Summary
The purpose of this study is to assess the efficacy and safety of opevesostat plus
hormone replacement therapy (HRT) compared to alternative abiraterone acetate or
enzalutamide in participants with Metastatic Castration-resistant Prostate Cancer (mCRPC)
previously treated with one next-generation hormonal agent (NHA). The primary study
hypotheses are that opevesostat is superior to alternative abiraterone acetate or
enzalutamide with respect to radiographic progression free survival (rPFS) per Prostate
Cancer Working Group (PCWG) Modified Response Evaluation Criteria in Solid Tumors (RECIST
1.1) as assessed by Blinded Independent Central Review (BICR) and overall survival (OS),
in androgen receptor ligand binding domain (AR LBD) mutation positive and negative
participants.