Last update 01 Aug 2026

Opevesostat

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
MK-5684, MK5684, ODM 208
+ [1]
Target
Action
inhibitors
Mechanism
CYP11A1 inhibitors(Cytochrome P450 11A1 inhibitors)
Inactive Indication-
Originator Organization
Inactive Organization
License Organization
Drug Highest PhasePhase 3
First Approval Date-
Regulation-
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Structure/Sequence

Molecular FormulaC21H26N2O5S
InChIKeyLHVKCOBGLZGRQZ-UHFFFAOYSA-N
CAS Registry2231294-96-3

R&D Status

10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Metastatic Prostate CarcinomaPhase 3
United States
31 Dec 2023
Metastatic Prostate CarcinomaPhase 3
Brazil
31 Dec 2023
Metastatic Prostate CarcinomaPhase 3
Chile
31 Dec 2023
Metastatic Prostate CarcinomaPhase 3
Taiwan Province
31 Dec 2023
Metastatic Prostate CarcinomaPhase 3
Thailand
31 Dec 2023
Metastatic Prostate CarcinomaPhase 3
United Kingdom
31 Dec 2023
Castration-Resistant Prostatic CancerPhase 3
Canada
18 Dec 2023
Castration-Resistant Prostatic CancerPhase 3
Malaysia
18 Dec 2023
Castration-Resistant Prostatic CancerPhase 3
Peru
18 Dec 2023
Castration-Resistant Prostatic CancerPhase 3
Singapore
18 Dec 2023
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
1,314
gmczsexcbs(deddkhqsfx) = xysmaiadwg xdeuzjloyb (mwdkfwzjsk, 77 - 89)
Positive
29 May 2026
ielkxhwpyy(lixgzkhtqe) = yqffsycsdc mvgnakotxi (rfobimpwfz, 11 - 23)
Phase 2
170
Opevesostat 5 mg BID + corticosteroids
(Cohort C)
djdaemvpcj(pphymtfpib) = ytvnwhaqed pfbrlqrvdg (vlnurntutk )
Positive
28 Feb 2026
Phase 1/2
Metastatic castration-resistant prostate cancer
AR-LBD mutation (AR-LBDm) status
174
Opevesostat 5 mg PO BID plus olaparib
besipnmabm(xfvutddteu) = xaoemocpqu krsgsrcnwz (ltqilfbppp, 83 - 100)
Positive
26 Feb 2026
Opevesostat 5 mg PO BID plus cabazitaxel
besipnmabm(xfvutddteu) = kheokfught krsgsrcnwz (ltqilfbppp, 75 - 100)
Phase 3
468
nwznbcddqe(xsksplugqq) = pphmkixcep spxikmjjrm (mikiqpxpta )
Positive
23 Feb 2026
ARPI
nwznbcddqe(xsksplugqq) = gwfptgfceg spxikmjjrm (mikiqpxpta )
Phase 2
134
uktckoznxb(aorplfyfqt) = uqmrdwsuxi uprlnjdxgf (kraficrkui )
Positive
15 Sep 2024
uktckoznxb(aorplfyfqt) = uzbkqzswif uprlnjdxgf (kraficrkui )
Phase 2
134
MK-5684 5mg BID
(AR-LBD mutation-positive)
wxycuivxfh(acmiryckix) = msgppcdoeu flbjojevxs (oczjdefdpn )
Positive
25 Jan 2024
(AR-LBD mutation-negative)
mdxirzedld(zlqhyhrwfe) = liuejmwaiq vayvchnfmy (rujrcoqpmh )
Phase 1/2
92
ODM-208+glucocorticoid/mineralocorticoid replacement+androgen deprivation therapy
(ARmut in phase 1)
wnqfucumsk(rfnnutvlxy) = Treatment-related adrenal insufficiency was the most common toxicity in phase 1 (n=17, 36.2%; necessitating ODM-208 discontinuation in one patient); this toxicity occurred in six patients (13.3%) at 5 mg twice a day in phase 2. fiftjvqhew (uxjglsyipm )
Positive
26 Dec 2023
ODM-208+glucocorticoid/mineralocorticoid replacement+androgen deprivation therapy
(AR wild type in phase 1)
Phase 2
45
lrsxsfliof(ckqpgkxntj) = eqajrmhrhi fbpdfobbkc (xmiphvrmwl )
Positive
11 Sep 2022
Phase 1/2
44
kxlnsmvhur(olknsqudau) = severe adrenal insufficiency 32% pqdusznssn (nxuorgiwpo )
Positive
18 Feb 2022
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Core Patent

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Clinical Trial

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Approval

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Regulation

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