ClinicalTrials.gg
RecruitingNCT07213674Updated Oct 20, 2026

A Study of Xaluritamig Plus Abiraterone Versus Investigator's Choice in Participants With Chemotherapy-naïve Metastatic Castration-resistant Prostate Cancer

A Phase 3 interventional study of Xaluritamig and Abiraterone acetate in Metastatic Castration-resistant Prostate Cancer, sponsored by Amgen. Recruiting at 159 sites in 18 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-20.

Sponsored by Amgen · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2025; still recruiting 11 months later.
Updated Oct 20, 2026Site recruiting status changed3 sites addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
750
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 22 studies in Prostatic Neoplasms by Amgen — 5 open to participants now, 7 under way, 2 of them phase 3. Prostatic Neoplasms · Amgen.

Planned enrollment
4th of 20
750 · median 97
Started
2025
with 1 other
Phase 3
9 of 22
1 open now
Registered
21st of 22
by date

Among the 22 studies in Prostatic Neoplasms by Amgen, this one is the 4th largest by planned enrollment of the 20 interventional ones, is one of 2 that started in 2025, is one of 9 in phase 3, and was the 21st registered.

By phase

22 studies; the count open now beside each. This study's row is marked.

Phase 19 · 4 open
Phase 3this study9 · 1 open
Phase 22 · 0 open
Observational1 · 0 open
Phase 1/21 · 0 open

By the year they started

First in 1999; this study’s year is marked. 2 started in 2025.

Size and results

Median enrollment 97 across the 20 interventional studies, 1,262 across the 1 observational. Of the 14 that completed or were terminated, 11 (79%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 22 studies in Prostatic Neoplasms by Amgen, or all of them as a file.
02

Study summary

The primary objective of this study is to compare overall survival (OS) in participants receiving xaluritamig plus abiraterone against investigator's choice (docetaxel, cabazitaxel, or abiraterone).

03

Conditions studied

  • Metastatic Castration-resistant Prostate Cancer

Browse trials for

Keywords

  • Prostate Cancer
  • Chemotherapy-naïve Metastatic Castration-resistant Prostate Cancer
  • Xaluritamig
  • Abiraterone
  • Abiraterone Acetate
  • Docetaxel
  • Cabazitaxel
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

  • Participant has provided before initiation of any study-specific activities/procedures.
  • Age ≥ 18 years (or ≥ legal age within the country if it is older than 18 years) at the time of signing the informed consent.
  • Participant must have histological, pathological, and/or cytological confirmation of adenocarcinoma of the prostate. Mixed histologies (eg, adenocarcinoma with neuroendocrine component) are not permitted.
  • castration-resistant prostate cancer (mCRPC) with ≥ 1 metastatic lesion that is present on baseline computed tomography (CT), magnetic resonance imaging (MRI), or bone scan imaging obtained within 28 days before enrollment.
  • Evidence of progressive disease (PD), defined as 1 or more PCWG3-modified 1.1 criteria:

    • Serum PSA progression is defined as 2 consecutive increases in PSA over a previous reference value measured at least 1 week prior. The minimum start value is 2.0 ng/mL.
    • Soft-tissue progression defined as an increase ≥ 20% in the sum of the diameter (SOD) (short axis for nodal lesions and long axis for non-nodal lesions) of all target lesions based on the smallest SOD since treatment started or the appearance of 1 or more new lesions or unequivocal progression of existing non-target lesions.
    • Progression of bone disease defined by the appearance of at least 2 new bone lesions(s) by bone scan (as per the 2+2 PCWG3-modified RECIST 1.1 criteria).
  • Participants must have had prior orchiectomy and/or ongoing androgen-deprivation therapy (ADT) and a castrate level of serum testosterone (\< 50 ng/dL or \< 1.7 nmol/L).
  • Prior disease progression on 1, and only 1, androgen receptor pathway inhibitor (ARPI) (either enzalutamide, apalutamide, or darolutamide) is required.
  • Participants intended to receive cabazitaxel must have previously received ≤ 6 cycles of docetaxel in the metastatic hormone-sensitive prostate cancer (mHSPC) setting.
  • (ECOG) performance status (PS) of 0 or 1.
  • Adequate organ function.

Exclusion criteria

Exclusion Criteria:

Disease Related:

  • Participants with a history of central nervous system (CNS) .
  • Unresolved toxicities from prior antitumor therapy not having resolved to version 5.0 grade 1 or baseline, with the exception of alopecia or toxicities that are stable and well-controlled AND there is an agreement to allow inclusion by both the investigator and the sponsor.

Prior/Concomitant Therapy:

  • Prior six transmembrane epithelial antigen of the prostate 1 (STEAP1)-targeted therapy.
  • Prior disease progression on or intolerance to abiraterone.
  • Prior treatment with any chemotherapy regimen in the mCRPC setting and/or > 6 cycles of docetaxel treatment in the mHSPC setting.
  • Any anticancer therapy, immunotherapy, or agent within 4 weeks before first dose of study treatment with the following exceptions:

    • Androgen receptor pathway inhibitors (ARPIs; enzalutamide, darolutamide, apalutamide): minimum of 2 weeks prior to the first dose of study treatment.
    • Androgen suppression therapy (eg, luteinizing hormone-releasing hormone/gonadotrophin releasing hormone [LHRH/GnRH] analogue [agonist/antagonist]) is permitted.
  • Prior radioligand therapy (RLT) within 8 weeks of first dose of study treatment.
  • Prior radionuclide therapy (radium-223) within 2 months of first dose of study treatment.
  • Prior palliative radiotherapy within 2 weeks before first dose of study treatment. Participants must have recovered from all radiation-related toxicities.
  • Concurrent cytotoxic chemotherapy, ARPI, immunotherapy, RLT, poly adenosine diphosphate ribose polymerase (PARP) inhibitor, biological therapy, investigational therapy.
  • Treatment with live and within 4 weeks before the first dose of study treatment.
  • Prior CD3-directed therapy.
Terms in these criteria, in plain language(8)

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.

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

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.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
750 participants (estimated)

Study arms

  • Experimental
    Xaluritamig Plus Abiraterone

    Participants will be randomized to receive xaluritamig in combination with abiraterone acetate.

    Drug: Xaluritamig · Drug: Abiraterone acetate

  • Active comparator
    Investigator's Choice

    Participants will receive investigator's choice of: * Abiraterone acetate orally, once daily or * Docetaxel IV Q3W or * Cabazitaxel IV Q3W.

    Drug: Abiraterone acetate · Drug: Docetaxel · Drug: Cabazitaxel

Interventions

06

What researchers measure

Primary outcomes

  1. OS

    Time frame: Up to approximately 51 months

Secondary outcomes

  1. Radiographic Progression-free Survival (rPFS) Per Prostate Cancer Working Group 3 (PCWG3)-modified Response Evaluation Criteria in Solid Tumors Version 1.1 (RECIST 1.1), Per Investigator Assessment

    Time frame: Up to approximately 51 months

  2. Objective Response per Modified RECIST 1.1, Per Investigator Assessment

    Time frame: Up to approximately 51 months

  3. Duration of Response (DOR) Per Modified RECIST 1.1, Per Investigator Assessment

    Time frame: Up to approximately 51 months

  4. Disease Control Per Modified RECIST 1.1, Per Investigator Assessment

    Time frame: Up to approximately 51 months

  5. Progression-free Survival (PFS) 2, Per Investigator Assessment

    Time frame: Up to approximately 51 months

  6. Time to Response (TTR), Per Modified RECIST 1.1, Per Investigator Assessment

    Time frame: Up to approximately 51 months

  7. Time to First Subsequent Therapy

    Time frame: Up to approximately 51 months

  8. Time to Symptomatic Skeletal Events (SSE)

    Time frame: Up to approximately 51 months

  9. Number of Participants With Treatment-emergent Adverse events, Treatment-emergent Serious Adverse Events, and Fatal Adverse Events

    Time frame: Up to approximately 51 months

  10. Change From Baseline Over Time at Each Assessment in Brief Pain Inventory - Short Form (BPI-SF) Pain Intensity Scale

    Time frame: Up to approximately 51 months

  11. Change From Baseline Over Time at Each Assessment in BPI-SF Worst Pain Score

    Time frame: Up to approximately 51 months

  12. Change From Baseline Over Time at Each Assessment in BPI-SF Pain Interference Scale

    Time frame: Up to approximately 51 months

  13. Change From Baseline Over Time at Each Assessment in Functional Assessment of Cancer Therapy - Prostate (FACT-P) Total Score and Subscale Scores

    Time frame: Up to approximately 51 months

  14. Change From Baseline Over Time at Each Assessment in European Quality of Life (EuroQol) 5 Domain 5 Level Scale (EQ-5D-5L) Utility Score

    Time frame: Up to approximately 51 months

  15. Change From Baseline Over Time at Each Assessment in the EQ-5D-5L Visual Analogue Scale (VAS)

    Time frame: Up to approximately 51 months

  16. Time to Worsening as Measured by BPI-SF Worst Pain Score

    Time frame: Up to approximately 51 months

  17. Time to Worsening as Measured by BPI-SF Pain Intensity Scale

    Time frame: Up to approximately 51 months

  18. Time to Worsening as Measured by BPI-SF Pain Interference Scale

    Time frame: Up to approximately 51 months

  19. Time to Worsening as Measured by FACT-P Total Score

    Time frame: Up to approximately 51 months

  20. Time to Improvement as Measured by BPI-SF Worst Pain Score in Participants with Moderate/Severe Pain at Baseline

    Time frame: Up to approximately 51 months

  21. Time to Improvement After Worsening as Measured by BPI-SF Pain Intensity Scale Score

    Time frame: Up to approximately 51 months

  22. Time to Improvement After Worsening as Measured by BPI-SF Pain Interference Scale Score

    Time frame: Up to approximately 51 months

  23. Summary Scores Over Time at Each Assessment as Measured by Selected Questions on Symptomatic Adverse Events from the Patient-Reported Outcomes Version of the Common Terminology Criteria for Adverse Events (PRO-CTCAE) Item Library

    Time frame: Up to approximately 51 months

  24. Summary Scores Over Time at Each Assessment as Measured by the GP5 Question on Overall Bother of Side Effects from the FACT-P Questionnaire

    Time frame: Up to approximately 51 months

  25. Prostate-specific Antigen (PSA) 50 and PSA 90 Responses

    Time frame: Up to approximately 51 months

  26. Time to PSA 50 and PSA 90 Response

    Time frame: Up to approximately 51 months

  27. Duration of PSA 50 and PSA 90 Response

    Time frame: Up to approximately 51 months

  28. Time to PSA Progression

    Time frame: Up to approximately 51 months

  29. Maximum Serum Concentration (Cmax) of Xaluritamig

    Time frame: Up to approximately 51 months

  30. Time to Maximum Concentration (Tmax) of Xaluritamig

    Time frame: Up to approximately 51 months

  31. Minimum Serum Concentration (Cmin) of Xaluritamig

    Time frame: Up to approximately 51 months

  32. Area Under the Concentration-time Curve (AUC) Over the Dosing Interval of Xaluritamig

    Time frame: Up to approximately 51 months

  33. Accumulation Ratio of the AUC Over the Dosing Interval for Xaluritamig

    Time frame: Up to approximately 51 months

  34. Half-life (t1/2) of Xaluritamig

    Time frame: Up to approximately 51 months

  35. Abiraterone Serum Concentrations

    Time frame: Up to approximately 51 months

  36. Number of Participants with Formation of Anti-xaluritamig Antibodies

    Time frame: Up to approximately 51 months

07

Study locations

154 of 159 sites recruiting

Showing the first 100 of 159 sites across 18 countries. Choose a country and city above to see the rest.

08

References and documents

Individual participant data

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, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: Data sharing requests relating to this study will be considered beginning 18 months after the study has ended and either 1) the product and indication (or other new use) have been granted marketing authorization in both the US and Europe, or 2) clinical development for the product and/or indication discontinues and the data will not be submitted to regulatory authorities. There is no end date for eligibility to submit a data sharing request for this study.

Access criteria: Qualified researchers may submit a request containing the research objectives, the Amgen product(s) and Amgen study/studies in scope, endpoints/outcomes of interest, statistical analysis plan, data requirements, publication plan, and qualifications of the researcher(s). In general, Amgen does not grant external requests for individual patient data for the purpose of re-evaluating safety and efficacy issues already addressed in the product labelling. Requests are reviewed by a committee of internal advisors, and if not approved, may be further arbitrated by a Data Sharing Independent Review Panel. Upon approval, information necessary to address the research question will be provided under the terms of a data sharing agreement. This may include anonymized individual patient data and/or available supporting documents, containing fragments of analysis code where provided in analysis specifications. Further details are available at the URL below.

Data sharing details ↗ · www.amgen.com

09

Timeline

1 registry update 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 2025 (actual). Primary completion is estimated for Jan 2030, 49 months after the start.

Of 126 industry-sponsored phase 3 interventional studies under Prostatic Neoplasms, half reached primary completion within 38 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 53. This study's planned 49 months is above that.

Counting every sponsor, half of 265 studies reached it within 57 months; a quarter within 31 and three quarters within 100.

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

Registered
Sep 18, 2025
First posted
Oct 9, 2025
StartActual
Nov 28, 2025
Primary completionEst.
Jan 7, 2030
CompletionEst.
Aug 30, 2032
Last update
Oct 20, 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. 3 sites changed recruiting status (3 now terminated)
Show 3 sites
  • Norton Cancer Institute · Louisville, United StatesRecruiting→Terminated
  • General Oncological Hospital of Kifisia Oi Agioi Anargyroi · Kifissia, Athens, GreeceRecruiting→Terminated
  • Dokkyo Medical University Saitama Medical Center · Koshigaya-shi, JapanRecruiting→Terminated
Show 3 added (1 United States, 1 Australia, 1 Belgium)
  • University of California Los Angeles · Los Angeles, United States
  • Princess Alexandra Hospital · Woolloongabba, Australia
  • Algemeen Ziekenhuis Groeninge - Campus Kennedylaan · Kortrijk, Belgium
Oct 20, 2026
Show all 1 update
  1. Oct 20, 2026
    3 sites added. 3 sites changed recruiting status (3 now terminated)
    Show 3 sites
    • Norton Cancer Institute · Louisville, United StatesRecruiting→Terminated
    • General Oncological Hospital of Kifisia Oi Agioi Anargyroi · Kifissia, Athens, GreeceRecruiting→Terminated
    • Dokkyo Medical University Saitama Medical Center · Koshigaya-shi, JapanRecruiting→Terminated
    Show 3 added (1 United States, 1 Australia, 1 Belgium)
    • University of California Los Angeles · Los Angeles, United States
    • Princess Alexandra Hospital · Woolloongabba, Australia
    • Algemeen Ziekenhuis Groeninge - Campus Kennedylaan · Kortrijk, Belgium
    + 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
NCT07213674
Lead sponsor
Amgen
Responsible party
Sponsor
First posted
Oct 9, 2025
Start date
Nov 28, 2025
Primary completion
Jan 7, 2030 (estimated)
Completion
Aug 30, 2032 (estimated)
Last update
Oct 20, 2026

Study contacts

Amgen Call Center
Contact
medinfo@amgen.com
866-572-6436
MD
study director · Amgen

Oversight

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

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Studies of the drug tested here: Xaluritamig

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