Metastatic Prostate CancerPhase 3CONTACT-02NCT04446117
Study of Cabozantinib in Combination With Atezolizumab Versus Second NHT in Subjects With mCRPC
A Phase 3 study testing Cabozantinib, Atezolizumab and Abiraterone Acetate in people with Metastatic Prostate Cancer and Prostate Adenocarcinoma, run by Exelixis at 280 sites in 27 countries.
Trial summary
This is a Phase 3, multi-center, randomized, open-label, controlled study designed to evaluate the safety and efficacy of cabozantinib given in combination with atezolizumab versus a second novel hormonal therapy (NHT) in men with metastatic castration-resistant prostate cancer (mCRPC) who have previously been treated… Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Metastatic Prostate Cancer, Prostate Adenocarcinoma
- What is being tested?
- Cabozantinib, Atezolizumab and Abiraterone Acetate
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 575 participants
- Where
- 280 sitesin 27 countries
- Study dates
- 19 Oct 2020to 16 Oct 2026
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Men with histologically or cytologically confirmed adenocarcinoma of the prostate
- Prior treatment with one, and only one, NHT (eg, abiraterone, apalutamide, darolutamide, or enzalutamide) for castration-sensitive locally advanced (T3 or T4) or mCSPC, M0 CRPC, or mCRPC
- Surgical or medical castration, with serum testosterone ≤ 50 ng/dL (≤ 1.73 nmol/L) at screening
- Measurable (extrapelvic soft tissue) metastatic disease per Investigator assessment defined by at least one of the following: measurable visceral disease (eg, adrenal, kidney, liver, lung, pancreas, spleen) per RECIST 1.1; OR measurable extrapelvic adenopathy (ie, adenopathy above the aortic bifurcation)
- Progressive disease at study entry as defined by specific criteria for prostate specific antigen (PSA) progression OR soft tissue disease progression in the opinion of the Investigator (Note: subjects with bone disease progression alone are not eligible)
- Age ≥ 18 years old or meeting country definition of adult, whichever is older, on the day of consent
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- ECOG performance status of 0 or 1
- Recovery to baseline or ≤ Grade 1 per Common Terminology Criteria for Adverse Events (CTCAE) v5 from toxicities related to any prior treatments, unless AE(s) are clinically nonsignificant and/or stable on supportive therapy in the opinion of the Investigator
- Adequate organ and marrow function based upon specific laboratory assessments obtained within 21 days prior to randomization
- Understanding and ability to comply with protocol requirements
Who cannot join
- Any prior nonhormonal therapy initiated for the treatment of mCRPC
- Receipt of abiraterone within 1 week; cyproterone within 10 days; or flutamide, nilutamide, bicalutamide, enzalutamide, or other androgen-receptor inhibitors within 2 weeks before randomization
- Radiation therapy within 4 weeks (2 weeks for bone metastases) prior to randomization (subjects with clinically relevant ongoing complications from prior radiation therapy are not eligible)
- Known brain metastases or cranial epidural disease unless adequately treated and clinically stable at least 4 weeks prior to randomization
- Symptomatic or impending spinal cord compression or cauda equina syndrome
- Concomitant anticoagulation with oral anticoagulants (some specific exceptions apply)
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- Administration of a live, attenuated vaccine within 30 days prior to randomization
- Systematic treatment with, or any condition requiring, either corticosteroids (>10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days prior to randomization
- Uncontrolled, significant intercurrent or recent illness
- Major surgery within 4 weeks prior to randomization
- Corrected QT interval calculated by the Fridericia formula (QTcF) > 480 ms per ECG within 21 days before randomization
- Inability or unwillingness to swallow pills or receive IV administration
- Previously identified allergy or hypersensitivity to components of the study treatment formulations or history of severe infusion-related reactions to monoclonal antibodies
- Any other active malignancy at time of randomization or diagnosis of another malignancy within 2 years prior to randomization that requires active treatment (some exceptions apply such as locally curable cancers that have apparently been cured).
Trial locations and contacts
280 sites in 27 countries.
280 sites in 27 countries
United States36 sites
Winship Cancer Institute of Emory University
Atlanta, Georgia, 30322
Exelixis Clinical Site #91
Aurora, Colorado, 80045
Exelixis Clinical Site #6
Baltimore, Maryland, 21204
Exelixis Site #159
Cleveland, Ohio, 44195
Exelixis Clinical Site #14
Denver, Colorado, 80211
Non-participating Site
Detroit, Michigan, 48202
Exelixis Clinical Site #42
Duarte, California, 91010
Exelixis Clinical Site #123
East Brunswick, New Jersey, 08816
Exelixis Clinical Site #2
Fullerton, California, 92835
Exelixis Clinical Site #5
Houston, Texas, 77027
Exelixis Clinical Site #177
Houston, Texas, 77030
Exelixis Clinical Site #259
Houston, Texas, 77030
Exelixis Clinical Site #224
La Jolla, California, 92093-0698
Exelixis Clinical Site #144
Las Vegas, Nevada, 89169
Non-participating Site
Lawrenceville, New Jersey, 08648
Exelixis Clinical Site #242
Louisville, Kentucky, 40202
Exelixis Clinical Site #3
Marina del Rey, California, 90292
Exelixis Clinical Site #108
Miami, Florida, 33125
Exelixis Clinical Site #1
Nashville, Tennessee, 37209
Yale University School of Medicine
New Haven, Connecticut, 06520
Yale University, School of Medicine
New Haven, Connecticut, 06520
Weill Cornell Medical College
New York, New York, 10065
Exelixis Clinical Site #221
Oklahoma City, Oklahoma, 73104
Exelixis Clinical Site #19
Omaha, Nebraska, 68130
Exelixis Clinical Site #18
Philadelphia, Pennsylvania, 19111
Exelixis Clinical Site #201
Pittsburgh, Pennsylvania, 15232
Exelixis Clinical Site #143
Roanoke, Virginia, 24014
Exelixis Clinical Site #203
Rochester, Minnesota, 55905
Exelixis Clinical Site #67
Salt Lake City, Utah, 84112
Exelixis Clinical Site #114
San Diego, California, 92161
Exelixis Clinical Site #125
Santa Monica, California, 90404
Exelixis Clinical Site #245
Stanford, California, 94305
Exelixis Clinical Site #41
Temple, Texas, 76504
Exelixis Clinical Site #198
The Bronx, New York, 10461
Exelixis Clinical Site #4
Tucson, Arizona, 85741
Exelixis Clinical Site #215
Westwood, Kansas, 66205
Japan24 sites
Exelixis Clinical Site #100
Akita, Akita, 010-8543
Exelixis Clinical Site #78
Chiba, 260-8717
Exelixis Clinical Site #88
Chūōku, Osaka-shi, 541-8567
Exelixis Clinical Site #209
Fukuoka, 815-8588
Exelixis Clinical Site #51
Hidaka, Saitama, 350-1298
Exelixis Clinical Site #104
Hirosaki, Aomori, 036-8563
Exelixis Clinical Site #43
Kashiwa-shi, Chiba, 277-8577
Exelixis Clinical Site #84
Kita-gun, Kagawa-ken, 761-0793
Exelixis Clinical Site #70
Kobe, Hyōgo, 650-0017
Exelixis Clinical Site #52
Kobe, Hyōgo, 650-0047
Exelixis Clinical Site #26
Nagano, 381-8551
Exelixis Clinical Site #211
Natori-shi, Miyagi, 981-1293
Exelixis Clinical Site #81
Ōsaka-sayama, 589-8511
Exelixis Clinical Site #68
Sagamihara, Kanagawa, 252-0375
Exelixis Clinical Site #54
Sakura-shi, Chiba, 285-8741
Exelixis Clinical Site #72
Sapporo, Hokkaido, 060-8543
Exelixis Clinical Site #37
Sapporo, Hokkaido, 060-8648
Exelixis Clinical Site #65
Shinjuku-Ku, Tokyo, 160-8582
Exelixis Clinical Site #216
Shizuoka, Shizuoka, 420-8527
Exelixis Clinical Site #75
Tokyo, 135-8550
Exelixis Clinical Site #232
Toyota-shi, Aichi-ken, 471-8513
Exelixis Clinical Site #61
Ube, Yamaguchi, 755-8505
Exelixis Clinical Site #32
Wakayama, 641-8510
Exelixis Clinical Site #22
Yokohama, Kanagawa, 232-0024
Spain21 sites
Exelixis Clinical Site #17
Alcorcón, Madrid, 28922
Exelixis Clinical Site #274
Badalona, 08916
Exelixis Clinical Site #228
Barcelona, 08003
Exelixis Clinical Site #23
Barcelona, 08035
Exelixis Clinical Site #255
Barcelona, 08036
Exelixis Clinical Site #190
Barcelona, 08041
Exelixis Clinical Site #226
Cadiz, 11407
Exelixis Clinical Site #33
Córdoba, 14004
Exelixis Clinical Site #229
Elche, Alicante, 03203
Exelixis Clinical Site #28
Lugo, 27003
Exelixis Clinical Site #131
Madrid, 28033
Exelixis Clinical Site #248
Madrid, 28040
Exelixis Clinical Site #236
Madrid, 28041
Exelixis Clinical Site #251
Madrid, 28046
Exelixis Clinical Site #13
Madrid, 28050
Exelixis Clinical #270
Málaga, 29010
Exelixis Clinical Site #12
Manresa, Barcelona, 08243
Exelixis Clinical Site #225
Oviedo, Principality of Asturias, 33011
Exelixis Clinical Site #220
Palma de Mallorca, Balearic Islands, 07120
Exelixis Clinical Site #233
Santiago de Compostela, La Coruna, 15706
Exelixis Clinical Site #29
Seville, 41009
France15 sites
Exelixis Clinical Site #134
Brest, 29229
Exelixis Clinical Site #77
Clermont-Ferrand, 63011
Exelixis Clinical Site #155
Dijon, 21079
Exelixis Clinical Site #74
Hyères, 83400
Exelixis Clinical Site #222
La Roche-sur-Yon, 85925
Exelixis Clinical Site #146
Nîmes, 30029
Exelixis Clinical Site #38
Paris, 75015
Exelixis Clinical Site #66
Quimper, 29107
Exelixis Clinical Site #214
Reims, 51100
Exelixis Clinical Site #135
Saint-Grégoire, 35760
Exelixis Clinical Site #213
Strasbourg, 67000
Exelixis Clinical Site #36
Strasbourg, 67200
Exelixis Clinical Site #73
Toulouse, 31059
Exelixis Clinical Site #85
Toulouse, 31076
Exelixis Clinical Site #230
Vandœuvre-lès-Nancy, 54511
Italy15 sites
Exelixis Clinical Site #217
Ancona, 60126
Exelixis Clinical Site #121
Florence, 50134
Exelixis Site #168
Meldola, FC, 47014
Exelixis Clinical Site #192
Milan, 20132
Exelixis Clinical Site #258
Milan, 20133
Exelixis Clinical #267
Parma, 43126
Exelixis Clinical Site #237
Pavia, 27100
Exelixis Clinical Site #107
Perugia, 06132
Exelixis Clinical #269
Pisa, 56126
Exelixis Clinical Site #62
Roma, 00144
Exelixis Clinical Site #234
Roma, 00168
Exelixis Clinical Site #246
Rozzano, Milano, 20089
Exelixis Site #156
Sondrio, SO, 23100
Exelixis Clinical Site #96
Terni, 05100
Exelixis Clinical Site #199
Trento, Trentino-Alto Adige, 38122
Australia14 sites
Exelixis Clinical Site #115
Adelaide, 5000
Exelixis Clinical Site #79
Ballarat, Victoria, 3350
Exelixis Clinical Site #149
Box Hill, 3128
Exelixis Clinical Site #253
Chermside, Queensland, 4032
Exelixis Clinical Site #95
Frankston, Victoria, 3199
Exelixis Clinical Site #151
Garran, Australian Capital Territory, 2605
Exelixis Clinical #262
Geelong, Victoria, 3220
Exelixis Clinical Site #103
Launceston, Tasmania, 7250
Exelixis Clinical Site #53
Melbourne, Victoria, 3000
Exelixis Clinical Site #252
Port Macquarie, New South Wales, 2444
Exelixis Clinical Stie #260
Saint Albans, Victoria, 3021
Exelixis Clinical Site #175
Saint Leonards, New South Wales, 2065
Exelixis Clinical Site # 189
Sydney, New South Wales, 2109
Exelixis Site #162
Wollongong, New South Wales, 2500
Brazil14 sites
Exelixis Clinical Site #154
Barretos, 14784-400
Exelixis Clinical Site #132
Blumenau, Santa Catarina, 89010-340
Exelixis Clinical Site #191
Campinas, São Paulo, 13083-970
Exelixis Site #163
Curitiba, Paraná, 80510-130
Exelixis Clinical Site #204
Curitiba, Paraná, 80520-174
Exelixis Clinical Site #140
Fortaleza, 60336-232
Exelixis Site #157
Porto Alegre, Rio Grande do Sul, 90610-00
Exelixis Clinical Site #153
Porto Alegre, 90110-270
Exelixis Clinical Site #128
Ribeirão Preto, São Paulo, 14048-900
Exelixis Clinical Site #145
Ribeirão Preto, 14015-130
Exelixis Clinical Site #171
Rio de Janeiro, Rio de Janeiro, 22793-080
Exelixis Clinical Site #116
Santa Cruz do Sul, 96810-110
Exelixis Clinical Site #106
São José do Rio Preto, São Paulo, 15090-000
Exelixis Site #161
São Paulo, São Paulo, 04538-132
Mexico14 sites
Exelixis Clinical Site #208
Culiacán, Sinaloa, C.P. 80020
Exelixis Clinical Site #212
Guadalajara, Jalisco, 44500
Exelixis Clinical Site #173
Guadalajara, Jalisco, 44600
Exelixis Clinical Site #254
León, Guanajuato, 37178
Exelixis Clinical Site #187
Mexico City, Mexico City, 06760
Exelixis Clinical Site #174
Mexico City, 01120
Exelixis Clinical Site #257
Monterrey, Nuevo León, 64710
Exelixis Clinical Site #272
Puebla City, 72530
Exelixis Clinical Site #172
Querétaro City, Querétaro, 76070
Exelixis Clinical Site #182
Querétaro City, Querétaro, 76230
Exelixis Clinical Site #250
San Luis Potosí City, San Luis Potosí, 78200
Exelixis Clinical Site #184
San Luis Potosí City, San Luis Potosí, 78209
Exelixis Clinical Site #206
Tuxtla Gutiérrez, Chiapas, 29038
Exelixis Clinical Site #219
Zapopan, Jalisco, 45040
Argentina13 sites
Exelixis Clinical Site #200
Buenos Aires, C1426ANZ
Exelixis Clinical Site #256
Caba, C1120AAT
Exelixis Clinical Site #122
Ciudad Autonoma de Buenos Aire, Buenos Aires, C1280AEB
Exelixis Clinical Site #44
Ciudad Autonoma de Buenos Aire, C1012AAR
Exelixis Clinical Site #210
Córdoba, Córdoba Province, X5004FHP
Exelixis Clinical Site #105
La Rioja, F5300
Exelixis Clinical Site #120
Mar del Plata, Buenos Aires, B7600FZO
Exelixis Site #170
Pergamino, Buenos Aires, B2700CPM
Exelixis Clinical Site #183
Rosario, Santa Fe Province, S2000CVB
Exelixis Clinical #261
Rosario, Santa Fe Province, S2000KZE
Exelixis Clinical Site #124
San Juan, 5400
Exelixis Clinical Site #101
San Salvador de Jujuy, Y4600EHA
Exelixis Clinical Site #152
Viedma, Río Negro Province, R8500ACE
South Korea13 sites
Exelixis Clinical Site #58
Busan, 47392
Exelixis Clinical Site #24
Busan, 49241
Exelixis Clinical Site #94
Daegu, 41404
Exelixis Clinical Site #21
Daegu, 42601
Exelixis Clinical Site #49
Goyang-si, Gyeonggi-do, 10408
Exelixis Clinical Site #40
Gwangju, 61469
Exelixis Clinical Site #34
Hwasun, Jeollanam-do, 58128
Exelixis Clinical Site #20
Junggu, Daejeon, 35015
Exelixis Clinical Site #60
Seongnam-si, Gyeonggi-do, 13620
Exelixis Clinical Site #59
Seoul, 03080
Exelixis Clinical Site #46
Seoul, 03722
Exelixis Clinical Site #25
Seoul, 06273
Exelixis Clinical Site #48
Seoul, 06351
Germany9 sites
Exelixis Clinical Site #227
Berlin, 10117
Exelixis Clinical Site #180
Duisburg, North Rhine-Westphalia, 47179
Exelixis Clinical Site #98
Gütersloh, North Rhine-Westphalia, 33332
Exelixis Clinical Site #239
Hamburg, 20246
Exelixis Clinical Site #273
Hanover, 30625
Exelixis Clinical Site #185
Lübeck, Schleswig-Holstein, 23538
Exelixis Clinical Site #179
Münster, North Rhine-Westphalia, 48149
Exelixis Clinical Site #176
Nürtingen, Baden-Wurttemberg, 72622
Exelixis Clinical Site #136
Tübingen, 72076
Greece9 sites
Exelixis Clinical Site #238
Athens, Attica, 11526
Exelixis Clinical Site #93
Cholargós, Attica, 15562
Exelixis Clinical Site #45
Heraklion, Crete, 71110
Exelixis Clinical Site #97
Larissa, Thessaly, 41110
Exelixis Clinical Site #202
Marousi, Attica, 15123
Exelixis Clinical Site #92
Marousi, Attica, 15125
Exelixis Clinical Site #244
Nea Kifissia, Attica, 14564
Exelixis Clinical Site #99
Neo Faliro, Attica, 18547
Exelixis Clinical Site #64
Thessaloniki, Macedonia, 54007
Canada8 sites
Exelixis Clinical Site #69
Edmonton, Alberta, T6G 1Z2
Exelixis Clinical Site #178
Granby, Quebec, J2GIT7
Exelixis Clinical Site #83
Hamilton, Ontario, L8V 5C2
Exelixis Clinical Site #112
Kelowna, British Columbia, V1Y 5L3
Exelixis Clinical Site #127
London, Ontario, N6A 5W9
Exelixis Clinical Site #147
Moncton, New Brunswick, E1C 6Z8
Exelixis Site #160
Montreal, Quebec, H2X 3E4
Exelixis Clinical Site #7
Oakville, Ontario, L6H 3PI
Chile8 sites
Exelixis Clinical Site #142
Providencia, 7500713
Exelixis Clinical Site #148
Recoleta, 8420383
Exelixis Clinical #263
Santiago, Santiago Metropolitan, 7500787
Exelixis Clinical Site #139
Santiago, Santiago Metropolitan, 7500921
Exelixis Clinical Site #90
Santiago, 7500653
Exelixis Clinical Site #113
Temuco, 4810469
Exelixis Clinical Site #119
Valparaíso, 2540333
Exelixis Clinical Site #247
Viña del Mar, Valparaiso, 2520598
Portugal8 sites
Exelixis Clinical Site #110
Braga, 4710-243
Exelixis Clinical Site #188
Guimarães, 4835-044
Exelixis Site #164
Lisbon, 1400-038
Exelixis Clinical Site #197
Lisbon, 1500-650
Exelixis Clinical Site #196
Loures, 2674-514
Exelixis Clinical Site #56
Porto, 4099-001
Exelixis Clinical Site #223
Porto, 4200-072
Exelixis Clinical Site #193
Vila Real, 5000-508
Taiwan8 sites
Exelixis Clinical #266
Kaohsiung City, 81362
Exelixis Clinical Site #138
Kaohsiung City, 833
Exelixis Clinical Site #86
Taichung, 404
Exelixis Clinical Site #133
Taichung, 407
Exelixis Clinical Site #111
Tainan, 704
Exelixis Clinical Site #271
Tainan, 710
Exelixis Clinical #264
Taipei, 11217
Exelixis Clinical #265
Taoyuan, 333
Czechia6 sites
Exelixis Clinical Site #129
Brno, 656 91
Exelixis Clinical Site #130
Olomouc, 779 00
Exelixis Clinical Site #63
Prague, Prague, 120 00
Exelixis Clinical Site #80
Prague, 128 00
Exelixis Clinical Site #31
Prague, 140 59
Exelixis Clinical Site #47
Prague, 180 81
Georgia6 sites
Exelixis Clinical Site #16
Tbilisi, 0112
Exelixis Clinical Site #9
Tbilisi, 0141
Exelixis Clinical Site #10
Tbilisi, 0144
Exelixis Clinical Site #11
Tbilisi, 0159
Exelixis Clinical Site #15
Tbilisi, 0167
Exelixis Clinical Site #8
Tbilisi, 0186
Hungary6 sites
Exelixis Clinical Site #118
Budapest, 1062
Exelixis Clinical Site #207
Budapest, 1082
Exelixis Clinical Site #57
Budapest, 1122
Exelixis Clinical Site #109
Budapest, 1145
Exelixis Clinical Site #240
Debrecen, 4032
Exelixis site #167
Gyula, 5700
Israel6 sites
Exelixis Clinical Site #55
Haifa, 3109601
Exelixis Clinical Site #27
Jerusalem, 9112001
Exelixis Clinical Site #150
Petah Tikva, 4941492
Exelixis Clinical Site #117
Ramat Gan, 5265601
Exelixis Clinical Site #30
Safed, 1311001
Exelixis Clinical Site #35
Tel Aviv, 6423906
United Kingdom6 sites
Exelixis Clinical Site #249
Blackburn, Lancashire, BB2 3HH
Exelixis Clinical Site #205
London, England, SE1 9RT
Exelixis Clinical Site #231
Northwood, Middlesex, HA6 2RN
Exelixis Clinical Site #235
Surrey Quays, England, SM2 5PT
Exelixis Clinical Site #194
Swansea, Wales, SA2 Q8A
Exelixis Clinical Site #241
Taunton, England, TA1 5DA
Belgium4 sites
Exelixis Clinical Site #126
Bonheiden, Antwerpen, 2820
Exelixis Clinical Site #141
Brussels, 1000
Exelixis Clinical Site #39
Ghent, Oost-Vlaanderen, 9000
Exelixis Site #165
Roeselare, 8800
Poland4 sites
Exelixis Clinical Site #82
Bydgoszcz, 85-796
Exelixis Clinical #268
Lodz, 93-513
Exelixis Clinical Site #243
Otwock, Masovian Voivodeship, 05-400
Exelixis Clinical Site #89
Poznan, 60-569
Ukraine4 sites
Exelixis Clinical Site #102
Dnipro, 49005
Exelixis Clinical Site #186
Dnipro, 49102
Exelixis Clinical Site #76
Kyiv, 02125
Exelixis Clinical Site #71
Lutsk, 43018
Austria3 sites
Exelixis Clinical Site #156
Linz, Upper Austria, 4020
Exelixis Site #158
Linz, Upper Austria, 4020
Exelixis Clinical Site #218
Vienna, 1080
Russia3 sites
Exelixis Site #166
Moscow, 115478
Exelixis Clinical Site #137
Saint Petersburg, 197022
Exelixis Clinical Site #195
Saint Petersburg, 197758
Singapore3 sites
Exelixis Clinical Site #50
Singapore, 169610
Exelixis Clinical Site #87
Singapore, 258499
Exelixis Clinical Site #181
Singapore, 329563
About this study
Official title: A Phase 3, Randomized, Open-Label, Controlled Study of Cabozantinib (XL184) in Combination With Atezolizumab vs Second Novel Hormonal Therapy (NHT) in Subjects With Metastatic Castration-Resistant Prostate Cancer
This is a Phase 3, multi-center, randomized, open-label, controlled study designed to evaluate the safety and efficacy of cabozantinib given in combination with atezolizumab versus a second novel hormonal therapy (NHT) in men with metastatic castration-resistant prostate cancer (mCRPC) who have previously been treated with one, and only one, NHT for their prostate cancer disease.
Read the detailed description
The primary objective of this study is to evaluate the efficacy of cabozantinib (XL184) in combination with atezolizumab versus a second NHT (abiraterone or enzalutamide) in subjects with mCRPC who have previously been treated with one, and only one, NHT (e.g. abiraterone, apalutamide, darolutamide, or enzalutamide) to treat metastatic castration-sensitive prostate cancer (mCSPC), non-metastatic CRPC (M0 CRPC), or mCRPC, and who have measurable extrapelvic disease. The multiple primary efficacy endpoints comparing the experimental arm and control arm are Duration of Progression Free Survival (PFS) per RECIST 1.1 by Blinded Independent Radiology Committee (BIRC) and Duration of Overall Survival (OS). The secondary efficacy endpoint is Objective Response Rate (ORR) per RECIST 1.1 per BIRC.
- Being tested
- Cabozantinib, Atezolizumab, Abiraterone Acetate, Enzalutamide, Prednisone
- Keywords
- prostate cancer, castration-resistant prostate cancer
- Medical subject headings
- Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CabozantinibDrug
Also called XL184, Cabometyx®
Supplied as 20-mg tablets; administered orally daily at 40mg
AtezolizumabDrug
Also called Tecentriq®
Supplied as 1200 mg/20 mL vials; administered as an IV infusion once every 3 weeks (q3w)
Abiraterone AcetateDrug
Also called Abiraterone, Zytiga
Supplied as 500 mg tablets; administered orally daily at 1000mg with prednisone 5 mg orally bid
EnzalutamideDrug
Also called Xtandi
Supplied as 40 mg capsules; administered orally daily at 160mg
PrednisoneDrug
Supplied as 5 mg tablets; administered orally bid at 5 mg with abiraterone 1000mg orally daily
| Study group | Role | What they receive |
|---|---|---|
| Experimental Arm | Experimental | Subjects with mCRPC will receive cabozantinib 40mg oral, qd + atezolizumab 1200mg infusion, q3w Receives: Drug: Cabozantinib; Drug: Atezolizumab |
| Control Arm | Active comparator | Subjects with mCRPC will receive active comparator of EITHER abiraterone 1000mg oral, qd + prednisone 5 mg oral, bid; OR enzalutamide 160mg oral, qd as designated by the Investigator prior to randomization Receives: Drug: Abiraterone Acetate; Drug: Enzalutamide; Drug: Prednisone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Duration of Progression Free Survival (PFS) Per Response Evaluable Criteria in Solid Tumors Version 1.1 (RECIST 1.1) by Blinded Independent Radiology Committee (BIRC)
Duration of PFS was defined as the time from randomization to the earlier of either the date of radiographic progression (defined as progressive disease [PD] per RECIST 1.1) per BIRC or the date of death due to any cause. PD was defined as at least a 20% increase in the sum of diameters of target lesions, with an absolute increase of ≥ 5 mm, unequivocal progression of non-target lesions and/or the appearance of new lesions.
Measured: Up to a maximum of approximately 30 months (Median duration of follow-up was 14.31 months)
Duration of Overall Survival (OS)
Duration of OS was defined as the time from randomization to death due to any cause. For participants, who were not known to have died at the time of data cutoff and were permanently lost to follow-up, duration of OS was censored at the earlier of the following dates: date the participant was last known to be alive or date of full withdrawal of consent (including survival follow-up), or date of data cutoff.
OS was calculated as earlier of date of death or censoring - date of randomization + 1)/30.4375
Measured: Up to a maximum of approximately 45 months (Median duration of follow-up was 24.05 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Jun 2020
- Study start19 Oct 2020
- Primary completion19 Apr 2024
- Study completion16 Oct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Metastatic Prostate CancerStudies of the same condition, open and under way.
- More trials run by ExelixisThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Approximately 580 eligible subjects will be randomized in a 1:1 fashion to the experimental arm receiving cabozantinib and atezolizumab in combination (290) or to the control arm receiving a second NHT (290).
- Masking
- None (open label)
- Enrolment
- 575 participants (actual)
Sponsor and investigators
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04446117
- Sponsor's protocol ID
- XL184-315
- Acronym
- CONTACT-02
- Status last verified
- Dec 2025
- First submitted
- 22 Jun 2020
- Last updated
- 18 Dec 2025
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Agarwal N, Azad AA, Carles J, Matsubara N, Oudard S, Saad F, Merseburger AS, Soares A, McGregor BA, Zurawski B, Tsiatas M, North S, Bondarenko I, Alfie M, Bournakis E, Antonuzzo L, Evilevitch L, Simmons A, Wang F, Ferraldeschi R, Nandoskar P, Pal SK. Cabozantinib plus atezolizumab in metastatic prostate cancer (CONTACT-02): final analyses from a phase 3, open-label, randomised trial. Lancet Oncol. 2025 Jul;26(7):860-876. doi: 10.1016/S1470-2045(25)00209-8. Epub 2025 Jun 13.
PubMed 40523369Agarwal N, Azad A, Carles J, Chowdhury S, McGregor B, Merseburger AS, Oudard S, Saad F, Soares A, Benzaghou F, Kerloeguen Y, Kimura A, Mohamed N, Panneerselvam A, Wang F, Pal S. A phase III, randomized, open-label study (CONTACT-02) of cabozantinib plus atezolizumab versus second novel hormone therapy in patients with metastatic castration-resistant prostate cancer. Future Oncol. 2022 Mar;18(10):1185-1198. doi: 10.2217/fon-2021-1096. Epub 2022 Jan 17.
PubMed 35034502
Study at a glance
From the registry record, last updated by the sponsor on 18 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Randomized, Open-Label, Controlled Study of Cabozantinib (XL184) in Combination With Atezolizumab vs Second Novel Hormonal Therapy (NHT) in Subjects With Metastatic Castration-Resistant Prostate Cancer
- ClinicalTrials.gov ID
- NCT04446117
- Acronym / sponsor ID
- CONTACT-02 / XL184-315
- Keywords
- prostate cancer, castration-resistant prostate cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 575 participants (actual)
- Lead sponsor
- ExelixisIndustry (pharma, biotech, devices)
- Collaborators
- Roche-Genentech, Takeda
- Study start
- 19 Oct 2020 (actual)
- Primary completion
- 19 Apr 2024 (actual)
- Study completion
- 16 Oct 2026 (estimated)
- First posted
- 24 Jun 2020 (actual)
- Results
- Posted 18 Dec 2025
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 3, multi-center, randomized, open-label, controlled study designed to evaluate the safety and efficacy of cabozantinib given in combination with atezolizumab versus a second novel hormonal therapy (NHT) in men with metastatic castration-resistant prostate cancer (mCRPC) who have previously been treated with one, and only one, NHT for their prostate cancer disease.
Detailed description
The primary objective of this study is to evaluate the efficacy of cabozantinib (XL184) in combination with atezolizumab versus a second NHT (abiraterone or enzalutamide) in subjects with mCRPC who have previously been treated with one, and only one, NHT (e.g. abiraterone, apalutamide, darolutamide, or enzalutamide) to treat metastatic castration-sensitive prostate cancer (mCSPC), non-metastatic CRPC (M0 CRPC), or mCRPC, and who have measurable extrapelvic disease. The multiple primary efficacy endpoints comparing the experimental arm and control arm are Duration of Progression Free Survival (PFS) per RECIST 1.1 by Blinded Independent Radiology Committee (BIRC) and Duration of Overall Survival (OS). The secondary efficacy endpoint is Objective Response Rate (ORR) per RECIST 1.1 per BIRC.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Approximately 580 eligible subjects will be randomized in a 1:1 fashion to the experimental arm receiving cabozantinib and atezolizumab in combination (290) or to the control arm receiving a second NHT (290).
| Arm | Type | Receives |
|---|---|---|
| Experimental Arm | Experimental | Drug: Cabozantinib, Drug: AtezolizumabSubjects with mCRPC will receive cabozantinib 40mg oral, qd + atezolizumab 1200mg infusion, q3w |
| Control Arm | Active comparator | Drug: Abiraterone Acetate, Drug: Enzalutamide, Drug: PrednisoneSubjects with mCRPC will receive active comparator of EITHER abiraterone 1000mg oral, qd + prednisone 5 mg oral, bid; OR enzalutamide 160mg oral, qd as designated by the Investigator prior to randomization |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Men with histologically or cytologically confirmed adenocarcinoma of the prostate
- Prior treatment with one, and only one, NHT (eg, abiraterone, apalutamide, darolutamide, or enzalutamide) for castration-sensitive locally advanced (T3 or T4) or mCSPC, M0 CRPC, or mCRPC
- Surgical or medical castration, with serum testosterone ≤ 50 ng/dL (≤ 1.73 nmol/L) at screening
- Measurable (extrapelvic soft tissue) metastatic disease per Investigator assessment defined by at least one of the following: measurable visceral disease (eg, adrenal, kidney, liver, lung, pancreas, spleen) per RECIST 1.1; OR measurable extrapelvic adenopathy (ie, adenopathy above the aortic bifurcation)
- Progressive disease at study entry as defined by specific criteria for prostate specific antigen (PSA) progression OR soft tissue disease progression in the opinion of the Investigator (Note: subjects with bone disease progression alone are not eligible)
Key exclusion criteria (14 listed)
- Any prior nonhormonal therapy initiated for the treatment of mCRPC
- Receipt of abiraterone within 1 week; cyproterone within 10 days; or flutamide, nilutamide, bicalutamide, enzalutamide, or other androgen-receptor inhibitors within 2 weeks before randomization
- Radiation therapy within 4 weeks (2 weeks for bone metastases) prior to randomization (subjects with clinically relevant ongoing complications from prior radiation therapy are not eligible)
- Known brain metastases or cranial epidural disease unless adequately treated and clinically stable at least 4 weeks prior to randomization
- Symptomatic or impending spinal cord compression or cauda equina syndrome
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CabozantinibAlso: XL184, Cabometyx®Supplied as 20-mg tablets; administered orally daily at 40mg | Drug | Experimental Arm |
| AtezolizumabAlso: Tecentriq®Supplied as 1200 mg/20 mL vials; administered as an IV infusion once every 3 weeks (q3w) | Drug | Experimental Arm |
| Abiraterone AcetateAlso: Abiraterone, ZytigaSupplied as 500 mg tablets; administered orally daily at 1000mg with prednisone 5 mg orally bid | Drug | Control Arm |
| EnzalutamideAlso: XtandiSupplied as 40 mg capsules; administered orally daily at 160mg | Drug | Control Arm |
| PrednisoneSupplied as 5 mg tablets; administered orally bid at 5 mg with abiraterone 1000mg orally daily | Drug | Control Arm |
Primary outcome
Duration of Progression Free Survival (PFS) Per Response Evaluable Criteria in Solid Tumors Version 1.1 (RECIST 1.1) by Blinded Independent Radiology Committee (BIRC)
Time frame: Up to a maximum of approximately 30 months (Median duration of follow-up was 14.31 months)
Duration of PFS was defined as the time from randomization to the earlier of either the date of radiographic progression (defined as progressive disease [PD] per RECIST 1.1) per BIRC or the date of death due to any cause. PD was defined as at least a 20% increase in the sum of diameters of target lesions, with an absolute increase of ≥ 5 mm, unequivocal progression of non-target lesions and/or the appearance of new lesions.
Duration of Overall Survival (OS)
Time frame: Up to a maximum of approximately 45 months (Median duration of follow-up was 24.05 months)
Duration of OS was defined as the time from randomization to death due to any cause. For participants, who were not known to have died at the time of data cutoff and were permanently lost to follow-up, duration of OS was censored at the earlier of the following dates: date the participant was last known to be alive or date of full withdrawal of consent (including survival follow-up), or date of data cutoff. OS was calculated as earlier of date of death or censoring - date of randomization + 1)/30.4375
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Dec 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 40523369Agarwal N, Azad AA, Carles J, Matsubara N, Oudard S, Saad F, Merseburger AS, Soares A, McGregor BA, Zurawski B, Tsiatas M, North S, Bondarenko I, Alfie M, Bournakis E, Antonuzzo L, Evilevitch L, Simmons A, Wang F, Ferraldeschi R, Nandoskar P, Pal SK. Cabozantinib plus atezolizumab in metastatic prostate cancer (CONTACT-02): final analyses from a phase 3, open-label, randomised trial. Lancet Oncol. 2025 Jul;26(7):860-876. doi: 10.1016/S1470-2045(25)00209-8. Epub 2025 Jun 13.
- Derived from this study: PubMed 35034502Agarwal N, Azad A, Carles J, Chowdhury S, McGregor B, Merseburger AS, Oudard S, Saad F, Soares A, Benzaghou F, Kerloeguen Y, Kimura A, Mohamed N, Panneerselvam A, Wang F, Pal S. A phase III, randomized, open-label study (CONTACT-02) of cabozantinib plus atezolizumab versus second novel hormone therapy in patients with metastatic castration-resistant prostate cancer. Future Oncol. 2022 Mar;18(10):1185-1198. doi: 10.2217/fon-2021-1096. Epub 2022 Jan 17.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
280 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cabozantinib, Atezolizumab and Abiraterone Acetate in people with Metastatic Prostate Cancer and Prostate Adenocarcinoma, run by Exelixis at 280 sites in 27 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 18 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 280 sites in United States, Japan, Spain, France, Italy and 22 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 18 Dec 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Duration of Progression Free Survival (PFS) Per Response Evaluable Criteria in Solid Tumors Version 1.1 (RECIST 1.1) by Blinded Independent Radiology Committee (BIRC) (time frame: Up to a maximum of approximately 30 months (Median duration of follow-up was 14.31 months)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04446117, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Dec 2025.