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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|Last Updated: Jun 3, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment123
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
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 mCRPCPHASE1 RECRUITING 123Dec 5, 2025Sep 13, 2029Jun 3, 202618 United States, Australia +5
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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 — N/A
SexMALE
Healthy VolunteersNo
Study Sites18

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)
LOWJun 4, 2026NCT07226986lastUpdatePostDate: changed
LOWJun 4, 2026NCT07226986lastUpdatePostDate: changed
LOWJun 4, 2026NCT07226986lastUpdatePostDate: changed
LOWJun 4, 2026NCT07226986lastUpdatePostDate: changed
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LOWJun 2, 2026NCT07226986lastUpdatePostDate: changed
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LOWJun 2, 2026NCT07226986lastUpdatePostDate: changed
LOWMay 26, 2026NCT07226986primaryCompletionDate: changed
LOWMay 24, 2026NCT07226986studyFirstPostDate: changed