RecruitingPhase 1

Study of AMG 509 in Participants With Metastatic Castration-Resistant Prostate Cancer

A Phase 1 Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Efficacy of AMG 509 in Subjects With Metastatic Castration-Resistant Prostate Cancer

Who can join

As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.

Age
18 Years and older
Sex
Male only
Healthy volunteers
Not accepted
Compensation
Not stated

Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.

What to expect

No one can promise a trial will help you personally — that is what the research is trying to find out.

What participation involves

Not stated in the study description — ask the study team about visits and procedures.

Compensation
Not stated
  • Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
  • Participants are monitored closely by the research team throughout the study.
  • Some participants may receive access to an investigational treatment, which is still being studied.
  • Your participation helps researchers learn whether this approach could help future patients.

About this study

In plain language

This study tests AMG 509 alone or with abiraterone acetate or enzalutamide for prostate cancer that has spread and keeps growing despite treatment to lower testosterone. It checks safety, side effects, how the body handles the drug, and whether it may help treat the cancer. As of July 9, 2025, only Part 4A expansion and Parts 6 and 7 are enrolling.

The overall aim of the trial is to evaluate the safety, tolerability, and pharmacokinetics (PK) of AMG 509 (monotherapy and in combination with abiraterone acetate and enzalutamide) and to evaluate preliminary efficacy. As of Protocol Amendment 10 (09 July 2025), only Parts 4A expansion, 6, and 7 are open to accrual.

Compensation is read from the study's own description and may be missing — always confirm with the study team.

Eligibility

Who can join

  • Have prostate cancer confirmed by a tissue or cell test that has spread and keeps growing despite treatment to lower testosterone.
  • Have had both testicles removed or be taking ongoing medicine to lower testosterone. Your testosterone level must be 50 ng/dL or lower.
  • Have signs that the cancer is getting worse on scans or repeated PSA blood tests. PSA is a marker used to track prostate cancer.
  • Be fully active or able to do light work, and be expected to live at least 3 months.
  • Meet the study’s blood count, kidney, liver, heart, and lung test limits. You must not need extra oxygen.
  • Part 4A expansion: Have had at least 1 newer hormone treatment, with limits on other past treatments. Most people must be starting abiraterone for the first time, but about 10 people who took it before may join.
  • Part 6: Cancer must have worsened after exactly 1 of these drugs: enzalutamide, apalutamide, or darolutamide. You must have a tumor that can be measured on a CT or MRI scan. Other past treatment limits apply, including no chemotherapy after the cancer became resistant to testosterone-lowering treatment.
  • Part 7: Meet the part’s rules for past hormone treatments and taxanes, a type of chemotherapy. These rules include treatment limits and, for some groups, prior treatment failure or being unable or unwilling to take taxanes.

Who can't join

  • Have a prostate cancer type other than adenocarcinoma, including small cell or neuroendocrine cancer.
  • Had radiation within 4 weeks before the first dose, or radiation to a small area within 2 weeks.
  • Have untreated cancer in the brain or spinal cord, or cancer in their lining. Previously treated brain or spinal cord spread may be allowed if scans show improvement and no further growth.
  • Had major surgery within 4 weeks before the first dose.
  • Have a sudden or uncontrolled infection affecting the body within 7 days before the first dose. Some simple urinary tract or throat infections may be allowed if treatment is working.
  • Have a past or current autoimmune disease, where the immune system attacks the body, or a condition that permanently weakens immunity or requires ongoing immune-suppressing medicine.
  • Have a history of certain blood clots. Timing rules include 12 months for artery clots and 6 months for vein clots; rules about stable blood-thinning treatment also apply.
  • Had a heart attack or certain heart failure symptoms within 12 months before the first dose. Some heart problems treated with a stent may be allowed after a heart doctor’s review.

Simplified for readability. The official criteria below are what the study team uses.

Official eligibility criteria

Inclusion Criteria: * Parts 1, 2, 5 and 7: Participants with histologically or cytologically confirmed metastatic castration-resistant prostate cancer (mCRPC) who are refractory to a novel antiandrogen therapy (abiraterone acetate and/or enzalutamide, apalutamide, or darolutamide) and have failed at least 1 (but not more than 2) taxane regimens including for metastatic hormone-sensitive prostate cancer (mHSPC) (or who are deemed medically unsuitable to be treated with a taxane regimen or have actively refused treatment with a taxane regimen). Note: A taxane regimen is defined as a minimum exposure of 2 cycles of a taxane. Any NHT that has been administered and has been stopped for reasons other than progression will not be counted as an additional line of treatment. 1. Dose exploration phase: Novel antiandrogen therapy must have been given for treatment of metastatic disease. 2. Dose-expansion phase: participants must not have had more than 2 NHTs and 2 taxane regimens in any setting, and an additional up to 2 other systemic anti-cancer treatments are allowed (eg, anti-PD1, PARP inhibitors, radioligand therapies, sipuleucel-T, experimental agents) Note: Combinations are considered one systemic anti-cancer treatment. * Part 3: Participants with histologically or cytologically confirmed mCRPC who have received no or 1-2 prior NHTs (abiraterone acetate, enzalutamide, apalutamide, or darolutamide) given in any disease setting and who are deemed medically unsuitable to be treated with a taxane regimen or have actively refused treatment with a taxane regimen (unless taxane treatment was administered in HSPC setting). 0 1 prior PARP inhibitors or sipuleucel-T treatments are acceptable. Participants who received prior investigational therapy for the treatment of metastatic disease are not eligible. * Parts 4A, 4B and 7: 1. Participants with histologically or cytologically confirmed mCRPC who have received no or 1-2 prior NHTs (given in any disease setting depending on the part), and no or 1 taxane regimen (for HSPC). 2. Dose-expansion phase: at least 1 prior NHT must have been given; 0-1 prior PARP inhibitors are acceptable. 3. 4A: Participants planning to receive abiraterone acetate for the first time (participants who received prior abiraterone acetate are not eligible). Participants may have had exposure to up to 2 NHTs with a similar mechanism of action (apalutamide, enzalutamide or darolutamide) in the non-mCRPC and mCRPC setting. * Dose-expansion phase: up to approximately 10 participants with prior exposure to abiraterone acetate may be enrolled into Part 4A expansion cohort. d. 4B: Participants planning to receive enzalutamide for the first time (participants who received prior enzalutamide/apalutamide or daralutamide are not eligible). * Part 6: 1. Prior disease progression on 1, and only 1, NHT (either enzalutamide, apalutamide, or darolutamide) is required. NOTE: Prior progression on or intolerance to abiraterone is not allowed. 2. No prior treatment with any chemotherapy regimen in the mCRPC setting; ≤ 6 cycles of docetaxel treatment in the mHSPC setting is allowed. 3. mCRPC with ≥ 1 RECIST v1.1 measurable lesion that is present on baseline computed tomography (CT) or magnetic resonance imaging (MRI). * All parts: * Participants must have undergone bilateral orchiectomy or be on continuous androgen-deprivation therapy with a gonadotropin releasing hormone (GnRH) agonist or antagonist. * Total serum testosterone ≤ 50 ng/dL or 1.7 nmol/L. * Evidence of progressive disease, defined as 1 or more Prostate Cancer Working Group 3 (PCWG3) criteria: 1. PSA level ≥ 1 ng/mL that has increased on at least 2 successive occasions at least 1 week apart. 2. Nodal or visceral progression as defined by RECIST v1.1 with PCGW3 modifications. 3. Appearance of 2 or more new lesions in bone scan. * Eastern Cooperative Oncology Group performance status of 0-1. * Life expectancy ≥ 3 months. * Adequate organ function, defined as follows: 1. Hematological function: 1. absolute neutrophil count ≥ 1 x 10\^9/L (without growth factor support within 7 days from screening assessment). 2. platelet count ≥ 75 x 10\^9/L (without platelet transfusion within 7 days from screening assessment). 3. hemoglobin ≥ 9 g/dL (90 g/L) (without blood transfusion within 7 days from screening assessment). 2. Renal function: 1\. estimated glomerular filtration rate based on Modification of Diet in Renal Disease calculation ≥ 30 ml/min/1.73 m\^2. 3. Hepatic function: 1. aspartate aminotransferase (AST) and alanine aminotransferase (ALT) \< 3 x upper limit of normal (ULN) (or \< 5 x ULN for participants with liver involvement). 2. total bilirubin (TBL) \< 1.5 x ULN (or \< 2 x ULN for participants with liver metastases). 4. Cardiac function: 1. left ventricular ejection fraction \> 50% (2-D transthoracic echocardiogram \[ECHO\] is the preferred method of evaluation; multi-gated acquisition scan is acceptable if ECHO is not available). 2. Baseline electrocardiogram (ECG) QTcF ≤ 470 msec (average of triplicate values). 5. Pulmonary function: 1. baseline oxygen saturation \> 92% on room air at rest and no oxygen supplementation. Part 3-Retreatment group: * Deriving benefit from initial treatment with AMG 509 as evidenced by one of the following: 1. confirmed PSA50 response. 2. radiographic stable disease/partial response/complete response during 6 cycles of initial treatment with AMG 509 and without progression during the first 6 cycles. * No discontinuation for toxicity during the initial treatment with 6 cycles of AMG 509. * Progressive disease as defined in I106 within 12 months of final dose in their initial treatment with 6 cycles (EOT\_1). * Willingness to have a fresh tumor biopsy prior to initiating the additional course of treatment, depending on safety and feasibility as assessed by investigator. Key Exclusion Criteria: * Pathological finding consistent with pure small cell, neuroendocrine carcinoma of the prostate or any other histology different from adenocarcinoma. * Radiation therapy within 4 weeks of first dose (or local or focal radiotherapy within 2 weeks of first dose). * Untreated central nervous system (CNS) metastases or leptomeningeal disease. Participants with a history of treated CNS metastases are eligible if there is radiographic evidence of improvement upon the completion of CNS-directed therapy and no evidence of interim progression between the completion of CNS-directed therapy and the screening radiographic study. * Prior major surgery within 4 weeks of first dose. * Participants with symptoms and/or clinical signs and/or radiographic signs that indicate an acute and/or uncontrolled active systemic infection within 7 days prior to the first dose of investigational product administration. Simple urinary tract infections and uncomplicated bacterial pharyngitis are permitted if responding to active treatment and after consultation with sponsor. Screening for chronic infectious conditions is not required. * Confirmed history or current autoimmune disease or other diseases resulting in permanent immunosuppression or requiring permanent immunosuppressive therapy. * History of arterial or venous thrombosis (eg, stroke, transient ischemic attack, pulmonary embolism, or deep vein thrombosis); for arterial thrombosis within 12 months of AMG 509 initiation; for venous thrombosis, 6 months and stable on anti-coagulation. Participants with a recent history of venous thrombosis must be maintained on the same anti-coagulation therapy for a minimum of 28 days prior to first dose of study treatment. * Myocardial infarction and/or symptomatic congestive heart failure (New York Heart Association \> class II) within 12 months of first dose of AMG 509 with the exception of ischemia or non-ST segment elevation myocardial infarction controlled with stent placement and confirmed by a cardiologist more than 6 months prior to first dose of AMG 509. * Any anti-cancer therapy or immunotherapy within 4 weeks of start of first dose, not including luteinizing hormone-releasing hormone (LHRH)/GnRH analogue (agonist/antagonist). * Prior prostate specific membrane antigen (PSMA) radionuclide therapy within 2 months prior to AMG 509 unless participant received \< 2 cycles (Note: a participant cannot have received PSMA radionuclide therapy \< 35 days prior to enrollment if 1 cycle was given). Parts 3 and 4: prior PSMA radionuclide therapy is prohibited. Participants on a stable bisphosphonate or denosumab regimen for ≥ 30 days prior to enrollment are eligible (exception: part 3 retreatment). * Part 3-Retreatment only: Any anti-cancer therapy or immunotherapy, not including luteinizing hormone-releasing hormone/gonadotropin releasing hormone (LHRH/GnRH) analogue (agonist/antagonist), and/or bisphosphonate or denosumab regimen after last dose of AMG 509 initial course of treatment.

Study sites (25)

CA

CO

CT

GA

IN

KS

LA

MO

NC

NY

OH

PA

SC

SD

TN

TX

UT

VA

WA