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NCT07611110PHASE3RECRUITING

AZD2265 Compared With Standard of Care in PSMA-positive Metastatic Castration-resistant Prostate Cancer (VECTRA-01)

A Phase III, Multicentre, Randomised Controlled Study to Evaluate the Efficacy and Safety of AZD2265 (FPI-2265) ²²⁵Ac-PSMA-I&T Compared With Standard of Care in Patients With PSMA-positive Metastatic Castration-resistant Prostate Cancer (VECTRA-01)

Sponsor: AstraZeneca

No open prediction endpoints

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Key Facts

Study type
INTERVENTIONAL
Conditions
Metastatic Castration-resistant Prostate Cancer
Interventions
AZD2265, Cabazitaxel, Abiraterone, Enzalutamide
Enrollment
670 participants
Primary completion
Feb 2029
Study completion
Dec 2029
First posted
May 2026
Last updated
May 2026

Primary Endpoints (CT.gov)

Radiographic Progression-Free Survival (rPFS)

Time frame: From randomization until first radiographic progression per RECIST 1.1/PCWG3 by BICR, or death from any cause, whichever occurs first (up to approximately 33 months)

Overall Survival (OS)

Time frame: From randomization until death from any cause (up to approximately 33 months)

Secondary Endpoints

Progression-Free Survival (PFS)

Assessment of PSA50 (≥50% prostate-specific antigen reduction)

Assessment of PSA90 (≥90% prostate-specific antigen reduction)

Eligibility Criteria

Inclusion Criteria: * ≥ 18 years of age. * Diagnosis of adenocarcinoma of prostate. * Must have had prior orchiectomy and/or ongoing ADT and a castrate level of plasma/serum testosterone. * Progressive mCRPC following the most recent treatment at the time of study entry, with at least 1 metastatic lesion (measurable and/or non-measurable) that is suitable for repeated assessment by CT and/or MRI and/or bone scan. * Previously treated with at least 2 cycles of PSMA-directed β-emitting radioconjugate. * Previously treated with at least 1 taxane-based chemotherapy regimen for either metastatic hormone-sensitive prostate cancer or CRPC. * Previously treated with at least 1 ARPI (eg, enzalutamide, abiraterone, etc.). * Positive PSMA PET/CT scans, obtained with PSMA ligands (⁶⁸Ga-PSMA-11 or ¹⁸F-DCFPyL). * ECOG performance status of 0 to 2. * Adequate organ and bone marrow function as described in study protocol. * Participants must not father children or donate sperm from signing ICF, durin

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✦ Analyst Commentary

Expert commentary on why this trial matters and what to watch for.

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Source

Open on ClinicalTrials.gov