Combining JNJ-78278343 with other treatments for advanced prostate cancer
Official title: A Phase 1b Study of JNJ-78278343, Targeting Human Kallikrein 2 (KLK2) in Combination With Other Agents for Metastatic Prostate Cancer
Run by Janssen Research & Development, LLC · NCT05818683 · Data updated 2026-11-12
This study is testing a new treatment called JNJ-78278343 combined with other therapies to see if it helps people with advanced prostate cancer feel better and stay safe.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 300 (estimated) |
| Sponsor | Janssen Research & Development, LLC Industry-sponsored |
| Drugs / interventions | cetrelimab, chemotherapy, prednisone |
| Locations | 15 sites (Sarasota, Florida and 14 other locations) |
| Status | Recruiting |
| Started | April 26, 2023 |
| Main results expected | August 31, 2027 |
| Study ends | May 23, 2028 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT05818683 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include men with metastatic castration-resistant prostate cancer who have confirmed adenocarcinoma of the prostate and meet specific criteria regarding prior treatments and disease characteristics.
✕Probably not a fit
Patients with non-metastatic prostate cancer or those who do not meet the specific eligibility criteria may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to identify the recommended phase 2 regimens of JNJ-78278343 in combination with either Cetrelimab, taxane chemotherapy, or androgen receptor pathway inhibitors for patients with metastatic castration-resistant prostate cancer. The trial is divided into two parts: the first part focuses on dose escalation to determine the optimal dosing, while the second part assesses the safety of the identified regimens. Participants will receive one of the combination treatments to evaluate its effectiveness and safety profile.
Why it matters
Potential benefit: If successful, this study could provide new effective treatment options for patients with advanced prostate cancer.
How similar studies have gone: Other studies have shown promise in using combination therapies for advanced prostate cancer, suggesting that this approach may be effective.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Part 1 A-G, 1I, 1J, and 1K (all combination treatments) and Parts 2B-C (cabazitaxel, docetaxel): Metastatic castration-resistant prostate cancer (mCRPC) with confirmed adenocarcinoma of the prostate as defined by prostate cancer working group 3 (PCWG3); Parts 2D-G, 2I, 2J, and 2K (apalutamide, enzalutamide, darolutamide, abiraterone acetate + prednisone \[AAP\], lutetium Lu-177 vipivotide tetraxetan, JNJ-101556143): mCRPC: Histologically confirmed adenocarcinoma of the prostate as defined by PCWG3, with a minimum PSA of 2 nanogram \[ng\]/milliliter (mL); Part 2H (apalutamide): metastatic hormone-sensitive prostate cancer(mHSPC) with PSA greater than (\>) 0.2 ng/mL on 6 to 24 months of treatment with a next generation ARPI (apalutamide, enzalutamide, darolutamide, or abiraterone) * Measurable or evaluable disease, except for Part 2H * (a) Part 1A (cetrelimab) - Prior treatment for mCRPC with at least 1 prior androgen receptor pathway inhibitors (ARPI) (that is, abiraterone acetate, apalutamide, enzalutamide, darolutamide), or chemotherapy (example, docetaxel). (b) Part 1C and 2C (docetaxel), Part 1D (apalutamide), Part 1E and 2E (enzalutamide), Part 1F and 2F (darolutamide), and Part 1G, 2G (AAP), and Part 1K \& 2K (JNJ-101556143)- Prior treatment with at least 1 prior ARPI (that is, apalutamide, enzalutamide, darolutamide, or abiraterone acetate). (C) Part 1B and 2B (cabazitaxel) - Prior treatment with at least 1 prior ARPI (ie, abiraterone acetate, apalutamide, enzalutamide, darolutamide) and docetaxel. (d) Part 2D (apalutamide) - Prior treatment with at least 1 prior ARPI (e) Part 2H (apalutamide)- Participant may have received up to 6 cycles of docetaxel. The last dose of docetaxel must be administered at least 2 months prior to enrollment (f) Parts 1I, 1J, 2I \& 2J (lutetium Lu-177 vipivotide tetraxetan)- Prior treatment with at least 1 ARPI (abiraterone acetate, enzalutamide, darolutamide, or apalutamide). Participant must not have received prior cytotoxic chemotherapy or prior radioligand therapy (RLT) for mCRPC * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * Adequate organ functions Exclusion Criteria: * Active autoimmune disease within the 12 months prior to signing consent that requires systemic immunosuppressive medications * Toxicity related to prior anticancer therapy that has not returned to Grade less than or equal to (\<=) 1 or baseline levels (except for alopecia, vitiligo, Grade \<=2 peripheral neuropathy) * Solid organ or bone marrow transplantation * Known allergies, or intolerance to any of the components (example, excipients) of pasritamig, cetrelimab (Part 1A), cabazitaxel, Part 1B and 2B , docetaxel Part 1C and 2C , apalutamide (Part 1D and 2D and Part 2H), enzalutamide (Part 1E and 2E), darolutamide (Part 1F and 2F), or AAP (Part 1G and 2G), lutetium Lu-177 vipivotide tetraxetan (Parts 1I, 1J, 2I, and 2J), or JNJ-101556143 (Parts 1K \& 2K) * Significant infections or serious lung, heart or other medical conditions
Where it's running
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Florida Cancer Specialists
Sarasota, Florida, United States Recruiting -
Start Midwest
Grand Rapids, Michigan, United States Recruiting -
Perlmutter Cancer Center at NYU Langone Brooklyn
Brooklyn, Mississippi, United States Recruiting -
Washington University School Of Medicine
St Louis, Missouri, United States Recruiting -
Laura & Isaac Perlmutter Cancer Center at NYU Langone Hospital - Long Island
Mineola, New York, United States Recruiting -
NYU Langone Health
New York, New York, United States Recruiting
Show 9 more locations
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Sidney Kimmel Cancer Center - Jefferson Health
Philadelphia, Pennsylvania, United States Recruiting -
Icon Cancer Centre Kurralta Park
Adelaide, Australia Recruiting -
Macquarie University
Macquarie Park, Australia Recruiting -
Peter MacCallum Cancer Centre
Melbourne, Australia Recruiting -
Princess Alexandra Hospital
Woolloongabba, Australia Recruiting -
Hosp Univ Vall D Hebron
Barcelona, Spain Recruiting -
Hosp Univ Fund Jimenez Diaz
Madrid, Spain Recruiting -
Hosp. Univ. 12 de Octubre
Madrid, Spain Recruiting -
Hosp Univ Hm Sanchinarro
Madrid, Spain Recruiting
Study contacts
- Study coordinator: Study Contact
- Email: Participate-In-This-Study1@its.jnj.com
- Phone: 844-434-4210
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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JUR-003 in adults with advanced prostate cancer
This first-in-human study tests JUR-003 to see if it is safe and tolerable and to get an early sense of activity in adults with metastatic or advanced prostate cancer.
-
Tracking apalutamide use in men with metastatic hormone-sensitive prostate cancer in France
This project will see if men with metastatic hormone-sensitive prostate cancer in France take apalutamide as prescribed during their first year of treatment.
-
Darolutamide with hormone therapy (± chemotherapy) in metastatic hormone-sensitive prostate cancer
This real-world study tests whether darolutamide plus hormone therapy, with or without chemotherapy, helps men with metastatic hormone-sensitive prostate cancer achieve very low PSA levels and stay safe.
-
ASP5541 with prednisone and ADT for Chinese men with prostate cancer
This study tests whether giving ASP5541 together with prednisone and ongoing androgen-deprivation therapy is safe and how the medicine behaves in Chinese men with metastatic prostate cancer.
-
Intensifying Treatment With Docetaxel and Apalutamide for Metastatic Hormone-Sensitive Prostate Cancer After a Partial PSA Response
This trial tests whether adding docetaxel to apalutamide and ADT helps men with metastatic hormone-sensitive prostate cancer who did not achieve a deep PSA response after initial apalutamide treatment.
-
Phase 2 test of ASP5541 for men with advanced prostate cancer
This study will test whether an injectable form of abiraterone (ASP5541) is safe and works as well or better than the standard oral abiraterone for men with metastatic prostate cancer who are on hormone therapy, with or without prednisone.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.