A Phase III Trial of BNT324 Versus Docetaxel in Metastatic Castration-resistant Prostate Cancer

About This Trial

This study is testing a new medicine called BNT324 to see if it works better and helps men live longer than the standard chemotherapy used for advanced prostate cancer.
It is open to men whose prostate cancer has spread and gotten worse despite hormone therapy, but who have not yet received chemotherapy for this stage of their disease.
Participants will receive either the new study drug or the standard chemotherapy to directly compare how well each treatment works.
Before considering this trial, you should know that you must be in generally good daily health, and having certain serious heart or lung problems will prevent you from taking part.

This study will test whether BNT324 is safe and works better against metastatic castration-resistant prostate cancer (mCRPC) than the current Standard of Care (Standard of Care) chemotherapy, which is docetaxel (given together with the steroid medicines prednisone or prednisolone).
The study will include participants with mCRPC that have been previously treated with androgen receptor pathway inhibitor, but with no previous taxane-based systematic chemotherapy for mCRPC.
The main goals of this study are: - To find out if BNT324 helps participants live longer without their cancer getting worse (radiographic progression-free survival [rPFS]). - To find out if BNT324 helps participants live longer overall (overall survival [OS]).

Age Range: 18 years and older
Gender: Male
Who This Trial is For: This study is testing a new medicine called BNT324 to see if it works better and helps men live longer than the standard chemotherapy used for advanced prostate cancer.

Full Eligibility Criteria

Inclusion Criteria

Are male adults (defined as ≥18 years of age or of an acceptable age according to local regulations at the time of giving informed consent).
Must have documented progressive prostate cancer based on at least one of the following criteria:
- Serum/plasma PSA progression, by local laboratory, defined as two consecutive increases in PSA over a previous reference value, each measured sequentially at least 1 week apart. The PSA value at screening is required to be ≥1.0 ng/mL.
- Radiographic soft tissue progression as per PCWG3-modified RECIST v1.1.
- Radiographic progression of bone disease: evaluable disease or new bone lesion(s) by bone scan per PCWG3 criteria.
Had previously received one or two prior androgen receptor pathway inhibitor treatments and experienced disease progression during or after a minimum of 8 weeks of therapy.
Must not have received systemic cytotoxic chemotherapy, including taxane-based chemotherapy, for mCRPC.
Must have had prior orchiectomy and/or have ongoing androgen-deprivation therapy and a castrate-level of serum/plasma testosterone (<50 ng/dL or <1.7 nmol/L). Participant being treated with luteinizing hormone-releasing hormone agonists or antagonists must continue such treatment throughout the study.
Must have an Eastern Cooperative Oncology Group performance score of 0 or 1.

Exclusion Criteria

Have received prior treatment with B7-H3 targeted therapy, including B7-H3 ADCs.
Have uncontrolled or significant cardiovascular disease, as defined in the protocol.
Have a history of (non-infectious) interstitial lung disease (ILD)/pneumonitis that required steroids or have current ILD/pneumonitis. NOTE: Other protocol defined Inclusion/Exclusion criteria apply.