaïdári, Attikí, 124 62
Netherlands4 sites
Meander Medisch Centrum
Amersfoort, Utrecht, 3813 TZ
Tergooi MC
Hilversum, North Holland, 1212 VG
Frisius Medisch Centrum
Leeuwarden, Provincie Friesland, 8934 AD
Canisius-Wilhelmina Ziekenhuis
Nijmegen, Gelderland, 6532 SZ
Slovakia4 sites
Vychodoslovensky onkologicky ustav, a.s.
Košice, 041 91
MILAB, s.r.o., Urologicka ambulancia
Prešov, 08 001
BEKY - MED, s.r.o.
Prešov, 080 01
Fakultna nemocnica Trnava
Trnava, 917 02
Australia3 sites
Icon Cancer Centre Wesley
Auchenflower, Queensland, 4066
Monash Health
Clayton, Victoria, 3168
Peter MacCallum Cancer Centre
Melbourne, Victoria, 3000
Italy3 sites
IRCCS - Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori"
Meldola, Emilia-Romagna, 47014
Ospedale San Raffaele
Milan, 20132
Istituto Nazionale Tumori Regina Elena
Rome, Lazio, 00144
Hungary2 sites
Országos Onkológiai Intézet
Budapest, Pest County, 1122
Petz Aladar Egyetemi Oktato Korhaz
Győr, Győr-Moson-Sopron, 9024
Sweden2 sites
Sahlgrenska Universitetssjukhuset
Gothenburg, Västra Götalands LÄN [se-14], 413 45
Södersjukhuset
Stockholm, Stockholms LÄN [se-01], 11883
About this study
Official title: A PHASE 3, RANDOMIZED, OPEN-LABEL STUDY OF PF-06821497 (MEVROMETOSTAT) IN COMBINATION WITH ENZALUTAMIDE COMPARED WITH ENZALUTAMIDE OR DOCETAXEL IN PARTICIPANTS WITH METASTATIC CASTRATION RESISTANT PROSTATE CANCER PREVIOUSLY TREATED WITH ABIRATERONE ACETATE (MEVPRO-1)
Pfizer MEVPRO-1 (C2321014) is a randomized, open-label, multi-center clinical trial evaluating whether combining the study medicine (PF-06821497) with enzalutamide is safe and effective compared to physician's choice of either second-line androgen receptor (AR) directed therapy with enzalutamide or docetaxel (chemotherapy) for treating metastatic castration-resistant prostate cancer (mCRPC) after progression on prior abiraterone acetate treatment.
The primary objective of this clinical trial is to assess the radiographic progression free survival (rPFS) of the combination of PF-06821497 plus enzalutamide versus physician's choice of enzalutamide or docetaxel.
- Being tested
- PF-06821497, Docetaxel, Enzalutamide
- Keywords
- Prostate cancer, Enhancer of zeste homolog 2, castrate resistant prostate cancer, Hormone resistant, Metastatic hormone resistant prostate cancer, Metastatic castrate resistant prostate cancer, PF-06821497, Enzalutamide, Docetaxel, Advanced prostate cancer, Efficacy, Safety, Open-label, Relapsed, refractory
- Medical subject headings
- Prostatic Neoplasms, Recurrence
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PF-06821497Drug
Also called Mevrometostat
875 mg BID (2 times a day)
DocetaxelDrug
Also called Taxotere
75 mg/m2 IV (every 21 days)
EnzalutamideDrug
Also called XTANDI
160 mg QD
| Study group | Role | What they receive |
|---|---|---|
| Arm B | Active comparator | Comparator Arm B: Physician's choice of enzalutamide 160 mg QD or docetaxel 75 mg/m2 intravenous (IV) every 21 days Receives: Drug: Docetaxel; Drug: Enzalutamide |
| Arm A | Experimental | Investigational Arm A: PF-06821497 875 mg twice daily (BID) + enzalutamide 160 mg every day (QD) Receives: Drug: PF-06821497; Drug: Enzalutamide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Radiographic Progression Free Survival (rPFS) assessed by blinded independent central review (BICR) per RECIST v1.1 and Prostate Cancer Clinical Trials Working Group 3 (PCWG3)
rPFS is defined as the time from the date of randomization to first objective evidence of radiographic progression as assessed in soft tissue per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or in bone per Prostate Cancer Clinical Trials Working Group 3 (PCWG3) guidelines by BICR, or death, whichever occurs first.
Measured: Randomization up to approximately 2 years.
Secondary outcomes (23)
Overall survival (OS)
OS is defined as the time from the date of randomization to the date of death due to any cause.
Measured: Randomization up to approximately 4.5 years.
Objective Response (ORR)
The objective response rate is defined as the proportion of participants with measurable soft tissue disease at baseline who have a confirmed objective response of complete response (CR) or partial response (PR) per RECIST v1.1.
Measured: Randomization up to approximately 2 years.
Duration of Response (DoR) in measurable soft tissue disease
The DoR is defined as the first objective evidence of soft tissue response (CR or PR, whichever is earlier) to radiographic progression or death due to any cause whichever occurs first.
Measured: Randomization up to approximately 2 years.
Time to prostate specific antigen (PSA) progression.
Proportion of participants with PSA response ≥50% in participants with detectable PSA values at baseline.
Measured: Randomization up to approximately 2 years.
Time to initiation of antineoplastic therapy.
Time from randomization to first use of new antineoplastic therapy.
Measured: Randomization up to approximately 4.5 years.
Prostate Specific Antigen Response
Proportion of participants with PSA response ≥50% in participants with detectable PSA values at baseline.
Measured: Randomization up to approximately 2 years.
Incidence of Adverse Events
Type, incidence, severity [as graded by National Cancer Institute (NCI) common terminology criteria for adverse events (CTCAE) v5.0], seriousness and relationship to study medications of AEs.
Measured: Randomization up to approximately 4.5 years
Time to first symptomatic skeletal event
Time from randomization to first symptomatic skeletal event (symptomatic bone fractures, spinal cord compression, surgery or radiation to the bone whichever is first).
Measured: Randomization up to approximately 2 years.
Change from baseline in patient reported pain symptoms per Brief Pain Inventory-Short Form (BPI-SF)
Analysis of Brief Pain Inventory-Short Form (BPI-SF) will be based on the pain severity score (mean of individual BPI-SF items 3, 4, 5 and 6), the pain interference score (mean of items 9A-9G), and the single BPI-SF Item 3 which asks the patient to rate pain at its worst in the last 24 hours.
Measured: Randomization up to approximately 4.5 years
Change from baseline in health-related quality of life (HRQoL) per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Change from baseline in HRQoL (FACT-P total score) will be presented. The FACT-P total score will be calculated based on the participant responses to the 39 items in the FACT-P questionnaire. Each item is rated on a 0 to 4 Likert-type scale and then combined to produce the FACT-P total score (0-156), with higher scores representing better health-related quality of life.
Measured: Randomization to approximately 4.5 years
Change from baseline in social/family well-being per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Change from baseline in social/family well-being score will be presented. The social/family well-being score will be calculated based on 7 items in the FACT-P questionnaire; score range 0-28. Each item is rated on a 0 to 4 Likert-type scale
Measured: Randomization up to approximately 4.5 years
Change from baseline in emotional well-being per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Change from baseline in emotional well-being score will be presented. The emotional well-being score will be calculated based on 6 items in the FACT-P questionnaire; score range 0-24. Each item is rated on a 0 to 4 Likert-type scale
Measured: Randomization up to approximately 4.5 years
Change from baseline in functioning well-being per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Change from baseline in functioning well-being score will be presented. The functioning well-being score will be calculated based on 7 items in the FACT-P questionnaire; score range 0-28. Each item is rated on a 0 to 4 Likert-type scale
Measured: Randomization up to approximately 4.5 years
Change from baseline in physical well-being per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Change from baseline in physical well-being score will be presented. The physical well-being score will be calculated based on 7 items in the FACT-P questionnaire; score range 0-28. Each item is rated on a 0 to 4 Likert-type scale
Measured: Randomization to approximately 4.5 years
Change from baseline in symptoms per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Change from baseline prostate cancer symptoms (PCS) score will be presented. The PCS score will be calculated based on 12 items in the FACT-P questionnaire; score range 0-48. Each item is rated on a 0 to 4 Likert-type scale
Measured: Randomization up to approximately 4.5 years
Change from baseline in patient reported health status per European Quality of Life 5-Dimension 5 Level (EQ-5D-5L)
Participants will self-rate their current state of mobility, self-care, usual activities, pain/discomfort, and anxiety/depression by choosing 1 of 5 possible responses that record the level of severity (no problems, slight problems, moderate problems, severe problems, or extreme problems) within each dimension. The questionnaire also includes a visual analog scale to self-rate general health state on a scale from "the worst health you can imagine" to "the best health you can imagine."
Measured: Randomizaton up to approximately 4.5 years
Symptomatic toxicity as measured by items from the Patient-Reported Outcome CTCAE (PRO-CTCAE)
Each selected PRO-CTCAE items will be assessed related to one or more attributes that include counts for the frequency, severity, and/or interference with usual or daily activities.
Measured: Randomization up to approximately 4.5 years
Overall side effect burden as measured by the FACT- GP5
The FACT-GP5 question assesses overall side effect burden with the following response options "I am bothered by side effects of treatment," is rated on a 5-point scale ranging from "not at all" (0) to "very much" (4) and counts will be presented.
Measured: Randomization to approximately 4.5 years
Time to confirmatory deterioration in patient-reported pain symptoms per BPI-SF Item 3 "worst pain in 24 hours"
Defined as the time from randomization to onset of pain progression, which is defined as > 2-point increase from baseline in the score from the BPI-SF Question 3 that is confirmed at the next consecutive assessment > 4 weeks apart or an initial deterioration followed by death before the next assessment
Measured: Randomization up to approximately 4.5 years
Time to definitive deterioration in patient-reported health related quality of life (HRQoL) per FACT-P
Defined as the time from randomization to onset of definitive deterioration in FACT-P total score, which is defined as >10 point decrease from baseline and no subsequent observations with a <10 point decrease from baseline FACT-P total score
Measured: Randomization up to approximately 4.5 years
Time to definitive deterioration in patient-reported physical well-being per FACT-P
Time to definitive deterioration in physical well-being (PWB) per FACT-P is defined as the time from randomization to onset of definitive deterioration in physical well-being, which is defined as ≥3-point
Measured: Randomization up to approximately 4.5 years
To evaluate the PK of PF-06821497 when dosed with enzalutamide
PK characterized by pre-dose trough and post-dose plasma concentrations of PF-06821497 at selected visits.
Measured: Cycle 1 (each cycle is 28 days), Day 1 to last PK draw at the end of Cycle 6, Day 1.
To assess circulating tumor DNA (ctDNA) at baseline and on treatment to evaluate tumor burden.
Evaluation of ctDNA burden at baseline and on study.
Measured: Baseline up to approximately 2 years.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Aug 2024
- Study start21 Oct 2024
- Primary completion28 Feb 2027 (estimated)
- Study completion29 Oct 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Metastatic Castrate Resistant Prostate Cancer (mCRPC)Studies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 609 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06551324
- Sponsor's protocol ID
- C2321014
- Other IDs
- 2024-511650-50-00
- Acronym
- MEVPRO-1
- Status last verified
- Oct 2026
- First submitted
- 25 Jul 2024
- Last updated
- 30 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Shore ND, Fizazi K, Schweizer MT, Castro E, Azad AA, George DJ, da Trindade KM, Zeng H, Shrivastava N, Tonkovyd S, Bock A, Nekkalapudi S, Tang Y, Lin S, Agarwal N. Phase III randomized studies of mevrometostat and enzalutamide in metastatic prostate cancer (MEVPRO-1 and MEVPRO-2): trial protocols. Future Oncol. 2026 May;22(12):1397-1408. doi: 10.1080/14796694.2026.2667441. Epub 2026 May 10.
PubMed 42108644
Study at a glance
From the registry record, last updated by the sponsor on 30 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 3, RANDOMIZED, OPEN-LABEL STUDY OF PF-06821497 (MEVROMETOSTAT) IN COMBINATION WITH ENZALUTAMIDE COMPARED WITH ENZALUTAMIDE OR DOCETAXEL IN PARTICIPANTS WITH METASTATIC CASTRATION RESISTANT PROSTATE CANCER PREVIOUSLY TREATED WITH ABIRATERONE ACETATE (MEVPRO-1)
- ClinicalTrials.gov ID
- NCT06551324
- Acronym / sponsor ID
- MEVPRO-1 / C2321014
- Keywords
- Prostate cancer, Enhancer of zeste homolog 2, castrate resistant prostate cancer, Hormone resistant, Metastatic hormone resistant prostate cancer, Metastatic castrate resistant prostate cancer, PF-06821497, Enzalutamide
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 609 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Study start
- 21 Oct 2024 (actual)
- Primary completion
- 28 Feb 2027 (estimated)
- Study completion
- 29 Oct 2028 (estimated)
- First posted
- 13 Aug 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Pfizer MEVPRO-1 (C2321014) is a randomized, open-label, multi-center clinical trial evaluating whether combining the study medicine (PF-06821497) with enzalutamide is safe and effective compared to physician's choice of either second-line androgen receptor (AR) directed therapy with enzalutamide or docetaxel (chemotherapy) for treating metastatic castration-resistant prostate cancer (mCRPC) after progression on prior abiraterone acetate treatment.
The primary objective of this clinical trial is to assess the radiographic progression free survival (rPFS) of the combination of PF-06821497 plus enzalutamide versus physician's choice of enzalutamide or docetaxel.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm B | Active comparator | Drug: Docetaxel, Drug: EnzalutamideComparator Arm B: Physician's choice of enzalutamide 160 mg QD or docetaxel 75 mg/m2 intravenous (IV) every 21 days |
| Arm A | Experimental | Drug: PF-06821497, Drug: EnzalutamideInvestigational Arm A: PF-06821497 875 mg twice daily (BID) + enzalutamide 160 mg every day (QD) |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Histologically or cytologically confirmed adenocarcinoma of the prostate without small cell features.
- Metastatic disease in bone documented on bone scan, or in soft tissue documented on CT/MRI scan.
- Progressive disease in the setting of surgical or medical castration with evidence of disease progression on treatment with abiraterone acetate in the mCSPC setting or first line mCRPC setting is required.
- Eastern Cooperate Oncology Group (ECOG) performance status 0 - 2, with life expectancy of at least 6 months as assessed by the investigator.
Key exclusion criteria (10 listed)
- Any medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may make the participant inappropriate for the study.
- Know history of active inflammatory gastrointestinal disease, chronic diarrhea, or previous gastric resection or lap-band surgery.
- Clinically significant cardiovascular disease.
- Known or suspected brain metastasis or active leptomeningeal disease or clinically significant history of seizure.
- Prior treatment for prostate cancer at any stage with any cytotoxic chemotherapy, radioligand therapy (i.e. 177Lu-PSMA-617, radium 223), androgen receptor signaling inhibitors (ARSi) including enzalutamide, apalutamide, darolutamide, poly ADP-ribose polymerase (PARP) monotherapy, CDK4/6 inhibitors, or other systemic anti-cancer treatment, with the following exceptions:
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PF-06821497Also: Mevrometostat875 mg BID (2 times a day) | Drug | Arm A |
| DocetaxelAlso: Taxotere75 mg/m2 IV (every 21 days) | Drug | Arm B |
| EnzalutamideAlso: XTANDI160 mg QD | Drug | Arm A, Arm B |
Primary outcome
Radiographic Progression Free Survival (rPFS) assessed by blinded independent central review (BICR) per RECIST v1.1 and Prostate Cancer Clinical Trials Working Group 3 (PCWG3)
Time frame: Randomization up to approximately 2 years.
rPFS is defined as the time from the date of randomization to first objective evidence of radiographic progression as assessed in soft tissue per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 or in bone per Prostate Cancer Clinical Trials Working Group 3 (PCWG3) guidelines by BICR, or death, whichever occurs first.
23 secondary outcomes
Overall survival (OS)
Time frame: Randomization up to approximately 4.5 years.
Objective Response (ORR)
Time frame: Randomization up to approximately 2 years.
Duration of Response (DoR) in measurable soft tissue disease
Time frame: Randomization up to approximately 2 years.
Time to prostate specific antigen (PSA) progression.
Time frame: Randomization up to approximately 2 years.
Time to initiation of antineoplastic therapy.
Time frame: Randomization up to approximately 4.5 years.
Prostate Specific Antigen Response
Time frame: Randomization up to approximately 2 years.
Incidence of Adverse Events
Time frame: Randomization up to approximately 4.5 years
Time to first symptomatic skeletal event
Time frame: Randomization up to approximately 2 years.
Change from baseline in patient reported pain symptoms per Brief Pain Inventory-Short Form (BPI-SF)
Time frame: Randomization up to approximately 4.5 years
Change from baseline in health-related quality of life (HRQoL) per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Time frame: Randomization to approximately 4.5 years
Change from baseline in social/family well-being per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Time frame: Randomization up to approximately 4.5 years
Change from baseline in emotional well-being per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Time frame: Randomization up to approximately 4.5 years
Change from baseline in functioning well-being per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Time frame: Randomization up to approximately 4.5 years
Change from baseline in physical well-being per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Time frame: Randomization to approximately 4.5 years
Change from baseline in symptoms per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Time frame: Randomization up to approximately 4.5 years
Change from baseline in patient reported health status per European Quality of Life 5-Dimension 5 Level (EQ-5D-5L)
Time frame: Randomizaton up to approximately 4.5 years
Symptomatic toxicity as measured by items from the Patient-Reported Outcome CTCAE (PRO-CTCAE)
Time frame: Randomization up to approximately 4.5 years
Overall side effect burden as measured by the FACT- GP5
Time frame: Randomization to approximately 4.5 years
Time to confirmatory deterioration in patient-reported pain symptoms per BPI-SF Item 3 "worst pain in 24 hours"
Time frame: Randomization up to approximately 4.5 years
Time to definitive deterioration in patient-reported health related quality of life (HRQoL) per FACT-P
Time frame: Randomization up to approximately 4.5 years
Time to definitive deterioration in patient-reported physical well-being per FACT-P
Time frame: Randomization up to approximately 4.5 years
To evaluate the PK of PF-06821497 when dosed with enzalutamide
Time frame: Cycle 1 (each cycle is 28 days), Day 1 to last PK draw at the end of Cycle 6, Day 1.
To assess circulating tumor DNA (ctDNA) at baseline and on treatment to evaluate tumor burden.
Time frame: Baseline up to approximately 2 years.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 30 Oct 2026.
- Derived from this study: PubMed 42108644Shore ND, Fizazi K, Schweizer MT, Castro E, Azad AA, George DJ, da Trindade KM, Zeng H, Shrivastava N, Tonkovyd S, Bock A, Nekkalapudi S, Tang Y, Lin S, Agarwal N. Phase III randomized studies of mevrometostat and enzalutamide in metastatic prostate cancer (MEVPRO-1 and MEVPRO-2): trial protocols. Future Oncol. 2026 May;22(12):1397-1408. doi: 10.1080/14796694.2026.2667441. Epub 2026 May 10.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- www.mevpro1.comLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
224 sites in 23 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing PF-06821497, Docetaxel and Enzalutamide in people with Metastatic Castrate Resistant Prostate Cancer (mCRPC), run by Pfizer at 224 sites in 23 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 30 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 224 sites in United States, China, Japan, France, Spain and 18 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Radiographic Progression Free Survival (rPFS) assessed by blinded independent central review (BICR) per RECIST v1.1 and Prostate Cancer Clinical Trials Working Group 3 (PCWG3) (time frame: Randomization up to approximately 2 years.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06551324, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 30 Oct 2026.