Could taking a break from hormone therapy be just as good for prostate cancer?
NCT ID NCT05974774
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study is for men with metastatic hormone-sensitive prostate cancer who have already been on hormone therapy for 6-12 months and have very low PSA levels. It compares two approaches: stopping and restarting treatment based on PSA levels (intermittent) versus staying on treatment continuously. The goal is to see if the intermittent approach can maintain similar survival while reducing side effects and treatment burden.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- hormone therapy (androgen deprivation therapy plus AR pathway inhibitors like abiraterone, enzalutamide, apalutamide, or darolutamide)
- What this could lead to
- If successful, this could allow men with prostate cancer to take breaks from hormone therapy, reducing side effects and improving quality of life without shortening survival.
- What could go wrong
- This is a large phase 3 trial, but it is still possible that the intermittent approach may not be as effective as continuous therapy in controlling the cancer. Side effects from the drugs themselves remain a risk.
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 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 1,600 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2025
- Expected to finish
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Jun 2039
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
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 to 100 years
- 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: * Patient treated with ADT and an ARPI for mHNPC for 6-12 months and presenting with a PSA ≤ 0.2 ng/mL Note: Patient may have received docetaxel and radiotherapy of the prostate and metastases Note: Patients with synchronous or metachronous metastases, high volume/risk or low volume/risk who fulfil the criteria can be included. * Before patient 's enrolment, written informed consent must be given according to ICH/GCP, and national/local regulations Exclusion Criteria: * Patients with M1a on modern imaging technique (PET-Choline or -PSMA or Whole Body MRI) for whom radiation therapy and 2-3 years of hormone therapy is planned * Patients who underwent or will undergo a bilateral orchiectomy * Patients with a prior or concurrent malignancy whose natural history or treatment has the potential to interfere with the safety or efficacy assessment for this trial * Patients who have received a systemic anti-prostate cancer treatment not approved by EMA together with MAB or a radical prostatectomy for M1 disease * Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be assessed and discussed with the patient before the enrolment in the trial
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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
9 sites in 3 countries. 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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CHU de Toulouse - Institut Claudius Regaud - IUCT oncopole
RECRUITINGToulouse, France
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Centre Francois Baclesse
RECRUITINGCaen, 14076, France
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Clinique La Croix Du Sud
RECRUITINGQuint-Fonsegrives, France
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Gustave Roussy
RECRUITINGVillejuif, 94805, France
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Hospital De La Santa Creu I Sant Pau
RECRUITINGBarcelona, 08041, Spain
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Hospital Universitario Puerta De Hierro
RECRUITINGMajadahonda, Spain
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Hospital Universitario San Carlos
RECRUITINGMadrid, Spain
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Institut Daniel Hollard
RECRUITINGGrenoble, France
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University Hospitals Copenhagen - Rigshospitalet
RECRUITINGCopenhagen, Denmark
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?