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EPI-7386

Phase 2

Metastatic Hormone-sensitive Prostate Cancer (mHSPC) | Small molecule | Oncology |ESSA Pharma Inc.|Trials Updated: May 29, 2025

EPI-7386 development status

Highest phase Phase 2
Registered trials 2 across 2 sponsors since Mar 2022

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment13

FDA Designations

No designations recorded

EPI-7386 clinical trials

EPI-7386 · 1 trial · 3 indications

Phase 2 1
NCT06312670Combining EPI-7386 With Enzalutamide and Androgen Deprivation Therapy for Metastatic Hormone-Sensitive Prostate CancerMetastatic Hormone-sensitive Prostate Cancer (mHSPC)
COMPLETED13 Analytics
PHASE2COMPLETED
Combining EPI-7386 With Enzalutamide and Androgen Deprivation Therapy for Metastatic Hormone-Sensitive Prostate Cancer
Metastatic Hormone-sensitive Prostate Cancer (mHSPC)Unlock trial analytics

Study Endpoints

Primary Endpoints

Biochemical response rate
Post-intervention at Week 4

Defined as prostate-specific antigen (PSA) undetectable (\<0.2 ng/mL) at 6 months after treatment. The true BRR for the study population will be estimated based on the number of biochemical responses using a binomial distribution, and its confidence interval (CI) will be estimated using Wilson's method.

PSA progesterone-free survival (PFS)
Post-intervention at Week 4

Progression free survival (PFS) is measured from the date of the start of the treatment to the date of progression or death and is censored at the date of last followed for those that have not progressed

Radiographic PFS (rPFS)
Post-intervention at Week 4

Progression free survival (PFS) is measured from the date of the start of the treatment to the date of progression or death and is censored at the date of last followed for those that have not progressed

ORR (confirmed)
Post-intervention at Week 4

Objective response rate (ORR)

Secondary Endpoints

AUC0-24
Beginning of treatment day 1, at week 2, week 4, week 6
Maximum concentration (Cmax)
Beginning of treatment day 1, at week 2, week 4, week 6
Predose Plasma Concentration
Beginning of treatment day 1, at week 2, week 4, week 6
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
EPI-7386 + EnzalutamideEXPERIMENTALEPI-7386 at 600 mg twice daily orally with standard of care Enzalutamide at 160 mg, once daily, orally for 36 months of treatment (11 cycles).

Interventions

NameTypeDescription
EPI-7386DRUG600 mg orally administered twice daily
EnzalutamideDRUG160 mg administered orally once daily, with or without food
Androgen Deprivation Therapy (ADT)DRUGLHRH agonist/antagonist or orchiectomy
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Eligibility Criteria

Age Range19 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Subjects must have histologically or cytologically confirmed prostate adenocarcinoma without small cell or neuroendocrine features (please note: \>10% small cell or neuroendocrine differentiation will be excluded). * Subjects must have received no prior second-generation antia...

Countries:United States
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Frequently asked questions about EPI-7386

What is EPI-7386 used for?

EPI-7386 is an investigational small molecule being studied for metastatic hormone-sensitive prostate cancer (mHSPC). It has been evaluated in a Phase 2 trial combining it with enzalutamide and androgen deprivation therapy. It is not approved for any indication and remains in clinical development.

Who is developing EPI-7386?

EPI-7386 is being developed by ESSA Pharma Inc., which trades under the ticker EPIX. The company is the sponsor of the clinical program evaluating the drug in prostate cancer.

What phase is EPI-7386 in?

EPI-7386 is in Phase 2 clinical development. One Phase 2 trial has been completed. The drug is investigational and has not been approved by the FDA for any use.

What clinical trials is EPI-7386 in?

EPI-7386 has been studied in the Phase 2 trial NCT06312670, titled Combining EPI-7386 With Enzalutamide and Androgen Deprivation Therapy for Metastatic Hormone-Sensitive Prostate Cancer. The trial was completed, enrolled 13 participants, and was conducted in the United States.

Is EPI-7386 FDA approved?

No, EPI-7386 is not FDA approved. It is an investigational small molecule in Phase 2 clinical development for metastatic hormone-sensitive prostate cancer. Approval has not been granted for any indication.