Targeted radiation plus hormone therapy shows promise against resistant prostate cancer

NCT ID NCT04419402

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

Summary

This phase 2 trial investigates whether adding a targeted radiation therapy called Lu-PSMA to the standard hormone drug enzalutamide can delay cancer progression in men with metastatic castration-resistant prostate cancer (mCRPC) who have not received chemotherapy. Participants receive either enzalutamide alone or enzalutamide plus four doses of Lu-PSMA over 24 weeks. The study measures how long it takes for PSA levels to rise, indicating cancer growth, and tracks imaging results and 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

Lu-PSMA (177Lu-PSMA-617) and enzalutamide

What this could lead to

If successful, this combination could offer a new treatment option that delays cancer progression in men with advanced prostate cancer who have not yet had chemotherapy.

What could go wrong

This is a phase 2 trial with a relatively small number of participants, so results may not confirm benefit. Adding Lu-PSMA may increase side effects without improving outcomes.

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

As listed by the trial registrant

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

Contacts and locations

Locations

  • Austin Health

    Heidelberg, Victoria, 3084, Australia

  • Calvary Mater Newcastle

    Newcastle, New South Wales, 2298, Australia

  • Chris O'Brien Lifehouse

    Camperdown, New South Wales, 2050, Australia

  • Fiona Stanley Hospital

    Perth, Western Australia, 6150, Australia

  • Liverpool Hospital

    Liverpool, New South Wales, 2170, Australia

  • Macquarie University Hospital

    Macquarie Park, New South Wales, 2109, Australia

  • Monash Health

    Clayton, Victoria, 3168, Australia

  • Northern Cancer Institute

    Sydney, New South Wales, 2065, Australia

  • Peter MacCallum Cancer Centre

    Melbourne, Victoria, 3002, Australia

  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000, Australia

  • Royal Brisbane and Women's Hospital

    Brisbane, Queensland, 4029, Australia

  • Sir Charles Gairdner Hospital

    Nedlands, Western Australia, 6009, Australia

  • St George Hospital

    Kogarah, New South Wales, 2217, Australia

  • St Vincents Hospital

    Darlinghurst, New South Wales, 2010, Australia

  • The Alfred Hospital

    Melbourne, Victoria, 3004, Australia