xaluritamig (AMG 509) / Xencor, Amgen, BeOne Medicines - LARVOL DELTA

A Study of Xaluritamig Plus Abiraterone Versus Investigator's Choice in Participants With Chemotherapy-naïve Metastatic Castration-resistant Prostate Cancer (clinicaltrials.gov) - P3 | N=750 | Recruiting | Sponsor: Amgen

New P3 trial • Castration-Resistant Prostate Cancer • Genito-urinary Cancer • Oncology • Prostate Cancer • Solid Tumor

Study Evaluating the Safety, Tolerability, and Efficacy of Xaluritamig in Combination With Androgen Receptor Pathway Inhibitors in Participants With Metastatic Hormone-sensitive Prostate Cancer (clinicaltrials.gov) - P1 | N=60 | Recruiting | Sponsor: Amgen | Not yet recruiting ➔ Recruiting

Enrollment open • Genito-urinary Cancer • Hormone Sensitive Prostate Cancer • Oncology • Prostate Cancer • Solid Tumor

Study of AMG 509 in Participants With Metastatic Castration-Resistant Prostate Cancer (clinicaltrials.gov) - P1 | N=479 | Recruiting | Sponsor: Amgen | Trial completion date: Aug 2028 ➔ Mar 2032 | Trial primary completion date: Feb 2026 ➔ Mar 2030

Trial completion date • Trial primary completion date • Castration-Resistant Prostate Cancer • Genito-urinary Cancer • Oncology • Prostate Cancer • Solid Tumor • CTCs • STEAP1

BeOne Medicines Ltd…announced it has entered into an agreement to sell its royalty rights on the worldwide sales, excluding China, of Amgen’s IMDELLTRA (tarlatamab-dlle) for up to $950 million to Royalty Pharma. (Businesswire) - "Under the terms of the agreement, BeOne will receive an upfront payment of $885 million, with the option to sell remaining royalties within 12 months for up to $65 million. BeOne will share in a portion of the royalty on annual sales above $1.5 billion, and will maintain royalty and all other rights to other assets under the terms of the existing collaboration with Amgen, including xaluritamig, a first-in-class STEAP1 x CD3 XmAb currently being studied in patients with metastatic castration-resistant prostate cancer (mCRPC)."

Commercial • Castration-Resistant Prostate Cancer • Small Cell Lung Cancer

Phase 3 Study of Xaluritamig vs Cabazitaxel or Second Androgen Receptor-Directed Therapy in Participants With Progressive Metastatic Castration-Resistant Prostate Cancer (XALute) (clinicaltrials.gov) - P3 | N=675 | Recruiting | Sponsor: Amgen | Trial completion date: May 2030 ➔ Jul 2029

Trial completion date • Castration-Resistant Prostate Cancer • Genito-urinary Cancer • Oncology • Prostate Cancer • Solid Tumor

Study Evaluating the Safety, Tolerability, and Efficacy of Xaluritamig in Combination With Androgen Receptor Pathway Inhibitors in Participants With Metastatic Hormone-sensitive Prostate Cancer (clinicaltrials.gov) - P1 | N=60 | Not yet recruiting | Sponsor: Amgen

New P1 trial • Genito-urinary Cancer • Hormone Sensitive Prostate Cancer • Oncology • Prostate Cancer • Solid Tumor

Clinical Pharmacology Characterization and Dose Selection of Xaluritamig, a Next Generation XmAb® 2+1 T-Cell Engager, in Prostate Cancer Patients. (PubMed, J Clin Pharmacol) - "Additionally, thorough dose-exposure-response analyses integrated observed data and model-based simulations of PK, key efficacy endpoints, and safety events to support the evaluation of the target doses 0.75 mg QW, 1.5 mg QW, and 1.5 mg Q2W in dose expansion. This work provides the framework for which modeling and simulations can be used to guide dose selection for dose expansion at an early stage of development adhering to the recent principles of Project Optimus."

Journal • Castration-Resistant Prostate Cancer • Genito-urinary Cancer • Hematological Disorders • Hematological Malignancies • Oncology • Prostate Cancer • Solid Tumor • STEAP1

Evaluation of Neoadjuvant Xaluritamig in Localized Prostate Cancer (clinicaltrials.gov) - P1 | N=40 | Recruiting | Sponsor: Amgen | N=30 ➔ 40 | Trial completion date: Oct 2029 ➔ Jan 2030 | Trial primary completion date: Jun 2026 ➔ Sep 2026

Enrollment change • Trial completion date • Trial primary completion date • Genito-urinary Cancer • Oncology • Prostate Cancer • Solid Tumor • STEAP1

Evaluation of Xaluritamig in High-Risk, Biochemically Recurrent, Non-metastatic Castrate-sensitive Prostate Cancer (clinicaltrials.gov) - P1 | N=50 | Recruiting | Sponsor: Amgen | Trial completion date: Mar 2029 ➔ Jun 2029 | Trial primary completion date: Sep 2026 ➔ Dec 2026

Trial completion date • Trial primary completion date • Genito-urinary Cancer • Hormone Sensitive Prostate Cancer • Oncology • Prostate Cancer • Solid Tumor • STEAP1

T-Cell Engager Therapy in Prostate Cancer: Molecular Insights into a New Frontier in Immunotherapy. (PubMed, Cancers (Basel)) - "While early PSMA-targeted TCEs established proof-of-concept, recent data, notably for six transmembrane epithelial antigen of the prostate 1 (STEAP1)-targeting agents like Xaluritamig, demonstrate more substantial objective responses, highlighting progress through improved target selection and molecular design...Accumulating evidence supports TCEs becoming a new therapeutic pillar for advanced PCa, but achieving this demands sustained innovation focused on optimizing efficacy and safety. This review critically connects molecular engineering advancements with clinical realities and future imperatives."

IO biomarker • Journal • Review • Genito-urinary Cancer • Oncology • Prostate Cancer • Solid Tumor • DLL3 • STEAP1

Trial in progress (XALute): Phase 3 study of xaluritamig vs investigator's choice of cabazitaxel or second androgen receptor directed therapy (ARDT) in post-taxane metastatic castration-resistant prostate cancer (mCRPC). (ASCO 2025) - P3 | "Exclusion criteria include prior STEAP1-targeted therapy, any anticancer therapy within 4 weeks prior to first dose of study treatment (not including androgen deprivation therapy), prior PSMA-RLT within 2 months of first dose of study treatment unless less than 2 cycles received, and prior radionuclide therapy (radium-223) within 2 months of first dose of study treatment To mitigate risk of cytokine release syndrome, xaluritamig will be administered with step dosing. Cabazitaxel or second ARDT will be administered according to regional prescribing information. Funded by Amgen Inc.; ClinicalTrials.gov number, NCT06691984."

Metastases • P3 data • Castration-Resistant Prostate Cancer • Genito-urinary Cancer • Oncology • Prostate Adenocarcinoma • Prostate Cancer • Solid Tumor • STEAP1

ASCO 2025: Trials-in-Progress – XALute: Phase 3 Study of Xaluritamig vs Investigator’s Choice of Cabazitaxel or Second Androgen Receptor-Directed Therapy in Post-Taxane Metastatic Castration-Resistant Prostate Cancer (UroToday) - "The 2025 American Society of Clinical Oncology (ASCO) Annual Meeting held in Chicago, IL between May 30th and June 3rd, 2025, was host to a prostate, testicular, and penile cancers poster session. Dr. William Kelly presented the ongoing XALute study, a phase III trial of xaluritamig versus investigator’s choice of cabazitaxel or second androgen receptor-directed therapy in post-taxane metastatic castration-resistant prostate cancer (mCRPC)....Approximately 675 patients will be randomized in the study. The total study duration is expected to be approximately 56 months from the first patient randomized, with an enrollment duration of approximately 20 months and 36 months treatment and follow-up. Patients will be randomized 2:1 to receive either xaluritamig monotherapy or investigator’s choice of cabazitaxel or second ARPI."

Trial status • Castration-Resistant Prostate Cancer

Association of baseline tumor and peripheral biomarker features with efficacy in metastatic castration-resistant prostate cancer patients treated with xaluritamig (AACR 2025) - P3 | "The distribution of somatic tumor mutations was consistent with published mCRPC mutational frequencies, with deleterious alterations in TP53, AR, PTEN and RB1 observed most frequently. Xaluritamig efficacy was observed in patients whose tumors carried these common mCRPC alterations, as well as in patients with detectable TMPRSS2:ERG fusions Taken together, these data suggest that xaluritamig has anti-tumor activity in a broad mCRPC patient population and provide support for enrolling patients with mCRPC in a Phase 3 study of xaluritamig (NCT06691984) regardless of STEAP1 expression levels or tumor mutational status."

Biomarker • Clinical • Metastases • Castration-Resistant Prostate Cancer • Genito-urinary Cancer • Oncology • Prostate Cancer • Solid Tumor • CRP • ERG • FOLH1 • PTEN • RB1 • STEAP1 • TMPRSS2 • TP53

A phase 1b, open-label, multicenter study of xaluritamig in patients with biochemical recurrence of prostate cancer after definitive therapy. (ASCO-GU 2025) - P1 | "N Engl J Med. 2024; 391(4):320-333."

Clinical • P1 data • Genito-urinary Cancer • Oncology • Prostate Adenocarcinoma • Prostate Cancer • Solid Tumor • STEAP1

A phase 1b, open-label, multicenter study of xaluritamig in patients with newly diagnosed localized intermediate- or high-risk prostate cancer in the neoadjuvant setting. (ASCO-GU 2025) - P1 | "Secondary outcomes will assess PSA response, imaging-based response on multiparametric magnetic resonance imaging (mpMRI) prior to prostatectomy, pathologic response and the pharmacokinetics of xaluritamig. The study is open for enrollment as of October 2024."

Clinical • P1 data • Castration-Resistant Prostate Cancer • Genito-urinary Cancer • Oncology • Prostate Adenocarcinoma • Prostate Cancer • Solid Tumor • STEAP1

Phase 3 Study of Xaluritamig vs Cabazitaxel or Second Androgen Receptor-Directed Therapy in Participants With Progressive Metastatic Castration-Resistant Prostate Cancer (clinicaltrials.gov) - P3 | N=675 | Recruiting | Sponsor: Amgen | Not yet recruiting ➔ Recruiting | Trial completion date: Nov 2029 ➔ May 2030 | Trial primary completion date: Aug 2028 ➔ Dec 2028

Enrollment open • Metastases • Trial completion date • Trial primary completion date • Castration-Resistant Prostate Cancer • Genito-urinary Cancer • Oncology • Prostate Cancer • Solid Tumor

Evaluation of Neoadjuvant Xaluritamig in Localized Prostate Cancer (clinicaltrials.gov) - P1 | N=30 | Recruiting | Sponsor: Amgen | Not yet recruiting ➔ Recruiting

Enrollment open • Genito-urinary Cancer • Oncology • Prostate Cancer • Solid Tumor • STEAP1

Phase 3 Study of Xaluritamig vs Cabazitaxel or Second Androgen Receptor-Directed Therapy in Participants With Progressive Metastatic Castration-Resistant Prostate Cancer (clinicaltrials.gov) - P3 | N=675 | Not yet recruiting | Sponsor: Amgen

Metastases • New P3 trial • Castration-Resistant Prostate Cancer • Genito-urinary Cancer • Oncology • Prostate Cancer • Solid Tumor

#UromigosLive24 T Cell Directed Therapy Panel Part 2: Existing Data for T Cell Engagers in CRPC (YouTube) - "At Uromigos Live 2024, a panel moderated by Brian Rini focused on T cell directed therapy in prostate cancer and featured discussion on topics including cytokine release syndrome and new trials analyzing acapatamab, xaluritamig, and tarlatamab."

Video • Renal Cell Carcinoma

Xencor Reports Third Quarter 2024 Financial Results (Businesswire) - P1 | N=461 | NCT04221542 | Sponsor: Amgen | "Results from a Phase 1 study evaluating xaluritamig...in patients with mCRPC were presented at the European Society for Medical Oncology (ESMO) Congress in September 2024. With a median follow-up time of 27.9 months, the median overall survival (OS) was 17.7 months across all cohorts. A PSA90 rate of 45.1% was also observed in high-dose cohorts, and PSA90 response was associated with survival (p = 0.0044), which Amgen believes could potentially serve as an early indicator for benefit in these patients. Amgen has indicated that a Phase 3 study in patients with post-taxane mCRPC will be initiated in the fourth quarter of 2024."

New P3 trial • P1 data • Castration-Resistant Prostate Cancer

#UromigosLive24 T Cell Directed Therapy Panel Part 1: T Cell Engagers and Cytokine Release Syndrome (YouTube) - "In part one of the session, the panelists discuss T cell engagers, including an introduction and discussion of cytokine release syndrome."

Video

Evaluating CTC enumeration & PSA measurements in prostate cancer (YouTube) - "Andrew Armstrong, MD...discusses the future of xaluritamig, which was assessed in a dose exploration trial (NCT04221542). Circulating tumor cell (CTC) enumeration, which is FDA-approved, was shown to potentially complement PSA measurements. While most patients showed declines in both PSA and CTCs, some exhibited CTC reduction without corresponding PSA decline, suggesting that CTC monitoring may provide additional insights for therapeutic decision-making and drug development. This interview took place at the European Society for Medical Oncology (ESMO) 2024 Congress in Barcelona, Spain."

Interview • Video

Xaluritamig (AMG 509) and its role in targeting prostate cancer (YouTube) - "Andrew Armstrong, MD...gives an overview of xaluritamig (AMG 509), a bispecific T-cell engager targeting STEAP1, an androgen receptor (AR)-regulated cell surface protein highly expressed in advanced prostate cancer. Xaluritamig enhances immune response by directing T-cells to the tumor microenvironment, facilitating the destruction of prostate cancer cells. This interview took place at the European Society for Medical Oncology (ESMO) 2024 Congress in Barcelona, Spain."

Interview • Video

Evaluation of Xaluritamig in High-Risk, Biochemically Recurrent, Non-metastatic Castrate-sensitive Prostate Cancer (clinicaltrials.gov) - P1 | N=40 | Recruiting | Sponsor: Amgen | Not yet recruiting ➔ Recruiting

Enrollment open • Metastases • Castration-Sensitive Prostate Cancer • Genito-urinary Cancer • Oncology • Prostate Cancer • Solid Tumor • STEAP1

Evaluation of Neoadjuvant Xaluritamig in Localized Prostate Cancer (clinicaltrials.gov) - P1 | N=30 | Not yet recruiting | Sponsor: Amgen

New P1 trial • Genito-urinary Cancer • Oncology • Prostate Cancer • Solid Tumor • STEAP1