Metastatic Castration-resistant Prostate CancerPhase 3NCT06691984
Phase 3 Study of Xaluritamig vs Cabazitaxel or Second Androgen Receptor-Directed Therapy in Participants With Progressive Metastatic Castration-Resistant Prostate Cancer (XALute)
A Phase 3 study testing Xaluritamig, Abiraterone and Enzalutamide in people with Metastatic Castration-resistant Prostate Cancer, run by Amgen at 164 sites in 22 countries.
Trial summary
The main objective of the study is to compare overall survival in participants receiving xaluritamig versus investigator's choice (cabazitaxel or second androgen receptor-directed therapy [ARDT]). Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Metastatic Castration-resistant Prostate Cancer
- What is being tested?
- Xaluritamig, Abiraterone and Enzalutamide
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 707 participants
- Where
- 164 sitesin 22 countries
- Study dates
- 9 Dec 2024to 30 Jul 2029
- 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
- Participant has provided informed consent prior to initiation of any study-specific activities/procedures.
- Age ≥ 18 years (or ≥ legal age within the country if it is older than 18 years) at the time of signing the informed consent.
- Participant must have histological, pathological, and/or cytological confirmation of adenocarcinoma of the prostate. Mixed histologies (eg, adenocarcinoma with neuroendocrine component) are not permitted.
- mCRPC with ≥ 1 metastatic lesion that is present on baseline computed tomography (CT), magnetic resonance imaging (MRI), or bone scan imaging obtained within 28 days prior to enrollment.
- Evidence of progressive disease, defined as 1 or more PCWG3 criteria:
- Serum PSA progression defined as 2 consecutive increases in PSA over a previous reference value measured at least 1 week prior. The minimal start value is 2.0 ng/mL.
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- Soft-tissue progression defined as an increase ≥ 20% in the sum of the diameter (SOD) (short axis for nodal lesions and long axis for non-nodal lesions) of all target lesions based on the smallest SOD since treatment started or the appearance of one or more new lesions or unequivocal progression of existing non-target lesions.
- Progression of bone disease: defined by the appearance of at least 2 new bone lesion(s) by bone scan (as per the 2+2 PCWG3 criteria).
- Participants must have had a prior orchiectomy and/or ongoing androgen-deprivation therapy and a castrate level of serum testosterone (< 50 ng/dL or < 1.7 nmol/L).
- Prior progression on at least one ARDT (enzalutamide, abiraterone, apalutamide, darolutamide).
- Prior treatment with only one taxane therapy in the mCRPC setting. Note: Prior treatment with docetaxel in the metastatic hormone-sensitive prostate cancer (mHSPC) setting is permitted; however, participants must have also received one, and only one, taxane therapy in the mCRPC setting.
- Eastern Cooperative Oncology Group performance status (ECOG PS) of 0 or 1.
- Adequate organ function.
- Life expectancy of ≥ 12 weeks per the treating physician's assessment.
Who cannot join
- Prior \& Concomitant Therapy:
- Prior six transmembrane epithelial antigen of the prostate 1 (STEAP1)-targeted therapy.
- Any anticancer therapy, immunotherapy, or investigational agent within 4 weeks prior to the first dose of study treatment, not including androgen receptor pathway inhibitors (ARPIs) (abiraterone, enzalutamide, darolutamide, apalutamide): minimum washout of 2 weeks prior to the first dose of study treatment and androgen suppression therapy (eg, luteinizing hormone-releasing hormone/gonadotropin-releasing hormone [LHRH/GnRH] analogue [agonist/antagonist]).
- Prior Prostate-Specific Membrane Antigen (PSMA) radioligand therapy (RLT) within 3 months of the first dose of study treatment unless participants received < 2 cycles of therapy.
- Prior palliative radiotherapy within 2 weeks of first dose of study treatment. Participants must have recovered from all radiation-related toxicities.
- Concurrent cytotoxic chemotherapy, ARDT, immunotherapy, radioligand therapy, PARP inhibitor, biological therapy, investigational therapy. Note: Prior treatment with a PARP inhibitor is permitted as long as not within 4 weeks before first dose of study treatment.
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- Prior radionuclide therapy (Radium-223) within 2 months of first dose of study treatment.
- Treatment with live and live-attenuated vaccines within 4 weeks before the first dose of study treatment.
- Disease Related:
- Participants with a history of central nervous system (CNS) metastasis. Note: Participants with treated, asymptomatic, and clinically stable dural metastases are eligible.
- Unresolved toxicities from prior anti-tumor therapy not having resolved to CTCAE version 5.0 events grade above 1 or baseline, with the exception of alopecia or toxicities that are stable and well controlled AND there is an agreement to allow inclusion by both the investigator and the sponsor.
Trial locations and contacts
164 sites in 22 countries.
164 sites in 22 countries
United States42 sites
University of Alabama at Birmingham
Birmingham, Alabama, 35233
Massachusetts General Hospital
Boston, Massachusetts, 02114
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
Dana-Farber Cancer Institute
Boston, Massachusetts, 02215
Levine Cancer Institute
Charlotte, North Carolina, 28204
University of Chicago
Chicago, Illinois, 60637
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
The Ohio State University
Columbus, Ohio, 43210
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Henry Ford Hospital, Henry Ford Health Systems
Detroit, Michigan, 48202
City of Hope National Medical Center
Duarte, California, 91010
Duke University Medical Center Duke Cancer Center
Durham, North Carolina, 27710
Sanford Roger Maris Cancer Center
Fargo, North Dakota, 58122
Providence Saint Jude Medical Center
Fullerton, California, 92835
University of Florida, College of Medicine
Gainesville, Florida, 32610
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Indiana University
Indianapolis, Indiana, 46202
Cedars Sinai Medical Center
Los Angeles, California, 90048
University of Louisville Health - James Graham Brown Cancer Center
Louisville, Kentucky, 40202
Norton Cancer Institute
Louisville, Kentucky, 40207
University of Wisconsin Carbone Cancer Center
Madison, Wisconsin, 53705
Sylvester Comprehensive Cancer Center-Fox Building
Miami, Florida, 33136
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
University of Minnesota
Minneapolis, Minnesota, 55455
Intermountain Medical Center
Murray, Utah, 84107
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Tennessee Oncology PLLC
Nashville, Tennessee, 37203
Yale New Haven Hospital
New York, New York, 10032
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Virginia Oncology Associates
Norfolk, Virginia, 23502
University of California Irvine
Orange, California, 92868
AdventHealth Orlando
Orlando, Florida, 32804
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15232
Oregon Health and Science University
Portland, Oregon, 97239
University of California San Francisco
San Francisco, California, 94158
Fred Hutchinson Cancer Center
Seattle, Washington, 98019-1024
Swedish Medical Center
Seattle, Washington, 98104
Sanford Oncology Clinic and Pharmacy
Sioux Falls, South Dakota, 57104
Washington University
St Louis, Missouri, 63110
Montefiore Medical Center
The Bronx, New York, 10467
Japan15 sites
Nippon Medical School Hospital
Bunkyo-ku, Tokyo, 113-8603
Saitama Medical University International Medical Center
Hidaka-shi, Saitama, 350-1298
Kanazawa University Hospital
Kanazawa, Ishikawa-ken, 920-8641
National Cancer Center Hospital East
Kashiwa-shi, Chiba, 277-8577
Dokkyo Medical University Saitama Medical Center
Koshigaya-shi, Saitama, 343-8555
The Cancer institute Hospital of Japanese Foundation for Cancer Research
Koto-ku, Tokyo, 135-8550
Gunma University Hospital
Maebashi, Gunma, 371-8511
National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, 791-0280
Nagoya University Hospital
Nagoya, Aichi-ken, 466-8560
Osaka International Cancer Institute
Osaka, Osaka, 541-8567
Kitasato University Hospital
Sagamihara-shi, Kanagawa, 252-0375
National Hospital Organization Hokkaido Cancer Center
Sapporo, Hokkaido, 003-0804
Keio University Hospital
Shinjuku-ku, Tokyo, 160-8582
The University of Osaka Hospital
Suita-shi, Osaka, 565-0871
Yokohama City University Medical Center
Yokohama, Kanagawa, 232-0024
France11 sites
Centre Hospitalier Universitaire de Bordeaux - Hopital Saint Andre
Bordeaux, 33075
Centre Jean Perrin
Clermont-Ferrand, 63011
Centre Hospitalier Universitaire de Grenoble - Hopital Nord Michallon
La Tronche, 38700
Clinique Victor Hugo - Centre Jean Bernard
Le Mans, 72000
Centre Oscar Lambret
Lille, 59020
Centre Leon Berard
Lyon, 69373
Institut Paoli Calmettes
Marseille, 13009
Centre Antoine Lacassagne
Nice, 06189
Hopital d Instruction des Armees - Hopital Begin
Saint-Mandé, 94163
Institut Universitaire du Cancer Toulouse Oncopole
Toulouse, 31059
Gustave Roussy
Villejuif, 94805
Germany11 sites
Charite - Universitaetsmedizin Berlin, Campus Mitte
Berlin, 10117
Universitaetsklinikum Dresden
Dresden, 01307
Universitaetsklinikum Duesseldorf
Düsseldorf, 40225
Universitaetsklinikum Essen
Essen, 45147
Universitaetsklinikum Hamburg Eppendorf
Hamburg, 20246
Universitaetsklinikum Heidelberg
Heidelberg, 69120
Universitaetsklinikum Jena
Jena, 07747
Universitaetsklinikum Schleswig-Holstein - Luebeck
Lübeck, 23538
Klinikum rechts der Isar der TUM
München, 81675
Universitaetsklinikum Muenster
Münster, 48149
Universitaetsklinikum Wuerzburg
Würzburg, 97078
Spain10 sites
Hospital Universitari Vall d Hebron
Barcelona, Catalonia, 08035
Hospital Clinic i Provincial de Barcelona
Barcelona, Catalonia, 08036
Hospital de la Santa Creu i Sant Pau
Barcelona, Catalonia, 08041
Institut Catala d Oncologia Hospitalet Hospital Duran i Reynals
Barcelona, 08908
Hospital Clinico San Carlos
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Regional Universitario de Malaga
Málaga, Andalusia, 29011
Clinica Universidad de Navarra
Pamplona, Navarre, 31008
Hospital Universitario Virgen del Rocio
Seville, Andalusia, 41013
Instituto Valenciano de Oncologia
Valencia, Valencia, 46009
Austria7 sites
Medizinische Universitaet Graz
Graz, 8036
Medizinische Universitaet Innsbruck
Innsbruck, 6020
Ordensklinikum Linz Elisabethinen
Linz, 4010
Landeskrankenhaus Salzburg
Salzburg, 5020
Universitaetsklinikum Sankt Poelten
Sankt Pölten, 3100
Krankenhaus der Barmherzigen Brueder Wien
Vienna, 1020
Universitaetsklinikum Allgemeines Krankenhaus Wien
Vienna, 1090
Italy7 sites
Azienda Ospedaliero Universitaria Ospedali Riuniti di Foggia
Foggia, 71122
Ospedale Sacro Cuore di Gesù Azienda Sanitaria Locale di Lecce
Gallipoli, 73014
Ospedale Policlinico San Martino IRCCS
Genova, 16132
IRCCS Ospedale San Raffaele
Milan, 20132
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, 20133
Azienda Ospedaliera Universitaria San Luigi Gonzaga
Orbassano, 10043
Ospedale Santa Chiara Azienda Sanitaria Universitaria Integrata del Trentino
Trento, 38122
Australia6 sites
Chris OBrien Lifehouse
Camperdown, New South Wales, 2050
Monash Medical Centre
Clayton, Victoria, 3168
The Alfred Hospital
Melbourne, Victoria, 3004
Fiona Stanley Hospital
Murdoch, Western Australia, 6150
Macquarie University
North Ryde, New South Wales, 2109
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
South Korea6 sites
Chungnam National University Hospital
Daejeon, 35015
National Cancer Center
Goyang-si, Gyeonggi-do, 10408
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620
Seoul National University Hospital
Seoul, 03080
Severance Hospital Yonsei University Health System
Seoul, 03722
Asan Medical Center
Seoul, 05505
Canada5 sites
Arthur J E Child Comprehensive Cancer Centre
Calgary, Alberta, T2N 5G2
Sir Mortimer B Davis - Jewish General Hospital
Montreal, Quebec, H3T 1E2
CHU de Quebec-Universite Laval
Québec, Quebec, G1R 2J6
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 1Z5
BC Cancer Vancouver
Vancouver, British Columbia, V5Z 4E6
Greece5 sites
Alexandra Hospital
Athens, 11528
Athens Medical Center S.A - Iatriko Amarousiou
Athens, 15125
Metropolitan General
Athens, 15562
Metropolitan Hospital
Athens, 18547
European Interbalkan Medical Center
Thessaloniki, 57001
Netherlands5 sites
Nederlands Kanker Instituut Antoni van Leeuwenhoekziekenhuis
Amsterdam, 1066 CX
Reinier de Graaf Gasthuis
Delft, 2625 AD
Universitair Medisch Centrum Groningen
Groningen, 9713 GZ
Radboud Universitair Medisch Centrum
Nijmegen, 6525 GA
Erasmus Medisch Centrum
Rotterdam, 3015 GD
Switzerland5 sites
Istituto Oncologico della Svizzera Italiana
Bellinzona, 6500
Inselspital Bern
Bern, 3010
Kantonsspital Graubuenden
Chur, 7000
Centre Hospitalier Universitaire Vaudois
Lausanne, 1011
Kantonsspital Sankt Gallen
Sankt Gallen, 9007
Taiwan5 sites
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 80756
Taichung Veterans General Hospital
Taichung, 40705
National Cheng Kung University Hospital
Tainan, 70403
National Taiwan University Hospital
Taipei, 10002
Linkou Chang Gung Memorial Hospital of Chang Gung Medical Foundation
Taoyuan, 33305
United Kingdom5 sites
Beatson West of Scotland Cancer Centre
Glasgow, G12 0YN
University College London Hospital
London, NW1 2PG
Guys Hospital
London, SE1 9RY
Sarah Cannon Research Institute UK
London, W1G 6AD
Royal Marsden Hospital
Sutton, SM2 5PT
Belgium4 sites
Universite Catholique de Louvain Cliniques Universitaires Saint Luc
Brussels, 1200
Universitair Ziekenhuis Gent
Ghent, 9000
Algemeen Ziekenhuis Groeninge - Campus Kennedylaan
Kortrijk, 8500
Centre Hospitalier Universitaire de Liege - Sart Tilman
Liège, 4000
Sweden4 sites
Sahlgrenska Universitetssjukhuset
Gothenburg, 413 45
Skanes Universitetssjukhus
Lund, 221 85
Karolinska Universitetssjukhuset
Stockholm, 171 76
Norrlands Universitetssjukhus
Umeå, 901 85
Singapore3 sites
National University Hospital
Singapore, 119074
National Cancer Centre Singapore
Singapore, 168583
Tan Tock Seng Hospital
Singapore, 308433
Turkey (Türkiye)3 sites
Ankara Universitesi Tip Fakultesi Hastanesi
Ankara, 06620
Bagcilar Medipol Mega Universite Hastanesi
Istanbul, 34214
Izmir Ekonomi Universitesi Medical Point Hastanesi
Izmir, 35575
Denmark2 sites
Aarhus University Hospital
Aarhus N, 8200
Vejle Sygehus
Vejle, 7100
Poland2 sites
Uniwersyteckie Centrum Kliniczne
Gdansk, 80-214
SPZOZ Szpital Uniwersytecki w Krakowie
Krakow, 31-501
About this study
Official title: A Phase 3, Open-label, Multicenter, Randomized Study of Xaluritamig vs Cabazitaxel or Second Androgen Receptor-Directed Therapy in Subjects With Metastatic Castration-Resistant Prostate Cancer Previously Treated With Chemotherapy
The main objective of the study is to compare overall survival in participants receiving xaluritamig versus investigator's choice (cabazitaxel or second androgen receptor-directed therapy [ARDT]).
- Being tested
- Xaluritamig, Abiraterone, Enzalutamide, Cabazitaxel
- Keywords
- Oncology, Xaluritamig, Cabazitaxel, Prostate cancer, Abiraterone, Enzalutamide
- Medical subject headings
- Neoplasms, Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
XaluritamigDrug
Short-term IV infusion
AbirateroneDrug
Oral tablets
EnzalutamideDrug
Oral tablets
CabazitaxelDrug
IV infusion
| Study group | Role | What they receive |
|---|---|---|
| Xaluritamig | Experimental | Participants with metastatic castration-resistant prostate cancer (mCRPC) will be randomized to receive Xaluritamig as an intravenous (IV) infusion. Receives: Drug: Xaluritamig |
| Cabazitaxel/Abiraterone/Enzalutamide | Active comparator | Participants with mCRPC will be randomized to receive cabazitaxel as an IV infusion, or a second androgen receptor-directed therapy of either abiraterone as oral tablets, or enzalutamide as oral tablets at the investigator's discretion. Receives: Drug: Abiraterone; Drug: Enzalutamide; Drug: Cabazitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
Measured: Up to approximately 53 months
Secondary outcomes (31)
Radiographic Progression-free Survival (rPFS) per Prostate Cancer Working Group 3 (PCWG3)-modified Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as Assessed by Blinded Independent Central Review (BICR)
Measured: Up to approximately 53 months
Objective Response Rate per Modified RECIST v1.1 as Assessed by BICR
Measured: Up to approximately 53 months
Duration of Response (DOR) per Modified RECIST v1.1 as Assessed by BICR
Measured: Up to approximately 53 months
Disease Control Rate per Modified RECIST v1.1 as Assessed by BICR
Measured: Up to approximately 53 months
Time to Response (TTR) per Modified RECIST v1.1 as Assessed by BICR
Measured: Up to approximately 53 months
Time to First Symptomatic Skeletal Events (SSE)
Measured: Up to approximately 53 months
Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Measured: Up to approximately 53 months
Change from Baseline in Brief Pain Inventory - Short Form (BPI-SF) Worst Pain Score
Measured: Baseline and approximately 53 months
Change from Baseline in BPI-SF Pain Intensity Scale Score
Measured: Baseline and approximately 53 months
Change from Baseline in BPI-SF Pain Interference Scale Score
Measured: Baseline and approximately 53 months
Change from baseline in the European Quality of Life 5 Domain 5 Level Scale (EQ-5D-5L) Utility Score
Measured: Baseline and approximately 53 months
Change from baseline in the EQ-5D-5L Visual Analogue Scale (VAS)
Measured: Baseline and approximately 53 months
Change from Baseline in Functional Assessment of Cancer Therapy - Prostate (FACT-P) Total Score and Subscale Score
Measured: Baseline and approximately 53 months
Time to Worsening in BPI-SF Worst Pain Score
Measured: Up to approximately 53 months
Time to Worsening in BPI-SF Pain Intensity Scale Score
Measured: Up to approximately 53 months
Time to Worsening in BPI-SF Pain Interference Scale Score
Measured: Up to approximately 53 months
Time to Worsening in FACT-P Total Score
Measured: Up to approximately 53 months
Time to Pain Improvement in Participants with Moderate/Severe Pain at Baseline
Measured: Up to approximately 53 months
Time to Pain Improvement after Worsening in BPI-SF Pain Intensity Scale Score
Measured: Up to approximately 53 months
Time to Pain Improvement after Worsening in BPI-SF Pain Interference Scale
Measured: Up to approximately 53 months
Number of Patient-Reported Symptomatic AEs per Patient-reported Outcome - Common Terminology Criteria for Adverse Events (PRO-CTCAE) Item Library
Measured: Up to approximately 53 months
Patient-Reported Summary Scores for Overall Bother of Side Effects per FACT-P
Measured: Up to approximately 53 months
Percentage of Participants Achieving a ≥50% Reduction in Prostate-specific Antigen (PSA) (PSA50)
Measured: Up to approximately 53 months
Percentage of Participants Achieving a ≥90% Reduction in PSA (PSA90)
Measured: Up to approximately 53 months
Maximum Serum Concentration (Cmax) of Xaluritamig
Measured: Up to approximately 53 months
Time to Cmax (Tmax) of Xaluritamig
Measured: Up to approximately 53 months
Minimum Serum Concentration (Cmin) of Xaluritamig
Measured: Up to approximately 53 months
Area Under the Concentration-time Curve (AUC) of Xaluritamig
Measured: Up to approximately 53 months
Accumulation Following Multiple Dosing of Xaluritamig
Measured: Up to approximately 53 months
Half-life (t1/2) of Xaluritamig
Measured: Up to approximately 53 months
Number of Participants with Anti-xaluritamig Antibody
Measured: Up to approximately 53 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Nov 2024
- Study start9 Dec 2024
- Primary completion2 Jan 2029 (estimated)
- Study completion30 Jul 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Metastatic Castration-resistant Prostate CancerStudies of the same condition, open and under way.
- More trials run by AmgenThe 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
- 707 participants (actual)
Sponsor and investigators
- Lead sponsor
- Amgen
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- MD, Study director, Amgen
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06691984
- Sponsor's protocol ID
- 20230005
- Other IDs
- 2024-513968-25
- Status last verified
- May 2026
- First submitted
- 14 Nov 2024
- Last updated
- 15 May 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
Study at a glance
From the registry record, last updated by the sponsor on 15 May 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Open-label, Multicenter, Randomized Study of Xaluritamig vs Cabazitaxel or Second Androgen Receptor-Directed Therapy in Subjects With Metastatic Castration-Resistant Prostate Cancer Previously Treated With Chemotherapy
- ClinicalTrials.gov ID
- NCT06691984
- Acronym / sponsor ID
- 20230005
- Keywords
- Oncology, Xaluritamig, Cabazitaxel, Prostate cancer, Abiraterone, Enzalutamide
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 707 participants (actual)
- Lead sponsor
- AmgenIndustry (pharma, biotech, devices)
- Study start
- 9 Dec 2024 (actual)
- Primary completion
- 2 Jan 2029 (estimated)
- Study completion
- 30 Jul 2029 (estimated)
- First posted
- 18 Nov 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.
The main objective of the study is to compare overall survival in participants receiving xaluritamig versus investigator's choice (cabazitaxel or second androgen receptor-directed therapy [ARDT]).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Xaluritamig | Experimental | Drug: XaluritamigParticipants with metastatic castration-resistant prostate cancer (mCRPC) will be randomized to receive Xaluritamig as an intravenous (IV) infusion. |
| Cabazitaxel/Abiraterone/Enzalutamide | Active comparator | Drug: Abiraterone, Drug: Enzalutamide, Drug: CabazitaxelParticipants with mCRPC will be randomized to receive cabazitaxel as an IV infusion, or a second androgen receptor-directed therapy of either abiraterone as oral tablets, or enzalutamide as oral tablets at the investigator's discretion. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (14 listed)
- Participant has provided informed consent prior to initiation of any study-specific activities/procedures.
- Age ≥ 18 years (or ≥ legal age within the country if it is older than 18 years) at the time of signing the informed consent.
- Participant must have histological, pathological, and/or cytological confirmation of adenocarcinoma of the prostate. Mixed histologies (eg, adenocarcinoma with neuroendocrine component) are not permitted.
- mCRPC with ≥ 1 metastatic lesion that is present on baseline computed tomography (CT), magnetic resonance imaging (MRI), or bone scan imaging obtained within 28 days prior to enrollment.
- Evidence of progressive disease, defined as 1 or more PCWG3 criteria:
Key exclusion criteria (11 listed)
- Prior six transmembrane epithelial antigen of the prostate 1 (STEAP1)-targeted therapy.
- Any anticancer therapy, immunotherapy, or investigational agent within 4 weeks prior to the first dose of study treatment, not including androgen receptor pathway inhibitors (ARPIs) (abiraterone, enzalutamide, darolutamide, apalutamide): minimum washout of 2 weeks prior to the first dose of study treatment and androgen suppression therapy (eg, luteinizing hormone-releasing hormone/gonadotropin-releasing hormone [LHRH/GnRH] analogue [agonist/antagonist]).
- Prior Prostate-Specific Membrane Antigen (PSMA) radioligand therapy (RLT) within 3 months of the first dose of study treatment unless participants received < 2 cycles of therapy.
- Prior palliative radiotherapy within 2 weeks of first dose of study treatment. Participants must have recovered from all radiation-related toxicities.
- Concurrent cytotoxic chemotherapy, ARDT, immunotherapy, radioligand therapy, PARP inhibitor, biological therapy, investigational therapy. Note: Prior treatment with a PARP inhibitor is permitted as long as not within 4 weeks before first dose of study treatment.
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 |
|---|---|---|
| XaluritamigShort-term IV infusion | Drug | Xaluritamig |
| AbirateroneOral tablets | Drug | Cabazitaxel/Abiraterone/Enzalutamide |
| EnzalutamideOral tablets | Drug | Cabazitaxel/Abiraterone/Enzalutamide |
| CabazitaxelIV infusion | Drug | Cabazitaxel/Abiraterone/Enzalutamide |
Primary outcome
Overall Survival (OS)
Time frame: Up to approximately 53 months
31 secondary outcomes
Radiographic Progression-free Survival (rPFS) per Prostate Cancer Working Group 3 (PCWG3)-modified Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as Assessed by Blinded Independent Central Review (BICR)
Time frame: Up to approximately 53 months
Objective Response Rate per Modified RECIST v1.1 as Assessed by BICR
Time frame: Up to approximately 53 months
Duration of Response (DOR) per Modified RECIST v1.1 as Assessed by BICR
Time frame: Up to approximately 53 months
Disease Control Rate per Modified RECIST v1.1 as Assessed by BICR
Time frame: Up to approximately 53 months
Time to Response (TTR) per Modified RECIST v1.1 as Assessed by BICR
Time frame: Up to approximately 53 months
Time to First Symptomatic Skeletal Events (SSE)
Time frame: Up to approximately 53 months
Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Time frame: Up to approximately 53 months
Change from Baseline in Brief Pain Inventory - Short Form (BPI-SF) Worst Pain Score
Time frame: Baseline and approximately 53 months
Change from Baseline in BPI-SF Pain Intensity Scale Score
Time frame: Baseline and approximately 53 months
Change from Baseline in BPI-SF Pain Interference Scale Score
Time frame: Baseline and approximately 53 months
Change from baseline in the European Quality of Life 5 Domain 5 Level Scale (EQ-5D-5L) Utility Score
Time frame: Baseline and approximately 53 months
Change from baseline in the EQ-5D-5L Visual Analogue Scale (VAS)
Time frame: Baseline and approximately 53 months
Change from Baseline in Functional Assessment of Cancer Therapy - Prostate (FACT-P) Total Score and Subscale Score
Time frame: Baseline and approximately 53 months
Time to Worsening in BPI-SF Worst Pain Score
Time frame: Up to approximately 53 months
Time to Worsening in BPI-SF Pain Intensity Scale Score
Time frame: Up to approximately 53 months
Time to Worsening in BPI-SF Pain Interference Scale Score
Time frame: Up to approximately 53 months
Time to Worsening in FACT-P Total Score
Time frame: Up to approximately 53 months
Time to Pain Improvement in Participants with Moderate/Severe Pain at Baseline
Time frame: Up to approximately 53 months
Time to Pain Improvement after Worsening in BPI-SF Pain Intensity Scale Score
Time frame: Up to approximately 53 months
Time to Pain Improvement after Worsening in BPI-SF Pain Interference Scale
Time frame: Up to approximately 53 months
Number of Patient-Reported Symptomatic AEs per Patient-reported Outcome - Common Terminology Criteria for Adverse Events (PRO-CTCAE) Item Library
Time frame: Up to approximately 53 months
Patient-Reported Summary Scores for Overall Bother of Side Effects per FACT-P
Time frame: Up to approximately 53 months
Percentage of Participants Achieving a ≥50% Reduction in Prostate-specific Antigen (PSA) (PSA50)
Time frame: Up to approximately 53 months
Percentage of Participants Achieving a ≥90% Reduction in PSA (PSA90)
Time frame: Up to approximately 53 months
Maximum Serum Concentration (Cmax) of Xaluritamig
Time frame: Up to approximately 53 months
Time to Cmax (Tmax) of Xaluritamig
Time frame: Up to approximately 53 months
Minimum Serum Concentration (Cmin) of Xaluritamig
Time frame: Up to approximately 53 months
Area Under the Concentration-time Curve (AUC) of Xaluritamig
Time frame: Up to approximately 53 months
Accumulation Following Multiple Dosing of Xaluritamig
Time frame: Up to approximately 53 months
Half-life (t1/2) of Xaluritamig
Time frame: Up to approximately 53 months
Number of Participants with Anti-xaluritamig Antibody
Time frame: Up to approximately 53 months
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 15 May 2026.
- AmgenTrials clinical trials websiteLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
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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.
MD study director
Amgen
164 sites in 22 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Xaluritamig, Abiraterone and Enzalutamide in people with Metastatic Castration-resistant Prostate Cancer, run by Amgen at 164 sites in 22 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 14 inclusion and 11 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 15 May 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 164 sites in United States, Japan, France, Germany, Spain and 17 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?
Overall Survival (OS) (time frame: Up to approximately 53 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 15 May 2026; AzTrials last refreshed its copy on 7 Nov 2026.