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NCT06320067PHASE3RECRUITING

A Randomised Controlled Platform Trial Testing Treatments in Metastatic Hormone Sensitive Prostate Cancer

Studying Treatments in Patients Receiving Androgen Deprivation Therapy (ADT) for Metastatic Prostate Cancer: Evaluation of Drug and Radiation Efficacy: A 2nd Multi-arm Multi-stage Randomised Controlled Trial (STAMPEDE2).

Sponsor: University College, London + Cancer Research UK, Novartis

No open prediction endpoints

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Key Facts

Study type
INTERVENTIONAL
Conditions
Prostate Cancer Metastatic
Interventions
Stereotactic Ablative Body Radiotherapy (SABR), 177Lu-PSMA-617, Androgen Deprivation Therapy (ADT), Androgen Receptor Signalling Inhibitor (ARPI)
Enrollment
3,360 participants
Primary completion
Apr 2031
Study completion
Mar 2032
First posted
Mar 2024
Last updated
Sep 2025

Primary Endpoints (CT.gov)

Overall Survival (OS)

Time frame: Final analysis for each comparison triggered when adequate number of death events have occurred in control arm of each comparison. Anticipate final reporting for OS in Comparison S: ~84 months (7 years) from FPFV, P: ~64 months (5.3 years) from FPFV.

Secondary Endpoints

Failure-Free Survival (FFS)

Radiographic Progression-Free-Survival (rPFS)

Prostate cancer specific survival (PCSS)

Eligibility Criteria

Registration Inclusion Criteria: 1. At least 18 years old. 2. Histological confirmation of prostate adenocarcinoma or a strong clinical suspicion of prostate cancer with a plan to confirm the diagnosis formally before any future randomisation. 3. Confirmation of metastatic site(s) on CT/MRI and either bone or PET scan. Patients with metastatic disease meeting any of the following criteria are eligible: * Metastatic disease to the bone (in any distribution). * Non-regional lymph node metastases of any size or distribution. Lymph nodes that are only visible on PET will not be eligible as sites of metastasis. Note: If lymph nodes are the only site of metastases, then at least one must be at least 1.5cm in short axis AND outside of the pelvis. * Visceral metastases of any size or distribution. 4. Clinical presentation is: A. de novo. OR B. relapsed with; (1) continuing hormone sensitivity in the opinion of the investigator, and; (2) all hormone treatments (e.g., ADT and ARPI

Read full criteria on CT.gov →

✦ Analyst Commentary

Expert commentary on why this trial matters and what to watch for.

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Source

Open on ClinicalTrials.gov