Actively Recruiting

Phase 1
Age: 18Years +
MALE
ID05800665

A Phase 1, Open-Label, Multicenter, Dose-Escalation and Expansion Study Evaluating the Safety, Pharmacokinetics, and Activity of RO7656594 in Patients With Advanced or Metastatic Prostate Cancer

Led by Genentech, Inc. · Updated on 2026-05-18

210

Participants Needed

25

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying RO7656594, an investigational drug, in men with advanced or metastatic prostate cancer to assess its safety, how the body processes it, and its initial activity. The study aims to find appropriate doses and schedules for future research, focusing on patients who have previously received specific therapies including androgen receptor-targeted treatments and taxane regimens or are ineligible for such treatments. Participants will receive RO7656594 orally at set doses on specific days within each 28-day cycle. The dose will be gradually increased in groups of participants until reaching a study-defined limit. After this dose-escalation phase, participants will receive the drug at or below the maximum tolerated or administered dose. The study includes two phases: dose escalation and expansion. During the study, participants will be monitored for side effects from the first day of treatment through about 24 months after the last dose. Blood samples will be collected at multiple time points up to about 12 months to measure drug levels. Researchers will also evaluate prostate-specific antigen responses as indicators of activity. Eligibility assessments include performance status and prior treatments. The total duration of participation varies based on treatment and follow-up needs.

CONDITIONS

Brief Title

A Study Evaluating the Safety, Pharmacokinetics, and Activity of RO7656594 In Participants With Advanced or Metastatic 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
  • Diagnosis of metastatic prostate adenocarcinoma without small-cell carcinoma or neuroendocrine features
  • Prior therapy with a second-generation androgen receptor-targeted therapy such as abiraterone, enzalutamide, apalutamide, or darolutamide
  • Prior therapy with a taxane chemotherapy regimen, or ineligibility or refusal of taxane treatment
  • For participants with known BRCA1 or BRCA2 mutations: prior therapy with a PARP inhibitor, or ineligibility for PARP inhibitor treatment if approved and available
Not Eligible

You will not qualify if you...

  • Treatment with any approved systemic anti-cancer therapy within 14 days or 5 drug elimination half-lives before starting study treatment (up to 28 days maximum)
  • Treatment with any investigational agent within 28 days prior to starting study treatment
  • Prior treatment with any androgen receptor protein degrader
  • Untreated central nervous system metastases or leptomeningeal disease
  • Other protocol-specified inclusion or exclusion criteria may apply

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to approximately 24 months

Participants receive RO7656594 administered orally at specified doses on specific days in each 28-day cycle. The dose will be increased in successive cohorts until a study-specific threshold is reached, followed by treatment at or below the maximum tolerated or administered dose.

Repeated visits during 28-day treatment cycles

Trial Site Locations

Total: 25 locations

1

HonorHealth

Scottsdale, Arizona, United States, 85258

Actively Recruiting

2

Yale Cancer Center

New Haven, Connecticut, United States, 06510

Actively Recruiting

3

Sarah Cannon Research Institute @ Florida Cancer

Orlando, Florida, United States, 32827

Actively Recruiting

4

University of Illinois Hospital & Health Sciences System

Chicago, Illinois, United States, 60612

Actively Recruiting

5

SCRI Oncology Partners

Nashville, Texas, United States, 37203

Actively Recruiting

6

St Vincent's Hospital Sydney

Darlinghurst, New South Wales, Australia, 2010

Actively Recruiting

7

Macquarie University Hospital

New South Wales, New South Wales, Australia, 2162

Actively Recruiting

8

Monash Health Monash Medical Centre

Clayton, Victoria, Australia, 3168

Actively Recruiting

9

Austin Hospital

Heidelberg, Victoria, Australia, 3084

Actively Recruiting

10

British Columbia Cancer Agency

Vancouver, British Columbia, Canada, V5Z 4E6

Actively Recruiting

11

Princess Margaret Hospital

Toronto, Ontario, Canada, M5G 2M9

Actively Recruiting

12

Centre Léon Bérard

Lyon, France, 69008

Actively Recruiting

13

Institut Paoli Calmettes

Marseille, France, 13009

Actively Recruiting

14

Seoul National University Hospital

Seoul, South Korea, 03080

Actively Recruiting

15

Severance Hospital Yonsei University Health System - PPDS

Seoul, South Korea, 03722

Actively Recruiting

16

Asan Medical Center - PPDS

Seoul, South Korea, 05505

Actively Recruiting

17

Samsung Medical Center - PPDS

Seoul, South Korea, 06351

Actively Recruiting

18

Clinica Universidad de Navarra

Pamplona, Navarre, Spain, 31008

Actively Recruiting

19

Hospital Universitario Vall d'Hebron - PPDS

Barcelona, Spain, 08035

Actively Recruiting

20

Clinica Universidad de Navarra-Madrid

Madrid, Spain, 28027

Actively Recruiting

21

Hospital Clinico San Carlos

Madrid, Spain, 28040

Actively Recruiting

22

Cambridge Clinical Research Centre

Cambridge, United Kingdom, CB2 0AU

Actively Recruiting

23

Leicester Royal Infirmary

Leicester, United Kingdom, LE1 5WW

Actively Recruiting

24

The Christie

Manchester, United Kingdom, M20 4BX

Actively Recruiting

25

Royal Marsden Hospital - Surrey

Sutton, United Kingdom, SM2 5PT

Actively Recruiting

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Research Team

G

GO44537 https://forpatients.roche.com/

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

2

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