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NCT07224009PHASE2NOT_YET_RECRUITING

Low Dose Naltrexone (LDN) for Management of Fatigue in Prostate Cancer Patients on Androgen Deprivation Therapy (ADT)

Phase II Clinical Trial Evaluating the Safety and Efficacy of Low Dose Naltrexone (LDN) for the Management of Fatigue in Prostate Cancer Patients on Androgen Deprivation Therapy (ADT)

Sponsor: University of Arkansas

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Key Facts

Study type
INTERVENTIONAL
Conditions
Metastatic Prostate Cancer
Interventions
Naltrexone
Enrollment
60 participants
Primary completion
Jan 2028
Study completion
Jan 2029
First posted
Nov 2025
Last updated
Apr 2026

Primary Endpoints (CT.gov)

Characterize mitochondrial bioenergetics after ADT and the remediating effects of LDN

Time frame: 30 months

Characterize inflammation after ADT and the remediating effects of LDN

Time frame: 30 months

Characterize oxidative stress after ADT and the remediating effects of LDN

Time frame: 30 months

Assess the impact of low-dose naltrexone (LDN) on Cancer-related fatigue as measured by the FACIT-F questionnaire

Time frame: 30 months

Secondary Endpoints

Evaluate quality of life (QOL) measures [Functional Assessment of Cancer Therapy-Prostate (FACT-P) on subjects receiving LDN

Evaluate safety and tolerability of LDN by assessing the number of participants with treatment-related adverse events graded by CTCAE v5.0

Eligibility Criteria

Inclusion Criteria * Histologically or cytologically confirmed biochemical recurrence and on ADT for at least 3 months. Metastatic castrate-sensitive and castrate-resistant prostate cancer on ADT with or without novel hormonal therapy like apalutamide, darolutamide, enzalutamide and abiraterone. * Initiation of hormonal ablative therapy within 3 months of registration. * ECOG performance status \<3. * Patients must have normal organ and marrow function as defined below: * leukocytes \>3,000/μL * absolute neutrophil count \>1,500/μL * platelets \>100,000/μL * total bilirubin within normal institutional limits * AST(SGOT)/ALT(SGPT) \<2.5 X institutional upper limit of normal * creatinine ≤2.5.0 * left ventricular ejection fraction \>45% * FACIT-F score \< 43 on screening * Ability to understand and the willingness to sign a written informed consent document. Exclusion Criteria * Prior chemotherapy received in the last three months. * Patients currently on PARP inhibit

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