ClinicalTrials.gg
Not yet recruitingNCT07457164Updated Mar 12, 2026

A Study Investigating the Pharmacokinetics, Pharmacodynamics, Efficacy and Safety of Teverelix DP, a Gonadotropin-releasing Hormone (GnRH) Antagonist, in Patients With Advanced Prostate Cancer

A Phase 2 interventional study of Teverelix DP 180 mg in Advanced Prostate Cancer and GnRH Antagonist, sponsored by Antev Ltd.. Not yet recruiting. Open to male participants aged 18 Years to 85 Years. Per ClinicalTrials.gov, last updated 2026-03-12.

Sponsored by Antev Ltd. · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years to 85 Years
Sex
Male
01

Study summary

The purpose of this clinical trial is to test the effectiveness of a dosing regimen of Teverelix DP castration rate defined as the cumulative probability of testosterone suppression to \< 0.5 ng/mL with the lower bound of the 95% confidence interval (CI) being > 90% to meet the evaluation criteria for efficacy.

The main question it aims to answer is:

•Is the dosing regimen of Teverelix DP in this study effective at achieving the required testosterone suppression to castrate levels.

Participants will

  • Receive a single loading dose consisting of 3 injections of teverelix DP (180 mg IM + 2x 180 mg SC) on Day 1.
  • Receive a maintenance dose consisting of 2 injections (2X 180 mg SC) from week 4 (Day 29) and every 6 weeks up to Week 16 (Day 113).
  • The first 30 enrolled participants will have 24-hour continuous Holter monitoring performed and 24-hour PK samples will be drawn.

The results of this study are intended to support dose selection and provide supportive safety and PK/PD data to enable advancement into a subsequent Phase 3 clinical study in patients with advanced prostate cancer who are at high cardiovascular risk.

02

Conditions studied

  • Advanced Prostate Cancer
  • GnRH Antagonist

Keywords

  • Teverelix
  • Pharmacokinetics
  • Pharmacodynamics
  • Prostatic Diseases
  • Urogenital Diseases
03

In context

Prostatic Diseases

84 studies on the registry are indexed under Prostatic Diseases; 19 are open to participants now.

This study's planned enrollment of 40 is below the median of 77 across 66 interventional studies indexed under Prostatic Diseases.

Browse Prostatic Diseases studies →

Lead sponsor

Antev Ltd. is the lead sponsor of 5 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 85 Years
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

  • Is male, aged ≤85 years (≥18 years) at the beginning of the treatment period (Day 1)
  • Has proven advanced adenocarcinoma of the prostate ( or non metastatic, hormone-sensitive, non-curative), suitable for androgen deprivation therapy
  • Is treatment naïve for GnRH analogues
  • Agrees to practice during the entire study treatment period and for 3 months after the last dose of IMP is administered:

    • Either by using double barrier contraception,
    • or, is truly sexually abstinent, when this is in line with the preferred and usual lifestyle of the patient

Note: Periodic abstinence [e.g. calendar, ovulation, symptothermal, postovulation methods for the female partner with ] and withdrawal are not acceptable methods of contraception.

  • Has provided written (personally signed and dated) before completing any study-related procedure, which means any assessment or evaluation that would not have formed a part of his normal medical care

Exclusion criteria

Exclusion Criteria:

  • Has abnormal screening and/or baseline laboratory values that suggest a underlying disease, or the following laboratory values:

    • Liver function test ( [ASAT/SGOT], alanine aminotransferase [ALAT/SGPT]), exceeding >2X the range
    • Total exceeding >1.5X the ULN range
    • Creatinine twice the ULN range
    • Uncontrolled diabetes ( >7.5%) or previously undiagnosed diabetes mellitus with HbA1c >6.5%
    • An estimated (eGFR) \< 30 mL/min, based on calculation by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation normalized to an average surface area of 1.73m2, at the screening visit.
  • Has any to the use of teverelix DP
  • Has a of less than 1 year
  • Has T levels \<1.5 ng/mL at screening
  • Has a medical history of bilateral orchidectomy
  • Any other IMP (within 3 months of enrolment)
  • GnRH analogues (subjects must be treatment naïve to GnRH analogues)
  • Using any of the following prohibited treatments:

    • Within 25 weeks prior to screening: dutasteride
    • Within 12 weeks prior to screening: finasteride and others
  • Current use of any of the following:

    o Anti-androgen therapy, including T replacement therapy and 5α-reductase inhibitor treatment etc. within 3 months of enrolment (Spironolactone is a permitted concomitant treatment)

  • Any other medication or herbal product that may affect hormone levels and might, therefore, confound interpretation of the study results (e.g. St. John's wort, red reishi, licorice, white peony, green tea, spearmint, black cohosh, chaste tree, saw palmetto, etc) (within 3 months of enrolment)
  • Has neurological disease, psychiatric disease, drug or alcohol abuse, which could interfere with the patient's proper compliance
  • Has a history of myocardial infarction, unstable symptomatic ischaemic heart disease, any ongoing cardiac arrhythmias of grade >2 (chronic stable atrial fibrillation on stable anticoagulant therapy is allowed), thromboembolic events (e.g. deep vein thrombosis, pulmonary embolism, or symptomatic cerebrovascular events), or any other significant cardiac condition (e.g. pericardial effusion, restrictive cardiomyopathy) within the 6 months prior to screening
  • Has congenital long syndrome or abnormalities at screening of:

    • Q-wave infarction, unless identified ≥6 months before screening
    • Fridericia corrected QT interval (QTcF interval) >480 msec. If QTcF is prolonged in a patient with a pacemaker, the patient may be enrolled in the study upon discussion with the project clinician
    • If the QTcF interval is 450-480 msec, inclusive, in a patient with current use of medications with known effects on QT interval, the patien may be enrolled in the study following discussion with the Medical Lead
  • Note: Cardiac arrhythmia grading:

    • Bradyarrhythmias (HR \<60/min)
    • Tachyarrhythmias (HR >100/min)
    • Supraventricular arrhythmias - arrhythmias that originate in the sinoatrial node, atrial myocardium or atrioventricular node (regular QRS complex)
    • Ventricular arrhythmias - arrhythmias that originate below the atrioventricular node (wide QRS complex)
  • Has known or suspected severe renal impairment
  • Has a medical history of diagnosis of, or treatment for, another within the 2 years prior to administration of the first dose of IMP, or previous diagnosis of another malignancy with evidence of residual disease. Patients with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection
  • Is currently using Class IA (e.g. quinidine, procainamide) or Class III (e.g. amiodarone, sotalol) antiarrhythmic medications
  • Has uncontrolled hypertension despite appropriate medical therapy (sitting blood pressure [BP] of >180 millimetres of mercury [mmHg] systolic and >95 mmHg diastolic at 2 separate measurements taken no more than 60 minutes apart during the screening visit). Patients with isolated systolic BP measurements >180 mmHg may be rescreened. Patients with isolated systolic BP measurements 141 to 180 mmHg or isolated diastolic BP measurements ≥95 mmHg, although eligible, should be referred for further management of hypertension if indicated
  • Has known, previously diagnosed infection, active chronic or C, life-threatening illness unrelated to prostate cancer, or any serious medical condition that could, in the investigator's opinion, potentially interfere with participation in this study. Specific screening for chronic viral illness is at the discretion of the site and/or local Institutional Review Board (IRB)
  • Has been exposed to another drug within the 3 months prior to screening
  • Has anticipated non-availability for study visits/procedure
  • Plans to undergo surgery during the study period
  • Known presence of hepatic
Terms in these criteria, in plain language(20)

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.

Metastases

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

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

HbA1c

A blood test of average blood sugar over the past two to three months, given as a percentage or in mmol/mol. 6.5% (48 mmol/mol) or more is the usual threshold for diabetes, normally confirmed by a second test.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

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.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Teverelix DP 180 mg

    Participants receive teverelix DP loading dose on Day 1 (180 mg IM + 2x 180 mg SC) then teverelix DP 2x 180 mg SC on Day 29 and every 6 weeks to Week 16 (Day 113)

    Drug: Teverelix DP 180 mg

Interventions

  • DrugTeverelix DP 180 mg

    Teverelix DP 540 mg Day 1 and 360 mg every 6 weeks from week 4 to week 16.

06

What researchers measure

Primary outcomes

  1. To evaluate the efficacy of a dosing regimen of teverelix DP in attaining by Day 29 and sustaining to Day 155 castration rate

    Castration rate defined as the cumulative probability of testosterone suppression to \< 0.5 ng/mL with the lower bound of the 95% confidence interval (CI) being \> 90%

    Time frame: 22 weeks

  2. Evaluate the safety of teverelix DP through the incidence of adverse events.

    Time frame: 22 weeks

  3. Evaluate the safety of teverelix DP through the incidence of abnormalities in clinical laboratory data

    Time frame: 22 weeks

  4. Evaluate the safety of teverelix DP by assessing QTc-teverelix DP plasma concentration relationship via 24-hour ECG Holter data collected in a subset of patients (n=30)

    Time frame: 22 weeks

  5. Evaluate the safety of teverelix DP by assessing the generation of anti-drug antibodies (ADAs) to teverelix (i.e. immunogenicity) in 40 patients

    Time frame: 22 weeks

Secondary outcomes

  1. Evaluate the change in Prostate Specific Antigen (PSA)

    Time frame: 22 weeks

  2. Characterise the effect of teverelix DP on pharmacodynamic parameters total T, LH and FSH in 40 patients

    Time frame: 22 weeks

  3. Define PK parameters for teverelix DP by maximum observed plasma concentration (Cmax) of teverelix DP

    Time frame: 22 weeks

  4. Define PK parameters for teverelix DP by area under the concentration-time curve (AUC0-τ) of teverelix DP

    Time frame: 22 weeks

  5. Define PK parameters for teverelix DP by time to maximum observed plasma concentration (Tmax) of teverelix DP

    Time frame: 22 weeks

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Jul 2026; primary completion for Sep 2027, 14 months later.

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

Registered
Feb 24, 2026
First posted
Mar 9, 2026
StartEst.
Jul 2026
Primary completionEst.
Sep 2027
CompletionEst.
Dec 2027
Last update
Mar 12, 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.
No changes since tracking began. The registry record was last updated on Mar 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07457164
Lead sponsor
Antev Ltd.
Responsible party
Sponsor
First posted
Mar 9, 2026
Start date
Jul 2026 (estimated)
Primary completion
Sep 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Mar 12, 2026

Oversight

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

Not currently enrolling

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

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