Pasritamig plus docetaxel versus docetaxel for metastatic castration‑resistant prostate cancer
Official title: A Phase 3 Randomized, Open-label Study of Pasritamig (JNJ-78278343), a T-cell-engaging Agent Targeting Human Kallikrein 2, With Docetaxel Versus Docetaxel for Metastatic Castration-resistant Prostate Cancer
Run by Janssen Research & Development, LLC · NCT07225946 · Data updated 2026-11-12
This trial tests whether adding pasritamig to standard docetaxel chemotherapy helps men with metastatic castration-resistant prostate cancer stay progression-free on scans longer than docetaxel alone.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 800 (estimated) |
| Sponsor | Janssen Research & Development, LLC Industry-sponsored |
| Drugs / interventions | chemotherapy |
| Locations | 165 sites (Chandler, Arizona and 164 other locations) |
| Status | Recruiting |
| Started | December 19, 2025 |
| Main results expected | November 19, 2027 |
| Study ends | June 7, 2030 |
| Registry record updated | November 3, 2026 |
| Trial ID | NCT07225946 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Men with metastatic castration-resistant prostate cancer who have progressed after at least one androgen receptor pathway inhibitor, are receiving androgen deprivation therapy or have had bilateral orchiectomy with testosterone ≤50 ng/dL, and have ECOG performance status 0–1 are the intended participants.
✕Probably not a fit
Patients with known brain or leptomeningeal metastases, those with known BRCA1/2 mutations, poor performance status, or who do not meet the prior ARPI progression criteria are unlikely to benefit from 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 randomized Phase 3 trial compares pasritamig plus docetaxel (with prednisone as indicated) versus docetaxel alone in men with metastatic castration-resistant prostate cancer (mCRPC). Participants must be on continuous androgen deprivation therapy or post-orchiectomy, have testosterone ≤50 ng/dL, have progressed on at least one novel androgen receptor pathway inhibitor, and have ECOG performance status 0–1. The primary endpoint is radiographic progression-free survival (rPFS), defined as time from treatment start until disease worsening on scans, with key secondary endpoints likely including overall survival and safety. The trial is sponsored by Janssen and enrolling at sites in Arizona, Arkansas, and California.
Why it matters
Potential benefit: If successful, adding pasritamig could prolong the time before cancer progression on scans and delay the need for further therapies.
How similar studies have gone: Combining novel targeted agents with docetaxel has produced mixed results in prostate cancer, and pasritamig is a novel agent with limited large-phase published data to date.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria: * Have histologically confirmed adenocarcinoma of the prostate * Have disease that is metastatic at the time of screening by computed tomography (CT) or magnetic resonance imaging (MRI) and 99m\^Tc bone scan as determined by the investigator * Participants must receive ongoing androgen deprivation therapy (ADT) with a gonadotropin releasing hormone (GnRH) analog throughout the treatment or have had prior bilateral orchiectomy, and have serum testosterone less than or equal to (\<=) 50 nanogram per deciliter (ng/dL) (\<= 1.73 nanomoles per Liter \[nmol/L\]) at screening * Have progressed by PSA or CT/MRI or 99m\^Tc bone scan on at least 1 novel androgen receptor pathway inhibition (ARPI) but no more than 2 different ARPI for any stage of disease. Must have discontinued ARPI before randomization into the study * Have an eastern cooperative oncology group (ECOG) performance status of 0 to 1 Exclusion criteria: * Known history of either brain or leptomeningeal prostate cancer metastases * Participants with known breast cancer gene 1/2 (BRCA 1/2) mutations (germline or somatic) who have not received treatment with a poly (ADP-ribose) polymerase (PARP) inhibitor, unless not available or contraindicated * Prior or concurrent second malignancy (other than the disease under study) * Received cytotoxic chemotherapy for prostate cancer in any setting * Received prior treatment with human kallikrein 2 (KLK-2) directed therapies
Where it's running
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Arizona Clinical Trials
Chandler, Arizona, United States Recruiting -
Arkansas Urology
Little Rock, Arkansas, United States Recruiting -
Highlands Oncology Group
Springdale, Arkansas, United States Recruiting -
MemorialCare Orange Coast Medical Center
Fountain Valley, California, United States Recruiting -
University Of California San Diego
La Jolla, California, United States Recruiting -
Cancer and Blood Specialty Clinic
Los Alamitos, California, United States Recruiting
Show 44 more locations
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USC Norris Comprehensive Cancer Center
Los Angeles, California, United States Recruiting -
Valkyrie Clinical Trials
Los Angeles, California, United States Recruiting -
Ronald Reagan UCLA Medical Center
Los Angeles, California, United States Recruiting -
Kaiser Permanente Southern California
Riverside, California, United States Recruiting -
Sharp Center for Research
San Diego, California, United States Recruiting -
Providence Saint John s Health Center
Santa Monica, California, United States Recruiting -
Rocky Mountain Cancer Centers
Aurora, Colorado, United States Recruiting -
AdventHealth Porter Oncology Research
Denver, Colorado, United States Recruiting -
Vail Health Shaw Cancer Center
Edwards, Colorado, United States Recruiting -
Grand Valley Oncology
Grand Junction, Colorado, United States Recruiting -
Colorado Clinical Research
Lakewood, Colorado, United States Recruiting -
AdventHealth Orlando
Orlando, Florida, United States Recruiting -
Memorial Cancer Institute
Pembroke Pines, Florida, United States Recruiting -
Florida Cancer Specialists
Sarasota, Florida, United States Recruiting -
Winship Cancer Institute Emory University
Atlanta, Georgia, United States Recruiting -
Duly Health and Care
Lisle, Illinois, United States Recruiting -
Cancer Center of Kansas Heritage Plaza Medical Building
Wichita, Kansas, United States Recruiting -
St Elizabeth Healthcare
Edgewood, Kentucky, United States Recruiting -
Norton Cancer Institute
Louisville, Kentucky, United States Recruiting -
East Jefferson General Hospital
Metairie, Louisiana, United States Recruiting -
University of Maryland
Baltimore, Maryland, United States Recruiting -
Johns Hopkins Hospital
Baltimore, Maryland, United States Recruiting -
Johns Hopkins Medical Institutions
Baltimore, Maryland, United States Recruiting -
Center for Cancer and Blood Disorders
Bethesda, Maryland, United States Recruiting -
Chesapeake Urology Research Associates
Towson, Maryland, United States Recruiting -
Massachusetts General
Boston, Massachusetts, United States Recruiting -
Profound Research LLC at Cancer and Leukemia Center
Sterling Heights, Michigan, United States Recruiting -
HealthPartners Frauenshuh Cancer Center CRC West
Saint Louis Park, Minnesota, United States Recruiting -
HealthPartners Cancer Center at Regions Hospital CRC East
Saint Paul, Minnesota, United States Recruiting -
University of Mississippi Medical Center
Jackson, Mississippi, United States Recruiting -
Washington University
St Louis, Missouri, United States Recruiting -
NHO Revive Research Institute, LLC
Lincoln, Nebraska, United States Recruiting -
Cooper Health System MD Anderson Cancer Center at Cooper
Camden, New Jersey, United States Recruiting -
Astera Cancer Care
East Brunswick, New Jersey, United States Recruiting -
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, United States Recruiting -
Laura & Isaac Perlmutter Cancer Center at NYU Langone Hospital - Long Island
Mineola, New York, United States Recruiting -
NYU Langone Health Laura and Isaac Perlmutter Cancer Center
New York, New York, United States Recruiting -
Montefiore Medical Center
The Bronx, New York, United States Recruiting -
Duke University Medical Center
Durham, North Carolina, United States Recruiting -
Gabrail Cancer Center
Canton, Ohio, United States Recruiting -
University of Cincinnati
Cincinnati, Ohio, United States Recruiting -
Metrohealth Medical Center
Cleveland, Ohio, United States Recruiting -
Oregon Urology Institute
Springfield, Oregon, United States Recruiting -
Lehigh Valley Hospital
Allentown, Pennsylvania, United States Recruiting
+115 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Study Contact
- Email: Participate-In-This-Study1@its.jnj.com
- Phone: 844-434-4210
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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.