Clinical trial Recruiting at 15 sites Phase 1 Interventional Ages 18 and up Men only

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.

More Castration-resistant Prostate Cancer trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexMen only
Enrollment300 (estimated)
SponsorJanssen Research & Development, LLC
Industry-sponsored
Drugs / interventionscetrelimab, chemotherapy, prednisone
Locations15 sites (Sarasota, Florida and 14 other locations)
StatusRecruiting
StartedApril 26, 2023
Main results expectedAugust 31, 2027
Study endsMay 23, 2028
Registry record updatedNovember 3, 2026
Trial IDNCT05818683 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.