New Imaging-Guided combo therapy aims to slow prostate cancer spread
NCT ID NCT06832774
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether adding targeted local treatments (like radiation or surgery) to standard hormone therapy can slow disease progression in men with metastatic hormone-sensitive prostate cancer. Doctors will use PSMA PET/CT scans to find remaining active tumors after initial hormone therapy. The trial enrolls 192 men who have not had prior prostate cancer treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Gonadotropin releasing hormone analog (GnRHa) plus novel hormone therapy (abiraterone, apalutamide, or rezvilutamide) combined with local treatment (radiotherapy, surgery, or HIFU)
- What this could lead to
- If successful, this approach could help doctors personalize treatment for metastatic prostate cancer, potentially delaying disease progression and extending survival.
- What could go wrong
- This is a phase 2 trial with only 192 participants, so results may not apply to all patients. The added local treatments carry risks like radiation side effects or surgical complications.
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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About 192 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2025
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- 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.
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: 1. Male patients over the age of 18; 2. The physical condition (PS) score of the Eastern Cooperative Oncology Group (ECOG) is 0, 1, or 2 points; 3. Expected lifespan \>2 years; 4. All newly diagnosed patients with metastatic prostate cancer (mHSPC, metastatic hormone sensitive prostate cancer) diagnosed by PSMA PET/CT, and still present active lesions on PSMA PET/CT after receiving new endocrine therapy; 5. Has not received any other treatment for prostate cancer before; 6. No significant organ dysfunction upon evaluation; 7. Agreed to sign the written consent form for this study, indicating a comprehensive understanding of the purpose and process of this study, and willingness to participate in this study. Exclusion Criteria: 1. A medical history of any other active malignant tumor within 2 years (excluding fully treated basal cell or squamous cell skin cancer, superficial bladder cancer or any other cancer in situ that is currently in complete remission); 2. Prostate biopsy shows sarcomatoid cells, ductal carcinoma, or neuroendocrine cell components; 3. Severe complications, immune suppression, severe mental illness, severe activity restriction, or inability to comply with this study; 4. Currently participating in other clinical trials for prostate cancer; 5. According to the researcher's judgment, there are conditions that are not in line with the best interests of the subjects participating in the study, or may hinder, limit, or interfere with the study protocol.
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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
1 site. 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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Shanghai General Hospital
RECRUITINGShanghai, Shanghai Municipality, 200080, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Glow-in-the-dark dye may help surgeons spot hidden prostate cancer cells
- Radiation zaps prostate cancer spots in men not helped enough by hormone drugs
- Could a special PET scan spot returning prostate cancer sooner?
- Lab-Grown Mini-Tumors could predict best prostate cancer therapy
- Could a common ED drug shield prostate cancer patients from chemo nerve pain?
- Can we safely zap more cancer spots? new study pushes radiation limits