ClinicalTrials.gg
RecruitingNCT06095089Updated Nov 3, 2026

A Study of JNJ-87189401 Combined With JNJ-78278343 for Advanced Prostate Cancer

A Phase 1 interventional study of JNJ-78278343 and JNJ-87189401 in Prostatic Neoplasms, sponsored by Janssen Research & Development, LLC. Recruiting at 22 sites in 5 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Janssen Research & Development, LLC (part of Johnson & Johnson) · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2023; still recruiting 3 years later.
Updated Nov 3, 20263 sites addedGo to Updates ↓

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Phase
Phase 1
Study type
Interventional
Enrollment
355
Allocation
Non-randomized
Ages
18 Years and older
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 88 studies in Prostatic Neoplasms by Johnson & Johnson — 9 open to participants now, 23 under way, 9 of them phase 3. Prostatic Neoplasms · Johnson & Johnson.

Planned enrollment
13th of 68
355 · median 82
Started
2023
with 3 others
Phase 1
27 of 88
5 open now
Primary completion
2027-06
later than 14 of 22 live
Registered
81st of 88
by date

Among the 88 studies in Prostatic Neoplasms by Johnson & Johnson, this one is the 13th largest by planned enrollment of the 68 interventional ones that give a count, is one of 4 that started in 2023, is one of 27 in phase 1, reaches primary completion later than 14 of the 22 other live ones, and was the 81st registered.

Prostatic Neoplasms

7,047 studies on the registry are indexed under Prostatic Neoplasms; 1,579 are open to participants now.

Browse Prostatic Neoplasms studies →

Open to participants now

9 of the 88 studies in Prostatic Neoplasms by Johnson & Johnson are open now, in 8 countries. Recruiting first, the newest first:

3 more — sign in →

By country, each count listing its studies:

All 9 open studies →

Who these studies take

Of the 1,228 Prostatic Neoplasms studies recruiting now, 927 (75%) set no upper age limit and 76 (6%) stop at 75 or younger; 67 take children under 18; 82 take healthy volunteers.

This study: 18 Years and older · male · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 88 studies in Prostatic Neoplasms by Johnson & Johnson, or all of them as a file.
02

Study summary

The purpose of Parts 1, 2A, and 2B of the study is to determine the recommended regimen for Phase 2 (RP2Rs) of combination of JNJ-87189401 with JNJ-78278343 and the purpose of Part 2C of this study is to determine how safe the RP2R(s) of the combination of JNJ-87189401 and JNJ-78278343 is, with or without apalutamide. Part 3 of this study evaluates the safety of the triplet combination of JNJ-87189401 and JNJ-78278343 with standard of care (SOC) lutetium Lu-177 vipivotide tetraxetan. Part 4 of this study further evaluates the safety of the triplet combination of JNJ-87189401 and JNJ-78278343 with JNJ-101556143 in participants with advanced prostate cancer.

03

Conditions studied

  • Prostatic Neoplasms

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • confirmed adenocarcinoma of the prostate. Adenocarcinoma with small cell or neuroendocrine (NE) features is permitted. However, small cell carcinoma, carcinoid tumor, mixed NE carcinoma, or large cell NE carcinoma is disallowed
  • Measurable or evaluable disease per PCWG3 criteria
  • Part 1, Parts 2A, 2B, 3 and 4: Prior orchiectomy or medical castration; participants who have not undergone orchiectomy, must be receiving ongoing androgen deprivation therapy with a gonadotropin releasing hormone (GnRH) analog (agonist or antagonist), prior to the first dose of study drug and must continue this therapy throughout the treatment phase
  • Have an (ECOG) performance status of 0 or 1

Exclusion criteria

Exclusion Criteria:

  • History of an disease within the 12 months prior to signing consent
  • Any of the following within 6 months prior to signature of : a. myocardial infarction, b. severe or unstable angina, c. ventricular arrhythmias, d. congestive heart failure ( [NYHA] class II to IV), e. , and f. Cerebrovascular accident
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
355 participants (estimated)

Study arms

  • Experimental
    Part 1 (Dose Escalation)

    Participants will receive JNJ-78278343 + JNJ-87189401 escalated sequentially in Part 1 to select a recommended Phase 2 regimen (RP2R).

    Drug: JNJ-78278343 · Drug: JNJ-87189401

  • Experimental
    Part 2 (Dose Expansion)

    Participants with different disease settings in Parts 2A and 2B will receive JNJ-78278343+JNJ-87189401 at the RP2R selected in Part 1. Participants in Part 2C will receive apalutamide plus continued treatment with JNJ-87189401+JNJ-78278343 doublet.

    Drug: JNJ-78278343 · Drug: JNJ-87189401 · Drug: Apalutamide

  • Experimental
    Part 3

    Participants will receive JNJ-78278343 + JNJ-87189401 at one or more RP2R (s) selected in Part 1 along with standard of care (SOC) treatment with lutetium Lu-177 vipivotide tetraxetan. Dosing of JNJ-78278343+JNJ-87189401 will be escalated sequentially, as per study evaluation team (SET) decision.

    Drug: JNJ-78278343 · Drug: JNJ-87189401 · Drug: Lutetium Lu-177 Vipivotide Tetraxetan

  • Experimental
    Part 4

    Participants will receive JNJ-78278343 + JNJ-87189401 at one or more RP2R (s) along with JNJ-101556143. Dosing of JNJ-78278343+JNJ-87189401 along with JNJ-101556143 will be escalated sequentially to determine the RP2R of the combinations.

    Drug: JNJ-78278343 · Drug: JNJ-87189401 · Drug: JNJ-101556143

Interventions

  • JNJ-78278343 will be administered.

    Also known as: KLK2-CD3, Pasritamig

  • DrugJNJ-87189401

    JNJ-87189401 will be administered.

    Also known as: PSMAxCD28

  • Apalutamide will be administered.

  • Lutetium Lu-177 Vipivotide Tetraxetan will be administered as SOC treatment.

  • JNJ-101556143 will be administered.

    Also known as: HLD-0915

06

What researchers measure

Primary outcomes

  1. Parts 1, 2C, 3 and 4: Number of Participants With Dose Limiting Toxicity (DLT)

    DLTs are specific adverse events (AEs) and are defined as any of the following: high grade non-hematologic toxicity or hematologic toxicity.

    Time frame: Up to 21 days after first combination dose of study drugs

  2. Number of Participants with Adverse Events (AEs) by Severity

    An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0 with the exception of cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome events, which will be graded by American Society for Transplantation and Cellular Therapy (ASTCT) guidelines. Severity scale ranges from grade 1 (mild) to grade 5 (death). Grade 1= mild, Grade 2= moderate, Grade 3= severe, Grade 4= life-threatening and Grade 5= death related to adverse event.

    Time frame: Up to 4 years 8 months

Secondary outcomes

  1. Serum Concentrations of JNJ-87189401 and JNJ-78278343

    Serum samples will be analyzed to determine concentrations of JNJ-87189401 and JNJ-78278343.

    Time frame: Up to 4 years 8 months

  2. Plasma Concentration of JNJ-101556143

    Plasma samples will be analyzed to determine concentrations of JNJ-101556143.

    Time frame: Up to 4 years 8 months

  3. Number of Participants With Antibodies to JNJ-87189401 and JNJ-78278343

    Number of participants with antibodies to JNJ-87189401 and JNJ-78278343 will be reported.

    Time frame: Up to 4 years 8 months

  4. Objective Response Rate (ORR)

    ORR is defined as the proportion of participants who have a partial response (PR) or better according to response evaluation criteria in solid tumors (RECIST) version 1.1 without evidence of bone progression according to Prostate Cancer Clinical Trials Working Group 3 (PCWG3).

    Time frame: Up to 4 years 8 months

  5. Radiographic Progression-Free Survival (rPFS)

    rPFS is defined time from the date of first dose of study drug until the date of objective disease progression or death, whichever comes first.

    Time frame: Up to 4 years 8 months

  6. Prostate Specific Antigen (PSA) Response Rate

    PSA response rate is defined as the percentage of participants with a confirmed decline of PSA of 50 percent (%) or more from baseline.

    Time frame: Up to 4 years 8 months

  7. Duration of Response (DOR)

    DOR is defined for participants who achieved response (PR or better) as the time between the date of initial documentation of response (PR or better) to the date of first documented evidence of progressive disease, as defined in the PCWG3, or death due to any cause, whichever occurs first.

    Time frame: Up to 4 years 8 months

07

Study locations

22 of 22 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — The data sharing policy of Johnson \& Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu

Data sharing details ↗ · innovativemedicine.jnj.com

No publications or documents are linked to this record.

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2023 (actual). Primary completion is estimated for Jun 2027, 43 months after the start.

Of 212 industry-sponsored phase 1 interventional studies under Prostatic Neoplasms, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 62. This study's planned 43 months is above that.

Counting every sponsor, half of 456 studies reached it within 43 months; a quarter within 23 and three quarters within 68.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 18, 2023
First posted
Oct 23, 2023
StartActual
Nov 1, 2023
Primary completionEst.
Jun 21, 2027
CompletionEst.
Jun 28, 2028
Last update
Nov 3, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
3 sites added
Show 3 added (2 China, 1 United States)
  • Chongqing University Cancer Hospital · Chongqing, China
  • Montefiore Medical Center · The Bronx, United States
  • The First Affiliated Hospital of Xian Jiaotong University · Xi'an, China
across 2 updates, Sep 28, 2026 – Nov 3, 2026
Show all 2 updates
  1. Nov 3, 2026
    2 sites added
    Show 2 added (1 United States, 1 China)
    • Montefiore Medical Center · The Bronx, United States
    • The First Affiliated Hospital of Xian Jiaotong University · Xi'an, China
    + 1 other change: verification date
  2. Sep 28, 2026
    1 site added
    Show site
    • Chongqing University Cancer Hospital · Chongqing, China
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06095089
Responsible party
Sponsor
First posted
Oct 23, 2023
Start date
Nov 1, 2023
Primary completion
Jun 21, 2027 (estimated)
Completion
Jun 28, 2028 (estimated)
Last update
Nov 3, 2026

Study contacts

Study Contact
Contact
Participate-In-This-Study1@its.jnj.com
844-434-4210
Janssen Research & Development, LLC Clinical Trial
study director · Janssen Research & Development, LLC

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Discussion

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Studies of the drug tested here: Pasritamig

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