ClinicalTrials.gg
RecruitingNCT07906717Updated Nov 3, 2026

A Study of JNJ-101556143 With Best Supportive Care in Participants With Metastatic Prostate Cancer

A Phase 3 interventional study of JNJ-101556143 and Placebo in Prostatic Neoplasms, sponsored by Janssen Research & Development, LLC. Recruiting at 4 sites in 2 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 3, Interventional, and Treatment

Updated Nov 3, 2026Now RecruitingFirst sites in Israel and United States+3 moreGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

The purpose of this study is to evaluate how well JNJ-101556143 plus Best Supportive Care (BSC) improves overall survival (the length of time a participant remains alive) compared with placebo plus BSC in participants with metastatic androgen pathway modulation-resistant prostate cancer (mAPMR). mAPMR is an advanced form of prostate cancer that has spread to other parts of the body and no longer responds to hormone treatments designed to block male hormones (androgens).

02

Conditions studied

  • Prostatic Neoplasms

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03

In context

Prostatic Neoplasms

7,046 studies on the registry are indexed under Prostatic Neoplasms; 1,580 are open to participants now.

This study's planned enrollment of 400 is above the median of 60 across 5,348 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Janssen Research & Development, LLC is the lead sponsor of 932 studies on the registry; 76 are open to participants now.

Of its 285 completed or terminated interventional studies of FDA-regulated products, 136 (48%) have results posted.

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

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

  • Have confirmed adenocarcinoma of the prostate. Primary (or pathologic evidence of conversion to) small cell carcinoma, carcinoid tumor, mixed neuroendocrine carcinoma, large cell neuroendocrine carcinoma, or sarcoma of the prostate is disallowed
  • Progressive androgen pathway modulation-resistant prostate cancer (mAPMR) defined as having a Prostate-Specific Antigen (PSA) level greater than or equal (>=) 10 nanograms per milliliter (ng/mL) and at least one of the following: (a) PSA progression defined as at least 2 consecutive increases in PSA value over a previous reference value measured at least 1 week apart. (b) Progressive disease or new lesion(s) in the lymph nodes, bones, or viscera on conventional imaging (computed tomography [CT]/magnetic resonance imaging [MRI]) as defined by version 1.1 (RECIST v1.1) and/or on bone scan per Prostate Cancer Working Group 4 (PCWG4) while on Androgen Deprivation Therapy (ADT) (either surgically [bilateral orchiectomy] or with medication)
  • Participants should have had all life-prolonging therapies for which they are clinically eligible in the opinion of the investigator and to which they have access
  • Prior bilateral orchiectomy or medical castration (receiving ongoing ADT with a Gonadotropin-Releasing Hormone (GnRH) analog [agonist or antagonist]) with castrate level of serum testosterone (less than [\<] 50 nanograms per deciliter [ng/dL] or 1.7 nanomoles per liter [nmol/L]) prior to the first dose of trial intervention and must continue this therapy throughout the treatment phase
  • Have discontinued concurrent use of any non- systemic anticancer therapy (that is, cytotoxic chemotherapy, Androgen Receptor Pathway Inhibitor (ARPI), radiation therapy) non-sponsor investigational drugs within 2 weeks or Lutetium-177 Prostate-Specific Membrane Antigen-617 (177\^Lu PSMA-617) within 4 weeks prior to randomization and may not have participated in an investigational trial within the sponsor's development program within 6 months prior to randomization
  • Toxicity related to prior anticancer treatment that is deemed must have resolved to (CTCAE) Version 6.0 Grade 1 or better

Exclusion criteria

Exclusion Criteria:

  • Acute or chronic uncontrolled renal disease, pancreatitis, or liver disease (with exception of patients with Gilbert's Syndrome, asymptomatic gallstones, liver , or stable chronic liver disease per investigator assessment)
  • Suspected or known allergies, , or intolerance to JNJ-101556143 or its
  • Had major surgery or had significant traumatic injury less than or equal to 28 days of the first dose of trial intervention
  • Spinal cord compression unless considered to have received definitive treatment for this and evidence of clinically stable disease for 28 days
  • Solid organ or bone marrow transplantation
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.

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.

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.

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.

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.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
400 participants (estimated)

Study arms

  • Experimental
    JNJ-101556143 + Best Supportive Care

    Participants will receive JNJ-101556143 orally once daily along with Best Supportive Care. Treatment will continue until discontinuation criteria are met.

    Drug: JNJ-101556143 · Drug: Best Supportive Care

  • Placebo comparator
    Placebo + Best Supportive Care

    Participants will receive matching placebo orally once daily along with Best Supportive Care. Treatment will continue until discontinuation criteria are met.

    Drug: Placebo · Drug: Best Supportive Care

Interventions

  • Participants will receive JNJ-101556143 orally.

  • DrugPlacebo

    Participants will receive matching placebo orally.

  • DrugBest Supportive Care

    Best supportive care may include palliative external beam radiation, low dose steroids, pain medication, bone sparing agents, and clinically indicated palliative procedures.

06

What researchers measure

Primary outcomes

  1. Overall Survival (OS)

    OS is defined as the time from randomization to date of death from any cause.

    Time frame: Up to 21 months

Secondary outcomes

  1. Radiographic Progression-Free Survival (rPFS)

    rPFS is defined as the time from the date of randomization until the date of radiographic disease progression or death, whichever comes first as per response evaluation criteria in solid tumors version 1.1 (RECIST v1.1) and Prostate Cancer Working Group 4 (PCWG4) criteria.

    Time frame: Up to 21 months

  2. Progression-Free Survival (PFS)

    PFS is defined as the time from randomization until disease progression or death, whichever occurs first.

    Time frame: Up to 21 months

  3. Time to Symptomatic Progression (TSP)

    TSP is defined as the time from the date of randomization to the date of the first occurrence of any of the following: The use of external beam radiation for palliative treatment; need for tumor-related orthopedic surgical intervention; other cancer-related procedures; cancer-related morbid events and initiation of a new systemic anticancer therapy because of cancer symptoms.

    Time frame: Up to 21 months

  4. Time to Skeletal-Related Events (TSRE)

    TSRE is defined as the time from the date of randomization to the date of the first occurrence of any of the following (whichever occurs first): * The use of external beam radiation therapy to relieve skeletal symptoms. * The need for tumor-related orthopedic surgical intervention. * The occurrence of new bone fractures (cancer-related; vertebral or non-vertebral). * The occurrence of tumor-related spinal cord compression.

    Time frame: Up to 21 months

  5. Time to Pain Progression (TTPP)

    TTPP is defined as the time from the date of randomization to first observation of pain progression. Pain progression is defined as an increase of \>=2 points from baseline in the BPI-SF worst pain intensity (item 3) observed at 2 consecutive evaluations \>=3 weeks apart with no decrease in analgesic dose.

    Time frame: Up to 21 months

  6. Number of Participants with Treatment-Emergent Adverse Event (TEAE) by Severity

    An adverse event (AE) is any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. An SAE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE). Severity scale defined as 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 21 months

  7. Number of Participants with Abnormalities in Clinical Laboratory Tests

    Participants with abnormalities in clinical laboratory tests will be reported.

    Time frame: Up to 21 months

  8. Plasma Concentration of JNJ-101556143

    Plasma samples will be analyzed to determine concentrations of JNJ-101556143 using a validated LC-MS/MS method.

    Time frame: Pre-dose for Cycles 1 to 4; 2 to 3 hours and 4 to 8 hours Post-dose from Cycles 1 to 2 (each cycle duration is 28 days)

07

Study locations

4 of 4 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 ↗ · www.jnj.com

No publications or documents are linked to this record.

09

Updates

2 registry updates since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Nov 3, 2026
Sites
4 sites added — first sites in Israel and United States
Show 4 added (3 United States, 1 Israel)
  • Renovatio Clinical 1 · El Paso, United States
  • Renovatio Clinical · The Woodlands, United States
  • Summit Urology Folio Clinical Research · Murray, United States
  • Rambam Medical Center · Haifa, Israel
Nov 3, 2026
Start date
Nov 6, 2026→Oct 29, 2026 (actual)
Nov 3, 2026
Registered
First appeared on the registry
Oct 30, 2026
Show all 2 updates
  1. Nov 3, 2026
    Not yet recruiting→Recruiting
    4 sites added — first sites in Israel and United States
    Show 4 added (3 United States, 1 Israel)
    • Renovatio Clinical 1 · El Paso, United States
    • Renovatio Clinical · The Woodlands, United States
    • Summit Urology Folio Clinical Research · Murray, United States
    • Rambam Medical Center · Haifa, Israel
    Start date Nov 6, 2026→Oct 29, 2026 (now actual)
    + 1 other change: verification date
  2. Oct 30, 2026
    First appeared on the registry

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
NCT07906717
Responsible party
Sponsor
First posted
Oct 30, 2026
Start date
Oct 29, 2026
Primary completion
Feb 14, 2028 (estimated)
Completion
Aug 18, 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
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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