Actively Recruiting

Phase 1
Age: 18Years +
MALE
NCT06879041

A Phase I Study of [225Ac]-AZD2284 in Patients With Metastatic Castration-Resistant Prostate Cancer

Led by AstraZeneca · Updated on 2026-05-12

136

Participants Needed

16

Research Sites

214 weeks

Total Duration

On this page

Sponsors

A

AstraZeneca

Lead Sponsor

P

Parexel

Collaborating Sponsor

AI-Summary

What this Trial Is About

The main purpose of the study is to assess the safety and tolerability of AZD2284, AZD2287, and AZD2275.

CONDITIONS

Official Title

A Phase I Study of [225Ac]-AZD2284 in Patients With Metastatic Castration-Resistant Prostate Cancer

Who Can Participate

Age: 18Years +
MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  • Histologically confirmed adenocarcinoma of the prostate without strong suspicion of majority neuroendocrine differentiation
  • Prior bilateral orchiectomy and/or ongoing androgen-deprivation therapy with castrate level testosterone (< 50 ng/dL or < 1.7 nmol/L)
  • At least one metastatic lesion on CT, MRI, or bone scan within 28 days before first investigational drug dose
  • Adequate organ function
  • For Part A: metastatic prostate cancer stable or progressing
  • For Part B: progressing metastatic castration-resistant prostate cancer defined by PSA progression, soft-tissue progression, or bone disease progression
  • For Part B Dose Escalation: prior treatment with at least 2 systemic anti-cancer therapies including at least 1 androgen receptor pathway inhibitor, a PARP inhibitor if BRCA mutation positive, and a checkpoint inhibitor if MSI-H, dMMR, or tumor mutational burden ≥ 10 mut/Mb
  • For Part B Dose Expansion: prior treatment with at least 1 systemic anti-cancer therapy including at least 1 androgen receptor pathway inhibitor, a PARP inhibitor if BRCA mutation positive unless ineligible, a checkpoint inhibitor if MSI-H, dMMR, or tumor mutational burden ≥ 10 mut/Mb, no prior cytotoxic chemotherapy for CRPC, taxanes allowed if last cycle > 12 months before study, prior PSMA radioligand therapy or Radium-223 allowed
  • Prior radiation therapy including radiopharmaceuticals, external beam radiation, or brachytherapy allowed if other criteria met
Not Eligible

You will not qualify if you...

  • Treatment with any radiopharmaceutical within 6 weeks before first investigational drug dose
  • Radiation therapy or external beam radiation within 28 days before first investigational drug dose with unresolved events above Grade 1
  • Systemic cytotoxic or investigational therapy within 28 days or 5 half-lives before first investigational drug dose
  • Any prior treatment-related adverse events not resolved to Grade 1 or less
  • Severe or uncontrolled illnesses or social situations limiting study compliance
  • Known or suspected allergies or contraindications to investigational drugs or components
  • Clinically relevant proteinuria
  • Diffuse and intense bone radiotracer uptake characteristic of a superscan
  • Chronic corticosteroid use over 10 mg prednisone equivalent daily

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 16 locations

1

Research Site

Palo Alto, California, United States, 94304

Not Yet Recruiting

2

Research Site

San Diego, California, United States, 92103

Not Yet Recruiting

3

Research Site

Miami, Florida, United States, 33165

Actively Recruiting

4

Research Site

Tampa, Florida, United States, 33612

Actively Recruiting

5

Research Site

Chicago, Illinois, United States, 60637

Actively Recruiting

6

Research Site

Metairie, Louisiana, United States, 70006

Not Yet Recruiting

7

Research Site

Boston, Massachusetts, United States, 02215

Actively Recruiting

8

Research Site

Rochester, Minnesota, United States, 55902

Not Yet Recruiting

9

Research Site

Omaha, Nebraska, United States, 68130

Actively Recruiting

10

Research Site

New York, New York, United States, 10032

Not Yet Recruiting

11

Research Site

Cleveland, Ohio, United States, 44195

Not Yet Recruiting

12

Research Site

Portland, Oregon, United States, 97239

Not Yet Recruiting

13

Research Site

East Melbourne, Australia, 3002

Actively Recruiting

14

Research Site

CapeTown, South Africa, 7925

Not Yet Recruiting

15

Research Site

Durban, South Africa, 4013

Withdrawn

16

Research Site

Pretoria, South Africa, 181

Not Yet Recruiting

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Research Team

A

AstraZeneca Clinical Study Information Center

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

9

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