Personalized prostate cancer attack: does your Tumor's DNA hold the key?

NCT ID NCT04812366

First seen Jul 31, 2026 · Last updated Aug 14, 2026 · Updated 1 time

Summary

This trial tests whether tailoring prostate cancer therapy to the genetic makeup of a person's tumor can improve the response before surgery. Men with high-risk localized prostate cancer receive initial hormone therapy while their tumor is genetically analyzed, then are assigned to a treatment arm—either hormone therapy alone or combined with chemotherapy, a targeted drug, or immunotherapy. The goal is to see if this personalized approach leads to better tumor shrinkage and outcomes after prostate removal.

What this could mean

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

Active substance
A combination of hormone therapy (apalutamide, abiraterone, prednisone), chemotherapy (docetaxel), targeted therapy (niraparib), and immunotherapy (atezolizumab), selected based on tumor genetics.
What this could lead to
If successful, this approach could lead to more personalized, effective prostate cancer treatment, potentially reducing recurrence after surgery.
What could go wrong
This is an early-phase trial, so results may not confirm benefit. Side effects from combination therapies could be significant, and not all participants may respond.

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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

  • Dana-Farber Cancer Institute / Beth Israel Deaconess Medical Center

    RECRUITING

    Boston, Massachusetts, 02115, United States

  • Fred Hutchinson Cancer Center

    RECRUITING

    Seattle, Washington, 98109, United States

  • London Health Sciences Centre

    RECRUITING

    London, Ontario, N6A 5W9, Canada

  • Ottawa Hospital Research Institute (OHRI)

    RECRUITING

    Ottawa, Ontario, K1H 8L6, Canada

  • U.T. MD Anderson Cancer Center

    RECRUITING

    Houston, Texas, 77030, United States

  • University Health Network

    RECRUITING

    Toronto, Ontario, M5G 2C4, Canada

  • University of California Davis

    RECRUITING

    Sacramento, California, 95817, United States

  • University of Michigan Health

    RECRUITING

    Ann Arbor, Michigan, 48109-5946, United States

  • Vancouver Prostate Centre

    RECRUITING

    Vancouver, British Columbia, V5Z 1M9, Canada

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