New trial combines drugs with surgery or radiation to fight advanced prostate cancer

NCT ID NCT05649943

First seen Jun 26, 2026 · Last updated Jun 26, 2026

Summary

This Italian study is testing whether adding local treatment (radiotherapy or surgery) to standard apalutamide and hormone therapy can delay cancer progression in men with metastatic hormone-sensitive prostate cancer. About 566 participants will first receive drug therapy for 6 months, then be randomly assigned to continue drugs alone or add local treatment. The main goal is to see if the combination improves progression-free survival.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance

Apalutamide (Erleada) plus androgen deprivation therapy (hormone therapy), with or without local treatment (radiotherapy or radical prostatectomy)

What this could lead to

If successful, this could show that adding local treatment to standard drug therapy helps control metastatic prostate cancer longer, potentially improving survival without worsening side effects.

What could go wrong

This is a Phase 2/3 trial with 566 participants, but it is not yet complete. Adding local treatment may increase side effects without clear benefit, and results may not apply to all patients with metastatic prostate cancer.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

metastatic prostate carcinoma

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • ASST Santi Paolo e Carlo

    NOT_YET_RECRUITING

    Milan, Lombardy, 20153, Italy

    Contact Email: •••••@•••••

    Contact

  • European Institute of Oncology

    NOT_YET_RECRUITING

    Milan, Lombardy, 20141, Italy

    Contact Email: •••••@•••••

    Contact

  • Istituto Tumori Milano

    RECRUITING

    Milan, Mi, 20156, Italy

    Contact

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact