Dear Taiwan Urological Association,

On behalf of ORIC Pharmaceuticals, Inc., ICON Clinical Research is pleased to share information on an upcoming Phase III study of ORIC-944 in combination with darolutamide in patients with metastatic castration resistant prostate cancer (mCRPC) who have previously been treated with abiraterone acetate.

About the Study

The Polycomb Repressive Complex 2 (PRC2) has emerged as a key regulator of lineage plasticity and therapeutic resistance in advanced prostate cancer. Activation of alternative lineage pathways that bypass Androgen Receptor signaling leads to an androgen-independent state and loss of Androgen Receptor Pathway Inhibitor (ARPI) efficacy. Inhibition of PRC2 may suppress plasticity, restore luminal identity, and enhance ARPI efficacy. Preclinical and early clinical studies support the combination of PRC2 inhibition with ARPIs to counteract resistance and improve outcomes.

ORIC-944 is a potent, highly selective, orally bioavailable, potential best-in-class inhibitor of PRC2. ORIC-944 inhibits PRC2 activation and blocks the maintenance of repressive chromatin states associated with tumor progression and ARPI resistance. Early clinical data from the Phase 1b study have demonstrated a favorable safety profile, an extended half-life supporting once-daily dosing, and encouraging efficacy when combined with darolutamide, in mCRPC patients previously treated only with abiraterone.

We would greatly value your support in:

  • Circulating information about this study to your members
  • Identifying investigators who may have a strong interest in advanced prostate cancer research, and
  • Sharing recommendations for potential clinical sites

Study detail summary

Investigational Treatment:

ORIC-944 (QD) in combination with darolutamide (BID)

Patient Profile:

  • Age 18 or older
  • Metastatic castration resistant prostate cancer without small-cell features
  • Must have received only 1 prior line of abiraterone for >12 weeks
    • May have received docetaxel in mCSPC setting
    • Must not have received chemotherapy in the mCRPC setting
  • Undergone bilateral orchiectomy or be willing to continue GnRH analogue or antagonist through the duration of the study with serum testosterone value of <50ng/dl or <1.73nmol/L at screening
  • ECOG 0-2

Study Timelines

Expected First Patient Screened: Q2 2026

Enrollment period: 15 months

Target Number of Patients

600

Comparator Arm:

Enzalutamide or Docetaxel (physician’s choice)

Site Requirements:

Access to CT or MRI scan

TC-99m MDP (Technetium Tc99 Methylene Diphosphonate) Bone Scan Capability

Local lab (Hematology/Chemistry)

PK capabilities (Blood draw and plasma preparation)

Proficient in RECIST 1.1 and PCWG3 

Confidentiality agreement

To share the full protocol synopsis and additional study details, we would need a Confidential Disclosure Agreement (CDA) in place. We assume institutional CDAs are preferred; however, please let us know your network’s preference so that we may provide the appropriate agreement.

We sincerely appreciate your consideration and support in helping to connect this important study with the prostate cancer research community. We would be happy to provide additional information or arrange a call at your convenience.

Yours sincerely,

Hsin-Ying

Hsin-Ying Huang黃心穎, PhD
Clinical Trial Liaison

Site Engagement – Asia-Pacific

Site & Patient Solutions

Tel: +886 2 7706 6288

Mobile: +886 928 804 627

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www.ICONplc.com



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