Pfizer MEVPRO Prostate Cancer Clinical Trials
Help advance metastatic prostate cancer treatment research
Explore Pfizer’s MEVPRO Clinical Trials as potential options for people with prostate cancer
- Recruiting
MEVPRO-1
For people with abiraterone-resistant metastatic prostate cancer
A Phase 3 clinical trial evaluating the investigational drug (mevrometostat) in combination with enzalutamide compared to enzalutamide or docetaxel alone in adults with mCRPC previously treated with abiraterone acetate.
Study details
MEVPRO-1 is a Phase 3, randomised, open-label clinical trial to evaluate an investigational drug called mevrometostat for men with metastatic castrate-resistant prostate cancer (mCRPC) that has progressed after treatment with abiraterone acetate. MEVPRO-1 will investigate whether mevrometostat in combination with enzalutamide is superior to either enzalutamide or docetaxel in prolonging radiographic progression-free survival in the mCRPC setting.
Approximately 600 participants will be randomly assigned in a 1:1 ratio to Arm A or Arm B.
- Investigational Arm A:
Mevrometostat 875 mg BID plus
enzalutamide 160 mg QD
- Comparator Arm B:
Study doctor’s choice of enzalutamide 160 mg QD OR
docetaxel 75 mg/m2 IV every cycle (21 days) for up to a maximum of 10 cycles.
Participants will receive investigational treatment until radiographic disease progression, unacceptable toxicity, protocol violation, withdrawal or study termination. The length of participation in MEVPRO-1 will vary depending on how well participants tolerate the study treatment or time to disease progression.
The study includes a 28-day screening period, the treatment period and a 28- to 35-day safety follow-up. The treatment period in the study will consist of cycles of 3 weeks (docetaxel group) or 4 weeks (enzalutamide groups). Participants receiving investigational mevrometostat and enzalutamide or enzalutamide alone will attend 2 study visits in Cycles 1 and 2, then 1 study visit per cycle thereafter. Participants receiving standard-of-care docetaxel will attend 1 study visit per cycle for up to 10 cycles.
Long-term safety follow-up will consist of visits every 12 weeks from the last dose until the study is complete, which may take many years, or until the participant withdraws consent.
Participant eligibility
- Key inclusion criteria:
- Male participants ≥18 years of age at screening.
- Histologically- or cytologically-confirmed adenocarcinoma of the prostate without small cell features.
- Metastatic disease in bone documented on bone scan, or in soft tissue documented on CT/MRI scan.
- Evidence of disease progression on or after treatment with at least 12 weeks of abiraterone acetate in the metastatic castrate-sensitive prostate (mCSPC) cancer or first-line mCRPC setting.
- Key exclusion criteria:
- Treatment with chemotherapy since becoming castrate-resistant.
- History of any other cancer in the last 3 years (except for some skin cancers or early-stage cancers that have been cured).
- Clinically significant cardiovascular disease, renal disease or liver disease.
- Prior treatment for prostate cancer at any stage with any cytotoxic chemotherapy, radioligand therapy, ARSi (including enzalutamide, apalutamide, darolutamide), PARP monotherapy or other systemic anti-cancer treatment.
- Major surgery or palliative localised radiation therapy within 14 days before randomisation.