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No longer recruiting (closed or complete)Last updated: 23 April 2026

This study is recruiting people with metastatic castration resistant prostate cancer (mCRPC) to evaluate the combination targeted treatment compared to a single targeted treatmentA Phase II, Randomized, Open-label, Multi-center Study of JSB462 (Luxdegalutamide) in Combination With Lutetium (177Lu) Vipivotide Tetraxetan in Adult Male Patients With PSMA-positive Metastatic Castration Resistant Prostate Cancer (mCRPC)

Trial purpose

Medical clipboardCancer treatment

Tumor type

Urinary System Cancers Genitourinary

Age

People18+

Clinical summary

Summary

You may be eligible for this study if you have metastatic castration resistant prostate cancer (mCRPC) and have prior exposure to at least 1 Adrogen Receptor Pathway Inhibitor (ARPI) and 0-2 taxane treatment regimens.

It is evaluating how safe and effective the combination of the oral androgen receptor degrader JSB462 (also known as luxdegalutamide) and a targeted radioligand therapy called AAA617, compared to treatment with AAA617 alone. Twoi dose levels of JSB462 will be evaluated. 

This study consists of a screening period, a treatment period, a post-treatment safety follow-up followed by a long-term follow-up period.

Eligible participants will be randomly allocated to one of three treatment arms. JSB462 administration begins at Day 1 of randomisation, whereas AAA617 administration starts at Day 1 of the treatment period.  Arms 1 and 2 will therefore receive JSB during the 14-day randomisation period before the first administration of AAA617.

JSB462 is given orally, daily and continuously at one of two dose levels (100mg or 300mg) depending on which Arm you are in.

AAA617 will be administered intravenously every 6 weeks for up to 6 doses unless there is disease progression.

During the post-treatment period:

  • Safety follow-up: After discontinuation of study treatment, all participants will be followed for at least 1 safety follow-up visit (around 30 days after end of treatment visit). Subsequent lines of therapy may be given according to Investigator's discretion after treatment discontinuation.
  • Long-term follow-up: Starts after the Safety follow-up period and lasts until the end of the study. Safety, efficacy and survival information may be collected from the participants during this period. 

Conditions

This trial is treating people with metastatic castration resistant prostate cancer

Eligibility

Inclusion

  • Adult male participants with histologically and/or cytologically confirmed adenocarcinoma of the prostate. Participants with mixed histology (neuroendocrine) are not eligible.
  • An Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) grade ≤2.
  • At least 1 bone or visceral metastatic lesion present on baseline CT, MRI, or bone scan imaging obtained ≤28 days prior to initiation of study treatment.
  • Participants must be [68Ga]Ga-PSMA-11 PET/CT scan positive and eligible as determined by the sponsor's central reader.
  • Participant must have prior exposure to at least one second generation ARPI in the metastatic/advanced setting.
  • Previous treatment with a maximum of 2 taxane regimens is allowed.
  • Participants eligible for PARPi and/or immune checkpoint inhibitor (per local testing and according to investigator's judgement) are eligible to participate if they have previous exposure to this(these) therapy(ies).

Exclusion

  • Prior treatment with any RLT (approved or investigational) is not allowed
  • Prior treatment with a protein degrader compound that targets AR is not allowed

Other protocol-defined inclusion/exclusion criteria may apply.

Inclusion

  • Your cancer has spread to other parts of the body (metastatic) or has grown into nearby parts of the body (locally advanced).
  • You are able to swallow medication by mouth.
  • You have had a certain type of treatment or surgical procedure.

Exclusion

  • You have had certain treatments, surgical procedures or drugs.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov *. View further details about this trial on the registry via the links below:

Trial sponsor

Novartis Pharmaceuticals

Scientific Title

A Phase II, Randomized, Open-label, Multi-center Study of JSB462 (Luxdegalutamide) in Combination With Lutetium (177Lu) Vipivotide Tetraxetan in Adult Male Patients With PSMA-positive Metastatic Castration Resistant Prostate Cancer (mCRPC)

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