A Phase 1 interventional study of AMG 509 and Abiraterone in Prostate Cancer, sponsored by Amgen. Recruiting at 57 sites in 10 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-21.
Sponsored by Amgen · Phase 1, Interventional, and Treatment
The overall aim of the trial is to evaluate the safety, tolerability, and pharmacokinetics (PK) of AMG 509 (monotherapy and in combination with abiraterone acetate and enzalutamide) and to evaluate preliminary efficacy. As of Protocol Amendment 10 (09 July 2025), only Parts 4A expansion, 6, and 7 are open to accrual.
6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.
This study's planned enrollment of 479 is above the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.
Browse Prostatic Neoplasms studies →Amgen is the lead sponsor of 1,015 studies on the registry; 49 are open to participants now.
Of its 245 completed or terminated interventional studies of FDA-regulated products, 159 (65%) have results posted.
Counted across the registry records on this site, refreshed daily.
Inclusion Criteria:
Parts 1, 2, 5 and 7: Participants with histologically or cytologically confirmed metastatic castration-resistant prostate cancer (mCRPC) who are refractory to a novel antiandrogen therapy (abiraterone acetate and/or enzalutamide, apalutamide, or darolutamide) and have failed at least 1 (but not more than 2) taxane regimens including for metastatic hormone-sensitive prostate cancer (mHSPC) (or who are deemed medically unsuitable to be treated with a taxane regimen or have actively refused treatment with a taxane regimen). Note: A taxane regimen is defined as a minimum exposure of 2 cycles of a taxane. Any NHT that has been administered and has been stopped for reasons other than progression will not be counted as an additional line of treatment.
Parts 4A, 4B and 7:
Dose-expansion phase: up to approximately 10 participants with prior exposure to abiraterone acetate may be enrolled into Part 4A expansion cohort.
d. 4B: Participants planning to receive enzalutamide for the first time (participants who received prior enzalutamide/apalutamide or daralutamide are not eligible).
Part 6:
Evidence of progressive disease, defined as 1 or more Prostate Cancer Working Group 3 (PCWG3) criteria:
Adequate organ function, defined as follows:
Hematological function:
Renal function:
1. estimated glomerular filtration rate based on Modification of Diet in Renal Disease calculation ≥ 30 ml/min/1.73 m\^2.
Hepatic function:
Cardiac function:
Pulmonary function:
Part 3-Retreatment group:
Deriving benefit from initial treatment with AMG 509 as evidenced by one of the following:
Key Exclusion Criteria:
Part 1 will evaluate AMG 509 in participants with metastatic castration-resistant prostate cancer (mCRPC) who have been previously treated with novel hormonal therapy (NHT) and 1 to 2 prior taxanes. The dose exploration phase of the study will estimate the maximum tolerated dose (MTD) of AMG 509 using a Bayesian logistic regression model (BLRM; Neuenschwander et al, 2008). Recommended phase 2 dose (RP2D) may be identified based on emerging safety, efficacy, PK, and pharmacodynamics (PD) data, as well as patient experience prior to reaching an MTD. Alternative dosing schedule(s) (including a third step dose) may be explored based on emerging efficacy, safety, PK data and patient experience. During the dose-expansion phase, individual cohorts of participants from China will be enrolled with a safety lead-in at 1 dose level below the MTD or RP2D followed by evaluation at the MTD or RP2D to confirm the safety, tolerability, MTD and/or RP2D of AMG 509 in Chinese participants.
Drug: AMG 509
Part 2 will explore the safety, tolerability, and PK of AMG 509 SC dosing in participants with mCRPC who have been previously treated with NHT and 1 to 2 prior taxanes. Recommended phase 2 dose for SC monotherapy may be identified based on emerging safety, efficacy, PK, and PD data, as well as patient experience prior to reaching an MTD.
Drug: AMG 509
Part 3 will explore AMG 509 in participants with mCRPC who have received no, or 1-2 prior NHTs (may have been given for hormone-sensitive prostate cancer \[HSPC\]) and no prior taxanes (unless administered in HSPC setting). This dose-expansion will be conducted to confirm safety, PK, and PD of AMG 509 at the MTD or RP2D determined in Part 1 dose exploration, and to obtain further safety and efficacy data and correlative biomarker analysis.
Drug: AMG 509
Part 4 will explore the safety, tolerability, and PK of AMG 509 for participants with mCRPC who have received no or 1 to 2 prior NHTs given in any disease setting depending on the part (dose-expansion phase: prior therapies including at least 1 prior NHT and either 0 or 1 prior poly-ADP ribose polymerase \[PARP\] inhibitor), at dose regimens previously determined to be safe and tolerable in Part 1, in combination with abiraterone acetate (Part 4A) or enzalutamide (Part 4B) and no or 1 prior taxane for hormone sensitive disease in Parts 4A and 4B.
Drug: AMG 509 · Drug: Abiraterone · Drug: Enzalutamide
Part 5 will evaluate the safety and tolerability of AMG 509 IV dosing in participants with mCRPC who have been previously treated with NHT and 1 to 2 prior taxanes, when administered in outpatient infusion centers. The Part 5 dosing regimen and schedule was selected based on emerging data and dose level review team (DLRT) recommendations and will utilize the doses explored in Part 1 dose-expansion phase.
Drug: AMG 509
Part 6 will evaluate the preliminary efficacy, safety, tolerability, and PK of AMG 509 (alone or in combination with abiraterone acetate) for participants with mCRPC who have progressed on only 1 prior NHT (prior exposure to ≤ 6 cycles of taxane is allowed in mHSPC setting) and who have Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 measurable disease. Part 6 dosing regimen has been previously determined as safe and tolerable and is aligned with the dosing schedule for Parts 3 and 4A expansion.
Drug: AMG 509 · Drug: Abiraterone
Part 7 will only include participants from China. This part will evaluate safety and tolerability of AMG 509 IV dosing in participants who have been previously treated with NHT and 1 to 2 prior taxanes. Part 7 dosing regime will first be enrolled to dose level-1 (1.0 mg target dose) and if tolerated and if DLRT determines it is safe to escalate to the MTD/RP2D, 1.5 mg every 2 weeks (Q2W) dosing regimen may be explored. If the RP2D is safe and tolerable and once AMG 509 monotherapy dose confirmation is complete, a cohort of participants to receive AMG 509 combination therapy with abiraterone acetate may be initiated.
Drug: AMG 509 · Drug: Abiraterone
AMG 509 administered as an IV infusion (Parts 1, 3, 4 and 5) or SC injection (Part 2).
Also known as: xaluritamig
Abiraterone administered as oral tablets.
Enzalutamide administered as oral tablets.
Parts 1-5 and 7: Incidence of Treatment-emergent Adverse Events
Time frame: 3 years
Parts 1-5 and 7: Incidence of Treatment-related Adverse Events
Time frame: 3 years
Parts 1-5 and 7 Dose Exploration Cohorts Only: Dose Limiting Toxicities (DLTs)
Time frame: 28 days
Parts 1-5 and 7: Number of Participants with Changes in Vital Signs
Time frame: 3 years
Parts 1-5 and 7: Number of Participants with Changes in Electrocardiogram (ECG) Records
Time frame: 3 years
Parts 1-5 and 7: Number of Participants with Changes in Clinical Laboratory Test Results
Time frame: 3 years
Part 6: Objective Response (OR) per RECIST v1.1
Time frame: 3 years
Parts 1-7: Maximum Serum Concentration (Cmax) for AMG 509
To characterize the pharmacokinetics (PK) of AMG 509
Time frame: 3 years
Parts 1-7: Time to Maximum Serum Concentration (Tmax) for AMG 509
To characterize the pharmacokinetics (PK) of AMG 509
Time frame: 3 years
Parts 1-7: Minimum Serum Concentration (Cmin) for AMG 509
To characterize the pharmacokinetics (PK) of AMG 509
Time frame: 3 years
Parts 1-7: Area Under the Concentration-time Curve (AUC) Over the Dosing Interval for AMG 509
To characterize the pharmacokinetics (PK) of AMG 509
Time frame: 3 years
Parts 1-7: Accumulation Following Multiple Dosing for AMG 509
To characterize the pharmacokinetics (PK) of AMG 509
Time frame: 3 years
Parts 1-5 and 7: OR per RECIST v1.1
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: 3 years
Parts 1-7: Prostate Specific Antigen (PSA) Response
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: 3 years
Parts 1-5 and 7: PSA Decline of at Least 50% From Baseline at 12 Weeks
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: Week 12
Parts 1-7: Radiographic Duration of Response (DOR)
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: 3 years
Parts 1-5 and 7: PSA DOR
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: 3 years
Parts 1-5 and 7: Radiographic Time to Progression
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: 3 years
Parts 1-5 and 7: PSA Time to Progression
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: 3 years
Parts 1-5 and 7: Radiographic Progression-free Survival (PFS)
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: 3 years
Parts 1-5 and 7: PSA PFS
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: 3 years
Part 6: Radiographic PFS per Prostate Cancer Working Group 3 (PCWG3)-modified RECIST v1.1
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: 3 years
Parts 1-2, 5 and 7: 6 Month Radiographic PFS
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: 6 months
Part 3 and 4: 1, 2, and 3-year Radiographic PFS
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: Year 1, 2, and 3
Parts 1-5: 1, 2, and 3-year Overall Survival (OS)
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: Year 1, 2, and 3
Parts 1-5: Circulating Tumor Cells Response (CTC0)
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: 3 years
Parts 1-5: Rate of Circulating Tumor Cells (CTC) Conversion
To evaluate preliminary anti-tumor activity of AMG 509
Time frame: 3 years
Parts 1-5: Time to Symptomatic Skeletal Events
To evaluate preliminary anti-tumor activity of AMG 509. Measure of disease burden based on PCWG3-recommended endpoints.
Time frame: 3 years
Parts 1-5: Alkaline Phosphatase (Total, Bone)
To evaluate preliminary anti-tumor activity of AMG 509. Measure of disease burden based on PCWG3-recommended endpoints.
Time frame: 3 years
Parts 1-5: Lactate Dehydrogenase (LDH)
To evaluate preliminary anti-tumor activity of AMG 509. Measure of disease burden based on PCWG3-recommended endpoints.
Time frame: 3 years
Parts 1-5: Hemoglobin
To evaluate preliminary anti-tumor activity of AMG 509. Measure of disease burden based on PCWG3-recommended endpoints.
Time frame: 3 years
Parts 1-5: Urine N-telopeptide
To evaluate preliminary anti-tumor activity of AMG 509. Measure of disease burden based on PCWG3-recommended endpoints.
Time frame: 3 years
Parts 1-5: Neutrophil-to-lymphocyte Ratio
To evaluate preliminary anti-tumor activity of AMG 509. Measure of disease burden based on PCWG3-recommended endpoints.
Time frame: 3 years
Part 6: Incidence of Treatment-emergent Adverse Events
Time frame: 3 years
Part 6: Incidence of Treatment-related Adverse Events
Time frame: 3 years
Part 6: Number of Participants with Changes in Vital Signs
Time frame: 3 years
Part 6: Number of Participants with Changes in Clinical Laboratory Test Results
Time frame: 3 years
Part 6: Disease Control per RECIST v1.1
Time frame: 3 years
Parts 6 and 7: OS
Time frame: 3 years
Plan to share: Yes — De-identified individual patient data for variables necessary to address the specific research question in an approved data sharing request.
Supporting information: Study protocol, Sap, Icf, Csr
Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.
Contact study teamGet an email when the registry record changes — status, dates, results — or when someone posts here.
Sign in to followQuestions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.
Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.
Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.
Amgen