Which prostate cancer drug is kinder to your brain? new study aims to find out
NCT ID NCT04335682
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at how two prostate cancer drugs, darolutamide and enzalutamide, affect thinking and memory in men with advanced prostate cancer. About 111 men took one of the two drugs and completed computer-based cognitive tests over time. The goal was to see if one drug causes fewer mental side effects than the other.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- darolutamide and enzalutamide
- What this could lead to
- If successful, this study could help doctors choose which drug is less likely to cause thinking or memory problems in men with prostate cancer.
- What could go wrong
- This is a small, early-phase study (111 participants) that only measures cognitive changes, not overall survival or cancer control. Results may not apply to all patients.
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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111 people
The number who actually took part.
- Started
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Aug 2021
- Finished
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May 2026
- 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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18 years and older
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key inclusion criteria include: * Histologically or cytologically confirmed adenocarcinoma of the prostate * Progressive disease per PCWG3 criteria with EITHER: Metastatic CRPC or non- metastatic CRPC (M0CRPC) * For mCRPC: metastatic disease documented by standard or novel imaging techniques * OR for M0CPRC: no evidence of metastatic disease on standard imaging. * OR mHSPC * Surgically or medically castrated, with testosterone levels of \<50 ng/dL. If the patient is medically castrated, continuous dosing with GnRH agonist or antagonist must have been initiated at least 4 weeks prior to randomization and must be continued throughout the study. * Eastern Cooperative Oncology Group (ECOG) performance status ≤2 * Able to complete cognitive testing and patient reported outcome surveys in English. * Ability to swallow study medications whole. * Able to provide informed consent.
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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
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Dana Farber Cancer Institute
Boston, Massachusetts, 02115, United States
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Froedtert and the Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Northwestern University Feinberg School of Medicine
Chicago, Illinois, 60611, United States
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University of California - San Francisco at Mount Zion
San Francisco, California, 94115, United States
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University of Chicago
Chicago, Illinois, 60637, United States
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University of Kansas Cancer Center
Fairway, Kansas, 66205, United States
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University of Minnesota
Minneapolis, Minnesota, 55455, United States
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University of Oklahoma
Oklahoma City, Oklahoma, 73104, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- A scanner in the operating room could show surgeons exactly where prostate cancer remains
- New PET tracer aims to light up hidden cancer targets
- Can daily adaptive radiotherapy spare healthy tissue in prostate cancer?
- Can a radioactive tracer and MRI reveal prostate Cancer's true extent?
- Five-Fraction radiation plus hormone therapy tested against High-Risk prostate cancer
- Can a 10-Hour eating window fight cancer fatigue?