Metastatic Castration-resistant Prostate CancerPhase 3rechARgeNCT06764485
A Study to Compare the Efficacy and Safety of BMS-986365 Versus the Investigator's Choice of Therapy in Participants With Metastatic Castration-resistant Prostate Cancer
A Phase 3 study testing BMS-986365, Enzalutamide and Abiraterone in people with Metastatic Castration-resistant Prostate Cancer, run by Celgene at 227 sites in 26 countries.
Trial summary
The purpose of this study is to compare the efficacy and safety of BMS-986365 versus the investigator's choice of therapy in participants with Metastatic Castration-resistant Prostate Cancer. Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Metastatic Castration-resistant Prostate Cancer
- What is being tested?
- BMS-986365, Enzalutamide and Abiraterone
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 960 participants
- Where
- 227 sitesin 26 countries
- Study dates
- 13 Mar 2025to 19 Jan 2029
- Phase
- Phase 3
- 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
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participants must have histologic or cytologic confirmation of adenocarcinoma of the prostate without small cell or neuro-endocrine features.
- Participants must have current evidence of metastatic disease documented by either bone lesions on radionuclide bone scan and/or soft tissue lesions on computed tomography/magnetic resonance imaging (CT/MRI).
- Participants must be asymptomatic or mildly symptomatic from prostate cancer with score on Brief Pain Inventory - Short Form (BPI-SF) that must be < 4.
- Participants must have had previous treatment with an androgen receptor pathway inhibitor (abiraterone, enzalutamide, apalutamide, or darolutamide).
Who cannot join
- Participants must not have impaired cardiac function or clinically significant cardiac disease.
- Participants must not have any brain metastasis.
- Participants must not have any liver metastasis.
- Participants with superscan on technetium-99m (Tc-99m) radionuclide bone scans.
- Other protocol-defined Inclusion/Exclusion criteria apply.
Trial locations and contacts
227 sites in 26 countries.
227 sites in 26 countries
United States48 sites
Local Institution - 0081
Albuquerque, New Mexico, 87106
Local Institution - 0334
Albuquerque, New Mexico, 87109
Local Institution - 0370
Anaheim, California, 92801
Local Institution - 0077
Athens, Georgia, 30607
Local Institution - 0238
Aurora, Colorado, 80045
Local Institution - 0018
Austin, Texas, 78705
Local Institution - 0114
Austin, Texas, 78745
Local Institution - 0054
Baltimore, Maryland, 21204
Local Institution - 0019
Baltimore, Maryland, 21287
Local Institution - 0330
Birmingham, Alabama, 35209
Local Institution - 0197
Buffalo, New York, 14263
Local Institution - 0055
Charleston, South Carolina, 29425
Local Institution - 0050
Charlottesville, Virginia, 22903
Local Institution - 0048
Chicago, Illinois, 60611
Local Institution - 0056
Columbus, Ohio, 43210
Local Institution - 0294
Denver, Colorado, 80218
Local Institution - 0344
Frederick, Maryland, 21702
Local Institution - 0329
Gilbert, Arizona, 85234
Local Institution - 0042
Houston, Texas, 77030
Local Institution - 0220
Houston, Texas, 77030
Local Institution - 0015
La Jolla, California, 92093
Local Institution - 0426
Lakeland, Florida, 33805
Local Institution - 0419
Lakewood, Colorado, 80228
Local Institution - 0224
Los Alamitos, California, 90720
Local Institution - 0112
Milwaukee, Wisconsin, 53226
Local Institution - 0412
Mineola, New York, 11501
Local Institution - 0109
Murray, Utah, 84107
Local Institution - 0079
Myrtle Beach, South Carolina, 29572
Local Institution - 0335
Nashville, Tennessee, 37203
Local Institution - 0069
New York, New York, 10016
Local Institution - 0076
New York, New York, 10029
Local Institution - 0085
New York, New York, 10032
Local Institution - 0071
New York, New York, 10065
Local Institution - 0345
Philadelphia, Pennsylvania, 19104
Local Institution - 0414
Philadelphia, Pennsylvania, 19107
Local Institution - 0057
Philadelphia, Pennsylvania, 19111
Local Institution - 0067
Portland, Oregon, 97213
Local Institution - 0416
Portland, Oregon, 97225
Local Institution - 0016
San Francisco, California, 94115
Local Institution - 0411
San Francisco, California, 94121
Local Institution - 0078
Seattle, Washington, 98109
Local Institution - 0429
Sewell, New Jersey, 08080
Local Institution - 0225
Syracuse, New York, 13210
Local Institution - 0293
Vancouver, Washington, 98684
Local Institution - 0413
Washington D.C., District of Columbia, 20016
Local Institution - 0331
Westwood, Kansas, 66205
Local Institution - 0060
Wichita, Kansas, 67226
Local Institution - 0349
Willow Grove, Pennsylvania, 19090
Spain22 sites
Local Institution - 0320
Badajoz, 06006
Local Institution - 0325
Barakaldo, Bizkaia, 48903
Local Institution - 0310
Barcelona, Barcelona [Barcelona], 08035
Local Institution - 0315
Barcelona, Catalunya [Cataluña], 08041
Local Institution - 0328
Burgos, 09006
Local Institution - 0312
Córdoba, Andalusia, 14004
Local Institution - 0318
Granada, 18008
Local Institution - 0319
Lugo, Lugo [Lugo], 27003
Local Institution - 0321
Madrid, Madrid, Comunidad de, 28009
Local Institution - 0316
Madrid, Madrid, Comunidad de, 28034
Local Institution - 0317
Madrid, Madrid, Comunidad de, 28041
Local Institution - 0323
Madrid, Madrid, Comunidad de, 28046
Local Institution - 0309
Madrid, 28040
Local Institution - 0326
Majadahonda, Madrid, Comunidad de, 28222
Local Institution - 0327
Málaga, 29016
Local Institution - 0407
Ourense, Ourense [Orense], 32005
Local Institution - 0406
Pamplona, Navarre, 31009
Local Institution - 0311
Sabadell, Barcelona [Barcelona], 08208
Local Institution - 0314
Santander, Cantabria, 39008
Local Institution - 0322
Seville, 41009
Local Institution - 0313
Seville, 41013
Local Institution - 0324
Valencia, 46026
China20 sites
Local Institution - 0192
Beijing, Beijing Municipality, 100034
Local Institution - 0417
Changzhou, Jiangsu, 213003
Local Institution - 0240
Chengdu, Sichuan, 610041
Local Institution - 0278
Chengdu, Sichuan, 610041
Local Institution - 0283
Chengdu, Sichuan, 610072
Local Institution - 0249
Fuzhou, Fujian, 350001
Local Institution - 0226
Guangzhou, Guangdong, 510060
Local Institution - 0180
Guangzhou, Guangdong, 510180
Local Institution - 0196
Hangzhou, Zhejiang, 310014
Local Institution - 0232
Hefei, Anhui, 230000
Local Institution - 0415
Huizhou, Guangdong, 516001
Local Institution - 0191
Jinan, Shandong, 250117
Local Institution - 0281
Linhai, Zhejiang, 317000
Local Institution - 0219
Nanchang, Jiangxi, 330209
Local Institution - 0233
Nanjing, Jiangsu, 210000
Local Institution - 0229
Nanjing, Jiangsu, 210009
Local Institution - 0214
Shanghai, Shanghai Municipality, 200032
Local Institution - 0218
Ürümqi, Xinjiang, 830000
Local Institution - 0213
Xiamen, Fujian, 361003
Local Institution - 0221
Yantai, Shandong, 264099
Australia16 sites
Local Institution - 0362
Adelaide, South Australia, 5000
Local Institution - 0366
Campbelltown, New South Wales, 2560
Local Institution - 0359
Darlinghurst, New South Wales, 2010
Local Institution - 0358
Elizabeth Vale, South Australia, 5112
Local Institution - 0347
Greenslopes, Queensland, 4120
Local Institution - 0363
Heidelberg, Victoria, 3084
Local Institution - 0354
Hobart, Tasmania, 7000
Local Institution - 0352
Kurralta Park, South Australia, 5037
Local Institution - 0356
Macquarie University, New South Wales, 2109
Local Institution - 0353
Malvern, Victoria, 3144
Local Institution - 0348
Melbourne, Victoria, 3000
Local Institution - 0361
Melbourne, Victoria, 3004
Local Institution - 0357
Murdoch, Western Australia, 6150
Local Institution - 0360
Port Macquarie, New South Wales, 2444
Local Institution - 0351
Southport, Queensland, 4215
Local Institution - 0355
Wahroonga, New South Wales, 2076
Germany11 sites
Local Institution - 0382
Bonn, 53127
Local Institution - 0375
Essen, 45122
Local Institution - 0378
Hamburg, 20246
Local Institution - 0379
Heidelberg, D-69120
Local Institution - 0377
Herne, 44625
Local Institution - 0380
Jena, Thuringia, 07747
Local Institution - 0371
Lübeck, Schleswig-Holstein, 23538
Local Institution - 0374
München, Bavaria, 81675
Local Institution - 0421
Nürtingen, Baden-Wurttemberg, 72622
Local Institution - 0376
Tübingen, 72076
Local Institution - 0372
Würzburg, 97080
Canada9 sites
Local Institution - 0093
Chicoutimi, Quebec, G7H 5H6
Local Institution - 0151
Halifax, Nova Scotia, B3H 2Y9
Local Institution - 0304
Kelowna, British Columbia, V1Y 5L3
Local Institution - 0149
Montreal, Quebec, H3T 1E2
Local Institution - 0305
Montreal, Quebec, H4A 3J1
Local Institution - 0150
Québec, Quebec, G1J 1Z4
Local Institution - 0164
Rimouski, Quebec, G5L 5T1
Local Institution - 0193
Toronto, Ontario, M4N 3M5
Local Institution - 0152
Vancouver, British Columbia, V5Z 4E6
France9 sites
Local Institution - 0165
Clermont-Ferrand, 63011
Local Institution - 0432
Dijon, Côte-d'Or, 21079
Local Institution - 0231
Le Mans, Sarthe, 72000
Local Institution - 0167
Nice, Alpes-Maritimes, 06189
Local Institution - 0166
Pierre-Bénite, Rhône, 69310
Local Institution - 0169
Strasbourg, 67098
Local Institution - 0307
Toulouse, Haute-Garonne, 31059
Local Institution - 0177
Vandœuvre-lès-Nancy, Lorraine, 54519
Local Institution - 0179
Villejuif, Val-de-Marne, 94800
Italy9 sites
Local Institution - 0156
Arezzo, 52100
Local Institution - 0409
Foggia, 71100
Local Institution - 0157
Milan, Lombardy, 20133
Local Institution - 0160
Naples, 80131
Local Institution - 0234
Orbassano, Piedmont, 10043
Local Institution - 0153
Padova, Veneto, 35128
Local Institution - 0155
Rome, Roma, 00144
Local Institution - 0159
Terni, 05100
Local Institution - 0158
Trento, 38122
Argentina8 sites
Local Institution - 0128
ABB, Buenos Aires F.D., C1199ABB
Local Institution - 0129
Buenos Aires, C1419AHN
Local Institution - 0125
CABA, Buenos Aires, CP1280AEB
Local Institution - 0124
Ciudad Autónoma de Buenos Aires, Buenos Aires, C1426ANZ
Local Institution - 0235
Córdoba, Córdoba Province, X5004BAL
Local Institution - 0430
Córdoba, 5016
Local Institution - 0130
Río Cuarto, Córdoba Province, X5800AEV
Local Institution - 0136
Viedma, R, R8500ACE
Poland8 sites
Local Institution - 0189
Bydgoszcz, 85796
Local Institution - 0185
Bytom, Silesian Voivodeship, 41-902
Local Institution - 0186
Gdansk, Pomeranian Voivodeship, 80-219
Local Institution - 0336
Katowice, 40-519
Local Institution - 0190
Opole, Opole Voivodeship, 45-061
Local Institution - 0365
Poznan, Greater Poland Voivodeship, 60-192
Local Institution - 0187
Warsaw, Masovian Voivodeship, 02-507
Local Institution - 0346
Wroclaw, Lower Silesian Voivodeship, 53-329
Czechia6 sites
Local Institution - 0008
Brno, Brno-město, 656 53
Local Institution - 0005
Hradec Králové, Hradec Králové, 500 05
Local Institution - 0010
Olomouc, Olomouc Region, 779 00
Local Institution - 0009
Prague, Praha 2, 120 00
Local Institution - 0004
Prague, Praha 5, 150 06
Local Institution - 0006
Prague, 128 08
Mexico6 sites
Local Institution - 0122
Chihuahua City, 31203
Local Institution - 0120
Guadalajara, Jalisco, 44280
Local Institution - 0001
Guadalajara, Jalisco, 44670
Local Institution - 0121
Mexico City, DIF, 14080
Local Institution - 0002
Monterrey, Nuevo León, 64460
Local Institution - 0119
Puebla City, 72424
South Korea6 sites
Local Institution - 0389
Goyang-si, Kyǒnggi-do, 10408
Local Institution - 0386
Seongnam, Kyǒnggi-do, 13620
Local Institution - 0385
Seoul, Seoul-teukbyeolsi [Seoul], 03080
Local Institution - 0387
Seoul, Seoul-teukbyeolsi [Seoul], 03722
Local Institution - 0388
Seoul, Seoul-teukbyeolsi [Seoul], 05505
Local Institution - 0384
Seoul, Seoul-teukbyeolsi [Seoul], 06351
Brazil5 sites
Local Institution - 0025
Belo Horizonte, Minas Gerais, 30110-022
Local Institution - 0035
Natal, Rio Grande do Norte, 59075-740
Local Institution - 0026
Porto Alegre, Rio Grande do Sul, 90035-001
Local Institution - 0395
São Paulo, São Paulo, 01308-060
Local Institution - 0031
São Paulo, São Paulo, 01509-010
Israel5 sites
Local Institution - 0209
Haifa, Northern District, 3109601
Local Institution - 0206
Kfar Saba, Central District, 4428164
Local Institution - 0208
Petah Tikva, Central District, 4941492
Local Institution - 0207
Ramat Gan, Central District, 5265601
Local Institution - 0210
Tsrifin, Central District, 70300
Romania5 sites
Local Institution - 0144
Cluj-Napoca, 400015
Local Institution - 0145
Cluj-Napoca, 400015
Local Institution - 0139
Craiova, Dolj, 200542
Local Institution - 0141
Iași, 700483
Local Institution - 0142
Ploieşti, 100337
United Kingdom5 sites
Local Institution - 0393
Glasgow, Glasgow City, G12 0YN
Local Institution - 0266
London, London, City of, EC1A 7BE
Local Institution - 0391
London, Sutton, SM2 5PT
Local Institution - 0248
Manchester, M20 4BX
Local Institution - 0383
Northwood, Hillingdon, HA6 2RN
Austria4 sites
Local Institution - 0369
Krems, Lower Austria, 3500
Local Institution - 0373
Linz, Upper Austria, 4020
Local Institution - 0367
Salzburg, 5020
Local Institution - 0368
Vienna, 1090
Chile4 sites
Local Institution - 0135
Santiago, Santiago Metropolitan, 7500921
Local Institution - 0132
Santiago, Santiago Metropolitan, 8420383
Local Institution - 0236
Valdivia, Los Ríos Region, 5112129
Local Institution - 0127
Viña del Mar, Valparaiso, 2520598
Denmark4 sites
Local Institution - 0100
Aalborg, North Denmark, 9000
Local Institution - 0396
Aarhus, Central Jutland, 8200
Local Institution - 0243
Copenhagen, Capital Region, 2730
Local Institution - 0098
Copenhagen, Capital Region, DK-2100
Finland4 sites
Local Institution - 0096
Kuopio, Northern Savonia, 70210
Local Institution - 0101
Oulu, 90220
Local Institution - 0285
Tampere, Pirkanmaa, 33520
Local Institution - 0242
Turku, Southwest Finland, 20521
Sweden4 sites
Local Institution - 0095
Gothenburg, Västra Götalands Län [se-14], 413 45
Local Institution - 0099
Lund, Skåne Län [se-12], 22185
Local Institution - 0408
Solna, Stockholms Län [se-01], 171 64
Local Institution - 0097
Uppsala, Uppsala Län [se-03], 751 85
Taiwan4 sites
Local Institution - 0398
Taichung, 404332
Local Institution - 0399
Taipei, 10002
Local Institution - 0397
Taipei, 11217
Local Institution - 0420
Taoyuan, 333
Ireland3 sites
Local Institution - 0271
Cork, T12 DC4A
Local Institution - 0272
Dublin, D24 NR0A
Local Institution - 0273
Dublin, D9
About this study
Official title: A Phase 3, Two-part, Randomized, Open-label, Adaptive Study Comparing BMS-986365 Versus Investigator's Choice of Therapy Comprising Either Docetaxel or Second Androgen Receptor Pathway Inhibitor (ARPI), in Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) - rechARge
The purpose of this study is to compare the efficacy and safety of BMS-986365 versus the investigator's choice of therapy in participants with Metastatic Castration-resistant Prostate Cancer.
Read the detailed description
The primary objective of this clinical trial is to assess the radiographic progression free survival (rPFS) of BMS-986365 versus investigator's choice comprising Docetaxel + Prednisone/Prednisolone or Abiraterone + Prednisone/Prednisolone or Enzalutamide.
In Part 1, participants will be randomized 1:1:1 to one of the two BMS-986365 dose levels, or to the active comparator arm (investigator's choice). In Part 2 of the study, participants will be randomized 1:1 between BMS-986365 selected dose, or to the active comparator arm (investigator's choice).
- Being tested
- BMS-986365, Enzalutamide, Abiraterone, Docetaxel, Predinsone/Prednisolone
- Keywords
- Prostate cancer, Protein degrader, Protein degradation, Androgen receptor, Castrate resistant prostate cancer, Castration resistant prostate cancer, Hormone resistant, Metastatic hormone resistant prostate cancer, Metastatic castrate resistant prostate cancer, Metastatic castration resistant prostate cancer, BMS-986365, CC-94676, CA071-1000, CA0711000, rechARge, Abiraterone, Docetaxel, Enzalutamide
- Medical subject headings
- Prostatic Neoplasms, Bulbo-Spinal Atrophy, X-Linked
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
BMS-986365Drug
Specified dose on specified days
EnzalutamideDrug
Specified dose on specified days
AbirateroneDrug
Specified dose on specified days
DocetaxelDrug
Specified dose on specified days
Predinsone/PrednisoloneDrug
Specified dose on specified days
| Study group | Role | What they receive |
|---|---|---|
| Part 1: Dose 1 | Experimental | Not described Receives: Drug: BMS-986365 |
| Part 1: Dose 2 | Experimental | Not described Receives: Drug: BMS-986365 |
| Part 1: Comparator 1 | Active comparator | Enzalutamide or Abiraterone Acetate + Prednisone/Prednisolone Receives: Drug: Enzalutamide; Drug: Abiraterone; Drug: Predinsone/Prednisolone |
| Part 1: Comparator 2 | Active comparator | Not described Receives: Drug: Docetaxel; Drug: Predinsone/Prednisolone |
| Part 2: Dose Selected | Experimental | Not described Receives: Drug: BMS-986365 |
| Part 2: Comparator 1 | Active comparator | Enzalutamide or Abiraterone Acetate + Prednisone/Prednisolone Receives: Drug: Enzalutamide; Drug: Abiraterone; Drug: Predinsone/Prednisolone |
| Part 2: Comparator 2 | Active comparator | Not described Receives: Drug: Docetaxel; Drug: Predinsone/Prednisolone |
What is being measured
The primary outcome is the main question the study is designed to answer.
Radiographic progression-free survival (rPFS) by blinded independent central review (BICR) using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 (soft tissue) and Prostate Cancer Clinical Trials Working Group 3 (PCWG3) (bone) criteria
Measured: Up to 4 years
Secondary outcomes (19)
Overall Survival (OS)
Measured: Up to 4 years
Recommended dose of BMS-986365 for Part 2
Measured: Up to approximately 1.5 years
Progression-free survival (PFS)
Measured: Up to 4 years
Confirmed overall response rate (ORR) by BICR assessment in participants with measurable disease using RECIST 1.1 (soft tissue) and PCWG3 (bone) criteria
Measured: Up to 4 years
Time to pain progression (TTPP)
Measured: Up to 4 years
Time to symptomatic progression (TTSP)
Measured: Up to 4 years
Time to initiation of the first subsequent systemic therapy (TFST)
Measured: Up to 4 years
Prostate-specific antigen (PSA) response rate
Measured: Up to 4 years
Change from baseline in Functional Assessment of Cancer Therapy - Prostate Cancer (FACT-P) total scores
Measured: Up to 4 years
Change from baseline in Prostate Cancer Subscale (PCS) scores
Measured: Up to 4 years
Change from baseline in trial outcome index (TOI)
Measured: Up to 4 years
Change from baseline in Brief Pain Inventory - Short Form (BPI-SF) worst pain (item #3) intensity
Measured: Up to 4 years
Incidence of adverse events (AEs)
Measured: Up to 4 years
Incidence of serious adverse events (SAEs)
Measured: Up to 4 years
Incidence of AEs leading to dose modifications
Measured: Up to 4 years
Incidence of AEs leading to interruptions
Measured: Up to 4 years
Incidence of AEs leading to discontinuation
Measured: Up to 4 years
Electrocardiogram (ECG) findings
ECG Findings defined as :
- Number of Postbaseline Abnormal Corrected QT (QTc) Values
- Number of abnormal Beats Per Minute (BPM)
Measured: Up to 4 years
Incidence of laboratory abnormalities
Measured: Up to 4 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Jan 2025
- Study start13 Mar 2025
- Primary completion12 Sep 2027 (estimated)
- Study completion19 Jan 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Metastatic Castration-resistant Prostate CancerStudies of the same condition, open and under way.
- More trials run by CelgeneThe 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
- Masking
- None (open label)
- Enrolment
- 960 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Celgene
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Bristol-Myers Squibb, Study director, Bristol-Myers Squibb
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06764485
- Sponsor's protocol ID
- CA071-1000
- Other IDs
- 2024-517422-25, U1111-1311-0532
- Acronym
- rechARge
- Status last verified
- Sep 2026
- First submitted
- 17 Dec 2024
- Last updated
- 30 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
Publications
Rathkopf DE, Patel MR, Choudhury AD, Rasco D, Lakhani N, Hawley JE, Srinivas S, Aparicio A, Narayan V, Runcie KD, Emamekhoo H, Reichert ZR, Nguyen MH, Wells AL, Kandimalla R, Liu C, Suryawanshi S, Han J, Wu J, Arora VK, Pourdehnad M, Armstrong AJ. Safety and clinical activity of BMS-986365 (CC-94676), a dual androgen receptor ligand-directed degrader and antagonist, in heavily pretreated patients with metastatic castration-resistant prostate cancer. Ann Oncol. 2025 Jan;36(1):76-88. doi: 10.1016/j.annonc.2024.09.005. Epub 2024 Sep 16.
PubMed 39293515Nayak S, Norris JD, Ammirante M, Rychak E, Wardell SE, Liao D, Toyama B, Kandimalla R, Christoforou A, Tsuji T, Liu K, Tran M, Meiring J, Reiss S, Piccotti JR, Baughman JM, Fontanillo C, Khater M, Mortensen DS, Cathers B, Bence N, Pierce DW, Plantevin-Krenitsky V, Rathkopf D, Hansen JD, Hamann LG, Narla RK, Arora VK, McDonnell DP, Rolfe M, Xu S. Discovery of BMS-986365, a First-in-Class Dual Androgen Receptor Ligand-Directed Degrader and Antagonist, for the Treatment of Advanced Prostate Cancer. Clin Cancer Res. 2026 Jan 6;32(1):224-241. doi: 10.1158/1078-0432.CCR-25-0471.
PubMed 40788283Chi KN, McKay RR, Sandhu S, Arranz JA, Barthelemy P, Hadaschik B, Matsubara N, Shore ND, Ye D, Cascella T, Irincheeva I, Kreiser S, Thiery-Vuillemin A, Rathkopf DE. rechARge: a randomized phase III trial of the androgen receptor ligand-directed degrader, BMS-986365, vs investigator's choice in patients with mCRPC. Future Oncol. 2025 Jun;21(14):1771-1777. doi: 10.1080/14796694.2025.2502318. Epub 2025 Jun 2.
PubMed 40455815
Study at a glance
From the registry record, last updated by the sponsor on 30 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Two-part, Randomized, Open-label, Adaptive Study Comparing BMS-986365 Versus Investigator's Choice of Therapy Comprising Either Docetaxel or Second Androgen Receptor Pathway Inhibitor (ARPI), in Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) - rechARge
- ClinicalTrials.gov ID
- NCT06764485
- Acronym / sponsor ID
- rechARge / CA071-1000
- Keywords
- Prostate cancer, Protein degrader, Protein degradation, Androgen receptor, Castrate resistant prostate cancer, Castration resistant prostate cancer, Hormone resistant, Metastatic hormone resistant prostate cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 960 participants (estimated)
- Lead sponsor
- CelgeneIndustry (pharma, biotech, devices)
- Study start
- 13 Mar 2025 (actual)
- Primary completion
- 12 Sep 2027 (estimated)
- Study completion
- 19 Jan 2029 (estimated)
- First posted
- 8 Jan 2025 (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.
The purpose of this study is to compare the efficacy and safety of BMS-986365 versus the investigator's choice of therapy in participants with Metastatic Castration-resistant Prostate Cancer.
Detailed description
The primary objective of this clinical trial is to assess the radiographic progression free survival (rPFS) of BMS-986365 versus investigator's choice comprising Docetaxel + Prednisone/Prednisolone or Abiraterone + Prednisone/Prednisolone or Enzalutamide.
In Part 1, participants will be randomized 1:1:1 to one of the two BMS-986365 dose levels, or to the active comparator arm (investigator's choice). In Part 2 of the study, participants will be randomized 1:1 between BMS-986365 selected dose, or to the active comparator arm (investigator's choice).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 7
| Arm | Type | Receives |
|---|---|---|
| Part 1: Dose 1 | Experimental | Drug: BMS-986365 |
| Part 1: Dose 2 | Experimental | Drug: BMS-986365 |
| Part 1: Comparator 1 | Active comparator | Drug: Enzalutamide, Drug: Abiraterone, Drug: Predinsone/PrednisoloneEnzalutamide or Abiraterone Acetate + Prednisone/Prednisolone |
| Part 1: Comparator 2 | Active comparator | Drug: Docetaxel, Drug: Predinsone/Prednisolone |
| Part 2: Dose Selected | Experimental | Drug: BMS-986365 |
| Part 2: Comparator 1 | Active comparator | Drug: Enzalutamide, Drug: Abiraterone, Drug: Predinsone/PrednisoloneEnzalutamide or Abiraterone Acetate + Prednisone/Prednisolone |
| Part 2: Comparator 2 | Active comparator | Drug: Docetaxel, Drug: Predinsone/Prednisolone |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Participants must have histologic or cytologic confirmation of adenocarcinoma of the prostate without small cell or neuro-endocrine features.
- Participants must have current evidence of metastatic disease documented by either bone lesions on radionuclide bone scan and/or soft tissue lesions on computed tomography/magnetic resonance imaging (CT/MRI).
- Participants must be asymptomatic or mildly symptomatic from prostate cancer with score on Brief Pain Inventory - Short Form (BPI-SF) that must be < 4.
- Participants must have had previous treatment with an androgen receptor pathway inhibitor (abiraterone, enzalutamide, apalutamide, or darolutamide).
Key exclusion criteria (5 listed)
- Participants must not have impaired cardiac function or clinically significant cardiac disease.
- Participants must not have any brain metastasis.
- Participants must not have any liver metastasis.
- Participants with superscan on technetium-99m (Tc-99m) radionuclide bone scans.
- Other protocol-defined Inclusion/Exclusion criteria apply.
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 |
|---|---|---|
| BMS-986365Specified dose on specified days | Drug | Part 1: Dose 1, Part 1: Dose 2, Part 2: Dose Selected |
| EnzalutamideSpecified dose on specified days | Drug | Part 1: Comparator 1, Part 2: Comparator 1 |
| AbirateroneSpecified dose on specified days | Drug | Part 1: Comparator 1, Part 2: Comparator 1 |
| DocetaxelSpecified dose on specified days | Drug | Part 1: Comparator 2, Part 2: Comparator 2 |
| Predinsone/PrednisoloneSpecified dose on specified days | Drug | Part 1: Comparator 1, Part 1: Comparator 2, Part 2: Comparator 1, Part 2: Comparator 2 |
Primary outcome
Radiographic progression-free survival (rPFS) by blinded independent central review (BICR) using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 (soft tissue) and Prostate Cancer Clinical Trials Working Group 3 (PCWG3) (bone) criteria
Time frame: Up to 4 years
19 secondary outcomes
Overall Survival (OS)
Time frame: Up to 4 years
Recommended dose of BMS-986365 for Part 2
Time frame: Up to approximately 1.5 years
Progression-free survival (PFS)
Time frame: Up to 4 years
Confirmed overall response rate (ORR) by BICR assessment in participants with measurable disease using RECIST 1.1 (soft tissue) and PCWG3 (bone) criteria
Time frame: Up to 4 years
Time to pain progression (TTPP)
Time frame: Up to 4 years
Time to symptomatic progression (TTSP)
Time frame: Up to 4 years
Time to initiation of the first subsequent systemic therapy (TFST)
Time frame: Up to 4 years
Prostate-specific antigen (PSA) response rate
Time frame: Up to 4 years
Change from baseline in Functional Assessment of Cancer Therapy - Prostate Cancer (FACT-P) total scores
Time frame: Up to 4 years
Change from baseline in Prostate Cancer Subscale (PCS) scores
Time frame: Up to 4 years
Change from baseline in trial outcome index (TOI)
Time frame: Up to 4 years
Change from baseline in Brief Pain Inventory - Short Form (BPI-SF) worst pain (item #3) intensity
Time frame: Up to 4 years
Incidence of adverse events (AEs)
Time frame: Up to 4 years
Incidence of serious adverse events (SAEs)
Time frame: Up to 4 years
Incidence of AEs leading to dose modifications
Time frame: Up to 4 years
Incidence of AEs leading to interruptions
Time frame: Up to 4 years
Incidence of AEs leading to discontinuation
Time frame: Up to 4 years
Electrocardiogram (ECG) findings
Time frame: Up to 4 years
Incidence of laboratory abnormalities
Time frame: Up to 4 years
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 30 Sep 2026.
- Background: PubMed 39293515Rathkopf DE, Patel MR, Choudhury AD, Rasco D, Lakhani N, Hawley JE, Srinivas S, Aparicio A, Narayan V, Runcie KD, Emamekhoo H, Reichert ZR, Nguyen MH, Wells AL, Kandimalla R, Liu C, Suryawanshi S, Han J, Wu J, Arora VK, Pourdehnad M, Armstrong AJ. Safety and clinical activity of BMS-986365 (CC-94676), a dual androgen receptor ligand-directed degrader and antagonist, in heavily pretreated patients with metastatic castration-resistant prostate cancer. Ann Oncol. 2025 Jan;36(1):76-88. doi: 10.1016/j.annonc.2024.09.005. Epub 2024 Sep 16.
- Background: PubMed 40788283Nayak S, Norris JD, Ammirante M, Rychak E, Wardell SE, Liao D, Toyama B, Kandimalla R, Christoforou A, Tsuji T, Liu K, Tran M, Meiring J, Reiss S, Piccotti JR, Baughman JM, Fontanillo C, Khater M, Mortensen DS, Cathers B, Bence N, Pierce DW, Plantevin-Krenitsky V, Rathkopf D, Hansen JD, Hamann LG, Narla RK, Arora VK, McDonnell DP, Rolfe M, Xu S. Discovery of BMS-986365, a First-in-Class Dual Androgen Receptor Ligand-Directed Degrader and Antagonist, for the Treatment of Advanced Prostate Cancer. Clin Cancer Res. 2026 Jan 6;32(1):224-241. doi: 10.1158/1078-0432.CCR-25-0471.
- Derived from this study: PubMed 40455815Chi KN, McKay RR, Sandhu S, Arranz JA, Barthelemy P, Hadaschik B, Matsubara N, Shore ND, Ye D, Cascella T, Irincheeva I, Kreiser S, Thiery-Vuillemin A, Rathkopf DE. rechARge: a randomized phase III trial of the androgen receptor ligand-directed degrader, BMS-986365, vs investigator's choice in patients with mCRPC. Future Oncol. 2025 Jun;21(14):1771-1777. doi: 10.1080/14796694.2025.2502318. Epub 2025 Jun 2.
- BMS Clinical Trial InformationLink provided by the sponsor.
- BMS Clinical Trial Patient RecruitingLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html
Related trials for Metastatic Castration-resistant Prostate Cancer
Not yet recruitingPhase 1/2
STAR0602 With Nivolumab in Non Small Cell Lung Cancer and in Metastatic Castrate-Resistant Prostate Cancer, and STAR0602 Alone in Thymic Carcinoma
NSCLC, Non-Small Cell Lung Cancer
RecruitingPhase 2
A Study to Test Inavolisib Treatment in Participants With Metastatic Castration-Resistant Prostate Cancer
Metastatic Castration-Resistant Prostate Cancer
RecruitingPhase 1/2
Docetaxel and SX-682 in Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma, Salivary Gland Carcinoma, and Advanced Prostate Cancer
Head and Neck Cancer, Head and Neck Squamous Cell Carcinoma
RecruitingObservational study
ARCTIC: Liquid Biomarkers in the Prospective Androgen Receptor Signaling Inhibitors (ARSI) Resistance Clinical Trials
Prostate Cancer, Prostate Adenocarcinoma
Active, not recruitingPhase 2
FPI-2265 (225Ac-PSMA-I&T) and Olaparib for Patients With Metastatic Castration-Resistant Prostate Cancer (mCRPC)
Metastatic Castration-resistant Prostate Cancer
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.
Bristol-Myers Squibb study director
Bristol-Myers Squibb
227 sites in 26 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing BMS-986365, Enzalutamide and Abiraterone in people with Metastatic Castration-resistant Prostate Cancer, run by Celgene at 227 sites in 26 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 4 inclusion and 5 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 30 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 227 sites in United States, Spain, China, Australia, Germany and 21 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?
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?
Radiographic progression-free survival (rPFS) by blinded independent central review (BICR) using Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 (soft tissue) and Prostate Cancer Clinical Trials Working Group 3 (PCWG3) (bone) criteria (time frame: Up to 4 years). 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 NCT06764485, which also lists 3 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 30 Sep 2026.