rechARge: A randomized phase III trial of the androgen receptor ligand-directed degrader, BMS-986365, vs investigator’s choice in patients with mCRPC Journal Article


Authors: Chi, K. N.; McKay, R. R.; Sandhu, S.; Arranz, J. A.; Barthélémy, P.; Hadaschik, B.; Matsubara, N.; Shore, N. D.; Ye, D.; Cascella, T.; Irincheeva, I.; Kreiser, S.; Thiery-Vuillemin, A.; Rathkopf, D. E.
Article Title: rechARge: A randomized phase III trial of the androgen receptor ligand-directed degrader, BMS-986365, vs investigator’s choice in patients with mCRPC
Abstract: There is an ongoing need for efficacious, life-prolonging therapies for males with metastatic castration-resistant prostate cancer (mCRPC). mCRPC that progresses after treatment with androgen receptor pathway inhibitors (ARPIs) may still be driven by AR signaling. BMS-986365 is a heterobifunctional, orally bioavailable ligand-directed degrader that targets the AR through a first-in-class dual mechanism of AR degradation and antagonism. Here, we present the study design of rechARge, a phase III, randomized, multicenter, adaptive, two-part, open-label trial evaluating BMS-986365 versus investigator’s choice of therapy comprising either docetaxel or a switch to an alternative ARPI (abiraterone or enzalutamide) in patients with mCRPC whose disease has progressed after treatment with one prior ARPI. The primary study objective is to compare the efficacy and safety of BMS-986365 versus investigator’s choice of therapy. Approximately 960 patients will be enrolled. Clinical trial registration:www.clinicaltrials.gov identifier is NCT06764485. © 2025 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Keywords: adult; cancer chemotherapy; cancer survival; controlled study; treatment outcome; overall survival; androgen; prednisone; clinical trial; drug tolerability; mortality; nuclear magnetic resonance imaging; metabolism; progression free survival; protein degradation; randomized controlled trial; randomized controlled trials as topic; antineoplastic activity; pathology; cancer therapy; docetaxel; prostate cancer; prednisolone; clinical trials, phase iii as topic; androgen receptor; hormonal therapy; phase 3 clinical trial; receptors, androgen; tumor growth; drug therapy; nitriles; multicenter studies as topic; nitrile; castration resistant prostate cancer; phenylthiohydantoin; ar protein, human; protocol; randomized controlled trial (topic); benzamide derivative; benzamides; abiraterone; phase 3 clinical trial (topic); androgen receptor antagonist; luteinizing hormone; clinical outcome; phase iii; multicenter study (topic); androgen receptor antagonists; enzalutamide; humans; human; male; article; prostatic neoplasms, castration-resistant; metastatic castration resistant prostate cancer; androstane derivative; androstenes; ligand-directed degrader; bms‐986365
Journal Title: Future Oncology
Volume: 21
Issue: 14
ISSN: 1479-6694
Publisher: Future Medicine  
Date Published: 2025-01-01
Start Page: 1771
End Page: 1777
Language: English
DOI: 10.1080/14796694.2025.2502318
PUBMED: 40455815
PROVIDER: scopus
PMCID: PMC12150650
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Dana Elizabeth Rathkopf
    275 Rathkopf