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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)

Is NCT06353386 recruiting? Yes, currently enrolling (Jun 2026). This Phase 1/2 trial studies multiple treatments for prostatic neoplasms, castration-resistant.

Phase 1/2RecruitingMerck Sharp & Dohme LLCNCT06353386Data as of Jun 2026Location: International · 20 countries

Treatment: Opevesostat · Olaparib · Docetaxel · Cabazitaxel · Fludrocortisone acetate · Dexamethasone · PrednisoneSubstudy 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.

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Extracted eligibility criteria

Treatments studied

Targeted therapy

Olaparib

Chemotherapy

DocetaxelCabazitaxel

Other

OpevesostatFludrocortisone acetateDexamethasonePrednisone

Cancer type

Prostate Cancer

Disease stage

Metastatic disease required

Prior therapy

Max 2 prior lines
Min 1 prior line

Must have received: androgen deprivation therapy

Prostate cancer progression and received androgen deprivation therapy (ADT) or post bilateral orchiectomy within 6 months before screening.

Must have received: novel hormonal agent — non-metastatic or metastatic, hormone-sensitive or castration-resistant prostate cancer

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.

Cannot have received: systemic anticancer therapy

Received prior systemic anticancer therapy including investigational agents within 4 weeks before randomization.

Cannot have received: radiotherapy

Received prior radiotherapy within 2 weeks of start of study intervention or radiation-related toxicities, requiring corticosteroids.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • UCSD Moores Cancer Center ( Site 0039) · La Jolla, California
  • UCLA Hematology/Oncology - Santa Monica ( Site 0044) · Los Angeles, California
  • University of Miami Hospital and Clinics, Sylvester Cancer Center-Cancer Research Services ( Site 0051) · Miami, Florida
  • University of Maryland-Greenebaum Comprehensive Cancer Center ( Site 0049) · Baltimore, Maryland
  • Rutgers Cancer Institute of New Jersey ( Site 0033) · New Brunswick, New Jersey

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT06353386 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior systemic anticancer therapy, radiotherapy disqualifies patients from enrollment.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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