First-in-human AZD8359 STEAP2 TCE in metastatic prostate cancer
Official title: Phase I/II Dose Escalation & Dose Optimization Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Efficacy of AZD8359, a CD8-guided T Cell-engaging Antibody That Targets STEAP2, in Adult Participants With Prostate Cancer
Run by AstraZeneca · NCT07529717 · Data updated 2026-11-12
A new treatment called AZD8359 is being tested to see if it is safe and possibly helpful for people with metastatic prostate cancer.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 100 Years |
| Sex | Men only |
| Enrollment | 42 (estimated) |
| Sponsor | AstraZeneca Industry-sponsored |
| Locations | 8 sites (Orlando, Florida and 7 other locations) |
| Status | Recruiting |
| Started | May 18, 2026 |
| Main results expected | November 17, 2027 |
| Study ends | November 17, 2027 |
| Registry record updated | October 9, 2026 |
| Trial ID | NCT07529717 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults with metastatic prostate cancer who have castration-level testosterone and have progressed after prior therapies, with adequate organ function and body weight above 35 kg.
✕Probably not a fit
Patients with certain heart conditions or those not meeting prior therapy requirements may not benefit or be eligible for this trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a first-in-human, modular Phase I/II study evaluating AZD8359 delivered by different methods in adults with metastatic prostate cancer. Part A tests multiple dose levels to find safe and tolerable regimens, while Part B expands to broader dosing in a larger group. The study will look at safety, tolerability, preliminary signs of anti-tumor activity, and how the drug behaves in the body, including immune activation and potential immunogenicity.
Why it matters
Potential benefit: If successful, participants may experience tumor control or slowed progression and gain insight into how well AZD8359 can be used in this cancer.
How similar studies have gone: Early-stage, similar T cell–engaging approaches have shown potential signals in larger trials, but this exact approach is being investigated for the first time in humans.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Histologically confirmed diagnosis of adenocarcinoma of the prostate or neuroendocrine differentiated prostate cancer * Surgically or medically castrated with serum testosterone levels ≤ 50 ng/dL (≤ 1.75 nmol/L) * PSA value at screening should be ≥ 1ng/mL * Evidence of disease progression within 6 months prior to screening * Part A Participants should have received at least 2 prior approved systemic therapies for prostate cancer with at least one androgen receptor pathway inhibitor and at least one taxane regimen if amenable * Part B Participants should have received an androgen receptor pathway inhibitor for metastatic hormone sensitive prostate cancer or metastatic castration resistant prostate cancer (mCRPC). No prior taxane treatment for mCRPC is allowed for Module 1 and 2 Part B patients * Adequate organ function * Body weight ≥ 35 kg Exclusion Criteria: * Any clinically relevant cardiac abnormalities such as QT prolongation or uncontrolled cardiac arrythmias * All prior treatment-related adverse events must have resolved to Grade ≤ 2 * History of Grade ≥ 3 cytokine release syndrome or Grade ≥ 2 immune effector cell-associated neurotoxicity syndrome with prior therapy * Active or prior documented autoimmune or inflammatory disorders within the past 3 years * Prior exposure to any STEAP2 targeted agents or TCEs for prostate cancer
Where it's running
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Research Site
East Brunswick, New Jersey, United States Recruiting -
Research Site
Darlinghurst, Australia Recruiting -
Research Site
Melbourne, Australia Recruiting -
Research Site
Seoul, South Korea Recruiting -
Research Site
Seoul, South Korea Recruiting -
Research Site
Orlando, Florida, United States Active not recruiting
Show 2 more locations
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Research Site
Hackensack, New Jersey, United States Withdrawn -
Research Site
Providence, Rhode Island, United States Completed
Study contacts
- Study coordinator: AstraZeneca Clinical Study Information Center
- Email: information.center@astrazeneca.com
- Phone: 1-877-240-9479
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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PSMA-targeted therapy with hormone suppression for low-volume metastatic prostate cancer
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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.