Promising drug combo targets Hard-to-Treat salivary cancer
NCT ID NCT05694819
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tested darolutamide, a drug that blocks male hormones, in 57 people with a rare type of salivary gland cancer that has male hormone receptors. Some patients received darolutamide alone, while others also got goserelin to lower hormone levels. The goal was to see if the tumors shrink and if the treatment is safe.
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 goserelin in one group)
- What this could lead to
- If successful, this could offer a new targeted treatment option for a rare salivary gland cancer that is hard to treat.
- What could go wrong
- This is a small, early-phase trial with only 57 participants. The drug may not shrink tumors enough, and side effects like fatigue or hormone-related issues 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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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57 people
The number who actually took part.
- Started
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Apr 2020
- Finished
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Mar 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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20 years and older
- Sex
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Anyone
- 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: Darolutamide monotherapy group: 1. Signed, written informed consent. 2. Patients older than 20 years. 3. Histologically confirmed any salivary duct carcinoma (SDC), adenocarcinoma (AC)(NOS), or Carcinoma ex pleomorphic adenoma. 4. Patients with locally recurrent(unresectable) or metastatic salivary gland carcinoma who are not applied for surgery or radiation treatment. 5. Presence of measurable or evaluable disease according to RECIST v1.1 6. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 7. Adequate organ or bone marrow function 8. Patients who agree to practice effective barrier contraception and refrain from sperm donation during the entire study treatment period and 3 months after the last dose of the study drug. Darolutamide and Goserelin combination therapy group: 1. Signed, written informed consent. 2. Patients older than 20 years. 3. Histologically confirmed as androgen receptor-positive salivary gland carcinoma at the medical institution. 4. Histologically confirmed as salivary gland carcinoma at the medical institution. 5. Patients with locally recurrent(unresectable) or metastatic salivary gland carcinoma who are not applied for surgery or radiation treatment. 6. Presence of measurable or evaluable disease according to RECIST v1.1 7. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 8. Adequate organ or bone marrow function 9. Patients who agree to practice effective barrier contraception refrain from sperm donation and stop breastfeeding during the entire study treatment period and through 3 months after the last dose of the study drug. Exclusion Criteria: Darolutamide monotherapy group: 1. Histologically confirmed as androgen receptor-negative salivary gland carcinoma at a central laboratory. 2. Prior treatment with AR inhibitors, CYP17 enzyme inhibitors, or LH-RH analogue. 3. Metastases in the brain/central nervous system (CNS). 4. Patients who are pregnant or breastfeeding. 5. Synchronous or metachronous malignancies. 6. Participant has a known history of HIV infection. 7. A positive test result for any of the followings: * HBsAg positive * HBsAb positive and hepatitis B virus (HBV)-DNA positive * HBcAb positive and HBV-DNA positive 8. Severe or uncontrolled concurrent heart disease or hypertension. 9. Inability to swallow oral medications. Darolutamide and Goserelin combination therapy group: 1. Prior treatment with AR inhibitors, CYP17 enzyme inhibitors, LH-RH analogue, Sex Hormones, or Gonadotropin 2. Prior treatment with Darolutamide or Goserelin. 3. Metastases in the brain/CNS. 4. Patients who are pregnant or breastfeeding. 5. Synchronous or metachronous malignancies. 6. Participant has a known history of HIV infection. 7. A positive test result for any of the followings: * HBsAg positive * HBsAb positive and HBV-DNA positive * HBcAb positive and HBV-DNA positive 8. Severe or uncontrolled concurrent heart disease or hypertension. 9. Inability to administer Darolutamide or Goserelin.
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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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Chiba University Hospital
Chiba, Chiba, 260-8677, Japan
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Hokkaido University Hospital
Sapporo, Hokkaido, 060-8648, Japan
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Kobe University Hospital
Kobe, Hyōgo, 650-0017, Japan
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Nagoya University Hospital
Nagoya, Aichi-ken, 466-8560, Japan
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National Cancer Center Hospital East
Kashiwa, Chiba, 277-8577, Japan
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National Hospital Organization Kyushu Medical Center
Fukuoka, Fukuoka, 810-8563, Japan
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Osaka International Cancer Institute
Osaka, Osaka, 541-8567, Japan
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The Jikei University Hospital
Tokyo, Tokyo, 105-0003, Japan
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Tohoku University Hospital
Sendai, Miyagi, 980-8574, Japan
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Tokyo Medical And Dental University Hospital
Tokyo, Tokyo, 113-8519, Japan
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Tokyo Medical University Hospital
Tokyo, Tokyo, 160-0023, Japan
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Yokohama City University Hospital
Yokohama, Kanagawa, 236-0004, Japan
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- New drug hope for rare salivary gland cancer