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NCT06922318 · ClinicalTrials.gov registry record · Phase 2

The COSMYC Trial (COmbined Suppression of MYC)

A Phase 2 study of Metastatic Castration-Resistant Prostate Cancer, sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins.

Recruiting
Registry status
Phase 2
Development phase
50
Enrollment target
1
Study location

NCT06922318: Recruiting Phase 2 study of Metastatic Castration-Resistant Prostate Cancer, sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins.

NCT06922318 is a Phase 2 study of Metastatic Castration-Resistant Prostate Cancer that is actively recruiting participants, run by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins. The registered enrollment target is 50 participants, below the 197-participant average among 69 other Metastatic Castration-Resistant Prostate Cancer trials with a reported enrollment target (75% lower). The trial reports 1 study location across 1 state. According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT06922318, a Phase 2 study of Metastatic Castration-Resistant Prostate Cancer, is actively recruiting participants, sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins.

RECRUITING
Registry status
Phase 2
Development phase
50 participants
Enrollment target
1
Study location

Study Summary

This research is being done to determine if receiving the combination of testosterone and ZEN-3694 followed by the combination of enzalutamide plus ZEN-3694 will decrease the size of tumors in patients with prostate cancer that has become resistant to castration and other therapies. The investigators also want to determine if dosing first with the combination of testosterone and ZEN-3694 may cause enzalutamide and ZEN-3694 to work more effectively.

Primary Outcome

Median time from the first date of BATZEN to the date of first documented radiological progression per RECIST 1.1 for soft tissue or per Prostate Cancer Working Group 3 (PCWG3) for bone lesions, the development of symptoms or complications attributable to cancer progression, or death, whichever occurs first.

Interventions

  • DRUG Testosterone cypionate
  • DRUG Luteinizing hormone-releasing hormone (LHRH) analogue
  • DRUG Enzalutamide
  • DRUG ZEN-3694

Study Locations (1)

Maryland

  • Johns Hopkins Sidney Kimmel Comprehensive Cancer Center - Baltimore

Trial Details

FieldValue
Enrollment Target 50 participants
Start Date 2025-08-19
Est. Completion 2031-08-30
Phase Phase 2

What NCT06922318 shows while recruiting

NCT06922318 is an interventional study that assigns participants to a tested intervention. The registry caps enrollment at 50 participants, a relatively small participant target, below the 197-participant average among 69 other Metastatic Castration-Resistant Prostate Cancer trials with a reported enrollment target (75% lower).

The record links to 1 condition, with Metastatic Castration-Resistant Prostate Cancer appearing as the primary indexed condition, and to 4 interventions - of which Testosterone cypionate is the first listed.

NCT06922318 reports a single indexed study location in Maryland.

Frequently Asked Questions

What is clinical trial NCT06922318 about?

NCT06922318 is a clinical study titled "The COSMYC Trial (COmbined Suppression of MYC)". This research is being done to determine if receiving the combination of testosterone and ZEN-3694 followed by the combination of enzalutamide plus ZEN-3694 will decrease the size of tumors in patients with prostate cancer that has become resistant to castration and other therapies. The investigator...

What is the current status of trial NCT06922318?

This trial is currently recruiting. It is a Phase 2 study. The enrollment target is 50 participants. The study started on 2025-08-19. Estimated completion is 2031-08-30.

What conditions does trial NCT06922318 study?

This clinical trial studies the following conditions: Metastatic Castration-Resistant Prostate Cancer.

What interventions are being tested in trial NCT06922318?

The interventions under investigation include: Testosterone cypionate (DRUG), Luteinizing hormone-releasing hormone (LHRH) analogue (DRUG), Enzalutamide (DRUG), ZEN-3694 (DRUG).

Who is sponsoring clinical trial NCT06922318?

This trial is sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, which has 523 total clinical trials registered on ClinicalTrials.gov.

Where is trial NCT06922318 being conducted?

This trial has 1 study location across Maryland. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.

Similar trials for Metastatic Castration-Resistant Prostate Cancer

Matched on the same primary condition, ranked to surface studies in the same phase first, then by recruiting status, no relevance scoring or editorial curation.

Where NCT06922318's enrollment target sits among peer trials

50 43rd of 69 higher than 26 of 69 other Metastatic Castration-Resistant Prostate Cancer trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other Metastatic Castration-Resistant Prostate Cancer trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT06922318, the US trial registry maintained by the National Library of Medicine. NCT06922318 (small enrollment · single site footprint · recruiting) retrieved and formatted by PlainTrial, see methodology.