A Study to Find a Safe Dose of TD001 for Patients with Metastatic Castration-Resistant Prostate Cancer that Expresses PSMA

2 1 1

What is this study about?

This study involves patients with metastatic castration-resistant prostate cancer, which is an advanced form of prostate cancer that has spread to other parts of the body and no longer responds to treatments that lower testosterone levels. The treatment being tested is TD001, which is an antibody-drug conjugate that targets a protein called PSMA that is found on prostate cancer cells. An antibody-drug conjugate is a type of medicine that combines an antibody, which can find cancer cells, with a cancer-killing drug that is delivered directly to those cells. The medicine is given as a solution for infusion, which means it is delivered directly into a vein.

The purpose of this study is to find a safe dose of TD001 and to evaluate how well patients tolerate different dosing schedules of this medicine. The study will also look at the safety of the treatment and how it affects the cancer. During the study, patients will receive TD001 through an intravenous infusion, which means the medicine goes into the bloodstream through a needle placed in a vein. The study is divided into two parts: the first part will test different doses to find the safest and most appropriate amount to give patients, and the second part will further evaluate the safety and effects of the chosen dose.

Throughout the study, doctors will monitor patients closely by checking for any side effects, measuring levels of the medicine in the blood, and assessing how the cancer responds to treatment. This includes checking PSA levels, which is a substance in the blood that can indicate prostate cancer activity, and using imaging scans to see if tumors are shrinking or growing. The study will collect information about any unwanted effects that occur, changes in laboratory test results, and whether the treatment needs to be adjusted or stopped because of side effects. Patients participating in this study will have previously received other standard treatments for their prostate cancer, including hormone therapies and chemotherapy drugs.

1 Initial treatment period

The trial involves receiving TD001, which is an investigational medication designed to target a protein called PSMA that is found on prostate cancer cells.

TD001 is given as an infusion, meaning it is administered directly into a vein over a period of time.

The treatment is organized in cycles. Each cycle represents a specific period during which the medication is given and monitored.

2 Dose escalation phase

During this phase, the dose of TD001 is carefully adjusted to find a safe and effective amount.

The first cycle is particularly important for monitoring how the body responds to the medication.

Different administration schedules may be tested to determine the best way to give the medication.

Safety and tolerability are closely monitored throughout this phase to identify the maximum tolerated dose, which is the highest dose that does not cause unacceptable side effects, and the recommended phase 2 dose, which is the dose selected for further testing.

3 Dose expansion phase

Once a safe and appropriate dose has been identified in the escalation phase, this dose is given to additional participants.

The same infusion method is used, with TD001 administered directly into a vein.

The focus during this phase is to further evaluate the safety and tolerability of the selected dose and administration schedule.

4 Ongoing monitoring and assessments

Throughout the trial, regular monitoring takes place to assess how the treatment is affecting the disease and the body.

Blood tests are performed to measure PSA levels. PSA is a protein produced by prostate cells, and changes in PSA levels can indicate how the cancer is responding to treatment.

Imaging scans may be performed to evaluate whether tumors in soft tissue, organs, or bones are growing, shrinking, or remaining stable.

Blood samples are collected to measure the levels of TD001 in the bloodstream and to understand how the body processes the medication.

Safety is continuously assessed by monitoring for any side effects or adverse events, including laboratory tests to check organ function and overall health.

5 Response evaluation

The response to treatment is evaluated using specific criteria to determine if the cancer is responding to TD001.

A PSA50 response refers to a reduction of at least 50 percent in PSA levels from the starting point.

Tumor response is assessed using imaging studies to see if measurable tumors have decreased in size.

Disease control includes situations where the cancer is either shrinking or remaining stable without growing.

The time during which the disease does not progress is measured, both in terms of PSA levels and imaging findings.

6 Long-term follow-up

Participants continue to be monitored over an extended period to assess the duration of any positive responses to treatment.

Overall survival, which is the length of time participants remain alive, is tracked as part of the trial.

Blood tests may be performed to check for the development of anti-drug antibodies, which are proteins the immune system might produce in response to TD001.

Who Can Join the Study?

  • You must be an adult male patient with metastatic castration-resistant prostate cancer, which means prostate cancer that has spread to other parts of the body and continues to grow despite treatments that lower testosterone levels
  • Your cancer must be getting worse, shown by at least one of the following: your PSA level (a protein in the blood that indicates prostate cancer activity) is rising, your tumors in soft tissues or organs are growing based on imaging scans, or your bone disease is progressing with new bone lesions appearing
  • You must have at least one tumor that can be measured on imaging scans
  • You must have had surgery to remove your testicles in the past or be currently receiving androgen deprivation therapy, which is treatment that lowers male hormones to slow cancer growth
  • You must have previously received at least one androgen receptor pathway inhibitor, which is a type of medicine that blocks male hormones from helping cancer grow, and at least one but no more than two taxane agents, which are chemotherapy drugs, or you must be unsuitable for these treatments
  • If you have a specific genetic change called a homologous recombination repair gene mutation, you must have received a PARP inhibitor, which is a targeted cancer medicine, or be unsuitable for this treatment

Who Cannot Join the Study?

  • The study is only for male patients. Women cannot participate in this study.
  • The study is only for adult patients. Children and adolescents cannot participate in this study.
  • Patients must have metastatic castration-resistant prostate cancer. This means the prostate cancer has spread to other parts of the body and continues to grow even though the level of testosterone (a male hormone) in the body has been lowered to very low levels.
  • Patients who do not meet the specific age requirements for adults cannot participate.
  • Patients who belong to vulnerable populations (groups of people who need special protection in research) are not included in this study.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Institut Gustave Roussy Villejuif France

Other Sites

Site Name City Country Status
Gqfyrq Hindraxqnob Ufaikbwqmochm Pmxlv Pahfvhwhhcs Ew Nrsebblgbuwd Paris France
Hfmrflpt Vzuk ddwoqvhy Barcelona Spain

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
France France
Recruiting
02.01.2026
Spain Spain
Not yet recruiting
02.01.2026

Trial locations

TD001 is an experimental medication being tested in this clinical trial. It is designed to target a protein called PSMA, which is found on prostate cancer cells. This medication is an antibody-drug conjugate, which means it combines an antibody (a protein that finds cancer cells) with a cancer-fighting drug. The antibody part of TD001 helps deliver the cancer-fighting drug directly to the cancer cells. This medication is being studied for people with metastatic castration-resistant prostate cancer, which is an advanced form of prostate cancer that has spread to other parts of the body and no longer responds to hormone treatments.

Metastatic Castration-Resistant Prostate Cancer – This is an advanced form of prostate cancer that has spread beyond the prostate gland to other parts of the body. The disease continues to grow and progress even when testosterone levels are reduced to very low levels through medication or surgery. Castration-resistant means the cancer no longer responds to hormone therapy that lowers testosterone. The cancer cells find ways to grow without needing normal amounts of male hormones. As the disease is metastatic, it has already spread to distant organs or bones in the body. This represents a later stage in the progression of prostate cancer after initial treatments have stopped working effectively.

Trial ID:
2025-523273-41-00
Protocol code:
TD001-101
Trial Phase:
Phase I and Phase II (Integrated) – First administration to humans

Other Trials to Consider

  • A study of JNJ-78278343 and docetaxel compared to docetaxel and prednisone in patients with metastatic castration-resistant prostate cancer

    Recruiting

    3 1 1 1
    Investigated diseases:
    Investigated drugs:
    Belgium France Germany Italy Spain
  • A study evaluating the efficacy and safety of inavolisib and enzalutamide in patients with metastatic castration-resistant prostate cancer

    Recruiting

    2 1 1 1
    France Germany Italy Spain