Prostatic Neoplasms, Castration-ResistantPhase 1/2NCT06353386
Substudy 01A: Safety and Efficacy of Opevesostat (MK-5684)-Based Treatment Combinations or Opevesostat Alone in Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) (MK-5684-01A)
A Phase 1/2 study testing Opevesostat, Olaparib and Docetaxel in people with Prostatic Neoplasms, Castration-Resistant, run by Merck Sharp & Dohme LLC at 77 sites in 20 countries.
Trial summary
Substudy 01A is part of a larger research study that is testing experimental treatments for metastatic castration-resistant prostate cancer (mCRPC). The larger study is the umbrella study (U01). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Prostatic Neoplasms, Castration-Resistant
- What is being tested?
- Opevesostat, Olaparib and Docetaxel
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 220 participants
- Where
- 77 sitesin 20 countries
- Study dates
- 20 May 2024to 15 Jan 2029
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
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
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The main inclusion criteria include but are not limited to the following:
- Histologically or cytologically confirmed diagnosis of adenocarcinoma of the prostate without small cell histology.
- Prostate cancer progression and received androgen deprivation therapy (ADT) or post bilateral orchiectomy within 6 months before screening.
- Evidence of disease progression from either, >4 weeks from last flutamide treatment, or >6 weeks from last bicalutamide or nilutamide treatment, if receiving first generation anti-androgen therapy as last treatment therapy.
- Current evidence of metastatic disease.
- Prior treatment with 1 to 2 novel hormonal agent(s) (NHA) for non-metastatic, or metastatic, hormone-sensitive prostate cancer or castration-resistant prostate cancer and have disease progression during or after treatment.
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- Treatment with bone resorptive therapy (including, but not limited to, bisphosphonate or denosumab) must have been on stable doses for >4 weeks before randomization.
- Participants who experienced adverse events (AEs) due to previous anticancer therapies must have recovered to <Grade 1 or baseline.
- Human immunodeficiency virus (HIV)-infected participants must have well controlled HIV on antiretroviral therapy.
- Participants who are Hepatitis B surface antigen (HBsAg) positive are eligible if they have received Hepatitis B Virus (HBV) antiviral therapy for at least 4 weeks, and have undetectable HBV viral load.
- Participants with a history of Hepatitis C virus (HCV) infection are eligible if HCV viral load is undetectable.
Who cannot join
- The main exclusion criteria include but are not limited to the following:
- History of pituitary dysfunction.
- Poorly controlled diabetes mellitus.
- Active or unstable cardio/cerebro-vascular disease, including thromboembolic events and history of stroke or transient ischemic attack within 6 months before the first dose of study intervention, history of myocardial infarction within 6 months before the first dose of study intervention, New York Heart Association Class III or IV cardiac disease or congestive heart failure, coronary heart disease that is symptomatic, or unstable angina
- History or family history of long corrected QT interval (QTc) syndrome.
- Myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or features suggestive of MDS/AML.
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- History or current condition of adrenal insufficiency.
- History of (noninfectious) pneumonitis requiring steroids, or current pneumonitis.
- HIV-infected participants with a history of Kaposi's sarcoma and/or Multicentric Castleman's Disease.
- Undergone major surgery, including local prostate intervention (except prostate biopsy) within 28 days before randomization, and has not recovered from the toxicities and/or complications.
- Is on an unstable dose of thyroid hormone therapy within 6 months prior to first dose of study intervention.
- Received a whole blood transfusion in the last 120 days before randomization (packed red blood cells and platelet transfusions are acceptable if not given within 28 days before randomization).
- Received prior systemic anticancer therapy including investigational agents within 4 weeks before randomization.
- Received prior radiotherapy within 2 weeks of start of study intervention or radiation-related toxicities, requiring corticosteroids.
- Received a live or live-attenuated vaccine within 30 days before the first does of study intervention. Administration of killed vaccines is allowed.
- Diagnosis of immunodeficiency, or is receiving chronic systemic steroid therapy, or any other form of immunosuppressive therapy, within 7 days prior to the first dose of study intervention.
- Known additional malignancy that is progressing or has required active treatment within the past 3 years.
- Known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
- Active autoimmune disease that has required systemic treatment in the past 2 years.
- Active infection requiring systemic therapy.
- Concurrent active HBV or HCV infections.
Trial locations and contacts
77 sites in 20 countries.
77 sites in 20 countries
United States7 sites
University of Maryland-Greenebaum Comprehensive Cancer Center ( Site 0049)
Baltimore, Maryland, 21201
University Hospitals Cleveland Medical Center ( Site 0043)
Cleveland, Ohio, 44106
UCSD Moores Cancer Center ( Site 0039)
La Jolla, California, 92037
UCLA Hematology/Oncology - Santa Monica ( Site 0044)
Los Angeles, California, 90404
University of Miami Hospital and Clinics, Sylvester Cancer Center-Cancer Research Services ( Site 0051)
Miami, Florida, 33136
MEDICAL COLLEGE OF WISCONSIN-Cancer Center Clinical Trials Office ( Site 0020)
Milwaukee, Wisconsin, 53226
Rutgers Cancer Institute of New Jersey ( Site 0033)
New Brunswick, New Jersey, 08903-2681
Chile5 sites
Fundación Arturo López Pérez ( Site 0301)
Santiago, Region M. de Santiago, 7500921
Pontificia Universidad Catolica de Chile ( Site 0303)
Santiago, Region M. de Santiago, 832000
Bradfordhill ( Site 0300)
Santiago, Region M. de Santiago, 8420383
Clinica Universidad Catolica del Maule-Oncology ( Site 0304)
Talca, Maule Region, 3465584
CIDO SpA-Oncology ( Site 0302)
Temuco, Biobio, 4810218
Colombia5 sites
FUNDACION CTIC CENTRO DE TRATAMIENTO E INVESTIGACION SOBRE CANCER LUIS CARLOS SARMIENTO ANGULO ( Site 0406)
Bogotá, Bogota D.C., 110131
Clinica Colsanitas S.A, Sede Clínica Universitaria Colombia ( Site 0402)
Bogotá, Bogota D.C., 111321
Fundación Valle del Lili-Oncology CIC ( Site 0403)
Cali, Valle del Cauca Department, 760032
IMAT S.A.S ( Site 0404)
Montería, Departamento de Córdoba, 230002
Sociedad De Oncología y Hematología Del Cesar SAS-Oncology ( Site 0400)
Valledupar, Cesar Department, 200001
Germany5 sites
Charité Universitaetsmedizin Berlin - Campus Mitte ( Site 0800)
Berlin, 10117
Universitaetsklinikum Hamburg-Eppendorf-Onkologisches Zentrum ( Site 0804)
Hamburg, 20246
Universitaetsklinikum Heidelberg ( Site 0805)
Heidelberg, Baden-Wurttemberg, 69120
klinikum rechts der isar der technischen universität münchen-Urologische Klinik und Poliklinik ( Site 0802)
Munich, Bavaria, 81675
Universitaetsklinikum Tuebingen-Urologie ( Site 0801)
Tübingen, Baden-Wurttemberg, 72076
Spain5 sites
Hospital Universitari Vall d'Hebron-Departamento de Oncologia- VHIO ( Site 1602)
Barcelona, 08035
Institut Català d'Oncologia - L'Hospitalet-Medical Oncology ( Site 1603)
L'Hospitalet de Llobregat, Barcelona, 08908
Hospital Universitario Ramón y Cajal-Medical Oncology ( Site 1600)
Madrid, Madrid, Comunidad de, 28034
Hospital General Universitario Gregorio Marañón ( Site 1601)
Madrid, 28007
Hospital Clinico San Carlos-Oncology Department ( Site 1604)
Madrid, 28040
Turkey (Türkiye)5 sites
Baskent University Dr. Turgut Noyan Research and Training Center-ONCOLOGY ( Site 1802)
Adana, 01250
Hacettepe Universite Hastaneleri-oncology hospital ( Site 1800)
Ankara, 06230
Ankara Bilkent Şehir Hastanesi ( Site 1801)
Ankara, 06800
Istanbul Universitesi Cerrahpasa-Medical Oncology ( Site 1804)
Istanbul, 34668
TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi-oncology ( Site 1803)
Istanbul, 34722
United Kingdom5 sites
Queen Elizabeth Hospital Birmingham ( Site 1903)
Birmingham, B15 2TH
Addenbrooke's Hospital ( Site 1902)
Cambridge, Cambridgeshire, CB2 2QQ
The Beatson West of Scotland Cancer Centre ( Site 1904)
Glasgow, Glasgow City, G12 0YN
University College London Hospital ( Site 1905)
London, London, City of, NW1 2PG
Royal Preston Hospital-Lancashire Clinical Research Facility ( Site 1900)
Preston, Lancashire, PR2 9HT
France4 sites
Institut Bergonié - Centre Régional de Lutte Contre Le Cancer de Bordeaux et Sud Ouest ( Site 0703)
Bordeaux, Aquitaine, 33076
Hôpital Européen Georges Pompidou-Service d'Oncologie Médicale ( Site 0702)
Paris, 75015
Hopitaux Universitaires de Strasbourg ( Site 0700)
Strasbourg, Bas-Rhin, 67200
Gustave Roussy ( Site 0701)
Villejuif, Île-de-France Region, 94805
Italy4 sites
Fondazione IRCCS Istituto Nazionale dei Tumori-Struttura Complessa Oncologia Medica 1 ( Site 1103)
Milan, Lombardy, 20133
Fondazione Policlinico Universitario Agostino Gemelli IRCCS -Medical Oncology ( Site 1102)
Rome, Lazio, 00168
Istituto Clinico Humanitas-U.O di Oncologia medica ed Ematologia ( Site 1101)
Rozzano, Milano, 20089
Azienda Ospedaliera Universitaria Integrata Verona - Ospedal-Centro Ricerche Cliniche di Verona ( Site 1100)
Verona, 37134
Japan4 sites
Kyushu University Hospital ( Site 1204)
Fukuoka, 812-8582
The Jikei University Hospital ( Site 1202)
Mitato, Tokyo, 105-8471
Toho University Sakura Medical Center ( Site 1201)
Sakura, Chiba, 285-8741
Yokohama City University Medical Center ( Site 1203)
Yokohama, Kanagawa, 232-0024
Taiwan4 sites
Chang Gung Memorial Hospital at Kaohsiung-Oncology and Hematology ( Site 1704)
Kaohsiung Niao Sung Dist, Kaohsiung, 83301
China Medical University Hospital ( Site 1703)
Taichung, 404332
Taipei Veterans General Hospital ( Site 1701)
Taipei, 112
Chang Gung Medical Foundation-Linkou Branch-Medical Oncology ( Site 1702)
Taoyuan, 333
Australia3 sites
Gallipoli Medical Research Ltd-GMRF CTU ( Site 0107)
Greenslopes, Queensland, 4120
Macquarie University-MQ Health Clinical Trials Unit ( Site 0108)
Macquarie University, New South Wales, 2109
Peter MacCallum Cancer Centre-Parkville Cancer Clinical Trials Unit (PCCTU) ( Site 0110)
Melbourne, Victoria, 3000
Canada3 sites
Centre Hospitalier de l'Université de Montréal ( Site 0200)
Montreal, Quebec, H2X 3E4
Jewish General Hospital ( Site 0206)
Montreal, Quebec, H3T 1E2
Centre intégré de cancérologie du CHU de Québec Université Laval, Hôpital de l'Enfant-Jésus ( Site 0207)
Québec, Quebec, G1J 1Z4
Finland3 sites
Helsinki University Hospital - Comprehensive Cancer Center (HYKS - Syöpäkeskus) ( Site 0604)
Helsinki, Uusimaa, 00029
Docrates Syöpäsairaala ( Site 0602)
Helsinki, Uusimaa, 00180
Vaasan Keskussairaala ( Site 0603)
Vaasa, Pohjanmaa, 65130
Ireland3 sites
Cork University Hospital ( Site 0902)
Cork, T12 DC4A
St. Vincent's University Hospital ( Site 0901)
Dublin, Dublin, D04 T6F4
Tallaght University Hospital ( Site 0900)
Dublin, D24 NR0A
Israel3 sites
Rambam Health Care Campus-Oncology Division ( Site 1002)
Haifa, 3109601
Rabin Medical Center ( Site 1001)
Petah Tikva, 4941492
Sheba Medical Center ( Site 1000)
Ramat Gan, 5265601
Poland3 sites
Centrum Onkologii im. Prof. Franciszka Lukaszczyka ( Site 1402)
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-796
Uniwersyteckie Centrum Kliniczne ( Site 1405)
Gdansk, Pomeranian Voivodeship, 80-952
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - P-Oddzial Badan Wczesnych Faz ( Site 1400)
Warsaw, Masovian Voivodeship, 02-781
South Korea3 sites
Severance Hospital, Yonsei University Health System-Medical oncology ( Site 1502)
Seoul, 03722
Samsung Medical Center-Division of Hematology/Oncology ( Site 1501)
Seoul, 06351
Asan Medical Center-Oncology ( Site 1500)
Songpagu, Seoul, 05505
Denmark2 sites
Aalborg Universitetshospital, Syd ( Site 0503)
Aalborg, North Denmark, 9000
Herlev and Gentofte Hospital ( Site 0501)
Copenhagen, Capital Region, 2730
About this study
Official title: MK-5684-01A Substudy: A Phase 1/2 Umbrella Substudy of MK-5684-U01 Master Protocol to Evaluate the Safety and Efficacy of MK-5684-based Treatment Combinations or MK-5684 Alone in Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC)
Substudy 01A is part of a larger research study that is testing experimental treatments for metastatic castration-resistant prostate cancer (mCRPC). The larger study is the umbrella study (U01).
The goal of substudy 01A is to evaluate the safety and efficacy of opevesostat-based treatment combinations, or as a single agent, in participants with mCRPC.
This substudy will have two phases: a safety lead-in phase and an efficacy phase. The safety lead-in phase will be used to evaluate the safety and tolerability, and to establish a recommended Phase 2 dose (RP2D) for the opevesostat-based treatment combinations. There will be no hypothesis testing in this study.
- Medical subject headings
- Prostatic Neoplasms, Castration-Resistant
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
OpevesostatDrug
Also called MK-5684
Oral Tablet
OlaparibDrug
Also called LYNPARZA®
Oral Tablet
DocetaxelDrug
Also called TAXOTERE®
IV Infusion
CabazitaxelDrug
Also called JEVTANA®
IV Infusion
Fludrocortisone acetateDrug
Oral Tablet
DexamethasoneDrug
Oral Tablet
PrednisoneDrug
Oral Tablet
| Study group | Role | What they receive |
|---|---|---|
| Arm A1: Opevesostat | Experimental | Participants receive 5 mg of opevesostat twice daily (BID) via oral tablet plus dexamethasone 1.5 mg by oral tablets once daily (QD) and 0.1 mg fludrocortisone acetate by oral tablet QD until progression or discontinuation. Receives: Drug: Opevesostat; Drug: Fludrocortisone acetate; Drug: Dexamethasone |
| Arm A2: Olaparib + Opevesostat | Experimental | Participants receive 5 mg of opevesostat BID via oral tablet plus dexamethasone 1.5 mg by oral tablets QD and 0.1 mg fludrocortisone acetate by oral tablet QD, PLUS 300 mg of olaparib BID via oral tablet until progressive disease or discontinuation. Receives: Drug: Opevesostat; Drug: Olaparib; Drug: Fludrocortisone acetate; Drug: Dexamethasone |
| Arm A3: Docetaxel + Opevesostat | Experimental | Participants receive 5 mg of opevesostat BID via oral tablet plus dexamethasone 1.5 mg by oral tablets QD and 0.1 mg fludrocortisone acetate by oral tablet QD, PLUS 75 mg/m^2 of docetaxel once every 3 weeks (Q3W) via IV infusion, plus prednisone per approved product label BID by oral tablets until progressive disease or discontinuation. Receives: Drug: Opevesostat; Drug: Docetaxel; Drug: Fludrocortisone acetate; Drug: Dexamethasone; Drug: Prednisone |
| Arm A4: Cabazitaxel + Opevesostat | Experimental | Participants receive 5 mg of opevesostat BID via oral tablet plus dexamethasone 1.5 mg by oral tablets QD and 0.1 mg fludrocortisone acetate by oral tablet QD, PLUS 20 mg/m^2 of cabazitaxel Q3W via IV infusion, plus prednisone per approved product label BID by oral tablets until progressive disease or discontinuation. Receives: Drug: Opevesostat; Drug: Cabazitaxel; Drug: Fludrocortisone acetate; Drug: Dexamethasone; Drug: Prednisone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of participants who experience one or more dose-limiting toxicities (DLTs)
The following events, if considered drug related by the investigator, will be considered a DLT: Grade 4 nonhematologic toxicity (not laboratory value); Grade 4 hematologic toxicity lasting >7 days, except thrombocytopenia (Grade 4 thrombocytopenia of any duration, Grade 3 thrombocytopenia associated with clinically significant bleeding); Any nonhematologic adverse event (AE) >Grade 3 in severity should be considered a DLT (with exceptions); Any Grade 3 or Grade 4 nonhematologic laboratory value (if certain criteria are met); Febrile neutropenia Grade 3 or Grade 4; Prolonged delay (>2 weeks) in initiating treatment after the first 28 days due to study intervention-related toxicity; Missing >25% of study intervention doses as a result of drug-related AE(s) during the first 28 days; Grade 5 toxicity.
Measured: Up to approximately 28 days
Number of participants who experience one or more adverse events (AEs)
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Measured: Up to approximately 46 months
Number of participants who discontinue study intervention due to an AE
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Measured: Up to approximately 46 months
Prostate-specific antigen (PSA) response rate
The Prostate-specific Antigen (PSA) response rate is the percentage of participants who had PSA response defined as a reduction in the PSA level from baseline by ≥50%. The reduction in PSA level will be confirmed by an additional PSA evaluation performed ≥3 weeks from the original response per Prostate Cancer Working Group (PCWG) criteria.
Measured: Up to approximately 46 months
Secondary outcomes (6)
Objective response rate (ORR)
The ORR is defined as the percentage of participants with complete response (CR: disappearance of all target lesions per Response Criteria in Solid Tumors version 1.1 (RECIST 1.1); and no evidence of disease (NED) on base scan per Prostate Cancer Working Group (PCWG) or partial response (PR: at least a 30% decrease in the sum of diameters of target lesions per RECIST 1.1; and non-progressive disease, non-evaluable [NE], or NED on bone scan or CR with non-progressive disease or NE bone scan per PCWG). ORR will be assessed by Blinded Independent Central Review (BICR).
Measured: Up to approximately 46 months
Radiographic progression-free survival (rPFS)
rPFS is defined as the time from randomization to occurrence of: radiological tumor progression using RECIST 1.1 as assessed by BICR; progression of bone lesions using PCWG criteria; or death due to any cause. Progression as per modified RECIST 1.1 is ≥20% increase in the sum of diameters of target lesions and progression of existing non-target lesions. Progression of bone lesions by PCWG criteria is the appearance of ≥2 new bone lesions on bone scan, that have been confirmed to not represent tumor flare, and are persistent for ≥6 weeks. rPFS will be assessed by BICR.
Measured: Up to approximately 46 months
Overall survival (OS)
OS is defined as the time from randomization to death due to any cause.
Measured: Up to approximately 46 months
Duration of response (DOR)
DOR is defined as the time from first documented evidence of complete response (CR) or partial response (PR) per PCWG and RECIST 1.1 criteria until progressive disease (PD) or death. PD per RECIST 1.1 is defined as at least a 20% increase in the sum of diameters of target lesions. In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of a least 5 mm. PD per PCWG is the appearance of >2 new bone lesions on bone scan, that have been confirmed to not represent tumor flare, and are persistent for >6 weeks. DOR will be assessed by BICR.
Measured: Up to approximately 46 months
Time to first subsequent anticancer therapy (TFST)
TFST is defined as the time from randomization to initiation of the first subsequent anticancer therapy or death, whichever occurs first.
Measured: Up to approximately 46 months
Time to pain progression (TTPP)
TTPP is defined as the time from randomization to pain progression based on the Brief Pain Inventory-Short Form (BPI-SF) Item 3 "worst pain in 24 hours" and by opiate analgesic use.
Measured: Up to approximately 46 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Apr 2024
- Study start20 May 2024
- Primary completion15 Jan 2029 (estimated)
- Study completion15 Jan 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Prostatic Neoplasms, Castration-ResistantStudies of the same condition, open and under way.
- More trials run by Merck Sharp & Dohme LLCThe 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 1/2
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 220 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Merck Sharp & Dohme LLC
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Orion Corporation, Orion Pharma
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, Merck Sharp & Dohme LLC
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06353386
- Sponsor's protocol ID
- 5684-01A
- Other IDs
- MK-5684-01A, 2023-506288-33-00, U1111-1292-6912, jRCT2031240224, 2023
- Status last verified
- Oct 2026
- First submitted
- 3 Apr 2024
- Last updated
- 29 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
Study at a glance
From the registry record, last updated by the sponsor on 29 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- MK-5684-01A Substudy: A Phase 1/2 Umbrella Substudy of MK-5684-U01 Master Protocol to Evaluate the Safety and Efficacy of MK-5684-based Treatment Combinations or MK-5684 Alone in Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC)
- ClinicalTrials.gov ID
- NCT06353386
- Acronym / sponsor ID
- 5684-01A
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 220 participants (estimated)
- Lead sponsor
- Merck Sharp & Dohme LLCIndustry (pharma, biotech, devices)
- Collaborators
- Orion Corporation, Orion Pharma
- Study start
- 20 May 2024 (actual)
- Primary completion
- 15 Jan 2029 (estimated)
- Study completion
- 15 Jan 2029 (estimated)
- First posted
- 9 Apr 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Substudy 01A is part of a larger research study that is testing experimental treatments for metastatic castration-resistant prostate cancer (mCRPC). The larger study is the umbrella study (U01).
The goal of substudy 01A is to evaluate the safety and efficacy of opevesostat-based treatment combinations, or as a single agent, in participants with mCRPC.
This substudy will have two phases: a safety lead-in phase and an efficacy phase. The safety lead-in phase will be used to evaluate the safety and tolerability, and to establish a recommended Phase 2 dose (RP2D) for the opevesostat-based treatment combinations. There will be no hypothesis testing in this study.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Arm A1: Opevesostat | Experimental | Drug: Opevesostat, Drug: Fludrocortisone acetate, Drug: DexamethasoneParticipants receive 5 mg of opevesostat twice daily (BID) via oral tablet plus dexamethasone 1.5 mg by oral tablets once daily (QD) and 0.1 mg fludrocortisone acetate by oral tablet QD until progression or discontinuation. |
| Arm A2: Olaparib + Opevesostat | Experimental | Drug: Opevesostat, Drug: Olaparib, Drug: Fludrocortisone acetate, Drug: DexamethasoneParticipants receive 5 mg of opevesostat BID via oral tablet plus dexamethasone 1.5 mg by oral tablets QD and 0.1 mg fludrocortisone acetate by oral tablet QD, PLUS 300 mg of olaparib BID via oral tablet until progressive disease or discontinuation. |
| Arm A3: Docetaxel + Opevesostat | Experimental | Drug: Opevesostat, Drug: Docetaxel, Drug: Fludrocortisone acetate, Drug: Dexamethasone, Drug: PrednisoneParticipants receive 5 mg of opevesostat BID via oral tablet plus dexamethasone 1.5 mg by oral tablets QD and 0.1 mg fludrocortisone acetate by oral tablet QD, PLUS 75 mg/m^2 of docetaxel once every 3 weeks (Q3W) via IV infusion, plus prednisone per approved product label BID by oral tablets until progressive disease or discontinuation. |
| Arm A4: Cabazitaxel + Opevesostat | Experimental | Drug: Opevesostat, Drug: Cabazitaxel, Drug: Fludrocortisone acetate, Drug: Dexamethasone, Drug: PrednisoneParticipants receive 5 mg of opevesostat BID via oral tablet plus dexamethasone 1.5 mg by oral tablets QD and 0.1 mg fludrocortisone acetate by oral tablet QD, PLUS 20 mg/m^2 of cabazitaxel Q3W via IV infusion, plus prednisone per approved product label BID by oral tablets until progressive disease or discontinuation. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Histologically or cytologically confirmed diagnosis of adenocarcinoma of the prostate without small cell histology.
- Prostate cancer progression and received androgen deprivation therapy (ADT) or post bilateral orchiectomy within 6 months before screening.
- Evidence of disease progression from either, >4 weeks from last flutamide treatment, or >6 weeks from last bicalutamide or nilutamide treatment, if receiving first generation anti-androgen therapy as last treatment therapy.
- Current evidence of metastatic disease.
- Prior treatment with 1 to 2 novel hormonal agent(s) (NHA) for non-metastatic, or metastatic, hormone-sensitive prostate cancer or castration-resistant prostate cancer and have disease progression during or after treatment.
Key exclusion criteria (21 listed)
- History of pituitary dysfunction.
- Poorly controlled diabetes mellitus.
- Active or unstable cardio/cerebro-vascular disease, including thromboembolic events and history of stroke or transient ischemic attack within 6 months before the first dose of study intervention, history of myocardial infarction within 6 months before the first dose of study intervention, New York Heart Association Class III or IV cardiac disease or congestive heart failure, coronary heart disease that is symptomatic, or unstable angina
- History or family history of long corrected QT interval (QTc) syndrome.
- Myelodysplastic syndrome (MDS)/acute myeloid leukemia (AML) or features suggestive of MDS/AML.
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 |
|---|---|---|
| OpevesostatAlso: MK-5684Oral Tablet | Drug | Arm A1: Opevesostat, Arm A2: Olaparib + Opevesostat, Arm A3: Docetaxel + Opevesostat, Arm A4: Cabazitaxel + Opevesostat |
| OlaparibAlso: LYNPARZA®Oral Tablet | Drug | Arm A2: Olaparib + Opevesostat |
| DocetaxelAlso: TAXOTERE®IV Infusion | Drug | Arm A3: Docetaxel + Opevesostat |
| CabazitaxelAlso: JEVTANA®IV Infusion | Drug | Arm A4: Cabazitaxel + Opevesostat |
| Fludrocortisone acetateOral Tablet | Drug | Arm A1: Opevesostat, Arm A2: Olaparib + Opevesostat, Arm A3: Docetaxel + Opevesostat, Arm A4: Cabazitaxel + Opevesostat |
| DexamethasoneOral Tablet | Drug | Arm A1: Opevesostat, Arm A2: Olaparib + Opevesostat, Arm A3: Docetaxel + Opevesostat, Arm A4: Cabazitaxel + Opevesostat |
| PrednisoneOral Tablet | Drug | Arm A3: Docetaxel + Opevesostat, Arm A4: Cabazitaxel + Opevesostat |
Primary outcome
Number of participants who experience one or more dose-limiting toxicities (DLTs)
Time frame: Up to approximately 28 days
The following events, if considered drug related by the investigator, will be considered a DLT: Grade 4 nonhematologic toxicity (not laboratory value); Grade 4 hematologic toxicity lasting >7 days, except thrombocytopenia (Grade 4 thrombocytopenia of any duration, Grade 3 thrombocytopenia associated with clinically significant bleeding); Any nonhematologic adverse event (AE) >Grade 3 in severity should be considered a DLT (with exceptions); Any Grade 3 or Grade 4 nonhematologic laboratory value (if certain criteria are met); Febrile neutropenia Grade 3 or Grade 4; Prolonged delay (>2 weeks) in initiating treatment after the first 28 days due to study intervention-related toxicity; Missing >25% of study intervention doses as a result of drug-related AE(s) during the first 28 days; Grade 5 toxicity.
Number of participants who experience one or more adverse events (AEs)
Time frame: Up to approximately 46 months
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Number of participants who discontinue study intervention due to an AE
Time frame: Up to approximately 46 months
An AE is any untoward medical occurrence in a clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention.
Prostate-specific antigen (PSA) response rate
Time frame: Up to approximately 46 months
The Prostate-specific Antigen (PSA) response rate is the percentage of participants who had PSA response defined as a reduction in the PSA level from baseline by ≥50%. The reduction in PSA level will be confirmed by an additional PSA evaluation performed ≥3 weeks from the original response per Prostate Cancer Working Group (PCWG) criteria.
6 secondary outcomes
Objective response rate (ORR)
Time frame: Up to approximately 46 months
Radiographic progression-free survival (rPFS)
Time frame: Up to approximately 46 months
Overall survival (OS)
Time frame: Up to approximately 46 months
Duration of response (DOR)
Time frame: Up to approximately 46 months
Time to first subsequent anticancer therapy (TFST)
Time frame: Up to approximately 46 months
Time to pain progression (TTPP)
Time frame: Up to approximately 46 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Oct 2026.
- Merck Clinical Trials InformationLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. https://trialstransparency.msdclinicaltrials.com/pdf/ProcedureAccessClinicalTrialData.pdf
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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.
Medical Director study director
Merck Sharp & Dohme LLC
77 sites in 20 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Opevesostat, Olaparib and Docetaxel in people with Prostatic Neoplasms, Castration-Resistant, run by Merck Sharp & Dohme LLC at 77 sites in 20 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 11 inclusion and 21 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 29 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 77 sites in United States, Chile, Colombia, Germany, Spain and 15 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 combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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?
Number of participants who experience one or more dose-limiting toxicities (DLTs) (time frame: Up to approximately 28 days). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 29 Oct 2026.