Double-Drug attack on advanced prostate cancer put to the test
NCT ID NCT03574571
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 3 trial compares the standard chemotherapy docetaxel alone versus docetaxel plus radium-223 in 732 men with metastatic castration-resistant prostate cancer that has spread and stopped responding to hormone therapy. The goal is to see if adding radium-223 helps patients live longer. Earlier studies showed the combination is safe, but it is not yet proven to work better.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- docetaxel and radium-223
- What this could lead to
- If successful, this combination could become a new standard treatment to help men with advanced prostate cancer live longer.
- What could go wrong
- This is a late-stage trial, but the combination may not prove better than docetaxel alone. Side effects from both drugs can be serious, including bone marrow suppression and fatigue.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
732 people
The number who actually took part.
- Started
-
Jun 2018
- Expected to finish
-
Apr 2027
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Male participants only
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Willing and able to provide written informed consent (ICF) and HIPAA authorization for the release of personal health information. A signed informed consent must be obtained before screening procedures are performed. NOTE: HIPAA authorization may be either included in the informed consent or obtained separately. * Males 18 years of age and above * Histological or cytological proof of prostate cancer * Documented progressive mCRPC based on at least one of the following criteria: 1. PSA progression defined as 25% increase over baseline value with an increase in the absolute value of at least 1.0 ng/mL that is confirmed by another PSA level with a minimum of a 1 week interval and a minimum PSA of 1.0 ng/mL. 2. Soft-tissue progression defined as an increase ≥ 20% in the sum of the LD of all target lesions based on the smallest sum LD since treatment started or the appearance of one or more new lesions. 3. Progression of bone disease (evaluable disease) or two or more new bone lesions by bone scan. * Two or more bone lesions * ECOG 0- 1 * Normal organ function with acceptable initial laboratory values within 14 days of randomization: * Albumin \> 30 g/L * ANC ≥ 1.5 x 10\^9/L * Hemoglobin ≥ 10 g/dL * Platelet count ≥ 100 x 10\^9/L * Creatinine ≤ 1.5 x the institutional upper limit of normal (ULN) * Bilirubin ≤ ULN (unless documented Gilbert's disease) * SGOT (AST) ≤ 1.5 x ULN * SGPT (ALT) ≤ 1.5 x ULN * WBC count ≥ 3 x 10\^9/L * Subjects must agree to use a medically acceptable method of birth control (e.g., spermicide in conjunction with a barrier such as a condom) or sexual abstinence for the duration of the study, including 30 days after the last dose of study drug. Sperm donation is prohibited during the study and for 30 days after the last dose of study drug. Female partners must use hormonal or barrier contraception unless postmenopausal or abstinent. * Serum testosterone \< 50 ng/dL. Subjects must continue primary androgen deprivation with an LHRH analogue (agonist or antagonist) if they have not undergone orchiectomy. * All acute toxic effects of any prior treatment have resolved to NCI-CTCAE v4.0 Grade 1 or less. * Willing and able to comply with the protocol, including follow-up visits and examinations Exclusion Criteria: * Received any other investigational therapeutic agents or other anticancer therapies within 4 weeks prior to randomization. °Note: If this requirement to have a washout of 2 weeks or 5 half-lives prior to randomization causes potential treatment delay due to Radium-223 importation timelines, the PCCTC must be contacted at [email protected] to request approval to randomize the subject prior to the completion of the washout. Requests for early randomization must be accompanied by written assurance by the site that the washout will be completed prior to treatment start. * Received external beam radiotherapy within the 4 weeks prior to randomization. ° Note: If prolonging randomization to complete EBRT washout causes potential treatment delay due to Radium-223 importation timelines, the PCCTC must be contacted at [email protected] to request approval to randomize the subject prior to the completion of the washout. Requests for early randomization must be accompanied by written assurance by the site that the washout will be completed prior to treatment start. * Has an immediate need for external beam radiotherapy. * Has received any systemic bone-seeking radiopharmaceutical in the past. * Has received any prostate cancer directed chemotherapy in the castration resistant setting. Subjects who have received up to 6 prior doses of docetaxel in the castration sensitive setting are permitted if they have not experienced disease progression within 36 weeks of last treatment with docetaxel. * Has received four or more systemic anticancer regimens for mCRPC. * Treatment with docetaxel or abiraterone for non-castrate metastatic disease is permissible and does not count towards the lines of therapy for mCRPC * A 'line' is a regimen. Combinations of hormones and other types of therapies count as single lines. * Has known Grade ≥3 docetaxel-related toxicities or docetaxel toxicity related dose interruption or discontinuation. * Has received blood transfusions or growth factors within the last 4 weeks prior to randomization. * Symptomatic nodal disease (i.e., scrotal, penile, or leg edema). * Has visceral metastases with ≥ 3 lung and/or liver metastases or individual lesion ≥2 cm, as assessed by CT scan or MRI of the chest/abdomen/pelvis within the last 8 weeks prior to randomization. * Symptomatic loco-regional disease that causes ongoing Grade 3 or Grade 4 urinary or rectal symptoms. * Subjects with a "currently active" second malignancy other than non-melanoma skin cancers or non-invasive bladder cancers or other in-situ or non-invasive malignancies. Subjects are not considered to have a "currently active" malignancy if they have completed therapy and are free of disease for ≥ 3 years. * Has imminent or established cord compression based on clinical findings and/or MRI. * Known bone marrow dysplasia * Has received any of the following in the 4 weeks prior to randomization: 5-alpha-reductase inhibitors, herbal medications, natural hormonally active foods (e.g., phytoestrogens) or other food supplements known to alter PSA in humans * Any other serious illness or medical condition that would, in the opinion of the investigator, make this protocol unreasonably hazardous, including but not limited to: * Uncontrolled infection * NYHA III or IV heart failure * Crohn's disease or those with ulcerative colitis who have not undergone a colectomy * Known active infection with HIV, Hepatitis B or Hepatitis C
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Metastatic castration-resistant prostate cancer are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Amphia Hospital
Breda, 4818, Netherlands
-
Atrium Health/ Levine Cancer Institute
Monroe, North Carolina, 28112, United States
-
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234, United States
-
Beneficência Portuguesa
São Paulo, Brazil
-
Boca Raton Regional Hospital
Boca Raton, Florida, 33486, United States
-
Bronx VA Hospital
New York, New York, 10468, United States
-
CPORS - Centro de Pesquisa em Oncologia do Hospital São Lucas da PUCRS
Porto Alegre, 90610000, Brazil
-
Canisius Wilhelmina Ziekenhuis (CWZ)
Nijmegen, 6532, Netherlands
-
Centro de Pesquisas São Lucas - Sociedade Campineira de Educação e Instrução (SCEI)
São Paulo, Brazil
-
Clinic de Barcelona
Barcelona, 08036, Spain
-
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89128, United States
-
Dayton Physicians Network
Kettering, Ohio, 45409, United States
-
Deventer Ziekenhuis
Deventer, Netherlands
-
Erasmus MC Cancer Institute
Rotterdam, 3015 GD, Netherlands
-
Franciscus Gasthuis & Vlietland
Rotterdam, 3045, Netherlands
-
Haaglanden Medical Center
The Hague, 2512, Netherlands
-
Helen Graham Cancer Center (Christiana Care)
Newark, Delaware, 19713, United States
-
Hospital Del Mar
Barcelona, 08003, Spain
-
Hospital Erasto Gaertner
Curitiba, Brazil
-
Hospital Israelita Albert Einstein
São Paulo, 05652-900, Brazil
-
Hospital Moinhos de Vento (HMV)
Porto Alegre, Brazil
-
Hospital Provincial de Castellón
Castellon, 12006, Spain
-
Hospital Sírio Libanês
Brasília, 70200-730, Brazil
-
Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
-
Hospital Universitario Central de Asturias (HUCA)
Oviedo, Avenida de Roma S/n, 33011, Spain
-
Hospital Universitario Virgen Del Rocío
Seville, Spain
-
Hospital de Amor de Barretos (Fundação Pio XII) / Barretos Cancer Hospital
Barretos, Dr. Paulo Prata, 14784-400, Brazil
-
Houston Methodist Research Institute
Houston, Texas, 77030, United States
-
Indiana University
Indianapolis, Indiana, 46202, United States
-
Instituto Brasileiro de Controle do Câncer/IBCC
São Paulo, State of São Paulo, Brazil
-
Instituto Valenciano de Oncología
Valencia, Spain
-
Instituto de Medicina Integral Professor Fernando Figueira (IMIP)
Boa Vista, Pernambuco, 50.070-902, Brazil
-
Isala Kliniek
Zwolle, 8025, Netherlands
-
MD Anderson Cancer Center at Cooper
Camden, New Jersey, 08103, United States
-
Maasstad Hospital
Rotterdam, 3079, Netherlands
-
Medical University of South Carolina
Charleston, South Carolina, 29425, United States
-
Memorial Sloan Kettering Basking Ridge
Basking Ridge, New Jersey, 07920, United States
-
Memorial Sloan Kettering Bergen
Montvale, New Jersey, 07645, United States
-
Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
-
Memorial Sloan Kettering Commack
Commack, New York, 11725, United States
-
Memorial Sloan Kettering Monmouth
Middletown, New Jersey, 07748, United States
-
Memorial Sloan Kettering Nassau
Uniondale, New York, 11553, United States
-
Memorial Sloan Kettering Westchester
Harrison, New York, 10604, United States
-
MidLantic Urology
Bala-Cynwyd, Pennsylvania, 19004, United States
-
Millennium Physicians
Houston, Texas, 77090, United States
-
Mount Sinai Medical Center (Miami)
Miami, Florida, 33140, United States
-
Nebraska Cancer Specialists
Omaha, Nebraska, 68114, United States
-
Nederlands Kanker Instituut
Amsterdam, Plesmanlaan, 1066 CX, Netherlands
-
New Jersey Urology
Saddle Brook, New Jersey, 07663, United States
-
New Mexico Oncology and Hematology
Albuquerque, New Mexico, 87109, United States
-
New York Presbyterian Hospital-Weill Medical College of Cornell University
New York, New York, 10065, United States
-
Noordwest Ziekenhuisgrouep Alkmaar (NWZ)
Alkmaar, 1815, Netherlands
-
Ochsner Cancer Institute
New Orleans, Louisiana, 70121, United States
-
Ramón y Cajal Hospital
Madrid, Madrid, 28034, Spain
-
Roswell Park Cancer Institute
Buffalo, New York, 14263-0001, United States
-
Rush University Medical Center
Chicago, Illinois, 606012, United States
-
St. Antonius Ziekenhuis (Utrecht)
Utrecht, Netherlands
-
Tergooi Hospital
Hilversum, 1213, Netherlands
-
University of Buffalo
Buffalo, New York, 14203, United States
-
University of Cincinnati Medical Center
Cincinnati, Ohio, 45219, United States
-
University of Maryland Medical Center
Baltimore, Maryland, 21201, United States
-
University of Massachusetts
Worcester, Massachusetts, 01655, United States
-
University of Michigan Cancer Center
Ann Arbor, Michigan, 48109, United States
-
University of Minnesota
Minneapolis, Minnesota, 55455, United States
-
University of North Carolina
Chapel Hill, North Carolina, 27514, United States
-
University of Oklahoma
Oklahoma City, Oklahoma, 73104, United States
-
University of Rochester Medical Center
Rochester, New York, 14642, United States
-
University of Washington
Seattle, Washington, 98109, United States
-
Vall d'Hebron Institute of Oncology (VHIO)
Barcelona, 08035, Spain
-
XCancer Omaha / Urology Cancer Center
Omaha, Nebraska, 68130, United States
-
Yale University- Yale Cancer Center
New Haven, Connecticut, 06510, United States
-
Ziekenhuisgroep Twente (ZGT)
Almelo, 7609, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- RE-irradiation for isolated FOCal recurrence of prostate cancer with ultrahypofracted SBRT: the RE-FOCUS study - pushing the boundaries of precision and efficacy
- A sharper eye for cancer: new PET tracer targets hidden tumors
- Can a radioactive tracer help surgeons find hidden prostate cancer?
- Steam therapy vs. surgery: can a less invasive fix help men with blocked urine flow?
- Can smart fluid monitoring improve robotic prostatectomy outcomes?
- Smart blood pressure monitoring may shield kidneys during robotic surgery