Drugs / masofaniten
last change Jan 2026 re-read 9 days ago

masofaniten

also known as EPI-7386 · Masofanitene

Small molecule targets AR via inhibition

Developed for
prostate cancer · metastatic prostate carcinoma · prostate adenocarcinoma · prostate neoplasm
Investigated by
ESSA Pharmaceuticals · ESSA Pharma Inc. · Janssen Research & Development, LLC · Pedro Barata, MD, MSc

Trials 4

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 12 trials
Phase 1 NCT05295927 Mar → Sep 2022 prostate neoplasm Janssen Research & Development, LLC Terminated No outcome recorded
Phase 1 NCT04421222 Jun 2020 → Oct 2024 prostate cancer ESSA Pharmaceuticals Terminated No outcome recorded
Phase 1/21 trial · 1 missed
Phase 1/2 NCT05075577 Dec 2021 → Oct 2024 prostate cancer ESSA Pharmaceuticals Terminated Missed primary
Phase 21 trial
Phase 2 NCT06312670 May 2024 → Jan 2025 metastatic prostate carcinoma, prostate adenocarcinoma Pedro Barata, MD, MSc Completed No outcome recorded

News releases announcing trial results or a regulatory action · 20

DateIssuerRelease
2024-10-31 ESSA Pharmaceuticals Results ESSA Pharma Announces Termination of Phase 2 Study Evaluating Masofaniten Combined with Enzalutamide in Patients with Metastatic Castration-Resistant Prostate Cancer essapharma.com ↗
Efficacy signals observed will not achieve ESSA's target product profile in patients with metastatic castration-resistant prostate cancer naïve to second-generation antiandrogens
2024-09-13 ESSA Pharmaceuticals Results ESSA Pharma Presents Updated Phase 1/2 Masofaniten (EPI-7386) Clinical Data at the 2024 ESMO Congress essapharma.com ↗
Across all dosing cohorts, 88% of patients achieved PSA90, 69% of patients achieved PSA90 in less than 90 days, and 63% of patients achieved PSA <0.2ng/mL.
2024-01-25 ESSA Pharmaceuticals Results ESSA Pharma Presents Updated Phase 1 Masofaniten (EPI-7386) Clinical Data at the 2024 ASCO Genitourinary Cancers Symposium essapharma.com ↗
Combination of masofaniten plus enzalutamide continues to be well tolerated with deep and durable reductions in PSA in patients with mCRPC
2023-10-26 ESSA Pharmaceuticals Results ESSA Pharma Presents Updated Phase 1 Masofaniten (EPI-7386) Clinical Data at the 30th Annual Prostate Cancer Foundation Scientific Retreat essapharma.com ↗
Across all cohorts of patients including those recently enrolled into cohort four, 81% of patients achieved PSA90, 69% of patients achieved PSA90 in less than 90 days, and 56% of patients achieved PSA <0.2ng/mL
2023-10-21 ESSA Pharmaceuticals Results ESSA Pharma Presents Updated Phase 1 Masofaniten (EPI-7386) Clinical Data at the European Society of Medical Oncology 2023 Congress essapharma.com ↗
Combination of masofaniten plus enzalutamide continues to be well tolerated with deep and durable reductions in PSA in patients with mCRPC
2023-02-13 ESSA Pharmaceuticals Results ESSA Pharma Announces Presentations at the American Society of Clinical Oncology Genitourinary Cancers Symposium (ASCO GU) essapharma.com ↗
We are encouraged that EPI-7386 has continued to be well-tolerated and safe as well as demonstrate initial anti-tumor activity both as a monotherapy and in combination with enzalutamide in patients with metastatic castration-resistant prostate cancer,
2022-10-31 ESSA Pharmaceuticals Results ESSA Provides an Update on its Clinical Collaboration with Janssen essapharma.com ↗
Initial clinical activity was observed in some patients, with two of the three patients achieving a prostate-specific antigen ("PSA") reduction of 90% ("PSA90") within 12 weeks.
2022-10-26 ESSA Pharmaceuticals Results Updated Results from the Phase 1/2 Study of ESSA's Lead Candidate EPI-7386 in Combination with Enzalutamide Highlighted at the 29th Annual Prostate Cancer Foundation Scientific Retreat essapharma.com ↗
EPI-7386 in combination with enzalutamide was safe and well-tolerated at the doses tested with clinically relevant drug exposures and deep and durable prostate specific antigen ("PSA") reductions observed in five of six patients
2022-06-27 ESSA Pharmaceuticals Results ESSA Pharma Presents Clinical Update on EPI-7386 Monotherapy and Combination Therapy Clinical Development essapharma.com ↗
The initial data from 36 patients demonstrate that EPI-7386 was well-tolerated, exhibited a favorable pharmacokinetic profile, and demonstrated initial anti-tumor activity in a heavily pretreated group of patients.
2021-10-28 ESSA Pharmaceuticals Results ESSA Pharma Presents at 28th Annual Prostate Cancer Foundation Scientific Retreat essapharma.com ↗
The data include the results of nuclear magnetic resonance (NMR) studies which confirm the binding of the compound to the N-terminal domain (NTD) of the androgen receptor (AR), a region not currently targeted by other antiandrogen therapies.
2021-10-07 ESSA Pharmaceuticals Results ESSA Pharma Announces the Presentation of Preclinical Data Characterizing the Mechanism of Action of EPI-7386 essapharma.com ↗
The preclinical data confirm EPI-7386's target engagement with the NTD of the AR through multiple studies:
2021-04-10 ESSA Pharmaceuticals Results ESSA Pharma Presents Preclinical Data Supporting the Therapeutic Potential of EPI-7386 at the 2021 American Association of Cancer Research (AACR) Annual Meeting essapharma.com ↗
In an in vitro cellular thermal shift assay (CETSA), EPI-7386 was shown to physically interact with both the full-length and the splice variant (AR-V7) form of AR.

All press releases naming this drug 31 releases

DateIssuerRelease

Evidence & citations 7 cited values

Every value below carries the sentence it was read from. 6 sources stand behind the page.

FieldValueCited text
Known as masofaniten “Masofaniten (EPI-7386) is a next-generation aniten with promising activity and safety in patients with metastatic castrate-resistant prostate cancer (mCRPC).” PMID 41467749 ↗ Jan 2026
Known as EPI-7386 ClinicalTrials.gov intervention name — accepted as the source's own label NCT05295927 ↗
3

NCT04421222 ↗

NCT05075577 ↗

NCT06312670 ↗

Known as Masofanitene ChEMBL registry synonym — accepted as the source's own label CHEMBL5095106 ↗
Action Inhibit “Anitens are a family of oral N-terminal domain inhibitors of the androgen receptor (AR).” PMID 41467749 ↗ Jan 2026
Modality Small molecule — CHEMBL5095106 ↗
Route Oral “Once daily oral dose of EPI-7386” NCT04421222 ↗
Target AR “Anitens are a family of oral N-terminal domain inhibitors of the androgen receptor (AR).” PMID 41467749 ↗ Jan 2026