Clinical trial Recruiting at 165 sites Phase 3 Interventional Ages 18 and up

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

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment800 (estimated)
SponsorJanssen Research & Development, LLC
Industry-sponsored
Drugs / interventionschemotherapy
Locations165 sites (Chandler, Arizona and 164 other locations)
StatusRecruiting
StartedDecember 19, 2025
Main results expectedNovember 19, 2027
Study endsJune 7, 2030
Registry record updatedNovember 3, 2026
Trial IDNCT07225946 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

  • 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
  • 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

Similar studies

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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.