New pill shows promise against tough prostate cancer
NCT ID NCT01171898
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a drug called ARN-509 in 127 men with advanced prostate cancer that had stopped responding to standard hormone therapy. The goal was to find a safe dose and see if the drug could lower PSA levels, a marker of cancer activity. The drug works by blocking male hormones that fuel cancer growth.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ARN-509 (apalutamide), a drug that blocks male hormones that fuel prostate cancer growth
- What this could lead to
- If successful, this could lead to a new oral treatment option for men with advanced prostate cancer that no longer responds to standard hormone therapy.
- What could go wrong
- This is an early-phase trial with a small number of participants, so the drug may not prove effective or safe in larger studies. Side effects and limited benefit are possible.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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127 people
The number who actually took part.
- Started
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Jul 2010
- Finished
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Jul 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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.
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.
NON-METASTATIC CRPC Inclusion Criteria 1. Histologically or cytologically proven prostate cancer with high risk for development of metastases, defined as either a PSA value \>=8 ng/mL within the last 3 months or PSA Doubling Time \<=10 months 2. Ongoing androgen depletion therapy with a Gonadotropin Releasing Hormone (GnRH) analogue or inhibitor, or orchiectomy (i.e., surgical or medical castration) 3. Castrate levels of serum testosterone of less than or equal to 50 ng/dL 4. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1 5. A life expectancy of at least 3 months Exclusion Criteria 1. Distant metastases, including CNS and vertebral or meningeal involvement 2. Prior treatment with MDV3100 3. Prior treatment with abiraterone 4. Prior treatment with ketoconazole 5. Concurrent treatment with medications known to have seizure potential 6. Concurrent treatment with corticosteroids. If they are already on steroids, patients will be allowed to enroll on the study but will need to taper off as soon as possible. 7. QTc \> 450 msec 8. History of seizure or condition that may predispose to seizure 9. Evidence of severe or uncontrolled systemic disease or HIV infection METASTATIC CRPC, TREATMENT-NAIVE Inclusion Criteria 1. Histologically or cytologically proven prostate cancer with progressive disease based on either PSA or radiographic progression 2. Ongoing androgen depletion therapy with a Gonadotropin Releasing Hormone (GnRH) analogue or inhibitor, or orchiectomy (i.e., surgical or medical castration) 3. Castrate levels of serum testosterone of less than or equal to 50 ng/dL 4. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1 5. A life expectancy of at least 3 months Exclusion Criteria 1. History of, or current metastases in the brain or untreated spinal cord compression 2. Prior treatment with MDV3100 3. Prior treatment with abiraterone 4. Prior treatment with ketoconazole 5. Concurrent treatment with medications known to have seizure potential 6. Concurrent treatment with corticosteroids. If they are already on steroids, patients will be allowed to enroll on the study but will need to taper off as soon as possible. 7. QTc \> 450 msec 8. History of seizure or condition that may predispose to seizure 9. Evidence of severe or uncontrolled systemic disease or HIV infection METASTATIC CRPC, CHEMOTHERAPY-NAIVE, POST-ABIRATERONE Inclusion Criteria 1. Histologically or cytologically proven prostate cancer with progressive disease based on either PSA or radiographic progression 2. Ongoing androgen depletion therapy with a Gonadotropin Releasing Hormone (GnRH) analogue or inhibitor, or orchiectomy (i.e., surgical or medical castration) 3. Castrate levels of serum testosterone of less than or equal to 50 ng/dL 4. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1 5. A life expectancy of at least 3 months 6. Patients must have received a minimum of 6 months of abiraterone treatment prior to disease progression Exclusion Criteria 1. History of, or current metastases in the brain or untreated spinal cord compression 2. Prior treatment with MDV3100 3. Prior treatment with ketoconazole 4. Concurrent treatment with medications known to have seizure potential 5. Concurrent treatment with corticosteroids. If they are already on steroids, patients will be allowed to enroll on the study but will need to taper off as soon as possible. 6. QTc \> 450 msec 7. History of seizure or condition that may predispose to seizure 8. Evidence of severe or uncontrolled systemic disease or HIV infection
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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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Study site
San Diego, California, United States
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Study site
San Francisco, California, United States
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Study site
Atlanta, Georgia, United States
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Study site
Baltimore, Maryland, United States
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Study site
Boston, Massachusetts, United States
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Study site
Ann Arbor, Michigan, United States
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Study site
Omaha, Nebraska, United States
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Study site
New York, New York, United States
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Study site
Raleigh, North Carolina, United States
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Study site
Portland, Oregon, United States
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Study site
Lancaster, Pennsylvania, United States
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Study site
Myrtle Beach, South Carolina, United States
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Study site
Dallas, Texas, United States
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Study site
Seattle, Washington, United States
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Study site
Madison, Wisconsin, 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?