OMAHA-003: what clinicians are saying
opevesostat in mCRPC after NHA and taxane-based chemotherapy · NCT06136624 ↗ · Phase 3 · Merck Sharp & Dohme LLC
For OMAHA-003, a medical oncologist described in the source as involved in the trial considers glucocorticoid and mineralocorticoid supplementation necessary because steroid production is blocked. They and a urologist see a rationale for reducing hormones that can activate mutated AR, but AR-LBD status is not established as a treatment-selection rule. Clinical benefit and comparative safety cannot be judged from these statements.
Created with AI · how we check it
- edition 1
- commentary checked Nov 14, 2026
- 34 verified statements
This edition $750, with MCP access for your AI agent. Get this report
2 findings, and what sits behind each
01. Speakers describe adrenal hormone replacement as essential to the opevesostat strategy
1 of 3 cited clinicians · 4 statements from 2 speakers in 4 sources, 2 of them podcasts or videos · 4 passages
Limitations recorded: 2.
Draws on: Safety and tolerability.
02. One speaker and one X account see a mutation-based rationale for upstream steroid suppression
2 of 3 cited clinicians · 8 statements from 2 speakers in 5 sources, 1 of them a podcast or video · 8 passages
Limitations recorded: 2.
Draws on: The comparison.
Counts overlap, since one statement can back several findings. They show what the report kept, not how many clinicians agree. The full report includes the interpretations and source links.
Select a finding to see what the full report holds for it. Select a part of the trial to see which findings draw on it.
- Finding 1 of 2
1 of 3 cited clinicians
Speakers describe adrenal hormone replacement as essential to the opevesostat strategy
4 statements from 2 speakers in 4 sources, 2 of them podcasts or videos
- 4
- statements
- 4
- passages
- 4
- sources
- 2
- speakers
What the statements areViews 3Questions and uncertainty 0Clinical experience 0Comparisons 0Restated results and context 1Statement-to-passage links (a passage can back several statements)Supporting a statement 5Giving context 0Recorded with the findingLimitations: 2
1 post or article · 2 podcasts and video · 1 publication
Draws on: Safety and tolerability.
Thicker lines mean more shared statements. A finding without a line goes beyond the registered design. Counts overlap: one statement can back several findings.
The full report also has 4 findings about other patients, lines of treatment or settings, after these trial findings under “Beyond the trial population”. They are not counted or listed on this page.
Abbreviations (4)
HCP, healthcare professional; MCP, Model Context Protocol, how AI agents read the report; NPI, National Provider Identifier, the US registry number for clinicians; OS, overall survival.
The full OMAHA-003 report gives each finding its interpretation, the attributed views behind it, counterviews, limits and the verified statements, each linked to the original. One report in the catalog, IDeate-Lung01, is free in full, so you can see what a paid report holds before you buy: read the free IDeate-Lung01 report.
By the numbers
- 22commentary sources screened
- 9sources cited by verified statements
- 5named in screened sources
- 5speakers cited in the report
- 4cited speakers with a verified identity
3 cited clinicians, speakers with a confirmed clinical role, of them 3 physicians. By role and specialty:
- 2 physician, Medical oncology
- 1 physician, Urology
Also in the sources: 1 organizational or shared account, not counted as people.
- 34verified statements, each linked to its source
- 7of them from speakers with a confirmed clinical role
- 2findings
Built by AI from public clinician commentary, checked by automated review; every statement links to its source.
A cited clinician is a cited speaker whose clinical role the NPI registry or their own institution's staff page confirms; a role a source only states is not counted. A verified identity says who a speaker is, with or without such a role. Physicians are clinicians whose confirmed role is a physician's.
Counts show what the report kept, not how many clinicians hold a view. Size is set by the verified statements; Standard and Deep need 5 or more cited clinicians. Statements from sponsors, hosts and organisations are labelled and count apart.
What's inside
| Section | Items | Access |
|---|---|---|
| Findings with interpretation, counterviews and limits | 2 | Titles free |
| Detailed analysis | 8 sections | Paid |
| Verified statements with short source quotes and links | 34 | Paid |
| Who said each statement: the cited speakers | 5 | Every edition |
| Speakers with a clinical role confirmed by the NPI registry or a staff page | 3 | Every edition |
| Speakers with verified IDs as data (NPI, ORCID, staff page) | 4 | Every edition |
| CMS-reported financial relationships (Open Payments, by company) for NPI-linked speakers | Included | Every edition |
| Trial aspects mapped | 8 | Free |
| Sources with links | 9 | Counts free |
| MCP access for your AI agent, same license key | Included | Every edition |
Every edition names who said each statement, with MCP access for your AI agent. Each verified speaker comes with their verified IDs (NPI, ORCID, staff page) so your team can check each attribution. Allowed: advisory boards, scientific exchange and finding investigators, under your own compliance process. Not allowed: sales or marketing to clinicians.
Trial aspects
7 discussed · 1 no commentary found · 0 assessment incomplete| Aspect | Statements | Sources |
|---|---|---|
| Primary endpoint: Overall Survival (OS) in Androgen Receptor Ligand Binding Domain (AR LBD) Mutation-Positive Participants | 1 | 1 |
| Primary endpoint: OS in AR LBD Mutation-Negative Participants | 1 | 1 |
| Secondary endpointsno commentary found | 0 | 0 |
| Population and setting | 3 | 3 |
| The comparisonThe registered arms and what clinicians said about how they compare. | 3 | 2 |
| Safety and tolerability | 3 | 3 |
| Design and conduct | 4 | 2 |
| AR-LBD resistance, steroid ligands and ctDNA work-up | 9 | 5 |
Discussed means at least one verified statement addresses the aspect, not that every question in it is covered: gaps inside a discussed aspect are listed under Scope and limits, and the full report gives each aspect its own limitations. No commentary found means none in the sources read. Assessment incomplete marks an aspect with no statement found while known source limits apply.
Sources
34 verified statements from 9 cited sources. A video or podcast is one source but often carries many statements, so the table counts statements, not just posts.
| Channel | Statements | Cited | Screened | |
|---|---|---|---|---|
| Video & audio · 12 statements · 35%from 2 videos and episodes · about 6 per source | ||||
| YouTube | 8 | 1 | 1 | |
| Podcasts | 4 | 1 | 1 | |
| Posts · 7 statements · 21%from 6 posts · about 1 per source | ||||
| X threads | 4 | 5 | 19 | |
| LinkedIn posts | 3 | 1 | 1 | |
| Primary sources · 15 statements · 44%cited for context, not screened · from 1 source · about 15 per source | ||||
| Publications | 15 | 1 | — | |
Screened: found and read for this trial. Cited: backs at least one statement. Bar = statements; a statement drawn from two sources counts half to each. How we sourced and checked this
max 6 / quarter
- Screened window
- Mar 1, 2024 → Nov 6, 2026
- Cited window
- Apr 30, 2025 → Oct 23, 2026
- Retrieved
- Nov 14, 2026
The trial
from ClinicalTrials.gov- Title
- A Phase 3 Randomized, Open-label Study of MK-5684 Versus Alternative Abiraterone Acetate or Enzalutamide in Participants With Metastatic Castration-resistant Prostate Cancer (mCRPC) Previously Treated With Next-generation Hormonal Agent (NHA) and Taxane-based Chemotherapy (OMAHA-003)
- Registry
- NCT06136624
- Study IDs
- 5684-003 · 2023-504899-25-00 (EU CT) · MK-5684-003 (MSD) · jRCT2031240029 (Japan Registry of Clinical Trials (jRCT)) · U1111-1287-5304 (UTN)
- Sponsor
- Merck Sharp & Dohme LLC
- Design
- Phase 3 · Interventional, randomized, parallel
- Status
- Recruiting
- Enrollment
- 1,310 estimated
- Registered
- 2023-11-18
- Start
- 2023-12-31 actual
- Primary completion
- 2028-11-30 estimated
- Primary endpoints
- Overall Survival (OS) in Androgen Receptor Ligand Binding Domain (AR LBD) Mutation-Positive Participants
- OS in AR LBD Mutation-Negative Participants
- Interventions
- 7 registered
More on: Prostate cancer
Scope and limits
This report does not judge efficacy, estimate HCP prevalence or consensus or give treatment advice.
- Discussion that does not name the trial may be missing from this edition.
- Not yet captured in this edition: a view on efficacy and toxicity of adding mevrometostat to enzalutamide after abiraterone in metastatic castration-resistant prostate cancer.
- 6 statements in the sources reviewed for this edition are about other patients or topics, or only mention the trial, and are not counted.
- Further source limits: 23 sources about other trials or topics are not included.
- The sources reviewed for this edition are not a representative sample of HCP opinion. Reposts, organizational relays and repeated posts by one account must not be counted as additional independent clinical assessments.
Show all 10 known gaps +Fewer −
- Coverage centers on the trial identifier and known names. Discussion using unnamed references, different wording or other transcription variants may be missing.
- Earlier CYPIDES activity and planned OMAHA-003 methods do not establish OMAHA-003 efficacy, survival benefit or comparative safety.
- Some speakers' identities or clinical roles are not established in the sources used in this report; each statement is attributed only as far as its source shows.
- A separate protocol document was not available from ClinicalTrials.gov; the published design report supplies methodological context rather than a complete protocol.
- Regulatory coverage is incomplete, and no exact opevesostat label was identified. No approved indication or regulatory treatment role can be concluded from this report.
How reports are built and checked: Methods.
Editions and corrections
Last checked for new commentary Nov 14, 2026 UTC. No changes. Follow new editions and changes in this report's change feed (JSON Feed), or the catalog's. How versions and corrections work.
Cite this report
Erudio Health. OMAHA-003 (NCT06136624): HCP commentary report. Edition 1, v1.0.0. Accepted Nov 14, 2026. https://www.erudio.com/reports/omaha-003-nct06136624
For your AI agent
Paste this into ChatGPT, Claude, Microsoft Copilot or your own agent. It previews this report through the free Erudio MCP server, tells you whether it answers your question, and orders it if you ask. Some agents ask you to confirm pasted instructions before acting; that is expected.
Help me decide whether to buy the Erudio report "OMAHA-003" (NCT06136624), and buy it for me if I ask. Erudio reports cover what clinicians say in public about one clinical trial, with every verified statement linked to its source.
1. Use the free Erudio MCP server at https://mcp.erudio.com/free; it needs no sign-in. Nothing needs installing: if it is not connected in this app and you can make HTTP requests, call it directly with JSON-RPC POSTs to that URL (initialize, then tools/call), sending "Accept: application/json, text/event-stream". Call get_report_card with slug "omaha-003-nct06136624". If you cannot make requests, read https://www.erudio.com/reports/omaha-003-nct06136624.md instead.
2. In a few lines, tell me what the report covers: its findings, its verified statements and sources, its evidence window, what it leaves out, and the price of each product (offer). Then ask what I need it for, and say plainly whether this report answers it.
3. If I want it, ask for my work email, my organization and the product: the current edition, or 3, 6 or 12 months of updates. Call create_order with report "NCT06136624", that product, email and organization, then show me the quote and the checkout_url to pay by card. If you have a wallet with a payment client for HTTP 402 (MPP with USDC on Tempo, or x402 with USDC on Base) and I agree, you can pay the pay_url instead. Nothing is charged until one is paid.
4. Once it is paid, call get_order with the status_url: it returns my license key. Then use the Erudio MCP server at https://mcp.erudio.com/mcp with the header "Authorization: Bearer <key>". Call read_report with report_id NCT06136624 and sections ["all"], and summarize the findings for me with their sources. The full report can be long: save the response to a file and work from it rather than printing it. If you cannot, read sections ["narratives"] first, the executive summary and analysis.
When you tell me what clinicians said, give each view as theirs, with its source. Counts are the sources the report kept, not the share of clinicians who agree. Reports are not medical advice.
Keep the key private to my organization.Or read the record directly: JSON, Markdown or MCP
curl https://www.erudio.com/reports/omaha-003-nct06136624.json
curl https://www.erudio.com/reports/omaha-003-nct06136624.md
# MCP, no sign-in (https://mcp.erudio.com/free)
get_report_card({ "slug": "omaha-003-nct06136624" })release a099a483e7479ccc88bfeeceb58bbf274830d7703e1ff5cea08b41db4a688c20
Questions
How much does the OMAHA-003 report cost?
One edition costs $750 (Focused · 34 verified statements · 7 from 3 confirmed clinicians). With updates: 3 months $1,300, 6 months $1,900, 12 months $2,600. Subscriptions are prepaid, and the price is fixed for the term you buy, even if a new edition moves the trial up a size. Nothing renews automatically: a new term is bought at the price then current.
What does the OMAHA-003 report cover?
34 statements from 9 sources (1 podcast, 1 video, 6 posts, 1 paper), 7 of them from 3 confirmed clinicians, each linked to its source. Commentary checked Nov 14, 2026. The report separates what clinicians said from what primary sources establish; it does not judge efficacy or estimate consensus.
Can my AI agent read or buy the OMAHA-003 report?
Yes. On https://mcp.erudio.com/free, with no sign-in, get_report_card({ "slug": "omaha-003-nct06136624" }) previews it and create_order({ "report": "omaha-003-nct06136624", "product": "edition", "buyer_email": "<work email>" }) orders it. Once paid, the license key reads it with read_report on https://mcp.erudio.com/mcp. Connect your AI client.
How current is the OMAHA-003 report?
Edition 1 (version 1.0.0), accepted Nov 14, 2026 UTC; last checked for new commentary Nov 14, 2026 UTC. Your plan includes every new edition published during its term. We automatically check subscribed trials for new commentary every week.