Actively Recruiting

Phase 1
Phase 2
Age: 18Years +
All Genders
NCT06353386

Substudy 01A: Safety and Efficacy of Opevesostat (MK-5684)-Based Treatment Combinations or Opevesostat Alone in Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) (MK-5684-01A)

Led by Merck Sharp & Dohme LLC · Updated on 2026-04-17

220

Participants Needed

77

Research Sites

243 weeks

Total Duration

On this page

Sponsors

M

Merck Sharp & Dohme LLC

Lead Sponsor

O

Orion Corporation, Orion Pharma

Collaborating Sponsor

AI-Summary

What this Trial Is About

Substudy 01A is part of a larger research study that is testing experimental treatments for metastatic castration-resistant prostate cancer (mCRPC). The larger study is the umbrella study (U01). The goal of substudy 01A is to evaluate the safety and efficacy of opevesostat-based treatment combinations, or as a single agent, in participants with mCRPC. This substudy will have two phases: a safety lead-in phase and an efficacy phase. The safety lead-in phase will be used to evaluate the safety and tolerability, and to establish a recommended Phase 2 dose (RP2D) for the opevesostat-based treatment combinations. There will be no hypothesis testing in this study.

CONDITIONS

Official Title

Substudy 01A: Safety and Efficacy of Opevesostat (MK-5684)-Based Treatment Combinations or Opevesostat Alone in Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) (MK-5684-01A)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically or cytologically confirmed adenocarcinoma of the prostate without small cell histology
  • Prostate cancer progression and receipt of androgen deprivation therapy or bilateral orchiectomy within 6 months before screening
  • Evidence of disease progression after last anti-androgen therapy (flutamide >4 weeks, bicalutamide or nilutamide >6 weeks before screening)
  • Current evidence of metastatic disease
  • Prior treatment with 1 to 2 novel hormonal agents for hormone-sensitive or castration-resistant prostate cancer with disease progression
  • Stable doses of bone resorptive therapy for more than 4 weeks before randomization
  • Recovery to less than Grade 1 or baseline from adverse events due to previous anticancer therapies
  • Well-controlled HIV infection on antiretroviral therapy
  • Hepatitis B surface antigen positive with antiviral therapy for at least 4 weeks and undetectable viral load
  • History of Hepatitis C infection with undetectable viral load
Not Eligible

You will not qualify if you...

  • History of pituitary dysfunction
  • Poorly controlled diabetes mellitus
  • Active or unstable cardiovascular or cerebrovascular disease within 6 months before treatment
  • History or family history of long corrected QT interval syndrome
  • Myelodysplastic syndrome or acute myeloid leukemia or suggestive features
  • History or current adrenal insufficiency
  • History of pneumonitis requiring steroids or current pneumonitis
  • HIV infection with history of Kaposi's sarcoma or Multicentric Castleman's Disease
  • Major surgery, including local prostate intervention (except biopsy) within 28 days before randomization without recovery
  • Unstable thyroid hormone therapy dose within 6 months before treatment
  • Whole blood transfusion within 120 days before randomization
  • Prior systemic anticancer therapy including investigational agents within 4 weeks before randomization
  • Prior radiotherapy within 2 weeks before treatment or radiation-related toxicities requiring corticosteroids
  • Live or live-attenuated vaccine within 30 days before treatment
  • Diagnosis of immunodeficiency or chronic immunosuppressive therapy within 7 days before treatment
  • Known additional progressing malignancy requiring active treatment in past 3 years
  • Active central nervous system metastases or carcinomatous meningitis
  • Active autoimmune disease requiring systemic treatment in past 2 years
  • Active infection requiring systemic therapy
  • Concurrent active hepatitis B or C infections

AI-Screening

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Trial Site Locations

Total: 77 locations

1

UCSD Moores Cancer Center ( Site 0039)

La Jolla, California, United States, 92037

Actively Recruiting

2

UCLA Hematology/Oncology - Santa Monica ( Site 0044)

Los Angeles, California, United States, 90404

Actively Recruiting

3

University of Miami Hospital and Clinics, Sylvester Cancer Center-Cancer Research Services ( Site 0051)

Miami, Florida, United States, 33136

Actively Recruiting

4

University of Maryland-Greenebaum Comprehensive Cancer Center ( Site 0049)

Baltimore, Maryland, United States, 21201

Active, Not Recruiting

5

Rutgers Cancer Institute of New Jersey ( Site 0033)

New Brunswick, New Jersey, United States, 08903-2681

Actively Recruiting

6

University Hospitals Cleveland Medical Center ( Site 0043)

Cleveland, Ohio, United States, 44106

Actively Recruiting

7

MEDICAL COLLEGE OF WISCONSIN-Cancer Center Clinical Trials Office ( Site 0020)

Milwaukee, Wisconsin, United States, 53226

Actively Recruiting

8

Macquarie University-MQ Health Clinical Trials Unit ( Site 0108)

Macquarie University, New South Wales, Australia, 2109

Actively Recruiting

9

Gallipoli Medical Research Ltd-GMRF CTU ( Site 0107)

Greenslopes, Queensland, Australia, 4120

Actively Recruiting

10

Peter MacCallum Cancer Centre-Parkville Cancer Clinical Trials Unit (PCCTU) ( Site 0110)

Melbourne, Victoria, Australia, 3000

Actively Recruiting

11

Centre Hospitalier de l'Université de Montréal ( Site 0200)

Montreal, Quebec, Canada, H2X 3E4

Actively Recruiting

12

Jewish General Hospital ( Site 0206)

Montreal, Quebec, Canada, H3T 1E2

Actively Recruiting

13

Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0207)

Québec, Quebec, Canada, G1J 1Z4

Actively Recruiting

14

CIDO SpA-Oncology ( Site 0302)

Temuco, Biobio, Chile, 4810218

Active, Not Recruiting

15

Clinica Universidad Catolica del Maule-Oncology ( Site 0304)

Talca, Maule Region, Chile, 3465584

Actively Recruiting

16

FALP ( Site 0301)

Santiago, Region M. de Santiago, Chile, 7500921

Active, Not Recruiting

17

Pontificia Universidad Catolica de Chile ( Site 0303)

Santiago, Region M. de Santiago, Chile, 832000

Actively Recruiting

18

Bradfordhill ( Site 0300)

Santiago, Region M. de Santiago, Chile, 8420383

Actively Recruiting

19

FUNDACION CTIC CENTRO DE TRATAMIENTO E INVESTIGACION SOBRE CANCER LUIS CARLOS SARMIENTO ANGULO ( Site 0406)

Bogotá, Bogota D.C., Colombia, 110131

Actively Recruiting

20

Clinica Colsanitas S.A, Sede Clínica Universitaria Colombia ( Site 0402)

Bogotá, Bogota D.C., Colombia, 111321

Actively Recruiting

21

Sociedad De Oncología y Hematología Del Cesar SAS-Oncology ( Site 0400)

Valledupar, Cesar Department, Colombia, 200001

Actively Recruiting

22

IMAT S.A.S ( Site 0404)

Montería, Departamento de Córdoba, Colombia, 230002

Actively Recruiting

23

Fundación Valle del Lili-Oncology CIC ( Site 0403)

Cali, Valle del Cauca Department, Colombia, 760032

Actively Recruiting

24

Herlev and Gentofte Hospital ( Site 0501)

Copenhagen, Capital Region, Denmark, 2730

Actively Recruiting

25

Aalborg Universitetshospital, Syd ( Site 0503)

Aalborg, North Denmark, Denmark, 9000

Actively Recruiting

26

Vaasan Keskussairaala ( Site 0603)

Vaasa, Pohjanmaa, Finland, 65130

Actively Recruiting

27

Helsinki University Hospital - Comprehensive Cancer Center (HYKS - Syöpäkeskus) ( Site 0604)

Helsinki, Uusimaa, Finland, 00029

Actively Recruiting

28

Docrates Syöpäsairaala ( Site 0602)

Helsinki, Uusimaa, Finland, 00180

Actively Recruiting

29

Institut Bergonié - Centre Régional de Lutte Contre Le Cancer de Bordeaux et Sud Ouest ( Site 0703)

Bordeaux, Aquitaine, France, 33076

Actively Recruiting

30

Hopitaux Universitaires de Strasbourg ( Site 0700)

Strasbourg, Bas-Rhin, France, 67200

Actively Recruiting

31

Hôpital Européen Georges Pompidou-Service d'Oncologie Médicale ( Site 0702)

Paris, France, 75015

Actively Recruiting

32

Gustave Roussy ( Site 0701)

Villejuif, Île-de-France Region, France, 94805

Actively Recruiting

33

Universitaetsklinikum Heidelberg ( Site 0805)

Heidelberg, Baden-Wurttemberg, Germany, 69120

Actively Recruiting

34

Universitaetsklinikum Tuebingen-Urologie ( Site 0801)

Tübingen, Baden-Wurttemberg, Germany, 72076

Actively Recruiting

35

klinikum rechts der isar der technischen universität münchen-Urologische Klinik und Poliklinik ( Site 0802)

Munich, Bavaria, Germany, 81675

Actively Recruiting

36

Charité Universitaetsmedizin Berlin - Campus Mitte ( Site 0800)

Berlin, Germany, 10117

Active, Not Recruiting

37

Universitaetsklinikum Hamburg-Eppendorf-Onkologisches Zentrum ( Site 0804)

Hamburg, Germany, 20246

Actively Recruiting

38

St. Vincent's University Hospital ( Site 0901)

Dublin, Dublin, Ireland, D04 T6F4

Actively Recruiting

39

Cork University Hospital ( Site 0902)

Cork, Ireland, T12 DC4A

Actively Recruiting

40

Tallaght University Hospital ( Site 0900)

Dublin, Ireland, D24 NR0A

Actively Recruiting

41

Rambam Health Care Campus-Oncology Division ( Site 1002)

Haifa, Israel, 3109601

Actively Recruiting

42

Rabin Medical Center ( Site 1001)

Petah Tikva, Israel, 4941492

Actively Recruiting

43

Sheba Medical Center ( Site 1000)

Ramat Gan, Israel, 5265601

Actively Recruiting

44

Fondazione Policlinico Universitario Agostino Gemelli IRCCS -Medical Oncology ( Site 1102)

Rome, Lazio, Italy, 00168

Completed

45

Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 1103)

Milan, Lombardy, Italy, 20133

Actively Recruiting

46

Istituto Clinico Humanitas-U.O di Oncologia medica ed Ematologia ( Site 1101)

Rozzano, Milano, Italy, 20089

Actively Recruiting

47

Azienda Ospedaliera Universitaria Integrata Verona - Ospedal-Centro Ricerche Cliniche di Verona ( Site 1100)

Verona, Italy, 37134

Actively Recruiting

48

Toho University Sakura Medical Center ( Site 1201)

Sakura, Chiba, Japan, 285-8741

Actively Recruiting

49

Yokohama City University Medical Center ( Site 1203)

Yokohama, Kanagawa, Japan, 232-0024

Actively Recruiting

50

The Jikei University Hospital ( Site 1202)

Mitato, Tokyo, Japan, 105-8471

Completed

51

Kyushu University Hospital ( Site 1204)

Fukuoka, Japan, 812-8582

Actively Recruiting

52

Auckland City Hospital ( Site 1333)

Auckland, New Zealand, 1023

Actively Recruiting

53

Centrum Onkologii im. Prof. Franciszka Lukaszczyka-Ambulatorium Chemioterapii ( Site 1402)

Bydgoszcz, Kuyavian-Pomeranian Voivodeship, Poland, 85-796

Actively Recruiting

54

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Oddzial Badan Wczesnych Faz ( Site 1400)

Warsaw, Masovian Voivodeship, Poland, 02-781

Actively Recruiting

55

Uniwersyteckie Centrum Kliniczne ( Site 1405)

Gdansk, Pomeranian Voivodeship, Poland, 80-952

Actively Recruiting

56

Asan Medical Center-Oncology ( Site 1500)

Songpagu, Seoul, South Korea, 05505

Actively Recruiting

57

Severance Hospital, Yonsei University Health System-Medical oncology ( Site 1502)

Seoul, South Korea, 03722

Actively Recruiting

58

Samsung Medical Center-Division of Hematology/Oncology ( Site 1501)

Seoul, South Korea, 06351

Actively Recruiting

59

Institut Català d'Oncologia - L'Hospitalet-Medical Oncology ( Site 1603)

L'Hospitalet de Llobregat, Barcelona, Spain, 08908

Actively Recruiting

60

Hospital Universitario Ramón y Cajal-Medical Oncology ( Site 1600)

Madrid, Madrid, Comunidad de, Spain, 28034

Actively Recruiting

61

Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 1602)

Barcelona, Spain, 08035

Actively Recruiting

62

Hospital General Universitario Gregorio Marañón ( Site 1601)

Madrid, Spain, 28007

Actively Recruiting

63

Hospital Clinico San Carlos-Oncology Department ( Site 1604)

Madrid, Spain, 28040

Actively Recruiting

64

Chang Gung Memorial Hospital at Kaohsiung-Oncology and Hematology ( Site 1704)

Kaohsiung Niao Sung Dist, Kaohsiung, Taiwan, 83301

Actively Recruiting

65

China Medical University Hospital ( Site 1703)

Taichung, Taiwan, 404332

Actively Recruiting

66

Taipei Veterans General Hospital ( Site 1701)

Taipei, Taiwan, 112

Actively Recruiting

67

Chang Gung Medical Foundation-Linkou Branch-Medical Oncology ( Site 1702)

Taoyuan, Taiwan, 333

Actively Recruiting

68

Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 1802)

Adana, Turkey (Türkiye), 01250

Actively Recruiting

69

Hacettepe Universite Hastaneleri-oncology hospital ( Site 1800)

Ankara, Turkey (Türkiye), 06230

Actively Recruiting

70

Ankara Bilkent Şehir Hastanesi ( Site 1801)

Ankara, Turkey (Türkiye), 06800

Actively Recruiting

71

Istanbul Universitesi Cerrahpasa-Medical Oncology ( Site 1804)

Istanbul, Turkey (Türkiye), 34668

Actively Recruiting

72

TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 1803)

Istanbul, Turkey (Türkiye), 34722

Actively Recruiting

73

Addenbrooke's Hospital ( Site 1902)

Cambridge, Cambridgeshire, United Kingdom, CB2 2QQ

Actively Recruiting

74

The Beatson West of Scotland Cancer Centre ( Site 1904)

Glasgow, Glasgow City, United Kingdom, G12 0YN

Actively Recruiting

75

Royal Preston Hospital-Lancashire Clinical Research Facility ( Site 1900)

Preston, Lancashire, United Kingdom, PR2 9HT

Actively Recruiting

76

University College London Hospital ( Site 1905)

London, London, City of, United Kingdom, NW1 2PG

Actively Recruiting

77

Queen Elizabeth Hospital Birmingham ( Site 1903)

Birmingham, United Kingdom, B15 2TH

Actively Recruiting

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Research Team

T

Toll Free Number

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

4

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