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NCT05917470

A Clinical Study of ONCT-534 in Subjects With Metastatic Castration-resistant Prostate Cancer.

Terminated Phase 1, PHASE2 Results posted Last updated 11 December 2024
What this trial tests

Phase 1, PHASE2 trial testing ONCT-534 in Metastatic Castration-resistant Prostate Cancer in 21 participants. Terminated before completion.

Timeline
20 September 2023
Primary endpoint
12 September 2024
12 September 2024

Quick facts

Lead sponsorOncternal Therapeutics, Inc
PhasePhase 1, PHASE2
StatusTerminated
Study typeINTERVENTIONAL
Allocationrandomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment21
Start date20 September 2023
Primary completion12 September 2024
Estimated completion12 September 2024
Sites10 locations across United Kingdom, United States

Drugs / interventions tested

Conditions studied

Sponsor

Oncternal Therapeutics, Inc — full company profile →

Who can join

18 and older, male only, with Metastatic Castration-resistant Prostate Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Dose Limiting Toxicities Through Study Day 28 Primary · Number of Participants with Dose Limiting Toxicities Through Study Day 28

Incidence of DLTs through Study Day 28

GroupValue95% CI
Dose Level 1: 40mg QD0
Dose Level 2: 80mg QD0
Dose Level 3: 160mg QD0
Dose Level 4: 300mg QD0
Dose Level 5: 600mg QD0
Dose Level 6: 1200 mg QD0
BID Dose Level 1: 160 mg BID0
BID Dose Level 2: 300 mg BID0
Reduction of Prostate-Specific Antigen (PSA) by More Than 50% Secondary · Up to 51 Weeks

Proportion of patients who achieve at least a 50% drop in PSA from baseline (PSA50)

GroupValue95% CI
Dose Level 1: 40mg QD0
Dose Level 2: 80mg QD0
Dose Level 3: 160mg QD0
Dose Level 4: 300mg QD0
Dose Level 5: 600mg QD0
Dose Level 6: 1200 mg QD0
BID Dose Level 1: 160 mg BID0
BID Dose Level 2: 300 mg BID0
Number of Subjects With Any Post-Baseline Decrease in PSA Secondary · Up to 51 Weeks

Any reduction in PSA after Baseline (First Day of Treatment)

GroupValue95% CI
Dose Level 1: 40mg QD0
Dose Level 2: 80mg QD0
Dose Level 3: 160mg QD2
Dose Level 4: 300mg QD1
Dose Level 5: 600mg QD0
Dose Level 6: 1200 mg QD2
BID Dose Level 1: 160 mg BID0
BID Dose Level 2: 300 mg BID0

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 51 Weeks using the Safety Population. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Dose Level 1: 40mg QD
Serious: 1/1 (100%)
Deaths: 0/1
Dose Level 2: 80mg QD
Serious: 0/1 (0%)
Deaths: 0/1
Dose Level 3: 160mg QD
Serious: 2/4 (50%)
Deaths: 1/4
Dose Level 4: 300mg QD
Serious: 1/3 (33%)
Deaths: 0/3
Dose Level 5: 600mg QD
Serious: 1/3 (33%)
Deaths: 0/3
Dose Level 6: 1200 mg QD
Serious: 2/3 (67%)
Deaths: 0/3
BID Dose Level 1: 160 mg BID
Serious: 0/3 (0%)
Deaths: 0/3
BID Dose Level 2: 300 mg BID
Serious: 0/3 (0%)
Deaths: 0/3

Serious adverse events (11 terms)

ReactionSystemDose Level 1: 40mg QDDose Level 2: 80mg QDDose Level 3: 160mg QDDose Level 4: 300mg QDDose Level 5: 600mg QDDose Level 6: 1200 mg QDBID Dose Level 1: 160 mg BIDBID Dose Level 2: 300 mg BID
Back PainMusculoskeletal and connective tissue disorders
Acute Kidney InjuryRenal and urinary disorders
AnaemiaBlood and lymphatic system disorders
Atypical Haemolytic Uraemic SyndromeBlood and lymphatic system disorders
Lactic AcidosisMetabolism and nutrition disorders
Non-cardiac Chest PainGeneral disorders
Retinal Artery OcclusionEye disorders
SeromaInjury, poisoning and procedural complications
Spinal Cord CompressionNervous system disorders
Urinary Tract ObstructionRenal and urinary disorders
UrosepsisInfections and infestations
Other adverse events (38 terms — click to expand)

ReactionSystemDose Level 1: 40mg QDDose Level 2: 80mg QDDose Level 3: 160mg QDDose Level 4: 300mg QDDose Level 5: 600mg QDDose Level 6: 1200 mg QDBID Dose Level 1: 160 mg BIDBID Dose Level 2: 300 mg BID
FatigueGeneral disorders
Decreased AppetiteMetabolism and nutrition disorders
NauseaGastrointestinal disorders
Oedema PeripheralGeneral disorders
Back PainMusculoskeletal and connective tissue disorders
FlushingVascular disorders
Hot FlushVascular disorders
Lumbroscral PlexopathyNervous system disorders
ParesthesiaNervous system disorders
AnaemiaBlood and lymphatic system disorders
ArthritisMusculoskeletal and connective tissue disorders
Blood Alkaline Phosphatase IncreasedInvestigations
Gastrointestinal DisorderGastrointestinal disorders
HaematuriaRenal and urinary disorders
Urinary RetentionRenal and urinary disorders
Urinary Tract InfectionInfections and infestations
Blood Creatinine IncreaseInvestigations
Extradural NeoplasmNeoplasms benign, malignant and unspecified (incl cysts and polyps)
International Normalised Ratio IncreasedInvestigations
Spinal Cord CompressionNervous system disorders
Tumour painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Atrial FibrillationCardiac disorders
Blood Lactate Dehydrogenase IncreasedInvestigations
Pain in ExtremityMusculoskeletal and connective tissue disorders
Pelvic PainReproductive system and breast disorders
VomitingGastrointestinal disorders
Acute Kidney InjuryRenal and urinary disorders
Atrioventricular Block First DegreeCardiac disorders
Blood Bilirubin IncreasedInvestigations
DyspnoeaRespiratory, thoracic and mediastinal disorders
HeadacheNervous system disorders
Platelet Count DecreasedInvestigations
ProteinuriaRenal and urinary disorders
Urinary IncontinenceRenal and urinary disorders
Photosensitivity ReactionSkin and subcutaneous tissue disorders
PruritusSkin and subcutaneous tissue disorders
Blood Creatinine Phophokinase IncreasedInvestigations
Bone PainMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Back Pain, Acute Kidney Injury, Anaemia, Atypical Haemolytic Uraemic Syndrome, Lactic Acidosis, Non-cardiac Chest Pain, Retinal Artery Occlusion, Seroma.

Data from ClinicalTrials.gov NCT05917470 adverse events section.

Sponsor's own description

A first-in-human clinical trial to test the investigational treatment ONCT-534 in participants with metastatic castration-resistant prostate cancer. The main questions it aims to answer are: * What are the most tolerable doses of ONCT-534? (Phase 1) * Does ONCT-534 have anti-tumor activity at tolerable doses? (Phase 2) This is a dose escalation and expansion study where participants will receive daily oral doses of ONCT-534.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Insight into Recent Advances in Degrading Androgen Receptor for Castration-Resistant Prostate Cancer.
    Chen QH, Munoz E, Ashong D. · · 2024 · cited 36× · PMID 38339414 · DOI 10.3390/cancers16030663
  2. Overcoming drug resistance in castrate-resistant prostate cancer: current mechanisms and emerging therapeutic approaches.
    Khorasanchi A, Hong F, Yang Y, Singer EA, et al · · 2025 · cited 12× · PMID 40051495 · DOI 10.20517/cdr.2024.173
  3. Treatments Targeting the Androgen Receptor and Its Splice Variants in Breast Cancer.
    Tien AH, Sadar MD. · · 2024 · cited 11× · PMID 38339092 · DOI 10.3390/ijms25031817
  4. The androgen receptor amino-terminal domain: structure, function and therapeutic potential.
    Hunter I, Jamieson C, McEwan IJ. · · 2025 · cited 3× · PMID 40051657 · DOI 10.1530/eo-24-0061
  5. Emerging therapies to overcome antiandrogen resistance and beyond in lethal prostate cancer.
    Huang F, Li K, Shevach JW, Wang Q. · · 2026 · cited 2× · PMID 41738039 · DOI 10.1016/j.jncc.2025.04.004

Verify or expand the search:

Other recruiting trials for Metastatic Castration-resistant Prostate Cancer

Currently open trials in the same condition.

Other Oncternal Therapeutics, Inc trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT05917470.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing