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New pill shows promise against tough prostate cancer

NCT ID NCT01171898

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

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

Phase 1/2

Runs two stages together: safety and dose first, then whether the treatment works.

Participants

127 people

The number who actually took part.

Started

Jul 2010

Finished

Jul 2025

Lead sponsor

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

18 years and older

Sex

Male participants only

Healthy volunteers

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

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

  • Study site

    San Diego, California, United States

  • Study site

    San Francisco, California, United States

  • Study site

    Atlanta, Georgia, United States

  • Study site

    Baltimore, Maryland, United States

  • Study site

    Boston, Massachusetts, United States

  • Study site

    Ann Arbor, Michigan, United States

  • Study site

    Omaha, Nebraska, United States

  • Study site

    New York, New York, United States

  • Study site

    Raleigh, North Carolina, United States

  • Study site

    Portland, Oregon, United States

  • Study site

    Lancaster, Pennsylvania, United States

  • Study site

    Myrtle Beach, South Carolina, United States

  • Study site

    Dallas, Texas, United States

  • Study site

    Seattle, Washington, United States

  • Study site

    Madison, Wisconsin, United States

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