Study of JANX007 in Subjects With Metastatic Castration-Resistant Prostate Cancer (ENGAGER-PSMA-01)

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexMale
Age18-100
SponsorJanux Therapeutics

About this trial

This study is a first-in-human, Phase 1, open-label, multicenter study to assess the safety, tolerability, pharmacokinetic (PK), pharmacodynamic (PD), and the preliminary efficacy of JANX007 in adults with metastatic castration-resistant prostate cancer (mCRPC).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male ≥18 years of age at the time of signing informed consent

Histologically or cytologically confirmed adenocarcinoma of the prostate

For Dose Escalation and Backfill: Having mCRPC that progressed after at least one novel anti-androgen therapy and at least one taxane containing regimen. Participants who have actively refused a taxane containing regimen or are medically unsuitable to receive taxane are eligible

Adequate organ function

Disqualifiers

Prior solid organ transplant

Prior treatment with PSMA-targeted CAR-T cell therapy or PSMA-CD3, PSMA-CD28 or other CD3 T-cell engaging bispecific antibodies or radioligand therapy

Clinically significant cardiovascular disease

For Monotherapy Expansion Part a: Prior receipt of any treatment other than an ARPI or taxane in the mCRPC setting

Trial design

Design model

Sequential

Treatments tested in this trial

  • JANX007

    Biological/Vaccine

    JANX007 is dosed via IV in a 21- or 28-day cycle.

  • Darolutamide

    Drug

    Darolutamide is dosed via oral tablets

Treatment groups

272 Participants
are divided into 4 treatment groups
Group A: Dose EscalationExperimental treatment 1 intervention
Group B: Backfill ExpansionExperimental treatment 1 intervention
Group C: Monotherapy Expansion Parts A - DExperimental treatment 1 intervention
Group D: Combination ExpansionExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Incidence of Dose Limiting Toxicities (DLT)

Time frame
3 years
2

Incidence of Adverse Events (AE) and Serious Adverse Events (SAE)

Time frame
3 years

Secondary outcomes

1

Area under the concentration time curve to infinity of JANX007 (AUC0-inf)

Time frame
Pre-dose and at multiple timepoints post-dose on Days 1, 2, 4, 8, 9, 15, 16, 18 up to end of treatment (Up to 3 years)
2

Maximum observed concentration of JANX007 (Cmax)

Time frame
Pre-dose and at multiple timepoints post-dose on Days 1, 2, 4, 8, 9, 15, 16, 18 up to end of treatment (Up to 3 years)
3

Number of participants who develop anti-drug antibodies against JANX007

Time frame
Up to 3 years
4

Duration of Response

Time from documentation of complete response or partial response to disease progression using RECIST v1.1 and PCWG3

Time frame
Up to 3 years

Other outcomes

Sponsors and contacts

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