Evaluating Pocenbrodib for advanced prostate cancer treatment
Official title: PATHWAY: A Phase 1b/2a, Multicenter, Open- Label Study of Pocenbrodib as Monotherapy and in Combination With Darolutamide in Participants With Metastatic Castration-Resistant Prostate Cancer (mCRPC)
Run by Pathos AI, Inc. · NCT06785636 · Data updated 2026-11-12
This study is testing a new drug called Pocenbrodib, alone and with other treatments, to see if it can help people with advanced prostate cancer who haven't responded to previous therapies.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 120 (estimated) |
| Sponsor | Pathos AI, Inc. Industry-sponsored |
| Drugs / interventions | chemotherapy |
| Locations | 19 sites (Fountain Valley, California and 18 other locations) |
| Status | Recruiting |
| Started | February 7, 2025 |
| Main results expected | June 30, 2028 |
| Study ends | April 30, 2029 |
| Registry record updated | August 20, 2026 |
| Trial ID | NCT06785636 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adult males aged 18 and older with histologically confirmed metastatic prostate adenocarcinoma who have progressed after prior anti-androgen therapy.
✕Probably not a fit
Patients with small cell or neuroendocrine prostate cancer, liver metastases, or those who have recently received certain cancer treatments 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 open-label study aims to assess the safety and preliminary antitumor activity of Pocenbrodib, both alone and in combination with other therapies such as Abiraterone acetate, Olaparib, or 177Lu-PSMA-617, in patients with metastatic castration-resistant prostate cancer (mCRPC). The study is structured in two phases: Phase 1b focuses on dose-finding for Pocenbrodib monotherapy, while Phase 2a evaluates its efficacy in combination with other treatments. Participants must have progressed despite prior therapies and have received at least one potent anti-androgen treatment. The study will monitor safety, pharmacokinetics, and pharmacodynamics to determine the best treatment approach.
Why it matters
Potential benefit: If successful, this study could provide a new treatment option for patients with advanced prostate cancer who have limited alternatives.
How similar studies have gone: Other studies have shown promise with similar combination therapies in treating mCRPC, indicating potential for success in this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
1b / 2a Inclusion Criteria: 1. ≥18 years of age 2. Histologic documentation of prostate adenocarcinoma 3. Metastatic disease, documented by imaging. Imaging performed within 56 days prior to Screening is acceptable 1b / 2a Exclusion Criteria: 1. Current or prior evidence of any small cell or neuroendocrine histology on the most recent prostate biopsy. 2. Any liver metastases confirmed by biopsy or evidence of lesions \>1 cm consistent with liver metastases on imaging. 3. Intervention with any chemotherapy, investigational agent, or other anticancer drug, including enzalutamide, apalutamide, or darolutamide, 14 days prior to Cycle 1 Day 1 or 5 half-lives (whichever is shorter). 4. Any other serious underlying medical, psychiatric, psychological, familial, or geographical condition, which in the judgment of the Investigator may interfere with study participation and compliance or place the participant at high risk from treatment-related complications. 2a only -key inclusion criteria: 1. Must have received at least 2 cycles of PLUVICTO® 2. 1 line of prior any ARPI therapy 3. No prior chemotherapy for mCRPC
Where it's running
-
MemorialCare Orange Coast Medical Center
Fountain Valley, California, United States Recruiting -
Cancer and Blood Research Center
Los Alamitos, California, United States Recruiting -
University of Colorado Health
Aurora, Colorado, United States Recruiting -
Mount Sinai Medical Center
Miami, Florida, United States Recruiting -
Emory University Hospital
Atlanta, Georgia, United States Recruiting -
University of Chicago
Chicago, Illinois, United States Recruiting
Show 13 more locations
-
Community Health Network
Indianapolis, Indiana, United States Recruiting -
Ochsner
Jefferson, Louisiana, United States Recruiting -
Johns Hopkins Hospital
Baltimore, Maryland, United States Recruiting -
Karmanos Cancer Institute
Detroit, Michigan, United States Recruiting -
Siteman Cancer Center
St Louis, Missouri, United States Recruiting -
Nebraska Cancer Specialists
Omaha, Nebraska, United States Recruiting -
Memorial Sloan-Kettering Cancer Center (Mskcc)
New York, New York, United States Recruiting -
Duke University medical center
Durham, North Carolina, United States Recruiting -
The Ohio State University
Columbus, Ohio, United States Recruiting -
Taylor Cancer Research Center
Maumee, Ohio, United States Recruiting -
University of Texas Southwestern Medical Center
Dallas, Texas, United States Recruiting -
Oncology Consultants, P.A
Houston, Texas, United States Recruiting -
NEXT Oncology - Virginia
Fairfax, Virginia, United States Recruiting
Study contacts
- Study coordinator: Steve Kye, MD, MPH
- Email: clinicaltrials@pathos.com
- Phone: 708-232-3791
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Targeted alpha therapy for B7-H3 expressing solid tumors using AKY-2519
This phase 1b trial tests a radiolabeled drug (AKY-2519) to see if it's safe and tolerable in adults with B7-H3 positive advanced solid tumors, including NSCLC and SCLC, with imaging to help guide use.
-
FX-111 safety and pharmacokinetics in metastatic castration-resistant prostate cancer
This study tests whether FX-111 is safe and can help treat metastatic castration-resistant prostate cancer in adult men.
-
AKY-2519 (B7‑H3 targeted radioligand) for metastatic castration‑resistant prostate cancer
This trial tests whether AKY‑2519, a B7‑H3–targeted radioactive medicine used for imaging and treatment, is safe and can shrink tumors in men with metastatic castration‑resistant prostate cancer, including those who have had prior 177Lu‑PSMA‑617.
-
SHR-1701 plus focused stereotactic radiation for metastatic castration‑resistant prostate cancer
This study will test whether adding the immune drug SHR‑1701 to focused stereotactic body radiotherapy (SBRT) can help men with metastatic castration‑resistant prostate cancer who have progressed after next‑generation hormone therapy.
-
Combination of Gedatolisib and Darolutamide for Advanced Prostate Cancer
This study is testing a new combination of two drugs, gedatolisib and darolutamide, to see if they can help men with advanced prostate cancer feel better and improve their treatment outcomes.
-
PSMA-guided surgery and tissue-resident T cells in node-positive prostate cancer
This study tests whether PSMA-guided surgery can help identify and study tissue-resident T cells in prostate cancer that has spread to lymph nodes.
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.