• BMS-986365 is a novel, orally bioavailable androgen receptor ligand-directed degrader with a dual mechanism of action, degrading and competitively inhibiting the androgen receptor.
• Phase I/II trial data reveals promising efficacy, particularly in patients without prior chemotherapy, showing a median radiographic progression-free survival (rPFS) of 16.5 months.
• The drug demonstrates activity against both wild-type and mutant AR, suggesting potential to overcome resistance to AR pathway inhibitors in castration-resistant prostate cancer.
• The treatment was generally well-tolerated, with manageable side effects like QTC prolongation, offering a new option for patients progressing on prior AR-targeted therapies.