A Study of JNJ-78278343, a T-Cell-Redirecting Agent Targeting Human Kallikrein 2 (KLK2), for Advanced Prostate Cancer

Clinicaltrials.gov ID: NCT04898634
db-list-check Status RECRUITING
b-loader Phase PHASE1
b-people Age ≥ 18 Years
b-bullseye-arrow Enrollments 216

Conditions

Prostatic Neoplasms

Drugs

JNJ-78278343

Summary

The purpose of this study is to determine the recommended phase 2 dose(s) (RP2Ds) of JNJ-78278343 in Part 1 (Dose Escalation) and the safety at the RP2Ds in Part 2 (Dose Expansion).

Locations

0 locations Found with status Recruiting

Eligibility Criteria

Inclusion Criteria:

* Confirmed adenocarcinoma of the prostate which has spread to other body parts
* Part 1: Prior treatment with at least 1 prior novel androgen receptor (AR)-targeted therapy or chemotherapy
* Measurable or evaluable disease
* Concurrent use of any other anticancer treatment must be discontinued for at least 2 weeks before the first dose of study drug
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Prior surgical removal of testicles; or, for participants who have not undergone surgical removal of testicles, must be receiving ongoing androgen deprivation therapy (ADT) with a gonadotropin releasing hormone analog

Exclusion Criteria:

Disease conditions

* Active central nervous system (CNS) involvement
* Toxicity related to prior anticancer therapy has not adequately recovered

Prior/Concomitant Therapy

* Prior treatment with human kallikrein (KLK) 2-targeted therapy
* Received, or are receiving, medications that suppress the immune system within 3 days prior to the first dose of study drug
* Received or plans to receive any live, attenuated vaccine within 4 weeks prior to the first dose of study drug

Prior/Concurrent Medical Conditions

* Diagnosis of cancer other than prostate cancer within 2 years prior to the first dose of study drug
* Solid organ or bone marrow transplantation
* Major clotting diseases within one month prior to the first dose of study drug
* Active autoimmune disease within 12 months prior to the first dose of study drug
* Active infection
* Major diseases of heart and blood vessels within 6 months prior to the first dose of study drug
* Clinically significant lung diseases
* Active or chronic hepatitis B or hepatitis C infection
* Known positive test result for human immunodeficiency virus (unless stable on antiretroviral therapy with undetectable viral load)
* Any serious underlying medical conditions or other issue that would impair the ability of the participant to receive or tolerate the planned treatment

Study Plan

JNJ-78278343

EXPERIMENTAL

Participants will receive JNJ-78278343. The dose levels will be escalated based on the dose limiting toxicities (DLT) evaluation by the study evaluation team (SET) in Part 1 (dose escalation). In Part 2 (dose expansion), participants will receive JNJ-78278343 at recommended phase 2 dose (RP2D) as determined in Part 1. Participants who are still on study treatment (i.e., who are in Treatment Phase) at the time of the long term extension (LTE) will continue to receive study treatment until they reach a reason for discontinuation of treatment or until further notification by the sponsor of a different means for continued supply of study treatment, whichever occurs first.

  • DRUG:

    JNJ-78278343

    Description:

    JNJ-78278343 will be administered.

Outcome Measures

Primary Outcome Measures

Part 1 and 2: Number of Participants With Adverse Events (AEs)

Time Frame: Up to 1 year and 10 months

Part 1 and 2: Number of Participants With AEs by Severity

Time Frame: Up to 1 year and 10 months

Part 1: Number of Participants With Dose-Limiting Toxicity (DLT)

Time Frame: Up to 1 year and 10 months

Secondary Outcome Measures

Serum Concentration of JNJ-78278343

Time Frame: Up to 1 year and 10 months

Systemic Cytokine Concentrations

Time Frame: Up to 1 year and 10 months

Serum Prostate Specific Antigen (PSA) Concentration

Time Frame: Up to 1 year and 10 months

Number of Participants With Anti-JNJ-78278343 Antibodies

Time Frame: Up to 1 year and 10 months

Objective Response Rate (ORR)

Time Frame: Up to 1 year and 10 months

Radiographic Progression-free Survival (rPFS)

Time Frame: Up to 1 year and 10 months

PSA Response Rate

Time Frame: Up to 1 year and 10 months

Duration of Response (DOR)

Time Frame: Up to 1 year and 10 months

Timeline

  • Last Updated
    December 11, 2025
  • Start Date
    May 24, 2021
  • Today
    December 18, 2025
  • Completion Date ( Estimated )
    February 10, 2027

Similar Trials

light-list-check RECRUITING light-blue-people 18 - 80 Years
light-list-check RECRUITING light-blue-people 40 - 90 Years
light-list-check RECRUITING light-blue-people ≥ 18 Years