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AMO959

Phase 1

PSMA-positive Metastatic Castration Resistant Prostate Cancer (mCRPC) With Prior Exposure to One Prior ARPI Who Are Candidates for Taxane-based Chemotherapy | Small molecule | Oncology |Novartis AG|Trials Updated: Oct 15, 2026

AMO959 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since Nov 2025

AMO959 target and mechanism

Molecular targetPSMA
ModalitySmall molecule

Also known as BY1298, BY101298

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDBiomarker
Total Trials1
Total Enrollment123

FDA Designations

No designations recorded

AMO959 clinical trials

AMO959 · 1 trial · 1 indication

Phase 1 1
NCT07226986A Phase Ib/II Open-label Study of AMO959 With Lutetium (177Lu) Vipivotide Tetraxetan (AAA617) in Combination With ARPI in Adult Participants With PSMA-positive mCRPCPSMA-positive Metastatic Castration Resistant Prostate Cancer (mCRPC) With Prior Exposure to One Prior ARPI Who Are Candidates for Taxane-based Chemotherapy
RECRUITING123 Analytics
PHASE1RECRUITING
A Phase Ib/II Open-label Study of AMO959 With Lutetium (177Lu) Vipivotide Tetraxetan (AAA617) in Combination With ARPI in Adult Participants With PSMA-positive mCRPC
PSMA-positive Metastatic Castration Resistant Prostate Cancer (mCRPC) With Prior Exposure to One Prior ARPI Who Are Candidates for Taxane-based ChemotherapyUnlock trial analytics

Study Endpoints

Primary Endpoints

Phase Ib: Incidence rate of Dose-limiting toxicities (DLTs)
Up to 42 days after the first AAA617 dose administration

Incidence of dose limiting toxicities (DLTs) with AMO959 in combination with AAA617 +/- ARPI A dose-limiting toxicity (DLT) is defined as an adverse event or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness/injury, or concomitant medications that occurs within the evaluation period and meets any of the criteria specified in the protocol. The National Cancer Institute Common Terminology Criteria for Adverse events (NCI CTCAE) version 5.0 will be used for all grading.

Phase Ib: Incidence rate of Adverse Events (AEs) and Serious Adverse Events (SAEs)
From date of start of study treatment, assessed up to approximately 45 months

Incidence of adverse events by type, frequency, and severity, as graded by the NCI CTCAE version 5.0.

Phase Ib: Number of Participants with dose adjustments
From date of start of study treatment, assessed up to approximately 24 months

The number of participants with dose adjustments (reductions, interruption, or permanent discontinuation).

Phase Ib: Dose Intensity
From date of start of study treatment, assessed up to approximately 24 months

Dose intensity (computed as the ratio of actual cumulative dose received and actual duration of exposure) and the relative dose intensity (computed as the ratio of dose intensity and planned dose intensity).

Phase Ib: Duration of exposure to each study drug
From date of start of study treatment, assessed up to approximately 24 months

Duration of exposure (in months) to each study drug.

Phase II: Biochemical Response (PSA50)
From date of start of study treatment, assessed up to approximately 24 months

Biochemical response (PSA50), defined as the proportion of participants who achieved a ≥ 50% decrease in PSA from baseline at any time during the treatment period prior to start of new anti-cancer therapy that is confirmed by a second PSA measurement ≥ 4 weeks later.

Secondary Endpoints

Prostate Specific Antigen 90 (PSA90) response
From date of start of study treatment, assessed up to approximately 24 months
Phase Ib: Prostate Specific Antigen 50 (PSA50) response
From date of start of study treatment, assessed up to approximately 24 months
Phase Ib and Phase II: Radiographic progression-free survival (rPFS)
From date of start of study treatment (Phase Ib) / randomization (Phase II), assessed up to approximately 24 months
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Phase 1b: DoubletEXPERIMENTALParticipants will receive AMO959 BID for first 14 days followed by AAA617+AMO959 every 6 weeks for a maximum of 6 cycles.
Phase 1b: TripletEXPERIMENTALParticipants will receive AAA617 on day 1 followed by AMO959 BID (days 2-15), repeated every 6 weeks, for a maximum of 6 cycles with an ARPI (abiraterone or enzalutamide) administered continuously starting on day 1.
Phase 1b: Food EffectEXPERIMENTALParticipants will receive a single dose of AMO959 on Day 1 (fed), followed by 2-day washout, then AMO959 BID (fasted) for 14 days followed by 2-day washout and AAA617+AMO959 (fasted) every 6 weeks for a maximum of 6 cycles.
Phase II: Arm 1EXPERIMENTALParticipants will receive AAA617 on day 1 followed by AMO959 BID (days 2-15), repeated every 6 weeks, for a maximum of 6 cycles with an ARPI (abiraterone or enzalutamide administered continuously starting on day 1.
Phase II: Arm 2EXPERIMENTALParticipants will receive AAA617 on day 1 followed by AMO959 BID (days 2-15), repeated every 6 weeks, for a maximum of 6 cycles with an ARPI (abiraterone or enzalutamide) administered continuously starting on day 1.
Phase II: Arm 3EXPERIMENTALParticipants will receive AAA617 every 6 weeks for a maximum of 6 cycles, with ARPI (abiraterone or enzalutamide) administered continuously starting on day 1.

Interventions

NameTypeDescription
AMO959DRUGDNA Damage Response inhibitor
AAA617RADIATIONPSMA-targeted radiopharmaceutical
EnzalutamideDRUGAndrogen receptor pathway inhibitor
AbirateroneDRUGAndrogen receptor pathway inhibitor
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Eligibility Criteria

Age Range18 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites25

Key Inclusion Criteria: * Signed informed consent must be obtained prior to participation in the study. * Participants must be adults ≥ 18 years of age. * Participants must have an ECOG performance status of 0 to 2. * Participants must have histologically confirmed adenocarcinoma of the prostate. P...

Countries:United StatesAustraliaFranceGermanyItalyJapanSpain
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Recent Changes (Last 90 Days)

LOWOct 15, 2026NCT07226986lastUpdatePostDate: changed
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Frequently asked questions about AMO959

What is AMO959?

AMO959 is an investigational small molecule developed by Novartis AG for PSMA-positive metastatic castration resistant prostate cancer (mCRPC). It is being studied in adults who have had prior exposure to one ARPI and who are candidates for taxane-based chemotherapy. It is a Phase 1 asset and is not approved for any use.

What is AMO959 used for in prostate cancer?

AMO959 is being developed for PSMA-positive metastatic castration resistant prostate cancer (mCRPC) in patients with prior exposure to one prior ARPI who are candidates for taxane-based chemotherapy. The program is biomarker selected, meaning patients are chosen based on PSMA expression. It remains investigational and is not approved for treating prostate cancer.

What does AMO959 target?

AMO959 targets PSMA, or prostate-specific membrane antigen, a protein expressed on prostate cancer cells. Because the trial enrolls only PSMA-positive patients, PSMA serves as both the molecular target and the biomarker used to select participants. AMO959 is a small molecule directed at this target.

Who makes AMO959?

AMO959 is developed by Novartis AG, which trades under the ticker NVS. Novartis is running the clinical program for the asset in PSMA-positive metastatic castration resistant prostate cancer. No other developer or partner is listed for AMO959.

What phase is AMO959 in?

AMO959 is in Phase 1 development. The only registered study is a Phase Ib/II open-label trial, and it is currently recruiting. Because it is still in clinical development, AMO959 is investigational and has not been approved by the FDA or any other regulator for commercial use.

What clinical trials is AMO959 in?

AMO959 is being studied in one recruiting trial, NCT07226986, titled a Phase Ib/II open-label study of AMO959 with lutetium (177Lu) vipivotide tetraxetan (AAA617) in combination with an ARPI in adults with PSMA-positive mCRPC. The trial plans to enroll 123 male participants aged 18 and older across the United States, Australia, France, Germany, Italy, Japan, and Spain.