Clinical trial • Phase III • Oncology

JNJ-78278343 for Metastatic castration-resistant prostate cancer

Phase III trial of JNJ-78278343 for Metastatic castration-resistant prostate cancer.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Metastatic castration-resistant prostate cancer
Trial Stage
Phase III
Drug Modality
Bispecific antibody | Small molecule

Key dates

Initial CTIS Submission Date
07-11-2025
First CTIS Authorization Date
09-03-2026

Trial design

Randomised, open-label, docetaxel (intravenous chemotherapy; product: docetaxel aqvida 20 mg/ml concentrate for infusion) and prednisone (oral tablets; product: prednison acis 5 mg). dose and schedule not specified in the ctis record.-controlled Phase III trial in Belgium, France, Germany and others.

Randomised
Yes
Open Label
Yes
Comparator
Docetaxel (intravenous chemotherapy; product: Docetaxel AqVida 20 mg/ml concentrate for infusion) and Prednisone (oral tablets; product: Prednison acis 5 mg). Dose and schedule not specified in the CTIS record.
Target Sample Size
629
Trial Duration For Participant
1649

Eligibility

Recruits 629 No vulnerable population selected in the trial record. Subject information and informed consent forms are provided (multiple country-specific versions). A 'Child Expose to IMP Privacy Appendix' document exists in the Italian document set, however the trial population is specified as adult patients and isVulnerablePopulationSelected is false..

Vulnerable Population
No vulnerable population selected in the trial record. Subject information and informed consent forms are provided (multiple country-specific versions). A 'Child Expose to IMP Privacy Appendix' document exists in the Italian document set, however the trial population is specified as adult patients and isVulnerablePopulationSelected is false.

Inclusion criteria

  • {"criterion_text":"- 1. Have progressive metastatic castrate-resistant disease defined as at least one of the following: - PSA level ≥2 ng/mL that has increased on at least 2 successive occasions at least 1 week apart. - Progressive disease or new lesion(s) in the lymph nodes, bones, or viscera as defined by RECIST v1.1 and/or in bone scan per PCWG3 while on medical or surgical castration.\n- 2. Have progressed on at least 1 novel ARPI but received no more than 2 different ARPI (eg, abiraterone acetate, apalutamide, enzalutamide, darolutamide) for any stage of disease. Must have discontinued ARPI before randomization into the study.\n- 3. Have the following laboratory values during the screening period: - Hemoglobin ≥9.0 g/dL - Neutrophils ≥1.5 x 10^9/L - Platelets ≥100 x 10^9/L Note, transfusion or growth factor usage within 14 days of randomization is not allowed."}

Exclusion criteria

  • {"criterion_text":"- 1. Received cytotoxic chemotherapy for prostate cancer (eg, docetaxel, cabazitaxel, mitoxantrone, etc).\n- 2. Received prior treatment for prostate cancer with: - CD3 redirector therapies or - Radiopharmaceutical agents or - Immunotherapy agents for prostate cancer (eg, sipuleucel-T, PD-1 inhibitors, T-cell redirectors, costimulatory agents, etc) or - PARP inhibitors (unless for BRCA1/2 mutations) or - Any other investigational agent for the treatment of mCRPC\n- 3. Patients with known BRCA 1/2 mutations (germline or somatic) who have not received treatment with a PARP inhibitor, unless not available or contraindicated."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- rPFS, measured as the time from randomization to the time of radiographic disease progression per PCWG3 and RECIST v1.1 as assessed by BICR on CT/MRI or bone scan, or death from any cause, whichever occurs first.","definition_or_measurement_approach":"Measured as the time from randomization to radiographic disease progression per PCWG3 and RECIST v1.1 assessed by BICR on CT/MRI or bone scan, or death from any cause, whichever occurs first."}

Recruitment

Planned Sample Size
629
Recruitment Window Months
54
Consent Approach
Informed consent obtained using Subject Information Sheets and Informed Consent Forms (multiple country- and language-specific versions listed). ICF/SIS documents include adult ICFs and appendices for optional samples, pregnant partner, treatment after progression, withdrawal, and wallet cards. Languages and country-specific versions are available (Dutch, French, German, Italian, Spanish, English as indicated by document titles). No explicit assent process for minors is described in the CTIS record.

Methods

  • Site-based recruitment using country-specific recruitment arrangements documents (document titles include 'Recruitment Arrangements' for BE/FR/DE/IT/ES).
  • Printed materials: patient flyers and patient posters (country-specific versions listed for BE, FR, DE, IT, ES).
  • Caregiver-targeted materials: caregiver guides (country-specific versions listed).

Geography

Total Number Of Sites
36
Total Number Of Participants
171

Belgium

Earliest CTIS Part Ii Submission Date
17-02-2026
Latest Decision Or Authorization Date
10-03-2026
Processing Time Days
21
Number Of Sites
5
Number Of Participants
30

Sites

Site Name
Azorg
Department Name
Urology
Principal Investigator Name
Edward Lambert
Principal Investigator Email
urologie.aalst@olvz-aalst.be
Contact Person Name
Edward Lambert
Contact Person Email
urologie.aalst@olvz-aalst.be
Site Name
Ziekenhuis Aan De Stroom
Department Name
Oncology
Principal Investigator Name
Tom Van den Mooter
Principal Investigator Email
tom.vandenmooter@gza.be
Contact Person Name
Tom Van den Mooter
Contact Person Email
tom.vandenmooter@gza.be
Site Name
CHC MontLegia
Department Name
Oncology
Principal Investigator Name
Geoffrey Matus
Principal Investigator Email
geoffrey.matus@chc.be
Contact Person Name
Geoffrey Matus
Contact Person Email
geoffrey.matus@chc.be
Site Name
CHU Helora
Department Name
Oncology
Principal Investigator Name
Guillaume Grisay
Principal Investigator Email
guillaume.grisay@jolimont.be
Contact Person Name
Guillaume Grisay
Contact Person Email
guillaume.grisay@jolimont.be
Site Name
Az Maria Middelares Gent
Department Name
Oncology
Principal Investigator Name
Christof Vulsteke
Principal Investigator Email
christof.vulsteke@azmmsj.be
Contact Person Name
Christof Vulsteke
Contact Person Email
christof.vulsteke@azmmsj.be

France

Earliest CTIS Part Ii Submission Date
12-03-2026
Latest Decision Or Authorization Date
23-03-2026
Processing Time Days
11
Number Of Sites
9
Number Of Participants
33

Sites

Site Name
Centre De Lutte Contre Le Cancer Eugene Marquis
Department Name
Medical Oncology
Principal Investigator Name
Brigitte Laguerre
Principal Investigator Email
b.laguerre@rennes.unicancer.fr
Contact Person Name
Brigitte Laguerre
Contact Person Email
b.laguerre@rennes.unicancer.fr
Site Name
Institut Gustave Roussy
Department Name
Medical Oncology
Principal Investigator Name
Ronan Flippot
Principal Investigator Email
Ronan.flippot@gustaveroussy.fr
Contact Person Name
Ronan Flippot
Contact Person Email
Ronan.flippot@gustaveroussy.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Medical Oncology
Principal Investigator Name
Stephane Oudard
Principal Investigator Email
stephane.oudard@aphp.fr
Contact Person Name
Stephane Oudard
Contact Person Email
stephane.oudard@aphp.fr
Site Name
Centre Jean Perrin
Department Name
Medical Oncology
Principal Investigator Name
Hakim Mahammedi
Principal Investigator Email
hakim.mahammedi@clermont.unicancer.fr
Contact Person Name
Hakim Mahammedi
Site Name
Centre Hospitalier Universitaire De Nimes
Department Name
Medical Oncology
Principal Investigator Name
Nadine Houede
Principal Investigator Email
Nadine.houede@chu-nimes.fr
Contact Person Name
Nadine Houede
Contact Person Email
Nadine.houede@chu-nimes.fr
Site Name
Centre Oscar Lambret
Department Name
Medical Oncology
Principal Investigator Name
Aurelien Carnot
Principal Investigator Email
a-carnot@o-lambret.fr
Contact Person Name
Aurelien Carnot
Contact Person Email
a-carnot@o-lambret.fr
Site Name
Centre Leon Berard
Department Name
Medical Oncology
Principal Investigator Name
Armelle Vinceneux
Principal Investigator Email
armelle.vinceneux@lyon.unicancer.fr
Contact Person Name
Armelle Vinceneux
Site Name
Institut Bergonie
Department Name
Medical Oncology
Principal Investigator Name
Guilhem Roubaud
Principal Investigator Email
g.roubaud@bordeaux.unicancer.fr
Contact Person Name
Guilhem Roubaud
Site Name
Centre De Lutte Contre Le Cancer Eugene Marquis (duplicate entry in list)
Department Name
Medical Oncology
Principal Investigator Name
Brigitte Laguerre
Principal Investigator Email
b.laguerre@rennes.unicancer.fr
Contact Person Name
Brigitte Laguerre
Contact Person Email
b.laguerre@rennes.unicancer.fr

Germany

Earliest CTIS Part Ii Submission Date
25-02-2026
Latest Decision Or Authorization Date
12-03-2026
Processing Time Days
15
Number Of Sites
7
Number Of Participants
33

Sites

Site Name
Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
Department Name
Klinik und Poliklinik für Urologie
Principal Investigator Name
Séverine Banek
Principal Investigator Email
severine.banek@ukdd.de
Contact Person Name
Séverine Banek
Contact Person Email
severine.banek@ukdd.de
Site Name
Urologicum Duisburg
Principal Investigator Name
Eva Hellmis
Principal Investigator Email
hellmis@urologicum-duisburg.de
Contact Person Name
Eva Hellmis
Contact Person Email
hellmis@urologicum-duisburg.de
Site Name
University Medical Center Hamburg-Eppendorf
Department Name
Department of Oncology
Principal Investigator Name
Gunhild von Amsberg
Principal Investigator Email
g.von-amsberg@uke.de
Contact Person Name
Gunhild von Amsberg
Contact Person Email
g.von-amsberg@uke.de
Site Name
Studienpraxis Urologie Susan Feyerabend MD Tilman Todenhoefer MD PhD GbR
Principal Investigator Name
Tilman Todenhöfer
Principal Investigator Email
todenhoefer@studienurologie.de
Contact Person Name
Tilman Todenhöfer
Contact Person Email
todenhoefer@studienurologie.de
Site Name
Klinikum der Technischen Universitaet Muenchen (TUM Klinikum)
Department Name
Urologische Klinik und Poliklinik
Principal Investigator Name
Margitta Retz
Principal Investigator Email
Margitta.retz@tum.de
Contact Person Name
Margitta Retz
Contact Person Email
Margitta.retz@tum.de
Site Name
Universitaetsklinikum Essen AöR
Department Name
Klinik und Poliklinik für Urologie
Principal Investigator Name
Christopher Darr
Principal Investigator Email
christopher.darr@uk-essen.de
Contact Person Name
Christopher Darr
Contact Person Email
christopher.darr@uk-essen.de
Site Name
University Medical Center Hamburg-Eppendorf (duplicate entry in list)
Department Name
Department of Oncology
Principal Investigator Name
Gunhild von Amsberg
Principal Investigator Email
g.von-amsberg@uke.de
Contact Person Name
Gunhild von Amsberg
Contact Person Email
g.von-amsberg@uke.de

Italy

Earliest CTIS Part Ii Submission Date
28-01-2026
Latest Decision Or Authorization Date
09-03-2026
Processing Time Days
40
Number Of Sites
7
Number Of Participants
33

Sites

Site Name
I.F.O. Istituti Fisioterapici Ospitalieri
Department Name
Oncologia Medica 1
Principal Investigator Name
Fabio Calabrò
Principal Investigator Email
fabio.calabro@ifo.it
Contact Person Name
Fabio Calabrò
Contact Person Email
fabio.calabro@ifo.it
Site Name
Azienda Ospedaliera Universitaria Citta Della Salute E Della Scienza Di Torino
Department Name
Oncologia Medica 1U
Principal Investigator Name
Massimo Di Maio
Principal Investigator Email
massimo.dimaio@unito.it
Contact Person Name
Massimo Di Maio
Contact Person Email
massimo.dimaio@unito.it
Site Name
Azienda Ospedaliero Universitaria Careggi
Department Name
Oncologia Medica
Principal Investigator Name
Lorenzo Antonuzzo
Principal Investigator Email
lorenzo.antonuzzo@unifi.it
Contact Person Name
Lorenzo Antonuzzo
Contact Person Email
lorenzo.antonuzzo@unifi.it
Site Name
Istituto Europeo Di Oncologia S.r.l.
Department Name
Oncologia Medica Urogenitale e Cervico Facciale
Principal Investigator Name
Franco Nolè
Principal Investigator Email
franconole.studiclinici@ieo.it
Contact Person Name
Franco Nolè
Contact Person Email
franconole.studiclinici@ieo.it
Site Name
Ospedale San Raffaele S.r.l.
Department Name
Unità di Oncologia Medica
Principal Investigator Name
Andrea Necchi
Principal Investigator Email
necchi.andrea@hsr.it
Contact Person Name
Andrea Necchi
Contact Person Email
necchi.andrea@hsr.it
Site Name
Azienda Sanitaria Locale Napoli 2 Nord
Department Name
Oncologia
Principal Investigator Name
Gaetano Facchini
Principal Investigator Email
gaetano.facchini@aslnapoli2nord.it
Contact Person Name
Gaetano Facchini
Site Name
Istituto Europeo Di Oncologia S.r.l. (duplicate entry in list)
Department Name
Oncologia Medica Urogenitale e Cervico Facciale
Principal Investigator Name
Franco Nolè
Principal Investigator Email
franconole.studiclinici@ieo.it
Contact Person Name
Franco Nolè
Contact Person Email
franconole.studiclinici@ieo.it

Spain

Earliest CTIS Part Ii Submission Date
20-02-2026
Latest Decision Or Authorization Date
30-04-2026
Processing Time Days
69
Number Of Sites
8
Number Of Participants
42

Sites

Site Name
Hospital Clinico Universitario Lozano Blesa
Department Name
Oncology
Principal Investigator Name
Julio Lambea
Principal Investigator Email
juliolambea@yahoo.es
Contact Person Name
Julio Lambea
Contact Person Email
juliolambea@yahoo.es
Site Name
Hospital Universitario Virgen De La Macarena
Department Name
Oncology
Principal Investigator Name
Alberto Torres-Zurita
Principal Investigator Email
albertotorreszurita@gmail.com
Contact Person Name
Alberto Torres-Zurita
Contact Person Email
albertotorreszurita@gmail.com
Site Name
Hospital Germans Trias I Pujol
Department Name
Oncology
Principal Investigator Name
María Ochoa de Olza Amat
Principal Investigator Email
maochoa@iconcologia.net
Contact Person Name
María Ochoa de Olza Amat
Contact Person Email
maochoa@iconcologia.net
Site Name
Hospital Universitario 12 De Octubre
Department Name
Oncology
Principal Investigator Name
Elena Castro
Principal Investigator Email
ecastro.imas12@h12o.es
Contact Person Name
Elena Castro
Contact Person Email
ecastro.imas12@h12o.es
Site Name
Hospital Universitario Ramon Y Cajal
Department Name
Oncology
Principal Investigator Name
Teresa Alonso
Principal Investigator Email
talonsogordoa@gmail.com
Contact Person Name
Teresa Alonso
Contact Person Email
talonsogordoa@gmail.com
Site Name
Consorcio Hospital General Universitario De Valencia
Department Name
Oncology
Principal Investigator Name
Cristina Caballero
Principal Investigator Email
caballero_cri@gva.es
Contact Person Name
Cristina Caballero
Contact Person Email
caballero_cri@gva.es
Site Name
Hospital General Universitario Morales Meseguer
Department Name
Oncology
Principal Investigator Name
Marta Zafra
Principal Investigator Email
marta.zafra@carm.es
Contact Person Name
Marta Zafra
Contact Person Email
marta.zafra@carm.es
Site Name
Hospital Clinico Universitario Lozano Blesa (duplicate entry in list)
Department Name
Oncology
Principal Investigator Name
Julio Lambea
Principal Investigator Email
juliolambea@yahoo.es
Contact Person Name
Julio Lambea
Contact Person Email
juliolambea@yahoo.es

Sponsor

Primary sponsor

Full Name
Janssen Cilag International
Organisation Type
Pharmaceutical company
Country Of Registered Address
Belgium

Contract research organisations

Name
Bioclinica Inc.
Responsibilities
Central Imaging
Name
4g Clinical LLC
Name
Labcorp Central Laboratory Services LP

Third parties

  • {"country":"United States","full_name":"Labcorp Central Laboratory Services LP","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Bioclinica Inc.","duties_or_roles":"Central Imaging","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Eresearchtechnology Inc.","duties_or_roles":"eCOA vendor","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"4g Clinical LLC","duties_or_roles":"","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Ancillare LP","duties_or_roles":"Providing ancillare supplies","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
JNJ-78278343
Active Substance
JNJ-78278343
Modality
Bispecific antibody
Routes Of Administration
SOLUTION FOR INJECTION/INFUSION (intravenous infusion)
Route
Intravenous (infusion)
Authorisation Status
Not authorised
Investigational Product Name
Docetaxel (Docetaxel AqVida 20 mg/ml concentrate for infusion)
Active Substance
Docetaxel
Modality
Small molecule
Routes Of Administration
INTRAVENOUS USE (solution for infusion)
Route
Intravenous
Authorisation Status
Authorised
Investigational Product Name
Prednisone (Prednison acis 5 mg)
Active Substance
Prednisone
Modality
Small molecule
Routes Of Administration
ORAL (tablets)
Route
Oral
Authorisation Status
Authorised
Combination Treatment
Yes

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