Prostatic Neoplasms, Castration-ResistantPhase 3KLK2-PASengerNCT07225946
A Study of Pasritamig With Docetaxel Versus Docetaxel in Participants With Metastatic Castration-Resistant Prostate Cancer
A Phase 3 study testing Pasritamig, Docetaxel and Prednisone/Prednisolone in people with Prostatic Neoplasms, Castration-Resistant, run by Janssen Research & Development, LLC at 165 sites in 17 countries.
Trial summary
The purpose of this study is to find out whether treatment with pasritamig and docetaxel prolongs radiographic progression free survival (rPFS) (the length of time from start of treatment until disease worsens as determined by scans or death due to any cause) when compared to treatment with docetaxel in participants… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Prostatic Neoplasms, Castration-Resistant
- What is being tested?
- Pasritamig, Docetaxel and Prednisone/Prednisolone
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 800 participants
- Where
- 165 sitesin 17 countries
- Study dates
- 19 Dec 2025to 7 Jun 2030
- 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
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Have histologically confirmed adenocarcinoma of the prostate
- Have disease that is metastatic at the time of screening by computed tomography (CT) or magnetic resonance imaging (MRI) and 99m^Tc bone scan as determined by the investigator
- Participants must receive ongoing androgen deprivation therapy (ADT) with a gonadotropin releasing hormone (GnRH) analog throughout the treatment or have had prior bilateral orchiectomy, and have serum testosterone less than or equal to (<=) 50 nanogram per deciliter (ng/dL) (<= 1.73 nanomoles per Liter [nmol/L]) at screening
- Have progressed by PSA or CT/MRI or 99m^Tc bone scan on at least 1 novel androgen receptor pathway inhibition (ARPI) but no more than 2 different ARPI for any stage of disease. Must have discontinued ARPI before randomization into the study
- Have an eastern cooperative oncology group (ECOG) performance status of 0 to 1
Who cannot join
- Known history of either brain or leptomeningeal prostate cancer metastases
- Participants with known breast cancer gene 1/2 (BRCA 1/2) mutations (germline or somatic) who have not received treatment with a poly (ADP-ribose) polymerase (PARP) inhibitor, unless not available or contraindicated
- Prior or concurrent second malignancy (other than the disease under study)
- Received cytotoxic chemotherapy for prostate cancer in any setting
- Received prior treatment with human kallikrein 2 (KLK-2) directed therapies
Trial locations and contacts
165 sites in 17 countries. Contact the study team or a site near you to ask about taking part.
165 sites in 17 countries
United States65 sites, 65 recruiting
- Recruiting
Lehigh Valley Hospital
Allentown, Pennsylvania, 18103
- Recruiting
Winship Cancer Institute Emory University
Atlanta, Georgia, 30322
- Recruiting
Rocky Mountain Cancer Centers
Aurora, Colorado, 80012
- Recruiting
Texas Oncology
Austin, Texas, 78731
- Recruiting
MidLantic Urology
Bala-Cynwyd, Pennsylvania, 19004
- Recruiting
University of Maryland
Baltimore, Maryland, 21201
- Recruiting
Johns Hopkins Hospital
Baltimore, Maryland, 21287
- Recruiting
Johns Hopkins Medical Institutions
Baltimore, Maryland, 21287
- Recruiting
Center for Cancer and Blood Disorders
Bethesda, Maryland, 20817
- Recruiting
Massachusetts General
Boston, Massachusetts, 02114
- Recruiting
Cooper Health System MD Anderson Cancer Center at Cooper
Camden, New Jersey, 08103
- Recruiting
Gabrail Cancer Center
Canton, Ohio, 44718
- Recruiting
Arizona Clinical Trials
Chandler, Arizona, 85225
- Recruiting
University of Cincinnati
Cincinnati, Ohio, 45219
- Recruiting
Metrohealth Medical Center
Cleveland, Ohio, 44109
- Recruiting
UT Southwestern Medical Center
Dallas, Texas, 75390
- Recruiting
AdventHealth Porter Oncology Research
Denver, Colorado, 80210
- Recruiting
Duke University Medical Center
Durham, North Carolina, 27710
- Recruiting
Astera Cancer Care
East Brunswick, New Jersey, 08816
- Recruiting
St Elizabeth Healthcare
Edgewood, Kentucky, 41017
- Recruiting
Vail Health Shaw Cancer Center
Edwards, Colorado, 81632
- Recruiting
Virginia Cancer Specialists
Fairfax, Virginia, 22031
- Recruiting
MemorialCare Orange Coast Medical Center
Fountain Valley, California, 92708
- Recruiting
Grand Valley Oncology
Grand Junction, Colorado, 81505
- Recruiting
Penn State Milton S. Hershey Medical Center
Hershey, Pennsylvania, 17033
- Recruiting
Houston Metro Urology
Houston, Texas, 77027
- Recruiting
University of Mississippi Medical Center
Jackson, Mississippi, 39216
- Recruiting
Tennessee Cancer Specialists
Knoxville, Tennessee, 37909
- Recruiting
University Of California San Diego
La Jolla, California, 92037
- Recruiting
Colorado Clinical Research
Lakewood, Colorado, 80228
- Recruiting
NHO Revive Research Institute, LLC
Lincoln, Nebraska, 68506
- Recruiting
Duly Health and Care
Lisle, Illinois, 60532
- Recruiting
Arkansas Urology
Little Rock, Arkansas, 72211
- Recruiting
Cancer and Blood Specialty Clinic
Los Alamitos, California, 90720
- Recruiting
USC Norris Comprehensive Cancer Center
Los Angeles, California, 90033
- Recruiting
Valkyrie Clinical Trials
Los Angeles, California, 90067
- Recruiting
Ronald Reagan UCLA Medical Center
Los Angeles, California, 90095
- Recruiting
Norton Cancer Institute
Louisville, Kentucky, 40207
- Recruiting
East Jefferson General Hospital
Metairie, Louisiana, 70006
- Recruiting
Laura & Isaac Perlmutter Cancer Center at NYU Langone Hospital - Long Island
Mineola, New York, 11501
- Recruiting
Carolina Urologic Research Center
Myrtle Beach, South Carolina, 29572
- Recruiting
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08901
- Recruiting
NYU Langone Health Laura and Isaac Perlmutter Cancer Center
New York, New York, 10016
- Recruiting
AdventHealth Orlando
Orlando, Florida, 32803
- Recruiting
Memorial Cancer Institute
Pembroke Pines, Florida, 33026
- Recruiting
University Of Pittsburgh Medical Center UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
- Recruiting
Kaiser Permanente Southern California
Riverside, California, 92505
- Recruiting
HealthPartners Frauenshuh Cancer Center CRC West
Saint Louis Park, Minnesota, 55426
- Recruiting
HealthPartners Cancer Center at Regions Hospital CRC East
Saint Paul, Minnesota, 55101
- Recruiting
Sharp Center for Research
San Diego, California, 92123
- Recruiting
Providence Saint John s Health Center
Santa Monica, California, 90404
- Recruiting
Florida Cancer Specialists
Sarasota, Florida, 34232
- Recruiting
Fred Hutch Cancer Center Sloan Clinic 2
Seattle, Washington, 98109
- Recruiting
Fred Hutchinson Cancer Research Center
Seattle, Washington, 98109
- Recruiting
Avera Medical Group
Sioux Falls, South Dakota, 57105
- Recruiting
Highlands Oncology Group
Springdale, Arkansas, 72762
- Recruiting
Oregon Urology Institute
Springfield, Oregon, 97477
- Recruiting
Washington University
St Louis, Missouri, 63110
- Recruiting
Profound Research LLC at Cancer and Leukemia Center
Sterling Heights, Michigan, 48314
- Recruiting
Texas Oncology 1
Sugar Land, Texas, 77479
- Recruiting
Montefiore Medical Center
The Bronx, New York, 10461
- Recruiting
Renovatio Clinical
The Woodlands, Texas, 77380
- Recruiting
Chesapeake Urology Research Associates
Towson, Maryland, 21204
- Recruiting
Prairie Lakes Health Care System
Watertown, South Dakota, 57201
- Recruiting
Cancer Center of Kansas Heritage Plaza Medical Building
Wichita, Kansas, 67214
China16 sites, 16 recruiting
- Recruiting
Peking University First Hospital
Beijing, 100034
- Recruiting
Beijing Cancer Hospital
Beijing, 100142
- Recruiting
Beijing Luhe Hospital, Capital Medical University
Beijing, 101100
- Recruiting
The Third People's Hospital of Chengdu
Chengdu, 610014
- Recruiting
West China Hospital Sichuan University
Chengdu, 610041
- Recruiting
Chongqing University Cancer Hospital
Chongqing, 400030
- Recruiting
Sun Yat Sen University Cancer Center
Guangzhou, 510060
- Recruiting
The First Affiliated Hospital of Guangzhou Medical University
Guangzhou, 510120
- Recruiting
Sir Run Run Shaw Hospital Zhejiang University School of Medicine
Hangzhou, 310009
- Recruiting
Nanjing Drum Tower Hospital
Nanjing, 210009
- Recruiting
Huashan Hospital Fudan University
Shanghai, 200031
- Recruiting
Shanghai General Hospital
Shanghai, 200080
- Recruiting
Xinhua hospital,Shanghai Jiaotong University
Shanghai, 200082
- Recruiting
The Second Hospital Of Tianjin Medical University
Tianjin, 300211
- Recruiting
The Central Hospital of Wuhan
Wuhan, 430014
- Recruiting
The First Affiliated Hospital of Xian Jiaotong University
Xi'an, 710061
France8 sites, 8 recruiting
- Recruiting
Institut Bergonie
Bordeaux, 33076
- Recruiting
Centre Jean Perrin
Clermont-Ferrand, 63011
- Recruiting
Centre Oscar Lambret
Lille, 59000
- Recruiting
Centre Leon Berard
Lyon, 69008
- Recruiting
Groupe Hospitalo-Universitaire Carémeau
Nîmes, 30900
- Recruiting
Hopital Europeen Georges-Pompidou
Paris, 75908
- Recruiting
Centre Eugene Marquis
Rennes, 35062
- Recruiting
Gustave Roussy
Villejuif, 94800
Japan7 sites, 7 recruiting
- Recruiting
Juntendo University Hospital
Bunkyō City, 113 8431
- Recruiting
Kansai Medical University Hospital
Hirakata, 573-1191
- Recruiting
Kanazawa University Hospital
Kanazawa, 920 8641
- Recruiting
Kobe University Hospital
Kobe, 650 0017
- Recruiting
Kitasato University Hospital
Sagamihara, 252-0375
- Recruiting
Shizuoka Cancer Center
Sunto Gun, 411 8777
- Recruiting
Yokohama City University Medical Center
Yokohama, 232 0024
Spain7 sites, 7 recruiting
- Recruiting
Hosp. Univ. Germans Trias I Pujol
Badalona, 08916
- Recruiting
Hosp. Univ. Ramon Y Cajal
Madrid, 28034
- Recruiting
Hosp. Univ. 12 de Octubre
Madrid, 28041
- Recruiting
Hosp. Gral. Univ. J.M. Morales Meseguer
Murcia, 30008
- Recruiting
Hosp. Virgen Macarena
Seville, 41009
- Recruiting
Hosp. Gral. Univ. Valencia
Valencia, 46014
- Recruiting
Hosp. Clinico Univ. Lozano Blesa
Zaragoza, 50009
United Kingdom7 sites, 7 recruiting
- Recruiting
Velindre Cancer Centre
Cardiff, CF14 2TL
- Recruiting
Beatson West Of Scotland Cancer Centre
Glasgow, G12 0YN
- Recruiting
St Bartholomews Hospital
London, EC1A 7BE
- Recruiting
The Royal Marsden NHS Trust
London, SW3 6JJ
- Recruiting
The Newcastle upon Tyne Hospitals NHS Trust - Freeman Hospit
Newcastle upon Tyne, NE7 7DN
- Recruiting
Lancashire Teaching Hospitals NHS Foundation Trust Royal Preston Hospital
Preston, PR2 9HT
- Recruiting
Royal Marsden Hospital
Sutton, SM2 5PT
Canada6 sites, 6 recruiting
- Recruiting
Centre de Recherche du CHUM
Montreal, Quebec, H2X 0A9
- Recruiting
The Ottawa Hospital Cancer Centre
Ottawa, Ontario, K1H 8L6
- Recruiting
CHU de Quebec Universite Laval
Québec, Quebec, G1R 2J6
- Recruiting
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2C4
- Recruiting
British Columbia Cancer Agency
Vancouver, British Columbia, V5Z4E6
- Recruiting
British Columbia Cancer Agency Vancouver Island Centre
Victoria, British Columbia, V8R 6V5
Germany6 sites, 6 recruiting
- Recruiting
Universitatsklinikum Carl Gustav Carus Dresden
Dresden, 01307
- Recruiting
Urologicum Duisburg
Duisburg, 47169
- Recruiting
Universitaetsklinikum Essen
Essen, 45147
- Recruiting
Martini-Klinik am Universitätsklinikum Hamburg-Eppendorf Urologie
Hamburg, 20246
- Recruiting
Klinikum rechts der Isar an der Technischen Universitat Munchen
München, 81675
- Recruiting
Studienpraxis Urologie Drs. Feyerabend
Nürtingen, 72622
Italy6 sites, 6 recruiting
- Recruiting
Azienda Ospedaliero Universitaria Careggi
Florence, 50134
- Recruiting
ASL Napoli 2 Nord-SM delle Grazie Hospital
Localita La Schiana Pozzuoli, 80078
- Recruiting
IRCCS Ospedale San Raffaele
Milan, 20132
- Recruiting
Istituto Europeo di Oncologia
Milan, 20141
- Recruiting
Istituto Nazionale Tumori Regina Elena
Roma, 00144
- Recruiting
Azienda Ospedaliera Universitaria Citta della Salute e della Scienza di Torino
Torino, 10126
Turkey (Türkiye)6 sites, 6 recruiting
- Recruiting
Adana City Hospital
Adana, 01170
- Recruiting
Gulhane Training and Research Hospital
Ankara, 06010
- Recruiting
Ankara University Medical Faculty
Ankara, 06100
- Recruiting
Istanbul University Cerrahpasa tip Fakultesi
Istanbul, 34096
- Recruiting
Koc Universitesi Hastanesi
Istanbul, 34147
- Recruiting
Medicana International Izmir
Izmir, 35170
Australia5 sites, 5 recruiting
- Recruiting
Warringal Private Hospital
Heidelberg, 3084
- Recruiting
Icon Cancer Centre Kurralta Park
Kurralta Park, 5037
- Recruiting
Peter MacCallum Cancer Centre
Melbourne, 3000
- Recruiting
Sydney Adventist Hospital
Wahroonga, 2076
- Recruiting
Princess Alexandra Hospital
Woolloongabba, 4102
Belgium5 sites, 5 recruiting
- Recruiting
AZORG campus Aalst Moorselbaan
Aalst, 9300
- Recruiting
ZAS Augustinus
Antwerp, 2610
- Recruiting
AZ Maria Middelares
Ghent, 9000
- Recruiting
Chu Helora Hospital La Louviere Site Jolimont
La Louvière, 7100
- Recruiting
CHC MontLegia
Liège, 4000
Brazil5 sites, 5 recruiting
- Recruiting
NAIC Nair Antunes Instituto do Cancer
Bauru, 17033-495
- Recruiting
Liga Norte Riograndense Contra O Cancer
Natal, 59062 000
- Recruiting
Hospital Ana Nery Santa Cruz do Sul
Santa Cruz do Sul, 96835-100
- Recruiting
CEPHO Centro de Estudos e Pesquisa de Hematologia e Oncologia
Santo André, 09060 870
- Recruiting
Hospital Samaritano de Sao Paulo
São Paulo, 01243 020
Malaysia5 sites, 5 recruiting
- Recruiting
Hospital Wanita dan Kanak-Kanak Sabah
Kota Kinabalu, 88996
- Recruiting
Hospital Kuala Lumpur
Kuala Lumpur, 50586
- Recruiting
Pantai Hospital Kuala Lumpur
Kuala Lumpur, 59100
- Recruiting
University Malaya Medical Centre
Kuala Lumpur, 59100
- Recruiting
Hospital Umum Sarawak
Kuching, 93586
South Korea5 sites, 5 recruiting
- Recruiting
National Cancer Center
Goyang-si, 10408
- Recruiting
Severance Hospital Yonsei University Health System
Seoul, 03722
- Recruiting
Asan Medical Center
Seoul, 05505
- Recruiting
Samsung Medical Center
Seoul, 06351
- Recruiting
The Catholic University of Korea Seoul St Marys Hospital
Seoul, 06591
Taiwan5 sites, 5 recruiting
- Recruiting
China Medical University Hospital
Taichung, 404
- Recruiting
Taichung Veterans General Hospital
Taichung, 407219
- Recruiting
Tungs' Taichung MetroHarbor Hospital
Taichung, 435
- Recruiting
National Cheng Kung University Hospital
Tainan, 704
- Recruiting
Linkou Chang Gung Memorial Hospital
Taoyuan, 333
Puerto Rico1 site, 1 recruiting
- Recruiting
Pan American Center for Oncology Trials LLC
San Juan, 935
About this study
Official title: A Phase 3 Randomized, Open-label Study of Pasritamig (JNJ-78278343), a T-cell-engaging Agent Targeting Human Kallikrein 2, With Docetaxel Versus Docetaxel for Metastatic Castration-resistant Prostate Cancer
The purpose of this study is to find out whether treatment with pasritamig and docetaxel prolongs radiographic progression free survival (rPFS) (the length of time from start of treatment until disease worsens as determined by scans or death due to any cause) when compared to treatment with docetaxel in participants with metastatic castrate-resistant prostate cancer (mCRPC; a cancer of prostate, a male reproductive gland found below the bladder, that grows despite low levels of male hormones).
- Being tested
- Pasritamig, Docetaxel, Prednisone/Prednisolone
- Medical subject headings
- Prostatic Neoplasms, Castration-Resistant
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PasritamigDrug
Also called JNJ-78278343
Pasritamig will be administered.
DocetaxelDrug
Docetaxel will be administered.
Prednisone/PrednisoloneDrug
Prednisone/Prednisolone will be administered.
| Study group | Role | What they receive |
|---|---|---|
| Pasritamig+Docetaxel | Experimental | Participants will receive pasritamig along with docetaxel until the end of treatment (EOT) visit or until radiographic disease progression is confirmed by blinded independent central review (BICR), or any other protocol defined criteria are met. Receives: Drug: Pasritamig; Drug: Docetaxel |
| Docetaxel | Active comparator | Participants will receive docetaxel along with prednisone/prednisolone as background medication. Receives: Drug: Docetaxel; Drug: Prednisone/Prednisolone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Radiographic Progression-Free Survival (rPFS) by computed tomography (CT)/magnetic resonance imaging (MRI) or bone scan Assessed by Blinded Independent Central Review (BICR)
rPFS by CT/MRI or bone scan is assessed by BICR and is defined as the time from the date of randomization to the first date of radiographic disease progression, or death due to any cause, whichever occurs first.
Measured: Up to approximately 1 years 10 months
Secondary outcomes (20)
Overall Survival (OS)
OS is defined as the time from the date of randomization to the date of death due to any cause.
Measured: Up to approximately 4 years 5 months
Time to Symptomatic Progression (TSP)
TSP is defined as the time from the date of randomization to the date of the first occurrence of any of the following: the use of external beam radiation to relieve cancer-related symptoms, the need for tumor-related surgical intervention, other cancer-related procedures, cancer-related morbid events, and initiation of a new systemic anticancer therapy because of cancer symptoms.
Measured: Up to approximately 4 years 5 months
Time to Subsequent Therapy (TST)
TST is defined as time from randomization to the initiation of any subsequent systemic anticancer therapy for prostate cancer
Measured: Up to approximately 4 years 5 months
Time to Skeletal-Related Event (TSRE)
TSRE is defined as the time from the date of randomization to the date of first occurrence of any of the following (whichever occurs first): the use of external beam radiation therapy to relieve skeletal symptoms, the need for tumor-related orthopedic surgical intervention, the occurrence of new bone fractures (cancer-related; vertebral or non-vertebral) or the occurrence of tumor-related spinal cord compression.
Measured: Up to approximately 4 years 5 months
Objective Response Rate (ORR)
ORR is defined as the proportion of participants who have measurable disease at baseline and have complete response (CR) or partial response (PR) or better by objective radiographic disease evaluation per response evaluation criteria in solid tumors (RECIST) version.1.1 response criteria and no bone progression as per prostate cancer working group 3 (PCWG3) as determined by the BICR.
Measured: Up to approximately 4 years 5 months
Duration of Response (DOR)
DOR will be calculated among responders (PR or better) from the date of initial documentation of a response (PR or better) to the date of first documented evidence of progressive disease, as defined in the PCWG3 or RECIST version 1.1 response criteria, or death due to any cause, whichever occurs first.
Measured: Up to approximately 4 years 5 months
Time to Prostate-Specific Antigen (PSA) Progression
Time to PSA progression is defined as the time from randomization to the first date of documented PSA progression per prostate cancer working group 3 (PCWG3) criteria. PSA progression is defined as: (1) After a decline from baseline, PSA increases greater than or equal to (>=) 25% and >=2 nanogram per milliliter (ng/mL) above the nadir, confirmed by a second value >=3 weeks later (that is, a confirmed rising trend), or (2) If there is no decline from baseline, PSA increases >=25% and >=2 ng/mL from baseline after 12 weeks
Measured: Up to approximately 4 years 5 months
Proportion of Participants Who Achieved Prostate-Specific Antigen (PSA) 50 Response
PSA-50 response is defined as the proportion of participants with a reduction in blood concentration of PSA (ng/mL) to 50% from baseline, confirmed by a second value, at least 3 weeks apart.
Measured: Up to approximately 4 years 5 months
Proportion of Participants Who Achieved Prostate-Specific Antigen (PSA) 90 Response
PSA-90 response is defined as the proportion of participants with a reduction in blood concentration of PSA (ng/mL) to 90% from baseline, confirmed by a second value, at least 3 weeks apart.
Measured: Up to approximately 4 years 5 months
Duration of PSA Response
Duration of a PSA response is the time taken to achieve a PSA response that is decrease in PSA from baseline by >= 50%.
Measured: Baseline and up to approximately 4 years 5 months
Progression Free Survival After Subsequent Therapy (PFS2)
PFS2 is defined as the time from randomization to the date of progression (radiographic, clinical, or PSA progression) on the first subsequent anti-cancer (second progression), or death from any cause, whichever comes first.
Measured: Up to approximately 4 years 5 months
Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) by Severity
An AE is any untoward medical occurrence in a participant administered a pharmaceutical (investigational or non investigational) product. An AE does not necessarily have a causal relationship with the treatment. An SAE: results in death, is life-threatening, requires inpatient hospitalization or prolonging hospitalization, results in disability, is a congenital birth defect, is a suspected transmission of any infectious agent via a medicinal product, is indicating suicidal ideation, is medically important. Severity of AEs will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) v5.0. by using standard grades as follows: Grade 1: Mild; asymptomatic or mild symptoms; Grade 2: Moderate; minimal, local or noninvasive intervention indicated; Grade 3: Severe but not immediately life threatening; hospitalization or prolongation of hospitalization indicated; Grade 4: Life-threatening consequences; and Grade 5: Death related to AE.
Measured: Up to approximately 4 years 5 months
Number of Participants With Clinical Laboratory Abnormalities
Participants with laboratory abnormalities (hematology, serum chemistry, coagulation, and tumor markers) will be reported.
Measured: Up to approximately 4 years 5 months
Change from Baseline in Health Related Quality of Life (HRQoL) as Assessed by Brief Pain Inventory-Short Form (BPI-SF)
The BPI-SF was developed to measure both intensity or severity of pain and pain interference with daily life dimensions. It measures pain intensity via 4 questions, that is, "pain at its worst in the last 24 hours", "pain at its least in the last 24 hours", "pain on the average", and "pain you have right now". The BPI-SF assesses how much pain has interfered with the following 7 activities: general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Higher score indicates more pain.
Measured: Baseline up to approximately 4 years 5 months
Change from Baseline in HRQoL as Assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Cancer Module (EORTC QLQ-C30) Scale Score
The EORTC QLQ-C30 - Version 3 is a self-administered, 30-item questionnaire measuring the health-related quality of life of participants with cancer. EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional, and social), 3 symptom scales (fatigue, pain, and nausea and vomiting), a global health status / quality of life scale, and 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Responses to items 1-28 are rated on a 4-point Likert response scale ranging from 1 "Not at all" to 4 "Very much". Two global health status items are rated on a 7-point numeric rating scale from 1 "Very Poor" to 7 "Excellent". A high score for a functional scale represents a high level of functioning, whereas a high score for a symptom scale/single item represents a high level of symptom.
Measured: Baseline up to approximately 4 years 5 months
Change from Baseline in HRQoL as Assessed by EORTC Quality of Life Questionnaire-Prostate (EORTC QLQ-PR25) Scale Score
The EORTC QLQ-PR25 is a self-completed instrument was specifically designed for prostate cancer patients and includes 25 items that cover 6 dimensions: (1) PR URI (urinary symptoms, 8 items), (2) PR BOW (bowel symptoms, 4 items), (3) PR HTR (hormonal treatment-related symptoms, 6 items), (4) PR AID (incontinence aid, 1 item), (5) PR SAC (sexually active, 2 items); and (6) PR SFU (sexual function, 4 items). Higher scores on symptom domains (for example., urinary, bowel, etc.) indicate greater symptom burden and higher scores on function domains (for example, Sexual Function) indicate better functioning.
Measured: Baseline up to approximately 4 years 5 months
Change from Baseline in HRQoL as Assessed by European Quality of Life Visual Analog Scale (EQ-5D VAS) Score
The EQ-5D descriptive system comprises 5 items across the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The EQ-5D includes a visual analog scale (EQ-VAS) that has endpoints labeled "best imaginable health state" and "worst imaginable health state" anchored at 100 and 0, respectively. Here, higher score indicates better quality of life.
Measured: Baseline up to approximately 4 years 5 months
Time to Sustained Worsening of Pain as Assessed by BPI-SF
Time to sustained worsening of pain will be reported using BPI-SF. The BPI-SF was developed to measure both intensity or severity of pain and pain interference with daily life dimensions. It measures pain intensity via 4 questions, that is, "pain at its worst in the last 24 hours", "pain at its least in the last 24 hours", "pain on the average", and "pain you have right now". The BPI-SF assesses how much pain has interfered with the following 7 activities: general activity, mood, walking ability, normal work, relations with other people, sleep, and enjoyment of life. Higher score indicates more pain.
Measured: Up to approximately 4 years 5 months
Treatment Side Effect as Assessed by EORTC IL46 Score
The EORTC IL46 is a single question that assesses bother (burden) of treatment. It is rated on a scale from 1 to 4, ranging from "not at all" to "very much".
Measured: Up to approximately 4 years 5 months
European Quality of Life 5 Dimensions 5 Level Version (EQ-5D-5L) Scale Score
The EQ-5D descriptive system comprises 5 items across the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. The EQ-5D-5L uses a 5-point Likert response scale ranging from "No problems" to "Extreme problems". Here, higher score indicates better quality of life.
Measured: Up to approximately 4 years 5 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Nov 2025
- Study start19 Dec 2025
- Primary completion19 Nov 2027 (estimated)
- Study completion7 Jun 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Prostatic Neoplasms, Castration-ResistantStudies of the same condition, open and under way.
- More trials run by Janssen Research & Development, LLCThe 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
- 800 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Janssen Research & Development, LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Janssen Research & Development, LLC Clinical Trial, Study director, Janssen Research & Development, LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07225946
- Sponsor's protocol ID
- 78278343PCR3003
- Other IDs
- 2025-522713-29-00, 2025
- Acronym
- KLK2-PASenger
- Status last verified
- Nov 2026
- First submitted
- 6 Nov 2025
- Last updated
- 3 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Randomized, Open-label Study of Pasritamig (JNJ-78278343), a T-cell-engaging Agent Targeting Human Kallikrein 2, With Docetaxel Versus Docetaxel for Metastatic Castration-resistant Prostate Cancer
- ClinicalTrials.gov ID
- NCT07225946
- Acronym / sponsor ID
- KLK2-PASenger / 78278343PCR3003
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 800 participants (estimated)
- Lead sponsor
- Janssen Research & Development, LLCIndustry (pharma, biotech, devices)
- Study start
- 19 Dec 2025 (actual)
- Primary completion
- 19 Nov 2027 (estimated)
- Study completion
- 7 Jun 2030 (estimated)
- First posted
- 10 Nov 2025 (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 purpose of this study is to find out whether treatment with pasritamig and docetaxel prolongs radiographic progression free survival (rPFS) (the length of time from start of treatment until disease worsens as determined by scans or death due to any cause) when compared to treatment with docetaxel in participants with metastatic castrate-resistant prostate cancer (mCRPC; a cancer of prostate, a male reproductive gland found below the bladder, that grows despite low levels of male hormones).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Pasritamig+Docetaxel | Experimental | Drug: Pasritamig, Drug: DocetaxelParticipants will receive pasritamig along with docetaxel until the end of treatment (EOT) visit or until radiographic disease progression is confirmed by blinded independent central review (BICR), or any other protocol defined criteria are met. |
| Docetaxel | Active comparator | Drug: Docetaxel, Drug: Prednisone/PrednisoloneParticipants will receive docetaxel along with prednisone/prednisolone as background medication. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Have histologically confirmed adenocarcinoma of the prostate
- Have disease that is metastatic at the time of screening by computed tomography (CT) or magnetic resonance imaging (MRI) and 99m^Tc bone scan as determined by the investigator
- Participants must receive ongoing androgen deprivation therapy (ADT) with a gonadotropin releasing hormone (GnRH) analog throughout the treatment or have had prior bilateral orchiectomy, and have serum testosterone less than or equal to (<=) 50 nanogram per deciliter (ng/dL) (<= 1.73 nanomoles per Liter [nmol/L]) at screening
- Have progressed by PSA or CT/MRI or 99m^Tc bone scan on at least 1 novel androgen receptor pathway inhibition (ARPI) but no more than 2 different ARPI for any stage of disease. Must have discontinued ARPI before randomization into the study
- Have an eastern cooperative oncology group (ECOG) performance status of 0 to 1
Key exclusion criteria (5 listed)
- Known history of either brain or leptomeningeal prostate cancer metastases
- Participants with known breast cancer gene 1/2 (BRCA 1/2) mutations (germline or somatic) who have not received treatment with a poly (ADP-ribose) polymerase (PARP) inhibitor, unless not available or contraindicated
- Prior or concurrent second malignancy (other than the disease under study)
- Received cytotoxic chemotherapy for prostate cancer in any setting
- Received prior treatment with human kallikrein 2 (KLK-2) directed therapies
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 |
|---|---|---|
| PasritamigAlso: JNJ-78278343Pasritamig will be administered. | Drug | Pasritamig+Docetaxel |
| DocetaxelDocetaxel will be administered. | Drug | Docetaxel, Pasritamig+Docetaxel |
| Prednisone/PrednisolonePrednisone/Prednisolone will be administered. | Drug | Docetaxel |
Primary outcome
Radiographic Progression-Free Survival (rPFS) by computed tomography (CT)/magnetic resonance imaging (MRI) or bone scan Assessed by Blinded Independent Central Review (BICR)
Time frame: Up to approximately 1 years 10 months
rPFS by CT/MRI or bone scan is assessed by BICR and is defined as the time from the date of randomization to the first date of radiographic disease progression, or death due to any cause, whichever occurs first.
20 secondary outcomes
Overall Survival (OS)
Time frame: Up to approximately 4 years 5 months
Time to Symptomatic Progression (TSP)
Time frame: Up to approximately 4 years 5 months
Time to Subsequent Therapy (TST)
Time frame: Up to approximately 4 years 5 months
Time to Skeletal-Related Event (TSRE)
Time frame: Up to approximately 4 years 5 months
Objective Response Rate (ORR)
Time frame: Up to approximately 4 years 5 months
Duration of Response (DOR)
Time frame: Up to approximately 4 years 5 months
Time to Prostate-Specific Antigen (PSA) Progression
Time frame: Up to approximately 4 years 5 months
Proportion of Participants Who Achieved Prostate-Specific Antigen (PSA) 50 Response
Time frame: Up to approximately 4 years 5 months
Proportion of Participants Who Achieved Prostate-Specific Antigen (PSA) 90 Response
Time frame: Up to approximately 4 years 5 months
Duration of PSA Response
Time frame: Baseline and up to approximately 4 years 5 months
Progression Free Survival After Subsequent Therapy (PFS2)
Time frame: Up to approximately 4 years 5 months
Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs) by Severity
Time frame: Up to approximately 4 years 5 months
Number of Participants With Clinical Laboratory Abnormalities
Time frame: Up to approximately 4 years 5 months
Change from Baseline in Health Related Quality of Life (HRQoL) as Assessed by Brief Pain Inventory-Short Form (BPI-SF)
Time frame: Baseline up to approximately 4 years 5 months
Change from Baseline in HRQoL as Assessed by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Cancer Module (EORTC QLQ-C30) Scale Score
Time frame: Baseline up to approximately 4 years 5 months
Change from Baseline in HRQoL as Assessed by EORTC Quality of Life Questionnaire-Prostate (EORTC QLQ-PR25) Scale Score
Time frame: Baseline up to approximately 4 years 5 months
Change from Baseline in HRQoL as Assessed by European Quality of Life Visual Analog Scale (EQ-5D VAS) Score
Time frame: Baseline up to approximately 4 years 5 months
Time to Sustained Worsening of Pain as Assessed by BPI-SF
Time frame: Up to approximately 4 years 5 months
Treatment Side Effect as Assessed by EORTC IL46 Score
Time frame: Up to approximately 4 years 5 months
European Quality of Life 5 Dimensions 5 Level Version (EQ-5D-5L) Scale Score
Time frame: Up to approximately 4 years 5 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 3 Nov 2026.
- Individual participant dataSharing planned: Yes. The data sharing policy of Johnson \& Johnson Innovative Medicine is available at www.innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu.
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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.
Janssen Research & Development, LLC Clinical Trial study director
Janssen Research & Development, LLC
165 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Pasritamig, Docetaxel and Prednisone/Prednisolone in people with Prostatic Neoplasms, Castration-Resistant, run by Janssen Research & Development, LLC at 165 sites in 17 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 5 inclusion and 5 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: looking for participants now, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 165 sites in United States, China, France, Japan, Spain and 12 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?
Contact Study Contact (844-434-4210, Participate-In-This-Study1@its.jnj.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Radiographic Progression-Free Survival (rPFS) by computed tomography (CT)/magnetic resonance imaging (MRI) or bone scan Assessed by Blinded Independent Central Review (BICR) (time frame: Up to approximately 1 years 10 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 3 Nov 2026.