Radiation plus hormone therapy may slow resistant prostate cancer
NCT ID NCT07717268
First seen Jul 21, 2026 · Last updated Jul 22, 2026 · Updated 1 time
Summary
This study tests whether adding precise, high-dose radiation (SBRT) to standard second-generation antiandrogen drugs (enzalutamide or abiraterone) can better control prostate cancer that has spread to a few spots and stopped responding to hormone therapy. About 51 men with oligometastatic castration-resistant prostate cancer will receive the combination. Researchers will measure how long it takes for the cancer to progress, overall survival, quality of life, 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
- a combination of stereotactic body radiation therapy (SBRT) and a second-generation antiandrogen (either enzalutamide or abiraterone acetate)
- What this could lead to
- If successful, this combination could delay cancer progression and improve survival and quality of life for men with oligometastatic castration-resistant prostate cancer.
- What could go wrong
- This is a small, single-group Phase 2 trial, so results may not be definitive. The added radiation could increase side effects, and the benefit over antiandrogen alone is not yet proven.
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
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 51 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2024
- Expected to finish
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May 2030
An estimate. End dates often move.
- Lead sponsor
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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
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Male participants only
- Healthy volunteers
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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: * Patients with histologically prostate adenocarcinoma, confirmed with a biopsy. * Testosterone in biochemical castration ranges (testosterone \<50 ng/ml or 1.7 nmol/L) and documented progression: biochemical according to Phoenix criteria or distant by radiological confirmation (PSMA PET/CT or Choline PET/CT) * Biochemistry progression confirmed according to Phoenix criteria, with testosterone in castration levels (testosterone \<50 ng/ml or 1.7 nmol/L). * Radiological confirmation (with choline-PET/CT or 68Ga-PSMA-PET/CT) of ≤5 node or bone metastasis, non-visceral, eligible to receive SBRT treatment (\< 3 cm major diameter in bone metastases, \< 5 cm in lymph node metastases). In the case of very close metastases, a limit of up to 5 treatment fields with SBRT is allowed, instead of 5 metastases. * Patients candidate to receive treatment with abiraterone or enzalutamide as per clinical routine, and treatment selection and prescription assigned by responsible physician before the inclusion in the study. or or who has started treatment no more than 14 days prior to signing, as first-line treatment after a diagnosis of oligoresistance. * Patients must provide written informed consent. * Life expectancy \> 3 months. Exclusion Criteria: * Patients with prostate carcinoma with histology other than adenocarcinoma. * No previous biopsy. * \> 5 metastasis, not approachables in 5 treatment fields * Patients with visceral metastasis and or metastasis non elegible to receive SBRT. * Patients with Testosterone above castration levels * Patients with prior treatment with docetaxel as first-line CRPC treatment (previous docetaxel treatment is permitted when administered as hormone-sensitive metastatic prostate cancer treatment.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
6 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Complexo Hospitalario Universitario De Santiago
ACTIVE_NOT_RECRUITINGSantiago de Compostela, Galicia, 15706, Spain
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Consorci Sanitari De Terrassa
ACTIVE_NOT_RECRUITINGTerrassa, Catalonia, 08227, Spain
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Hospital Clinic de Barcelona
RECRUITINGBarcelona, Barcelona, 08036, Spain
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Hospital Clínico San Carlos
RECRUITINGMadrid, Madrid, 28040, Spain
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Hospital Clínico Universitario De Valladolid
RECRUITINGValladolid, Castille and León, 47003, Spain
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Hospital De La Santa Creu I Sant Pau
RECRUITINGBarcelona, Catalonia, 08041, Spain
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Hospital Ramón y Cajal
ACTIVE_NOT_RECRUITINGMadrid, Madrid, 28034, Spain
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Hospital Universitario Basurto
ACTIVE_NOT_RECRUITINGBilbao, Basque Country, 48013, Spain
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Hospital Universitario Central De Asturias
ACTIVE_NOT_RECRUITINGOviedo, Principality of Asturias, 33011, Spain
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Hospital Universitario De Salamanca
ACTIVE_NOT_RECRUITINGSalamanca, Castille and León, 37007, Spain
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Hospital Universitario Miguel Servet
ACTIVE_NOT_RECRUITINGZaragoza, Aragon, 50009, Spain
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Hospital Universitario de Navarra (HUN)
RECRUITINGPamplona, Navarre, 31008, Spain
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Hospital Universitario y Politécnico de La Fe
ACTIVE_NOT_RECRUITINGValencia, Valencia, 46026, Spain
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Hospital de Cruces
ACTIVE_NOT_RECRUITINGBarakaldo, Vizcaya, 48903, Spain
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Instituto Catalán de Oncología Hospitalet
RECRUITINGL'Hospitalet de Llobregat, Barcelona, 08908, Spain
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