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Epigenetic Modulator

PF-06821497 + Enzalutamide for Prostate Cancer (MEVPRO-1 Trial)

Phase 3
Recruiting
Research Sponsored by Pfizer
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Surgically or medically castrated, with serum testosterone ≤50 ng/dL (≤1.73 nmol/L) at screening
Eastern Cooperate Oncology Group (ECOG) performance status 0 - 2, with life expectancy of at least 6 months as assessed by the investigator
Must not have
Hepatic dysfunction
Clinically significant cardiovascular disease
Timeline
Screening 3 weeks
Treatment Varies
Follow Up randomization to approximately 4.5 years
Awards & highlights
No Placebo-Only Group
Pivotal Trial

Summary

"This trial is testing if combining PF-06821497 with enzalutamide is safe and effective for treating metastatic castration-resistant prostate cancer. The main goal is to see if this combination

Who is the study for?
This trial is for men with metastatic castration-resistant prostate cancer (mCRPC) who have previously been treated with Abiraterone Acetate. Participants should not have received certain other treatments and must meet specific health criteria.
What is being tested?
The study is testing the safety and effectiveness of a new medicine, PF-06821497, combined with Enzalutamide compared to the standard treatment choice of either Enzalutamide alone or Docetaxel chemotherapy in treating mCRPC after prior treatment failure.
What are the potential side effects?
Possible side effects may include typical reactions to cancer medications such as fatigue, nausea, hair loss from chemotherapy (Docetaxel), hormonal therapy side effects like hot flashes or sexual dysfunction (Enzalutamide), and any unknown risks from the new drug.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am castrated with low testosterone levels.
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I can care for myself and my doctor believes I have at least 6 months to live.
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My prostate cancer is confirmed without being a small cell type.
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My cancer has spread to my bones or soft tissues, confirmed by scans.
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My prostate cancer has worsened despite treatment and castration.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have liver problems.
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I have a serious heart condition.
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My kidney function is low, with an eGFR under 45 mL/min.
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I have previously received treatments for prostate cancer, including chemotherapy or hormone therapy.
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I do not have brain metastasis or conditions that could lead to seizures.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~randomization to approximately 4.5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and randomization to approximately 4.5 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Radiographic Progression Free Survival (rPFS) assessed by blinded independent central review (BICR) per RECIST v1.1 and Prostate Cancer Clinical Trials Working Group 3 (PCWG3)
Secondary study objectives
Change from baseline in emotional well-being per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Change from baseline in functioning well-being per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
Change from baseline in health-related quality of life (HRQoL) per Functional Assessment of Cancer Therapy - Prostate (FACT-P)
+20 more

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Arm AExperimental Treatment2 Interventions
Investigational Arm A: PF-06821497 875 mg twice daily (BID) + enzalutamide 160 mg every day (QD)
Group II: Arm BActive Control2 Interventions
Comparator Arm B: Physician's choice of enzalutamide 160 mg QD or docetaxel 75 mg/m2 intravenous (IV) every 21 days
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Enzalutamide
2014
Completed Phase 4
~3820

Find a Location

Who is running the clinical trial?

PfizerLead Sponsor
4,658 Previous Clinical Trials
17,876,825 Total Patients Enrolled
43 Trials studying Prostate Cancer
12,839 Patients Enrolled for Prostate Cancer
Pfizer CT.gov Call CenterStudy DirectorPfizer
3,544 Previous Clinical Trials
14,918,001 Total Patients Enrolled
9 Trials studying Prostate Cancer
3,918 Patients Enrolled for Prostate Cancer
~400 spots leftby Dec 2025