ClinicalTrials.gg
Active, not recruitingNCT07336446ANDROMEDAUpdated Oct 2, 2026

A Trial to Learn How Safe AZD9750 is and How Well it Works in People With Metastatic Prostate Cancer When Given With or Without Other Anticancer Drugs

A Phase 1/2 interventional study of AZD9750 and AZD5305 in Prostate Cancer, sponsored by AstraZeneca. Active, not recruiting at 5 sites in 4 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-02.

Sponsored by AstraZeneca · Phase 1/2, Interventional, and Treatment

Updated Oct 2, 2026Now Active, not recruitingNo longer in 4 countries+4 moreGo to Updates ↓

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Phase
Phase 1/2
Study type
Interventional
Enrollment
6
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Where this study stands

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

Among 91 studies in Prostatic Neoplasms by AstraZeneca — 15 open to participants now, 29 under way, 8 of them phase 3. Prostatic Neoplasms · AstraZeneca.

Enrollment
60th of 60
6 · median 110
Started
2026
with 6 others
Phase 1/2
11 of 91
6 open now
Primary completion
2026-11
later than 6 of 28 live
Registered
85th of 91
by date

Among the 91 studies in Prostatic Neoplasms by AstraZeneca, this one is the 60th largest by enrollment of the 60 interventional ones that give a count, is one of 7 that started in 2026, is one of 11 in phase 1/2, reaches primary completion later than 6 of the 28 other live ones, and was the 85th 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

15 of the 91 studies in Prostatic Neoplasms by AstraZeneca are open now, in 12 countries. Recruiting first, the newest first:

10 more — sign in →

By country, each count listing its studies:

All 15 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.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 91 studies in Prostatic Neoplasms by AstraZeneca, or all of them as a file.
02

Study summary

ANDROMEDA is a first-in-human, Phase I/II, open-label, multicenter study of AZD9750 in participants with metastatic prostate cancer. The trial evaluates safety, tolerability, pharmacokinetics/pharmacodynamics, and preliminary efficacy of AZD9750 as monotherapy and in combination with saruparib.

Read the detailed description

This first-in-human (FiH), Phase I/II, open-label, multicenter study will evaluate the safety, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary efficacy of AZD9750 as monotherapy and in combination with saruparib in participants with metastatic prostate cancer. Additional combinations with other anticancer agents may be added via protocol amendment as separate modules. The study follows a modular design, allowing initial assessment of safety, tolerability, and preliminary efficacy across multiple treatment arms. Each Module has 2 parts: Part A (monotherapy dose escalation or combination dose finding) and Part B (monotherapy dose optimization and expansion or combination dose expansion). Treatment continues until disease progression, unacceptable toxicity, withdrawal of consent, or other reasons to discontinue study intervention occur.

03

Conditions studied

  • Prostate Cancer

Keywords

  • Metastasic Prostate Cancer
  • Prostate Cancer
  • Androgen Receptor
  • Proteolysis-targeting chimeras (PROTACs)
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 must be ≥18 years or the legal age at the time of signing the form.

    • or cytologically confirmed diagnosis of adenocarcinoma of the prostate.
    • Documented disease.
    • Serum testosterone levels ≤ 50 ng/dL.
    • Evidence of disease progression with one of the following:

      1. PSA progression defined by a minimum of 3 rising PSA levels with an interval of ≥ 1 week between each determination.
      2. Radiographic progression of soft tissue disease by v1.1 with or without PSA progression.
      3. Radiographic progression of bone metastasis with 2 or more documented new bone lesions on a bone scan with or without PSA progression.
    • performance status score of 0 or 1.
    • Adequate bone marrow and organ function.
    • Part A (Module 1)

      • (a) Part A1 dose escalation: at least 1 prior ARPI and, if applicable, at least 1 taxane-based chemotherapy (regardless of whether in HSPC or CRPC setting).
      • (b) Part A2 backfill: at least 1 but no more than 2 prior ARPIs and, if applicable, at least 1 but no more than 2 prior taxane-based chemotherapies (regardless of whether in HSPC or CRPC setting).
    • Part B (Module 1)

      • (a) B1/B2 dose optimization/expansion: at least 1 but no more than 2 prior ARPIs and, if applicable, at least 1 but no more than 2 prior taxane-based chemotherapies (regardless of whether in HSPC or CRPC setting).
      • (b) B3 dose expansion (no taxane cohort): at least 1 but no more than 2 prior ARPIs for metastatic prostate cancer (regardless of whether in HSPC or CRPC setting). No prior taxane is allowed for inclusion in this cohort.

Exclusion criteria

  • Participants with pathological finding consistent with any presence of small cell carcinoma, predominant neuroendocrine carcinoma, or any predominant histology other than prostate adenocarcinoma.

    • , or spinal cord compression.
    • Any cardiac disorders including , abnormal (ECG).
    • Any clinically significant cardiovascular diseases including symptomatic heart failure, uncontrolled hypertension, acute coronary syndrome, cardiomyopathy, valvular heart disease, atrial fibrillation, stroke.
    • Active gastrointestinal disease or other condition that will interfere significantly with the absorption, distribution, metabolism of AZD9750 and relevant combination IMPs.
    • Participants with any known predisposition to bleeding (eg, active peptic ulceration, recent [within 6 months] hemorrhagic stroke, proliferative diabetic retinopathy).
    • Prior treatment with an AR-PROTAC.

Other protocol-defined inclusion/exclusion criteria apply.

Terms in these criteria, in plain language(9)

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.

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.

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.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
6 participants (actual)

Study arms

  • Experimental
    Module 1 / Part A1

    AZD9750 Monotherapy (Dose Escalation) - No randomization

    Drug: AZD9750

  • Experimental
    Module 1 / Part A2

    AZD9750 Monotherapy (Backfills) - No randomization

    Drug: AZD9750

  • Experimental
    Module 1 / Part B1

    AZD9750 Monotherapy (Dose Optimization) - Randomization

    Drug: AZD9750

  • Experimental
    Module 1 Part B2

    AZD9750 Monotherapy (Dose Expansion) - No randomization

    Drug: AZD9750

  • Experimental
    Module 1 / Part B3

    AZD9750 Monotherapy (Dose Expansion) - No randomization

    Drug: AZD9750

  • Experimental
    Module 2 / Part A

    AZD9750 + Saruparib (Combination Dose Finding) - No Randomization

    Drug: AZD9750 · Drug: AZD5305

  • Experimental
    Module 2/ Part B

    AZD9750 + Saruparib (Combination Dose Expansion) - No Randomization

    Drug: AZD9750 · Drug: AZD5305

Interventions

  • DrugAZD9750

    AR-PROTAC

  • PARP1-selective inhibitor

    Also known as: Saruparib

06

What researchers measure

Primary outcomes

  1. Number of participants with dose-limiting toxicity (DLT), as defined in the protocol (Part A only)

    To evaluate the safety and tolerability and determine the MTD and/or the RDE(s)/RP2D of AZD9750 as a monotherapy and in combination with other anticancer agents in participants with mCRPC. A DLT is a toxicity defined by the study protocol that occurs from the first dose of study intervention up to the end of the DLT evaluation period that is assessed as clearly unrelated to the primary disease or intercurrent illness.

    Time frame: From first dose of study intervention to 28 days post first dose

  2. Number of participants with Adverse Events and Serious Adverse Events

    The number of participants with adverse events and with serious adverse events will be assessed.

    Time frame: From first dose of study intervention up to 37 days after the last dose of study treatment

  3. Number of participants with Adverse Events leading to discontinuation of study intervention

    The number of participants with clinically significant changes from baseline in vital signs will be assessed.

    Time frame: From first dose of study intervention up to 37 days after the last dose of study treatment

  4. Clinically significant changes from baseline in vital signs.

    The number of participants with clinically significant changes from baseline in vital signs will be assessed.

    Time frame: From first study dose up to 37 days after the last dose of study treatment

  5. Clinically significant changes from baseline in physical examination.

    The number of participants with clinically significant changes from baseline in physical examination will be assessed.

    Time frame: From first dose of study intervention up to 37 days after the last dose of study treatment

  6. Clinically significant changes from baseline in ECOG PS.

    The number of participants with clinically significant changes from baseline in ECOG PS will be assessed.

    Time frame: From first dose of study intervention up to 37 days after the last dose of study treatment

  7. Clinically significant changes from baseline in ECGs.

    The number of participants with clinically significant changes from baseline in ECGs will be assessed.

    Time frame: From first dose of study intervention up to 37 days after the last dose of study treatment

  8. Clinically significant changes from baseline in laboratory parameters.

    The number of participants with clinically significant changes from baseline in laboratory parameters will be assessed.

    Time frame: From first dose of study intervention up to 37 days after the last dose of study treatment

  9. Proportion of participants achieving a ≥50% decrease in PSA from baseline (PSA50) (Part B only)

    To evaluate the preliminary antitumour efficacy of AZD9750 as monotherapy and in combination with other anticancer agents in participants with mCRPC.

    Time frame: From first dose of study intervention up to 14 days after the last dose of study treatment

Secondary outcomes

  1. Proportion of participants achieving a ≥ 50% decrease in PSA from baseline (PSA50) (Part A only)

    To evaluate the preliminary antitumour efficacy of AZD9750 as monotherapy and in combination with other anticancer agents.

    Time frame: From first dose of study intervention up to initiation of subsequent anticancer therapy (or radiotherapy on target lesions), PSA progression or 14 days after the last dose of study treatment

  2. Proportion of participants achieving a ≥ 90% decrease in PSA from baseline (PSA90)

    To evaluate the preliminary antitumour efficacy of AZD9750 as monotherapy and in combination with other anticancer agents.

    Time frame: From first dose of study intervention up to initiation of subsequent anticancer therapy (or radiotherapy on target lesions), PSA progression or 14 days after the last dose of study treatment

  3. Objective response rate (ORR)

    To evaluate the preliminary antitumour efficacy of AZD9750 as monotherapy and in combination with other anticancer agents. ORR will be assessed according to RECIST v1.1 and PCWG3 criteria (bone) and is defined as the percentage of participants who have a confirmed best overall response of CR or PR or NED (in case the subject has neither TLs nor NTLs at baseline) that occurs prior to the initiation of subsequent anticancer treatment (or radiotherapy on target lesions) and prior to progression.

    Time frame: From randomisation or first dose of study intervention to initiation of subsequent anticancer treatment (or radiotherapy on target lesions) or progression, assessed up to 60 months

  4. Duration of response (DoR)

    To evaluate the preliminary antitumour efficacy of AZD9750 as monotherapy and in combination with other anticancer agents. DoR is defined as the time from the date of first documented objective response (which is subsequently confirmed) until the date of first documented radiological disease progression or death (by any cause in the absence of disease progression).

    Time frame: From randomisation or first dose of study intervention to the date of first documented radiological disease progression, assessed up to 60 months

  5. Time to response (TTR)

    To evaluate the preliminary antitumour efficacy of AZD9750 as monotherapy and in combination with other anticancer agents. TTR is defined as the time from randomisation/first dose until the first documentation of a subsequently confirmed objective response prior to progression and prior to starting any subsequent cancer therapy (or radiotherapy on target lesions).

    Time frame: From randomisation or first dose of study intervention to initiation of subsequent anticancer treatment (or radiotherapy on target lesions) or progression, assessed up to 60 months

  6. Radiographic progression-free survival (rPFS)

    To evaluate the preliminary antitumour efficacy of AZD9750 as monotherapy and in combination with other anticancer agents. rPFS is defined as the time from the date of randomisation or first dose until the date of radiographic progression, as assessed per RECIST v1.1 (soft tissue) and/or PCWG3 criteria (bone) and derived from the raw tumour data or death (by any cause in the absence of progression).

    Time frame: From randomisation or first dose of study intervention to progression, assessed up to 60 months

  7. Best percentage change in target lesion size from baseline

    To evaluate the preliminary antitumour efficacy of AZD9750 as monotherapy and in combination with other anticancer agents. The best change in tumour size from baseline (i.e. depth of response) is the largest decrease from baseline or the smallest increase from baseline in the absence of a reduction and includes all assessments: * up to and including the first visit at which the overall visit response is PD, * prior to death in the absence of progression, * prior to the start of subsequent anti-cancer therapy (or radiotherapy on target lesions) * or up to and including the last evaluable RECIST assessment if the subject has not died, progressed or started subsequent anti-cancer therapy (or radiotherapy on target lesions).

    Time frame: From screening (Day -28) to initiation of subsequent anticancer treatment (or radiotherapy on target lesions) or progression, assessed up to 60 months

  8. Time to PSA response (TTPSA50, TTPSA90)

    To evaluate the preliminary antitumour efficacy of AZD9750 as monotherapy and in combination with other anticancer agents. TTPSA is defined as the time from randomisation or first dose date until the date of the first documented PSA50 or PSA90 response (which is subsequently confirmed), respectively.

    Time frame: From first dose of study intervention up to initiation of subsequent anticancer therapy (or radiotherapy on target lesions), PSA progression or 14 days after the last dose of study treatment

  9. Cmax of AZD9750

    To characterize the PK of AZD9750 as monotherapy and in combination with other anticancer agents.

    Time frame: From date of first dose of study intervention up to 115 days after first dose

  10. tmax of AZD9750

    To characterize the PK of AZD9750 as monotherapy and in combination with other anticancer agents.

    Time frame: From date of first dose of study intervention up to 115 days after first dose

  11. AUC of AZD9750

    To characterize the PK of AZD9750 as monotherapy and in combination with other anticancer agents.

    Time frame: From date of first dose of study intervention up to 115 days after first dose

  12. Cmax of saruparib (Module 2 only)

    To characterize the PK of saruparib in combination with AZD9750.

    Time frame: From date of first dose of study intervention up to 57 days after first dose

  13. Tmax of saruarib (Module 2 only)

    To characterize the PK of saruparib in combination with AZD9750.

    Time frame: From date of first dose of study intervention up to 57 days after first dose

  14. AUC of saruparib (Module 2 only)

    To characterize the PK of saruparib in combination with AZD9750.

    Time frame: From date of first dose of study intervention up to 57 days after first dose

07

Study locations

5 sites
  • Research Site
    Duarte, California 91010, United States
  • Research Site
    Nashville, Tennessee 37203, United States
  • Research Site
    Melbourne, 3000, Australia
  • Research Site
    Kashiwa, 227-8577, Japan
  • Research Site
    Cambridge, CB2 2QQ, United Kingdom
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it movedSimilar 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 Jan 2026 (actual). Primary completion is estimated for Nov 2026, 9 months after the start.

Of 97 industry-sponsored phase 1/2 interventional studies under Prostatic Neoplasms, half reached primary completion within 52 months of starting (the median), counting those still running; a quarter within 35. This study's planned 9 months is below that.

Counting every sponsor, half of 211 studies reached it within 61 months; a quarter within 30 and three quarters within 85.

Since we started tracking on Sep 25, 2026, the dates moved once, on Oct 2, 2026: primary completion Jan 2029 → Nov 2026 and completion Jan 2029 → Nov 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Dec 19, 2025
First posted
Jan 13, 2026
StartActual
Jan 27, 2026
Primary completionEst.
Nov 5, 2026was Jan 2029
CompletionEst.
Nov 5, 2026was Jan 2029
Last update
Oct 2, 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.
Status
Recruiting→Active, not recruiting
changed Oct 2, 2026
Sites
13 sites removed; no longer in Canada, China, Netherlands and Spain
Show 13 removed
  • Research Site · San Francisco, United States
  • Research Site · Tampa, United States
  • Research Site · Boston, United States
  • Research Site · St Louis, United States
  • Research Site · Myrtle Beach, United States
  • Research Site · Salt Lake City, United States
  • Research Site · Calgary, Canada
  • Research Site · Vancouver, Canada
  • Research Site · Chengdu, China
  • Research Site · Chūōku, Japan
  • Research Site · Amsterdam, Netherlands
  • Research Site · Rotterdam, Netherlands
  • Research Site · Barcelona, Spain
Oct 2, 2026
Primary completion
Jan 26, 2029→Nov 5, 2026
Oct 2, 2026
Study completion
Jan 26, 2029→Nov 5, 2026
Oct 2, 2026
Enrollment
300 (estimated)→6 (actual)
Oct 2, 2026
Show all 1 update
  1. Oct 2, 2026
    Recruiting→Active, not recruiting
    13 sites removed; no longer in Canada, China, Netherlands and Spain
    Show 13 removed
    • Research Site · San Francisco, United States
    • Research Site · Tampa, United States
    • Research Site · Boston, United States
    • Research Site · St Louis, United States
    • Research Site · Myrtle Beach, United States
    • Research Site · Salt Lake City, United States
    • Research Site · Calgary, Canada
    • Research Site · Vancouver, Canada
    • Research Site · Chengdu, China
    • Research Site · Chūōku, Japan
    • Research Site · Amsterdam, Netherlands
    • Research Site · Rotterdam, Netherlands
    • Research Site · Barcelona, Spain
    Primary completion Jan 26, 2029→Nov 5, 2026
    Study completion Jan 26, 2029→Nov 5, 2026
    Enrollment 300 (estimated)→6 (actual)
    + 2 other changes: verification date and contact details

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 ↗

09

Registry details

Key details

Study ID
NCT07336446
Lead sponsor
AstraZeneca
Responsible party
Sponsor
First posted
Jan 13, 2026
Start date
Jan 27, 2026
Primary completion
Nov 5, 2026 (estimated)
Completion
Nov 5, 2026 (estimated)
Last update
Oct 2, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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