NCT05519449

Brief Summary

This study is a first-in-human, Phase 1, open-label, multicenter study to assess the safety, tolerability, pharmacokinetic (PK), pharmacodynamic (PD), and the preliminary efficacy of JANX007 in adults with metastatic castration-resistant prostate cancer (mCRPC).

Trial Health

80
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
272

participants targeted

Target at P75+ for phase_1 prostate-cancer

Timeline
32mo left

Started Sep 2022

Longer than P75 for phase_1 prostate-cancer

Geographic Reach
2 countries

35 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress59%
Sep 2022Dec 2028

First Submitted

Initial submission to the registry

August 25, 2022

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 29, 2022

Completed
17 days until next milestone

Study Start

First participant enrolled

September 15, 2022

Completed
4.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2027

Expected
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2028

Last Updated

January 20, 2026

Status Verified

July 1, 2025

Enrollment Period

4.8 years

First QC Date

August 25, 2022

Last Update Submit

January 15, 2026

Conditions

Keywords

Prostate CancerCastration-resistant prostate cancer

Outcome Measures

Primary Outcomes (2)

  • Incidence of Dose Limiting Toxicities (DLT)

    3 years

  • Incidence of Adverse Events (AE) and Serious Adverse Events (SAE)

    3 years

Secondary Outcomes (8)

  • Area under the concentration time curve to infinity of JANX007 (AUC0-inf)

    Pre-dose and at multiple timepoints post-dose on Days 1, 2, 4, 8, 9, 15, 16, 18 up to end of treatment (Up to 3 years)

  • Maximum observed concentration of JANX007 (Cmax)

    Pre-dose and at multiple timepoints post-dose on Days 1, 2, 4, 8, 9, 15, 16, 18 up to end of treatment (Up to 3 years)

  • Number of participants who develop anti-drug antibodies against JANX007

    Up to 3 years

  • Duration of Response

    Up to 3 years

  • Prostate Specific Antigen (PSA) response

    Up to 3 years

  • +3 more secondary outcomes

Study Arms (4)

Dose Escalation

EXPERIMENTAL

IV dosing during 21- or 28-day cycles. Dosage per cohort will increase to determine the maximum tolerable dose.

Biological: JANX007

Backfill Expansion

EXPERIMENTAL

IV dosing during 21- or 28-day cycles. Subjects will be dosed at levels previously declared tolerable.

Biological: JANX007

Monotherapy Expansion Parts A - D

EXPERIMENTAL

IV dosing during 21- or 28-day cycles. Subjects will be dosed at preliminary recommended phase 2 dose (RP2D).

Biological: JANX007

Combination Expansion

EXPERIMENTAL

IV dosing during 21- or 28-day cycles. Subjects will be dosed at preliminary recommended phase 2 dose

Biological: JANX007Drug: Darolutamide

Interventions

JANX007BIOLOGICAL

JANX007 is dosed via IV in a 21- or 28-day cycle.

Backfill ExpansionCombination ExpansionDose EscalationMonotherapy Expansion Parts A - D

Darolutamide is dosed via oral tablets

Combination Expansion

Eligibility Criteria

Age18 Years - 100 Years
Sexmale(Gender-based eligibility)
Gender Eligibility DetailsGender Identity
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male ≥18 years of age at the time of signing informed consent
  • Histologically or cytologically confirmed adenocarcinoma of the prostate
  • For Dose Escalation and Backfill: Having mCRPC that progressed after at least one novel anti-androgen therapy and at least one taxane containing regimen. Participants who have actively refused a taxane containing regimen or are medically unsuitable to receive taxane are eligible
  • Adequate organ function
  • For Monotherapy Expansion Part a: Have received ≤ 2 anti-androgen therapies in either the HSPC or CRPC setting and no more than 1 prior taxane regimen in the HSPC or CRPC setting. Participants who have actively refused a taxane regimen or are medically unsuitable to receive taxane are eligible.
  • For Monotherapy Expansion Part b: Have received ≤ 2 anti-androgen therapies in either the HSPC or CRPC settings
  • For Monotherapy Expansion Part d: Have received ≤ 1 anti-androgen therapy and a poly(ADP-ribose) polymerase (PARP) inhibitor for mCRPC and have progressed following treatment with the PARP inhibitor
  • For Combination Expansion: Have received ≤ 1 anti-androgen therapy other than darolutamide in the HSPC setting and ≤ 1 taxane in the mCRPC setting. Participants who have actively refused a taxane regimen or are medically unsuitable to receive taxane are eligible.

You may not qualify if:

  • Prior solid organ transplant
  • Prior treatment with PSMA-targeted CAR-T cell therapy or PSMA-CD3, PSMA-CD28 or other CD3 T-cell engaging bispecific antibodies or radioligand therapy
  • Clinically significant cardiovascular disease
  • For Monotherapy Expansion Part a: Prior receipt of any treatment other than an ARPI or taxane in the mCRPC setting
  • For Monotherapy Expansion Part b: Prior receipt of any treatment other than an anti-androgen therapy or prior receipt of a taxane containing regimen or more than 1 prior line of therapy for mCRPC
  • For Monotherapy Part d: More than 1 prior line of therapy for mCRPC or prior receipt of any treatment other than an anti-androgen therapy and PARP inhibitor for mCRPC or prior receipt of a taxane in the mCRPC setting
  • For Combination expansion: More than 1 prior line of therapy for mCRPC or prior receipt of any treatment other than a taxane for mCRPC or prior receipt of Darolutamide or prior receipt of a taxane for HSPC
  • Active clinically significant infection (bacterial, viral, fungal, mycobacteria or other)
  • Any medical condition or clinical laboratory abnormality likely to interfere with assessment of safety or efficacy of study treatment

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (35)

University of Alabama at Birmingham Hospital

Birmingham, Alabama, 35249, United States

RECRUITING

Mayo Clinic

Phoenix, Arizona, 85054, United States

RECRUITING

USC Norris Comprehensive Cancer Center

Los Angeles, California, 90033, United States

RECRUITING

UCLA Department of Medicine

Los Angeles, California, 90095, United States

RECRUITING

Hoag Memorial Hospital Presbyterian

Newport Beach, California, 92663, United States

RECRUITING

University of California Davis Comprehensive Cancer Center

Sacramento, California, 95817, United States

RECRUITING

UCSF Helen Diller Family Comprehensive Cancer Center

San Francisco, California, 94158, United States

RECRUITING

Yale New Haven Hospital

New Haven, Connecticut, 06510, United States

RECRUITING

Mayo Clinic

Jacksonville, Florida, 32224, United States

RECRUITING

University of Chicago Medical Center

Chicago, Illinois, 60637, United States

RECRUITING

University of Maryland Greenebaum Comprehensive Cancer Center

Baltimore, Maryland, 21201, United States

RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

ACTIVE NOT RECRUITING

University of Minnesota Medical Center

Minneapolis, Minnesota, 55455, United States

RECRUITING

Mayo Clinic

Rochester, Minnesota, 55905, United States

RECRUITING

Washington University School of Medicine

St Louis, Missouri, 63110, United States

RECRUITING

Northwell Health R.J. Zuckerberg Cancer Hospital

Lake Success, New York, 11042, United States

RECRUITING

Memorial Sloan Kettering Cancer Center

New York, New York, 10065, United States

RECRUITING

Weill Cornell Medicine

New York, New York, 10065, United States

RECRUITING

Montefiore Medical Center

The Bronx, New York, 10461, United States

RECRUITING

University of Cincinnati Medical Center

Cincinnati, Ohio, 45267, United States

RECRUITING

Oregon Health and Science University

Portland, Oregon, 97239, United States

ACTIVE NOT RECRUITING

Penn State Milton S. Hershey Medical Center

Hershey, Pennsylvania, 17033, United States

RECRUITING

Thomas Jefferson University Honickman Center

Philadelphia, Pennsylvania, 19107, United States

RECRUITING

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232, United States

RECRUITING

Rhode Island Hospital

Providence, Rhode Island, 02903, United States

RECRUITING

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

RECRUITING

Sarah Cannon Research

Nashville, Tennessee, 37203, United States

RECRUITING

Mary Crowley Cancer Research

Dallas, Texas, 75230, United States

RECRUITING

University of Texas Southwestern Medical Center

Dallas, Texas, 75390, United States

RECRUITING

Houston Methodist Hospital

Houston, Texas, 77030, United States

RECRUITING

University of Wisconsin Carbone Cancer Center

Madison, Wisconsin, 53792, United States

RECRUITING

Froedtert Hospital and the Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

RECRUITING

Chris O'Brien Lifehouse (COBLH)

Camperdown, New South Wales, 2050, Australia

RECRUITING

Southern Oncology Clinical Research Unit (SoCRU)

Bedford Park, South Australia, 5042, Australia

RECRUITING

Linear Clinical Research Ltd.

Nedlands, Western Australia, 6009, Australia

RECRUITING

MeSH Terms

Conditions

Prostatic NeoplasmsProstatic Neoplasms, Castration-Resistant

Interventions

darolutamide

Condition Hierarchy (Ancestors)

Genital Neoplasms, MaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsGenital Diseases, MaleGenital DiseasesUrogenital DiseasesProstatic DiseasesMale Urogenital Diseases

Study Officials

  • Janux Therapeutics, MD

    Janux Therapeutics

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 25, 2022

First Posted

August 29, 2022

Study Start

September 15, 2022

Primary Completion (Estimated)

July 1, 2027

Study Completion (Estimated)

December 1, 2028

Last Updated

January 20, 2026

Record last verified: 2025-07

Data Sharing

IPD Sharing
Will not share

Locations