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BAY3546828

Phase 1

Metastatic Castration-resistant Prostate Cancer | Small molecule | Oncology |Bayer AG|Trials Updated: Oct 16, 2026

BAY3546828 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Sep 2023

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDBiomarker
Total Trials1
Total Enrollment85

FDA Designations

No designations recorded

BAY3546828 clinical trials

BAY3546828 · 1 trial · 1 indication

Phase 1 1
NCT06052306A Study to Learn How Safe the Study Treatment Actinium-225-macropa-pelgifatamab (BAY3546828) is, How it Affects the Body, How it Moves Into, Through and Out of the Body, and About Its Anticancer Activity in Participants With Advanced Metastatic Castration-resistant Prostate Cancer (mCRPC)Metastatic Castration-resistant Prostate Cancer
ACTIVE NOT_RECRUITING85 Analytics
PHASE1ACTIVE NOT_RECRUITING
A Study to Learn How Safe the Study Treatment Actinium-225-macropa-pelgifatamab (BAY3546828) is, How it Affects the Body, How it Moves Into, Through and Out of the Body, and About Its Anticancer Activity in Participants With Advanced Metastatic Castration-resistant Prostate Cancer (mCRPC)
Metastatic Castration-resistant Prostate CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Dose escalation & Dose expansion: The Incidence of treatment-emergent adverse events (TEAEs) including treatment-emergent serious adverse events (TESAEs)
After first administration of study treatment up to 42 days after the last dose of study treatment
Dose escalation & Dose expansion: The Severity of TEAEs including TESAEs
After first administration of study treatment up to 42 days after the last dose of study treatment
Dose escalation: Incidence of dose limiting toxicities (DLTs) at each 225Ac dose level during the DLT observation period
Up to Cycle 3 (each cycle is 42 days)

DLTs will be summarized by MedDRA system organ class, preferred term and worst CTCAE grade.

Dose escalation: Objective response rate (ORR) at each 225Ac dose level during the DLT observation period
Up to Cycle 3 (each cycle is 42 days)

ORR is defined as the proportion of participants who have a confirmed complete response (CR) or partial response (PR) per PCWG3 guidelines, as assessed by the Investigator.

Dose escalation: ≥50% decline in Prostate-specific antigen value from baseline (Cycle 1, Day 1) (PSA50) response at each 225Ac dose level during the DLT observation period
Up to Cycle 3 (each cycle is 42 days)

PSA partial response is defined as a ≥50% decline in PSA value from Cycle 1 Day 1 (baseline). This PSA decline must be confirmed to be sustained by a second PSA value obtained 3 to 4 or more weeks later.

Dose expansion: Objective response rate (ORR) by Prostate Cancer Working Group 3 (PCWG3) guidelines based on investigator review
Up to 12 months after End of treatment
Dose expansion: ≥50% decline in Prostate-specific antigen value from baseline (Cycle 1, Day 1) (PSA50) response at 12 weeks or later
At 12 weeks or later (up to 12 months after End of treatment)
Dose expansion: Best overall Prostate-specific antigen (PSA) response
Up to 12 months after End of treatment

Secondary Endpoints

Dose escalation & Dose expansion: Radiologic progression-free survival (rPFS ) by PCWG3 based on investigator review
Up to 12 months after end of treatment
Dose escalation & Dose expansion: Duration of PSA50 response
Up to 12 months after end of treatment
Dose escalation & Dose expansion: Duration of response (DOR) by PCWG3 based on investigator review
Up to 12 months after end of treatment
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dose escalation of BAY3546828EXPERIMENTALParticipants with advanced metastatic castration-resistant prostate cancer (mCRPC) will receive 225Ac-pelgi dose in a stepwise fashion, according to a predefined dose escalation scheme
Dose expansion group A of BAY3546828EXPERIMENTALParticipants with advanced mCRPC with at least 1 but no more than 2 prior taxane regimens. No prior radionuclide therapy
Dose expansion group B of BAY3546828EXPERIMENTALParticipants with advanced mCRPC who have not received taxane chemotherapy since becoming castration-resistant. No prior radionuclide therapy.
Dose expansion group C of BAY3546828EXPERIMENTALParticipants with advanced mCRPC after prior Lutetium-177 labeled PSMA ligand (177Lu-PSMA) treatment.

Interventions

NameTypeDescription
BAY3546828DRUGIntravenous (IV) infusion on Day 1 of each cycle.
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Eligibility Criteria

Age Range18 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites11

Inclusion Criteria: * mCRPC with pathological confirmation of adenocarcinoma without small-cell or neuroendocrine features. * Previous treatment with at least 1 Novel androgen axis drug (NAAD) (e.g., enzalutamide, apalutamide, darolutamide and/or abiraterone). * Prior orchiectomy and/or ongoing and...

Countries:CanadaFinlandNetherlandsUnited Kingdom
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Recent Changes (Last 90 Days)

HIGHOct 16, 2026NCT06052306Enrollment: 232 → 85
HIGHOct 16, 2026NCT06052306Enrollment: 232 → 85
LOWSep 24, 2026NCT06052306lastUpdatePostDate: changed
LOWSep 24, 2026NCT06052306lastUpdatePostDate: changed

Frequently asked questions about BAY3546828

What is BAY3546828?

BAY3546828 is an investigational small molecule developed by Bayer AG for advanced metastatic castration-resistant prostate cancer (mCRPC). It is being studied in a Phase 1 clinical trial to assess its safety, how it affects the body, how it moves through the body, and its anticancer activity in participants with this disease.

What is BAY3546828 used for in metastatic castration-resistant prostate cancer?

BAY3546828 is being evaluated for the treatment of advanced metastatic castration-resistant prostate cancer (mCRPC) in adult men. The Phase 1 study enrolls participants with advanced mCRPC and examines the study treatment's safety, tolerability, pharmacokinetics, and anticancer activity. It is investigational and has not been established as a treatment outside clinical research.

Who is developing BAY3546828?

BAY3546828 is developed by Bayer AG, which trades under the ticker BAYRY. Bayer is sponsoring the Phase 1 clinical program evaluating the compound in advanced metastatic castration-resistant prostate cancer.

What phase is BAY3546828 in?

BAY3546828 is in Phase 1 clinical development. It is investigational and is being studied in a single active Phase 1 trial in advanced metastatic castration-resistant prostate cancer; it is not an approved therapy.

What clinical trial is BAY3546828 being studied in?

BAY3546828 is being studied in trial NCT06052306, a Phase 1 study in advanced metastatic castration-resistant prostate cancer. The trial is active but not recruiting, is controlled, enrolls approximately 85 male participants aged 18 years and older, and is conducted in Canada, Finland, the Netherlands, and the United Kingdom.

Is BAY3546828 biomarker selected?

Yes. The Phase 1 trial of BAY3546828 in advanced metastatic castration-resistant prostate cancer is biomarker selected, meaning enrollment is guided by a biomarker-defined patient population rather than an unselected group.