New hope for tough prostate cancer: immunotherapy meets targeted radiation

NCT ID NCT05682443

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study is testing whether adding an immunotherapy drug (ONC-392) to a targeted radiation therapy (Pluvicto) can help men with a hard-to-treat form of advanced prostate cancer. About 148 participants whose cancer has worsened despite standard treatments will receive either a low or high dose of ONC-392 plus Pluvicto. The goal is to see if the combination can shrink tumors or delay cancer growth, while monitoring for side effects.

What this could mean

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

Active substance

ONC-392 (gotistobart) and lutetium Lu 177 vipivotide tetraxetan (Pluvicto)

What this could lead to

If successful, this combination could offer a new treatment option for men with advanced prostate cancer that has stopped responding to standard therapies, potentially slowing disease progression.

What could go wrong

This is an early-phase trial (Phase 1/2) with a small number of participants, so results may not apply broadly. The combination may cause significant side effects, including immune-related reactions and radiation toxicity.

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.

castration-resistant prostate carcinoma metastatic prostate carcinoma

As listed by the trial registrant

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

Contacts and locations

Locations

  • Chesapeake Urology Research Associates

    Towson, Maryland, 21204, United States

  • Columbia University Irving Cancer Center

    New York, New York, 10032, United States

  • Duke Cancer Center

    Durham, North Carolina, 27710, United States

  • Emory University Winship Cancer Institute

    Atlanta, Georgia, 30322, United States

  • Lahey Hospital & Medical Center

    Burlington, Massachusetts, 01805, United States

  • Moffitt Cancer Cancer

    Tampa, Florida, 33612, United States

  • NYU Langone Health, Laura & Isaac Perlmutter Cancer Center

    New York, New York, 10016, United States

  • New Mexico Oncology Hematology Consultants

    Albuquerque, New Mexico, 87109, United States

  • OHSU Knight Cancer Institute

    Portland, Oregon, 97210, United States

  • Oncology and Hematology Associates Of Southwest Virginia USOR

    Norton, Virginia, 24273, United States

  • Rocky Mountain Cancer Centers USOR

    Aurora, Colorado, 80012, United States

  • Roswell Park Comprehensive Cancer Center

    Buffalo, New York, 14203, United States

  • Rutgers Cancer Institute

    New Brunswick, New Jersey, 08901, United States

  • The Ohio State University Comprehensive Cancer Center

    Columbus, Ohio, 43210, United States

  • The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

    Baltimore, Maryland, 21202, United States

  • UC Davis Comprehensive Cancer Center

    Sacramento, California, 95817, United States

  • UNC North Carolina Comprehensive Cancer Care Center

    Chapel Hill, North Carolina, 27514, United States

  • UT Southwestern Medical Center

    Dallas, Texas, 75390, United States

  • UW Carbone Cancer Center

    Madison, Wisconsin, 53792, United States

  • University of Mississippi Medical Center

    Jackson, Mississippi, 39216, United States

  • Virginia Cancer Specialists USOR

    Fairfax, Virginia, 22031, United States

  • Virginia Oncology Associates USOR

    Norfolk, Virginia, 23502, United States

  • XCancer/GU Research Network

    Omaha, Nebraska, 68130, United States