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OncoMatch/Clinical Trials/NCT05053152

Testing the Addition of the Drug Relugolix to the Usual Radiation Therapy for Advanced-Stage Prostate Cancer, The NRG Promethean Study

Is NCT05053152 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Relugolix for oligometastatic prostate carcinoma.

Phase 2RecruitingNRG OncologyNCT05053152Data as of May 2026

Treatment: RelugolixThis phase II trial compares the usual treatment of radiation therapy alone to using the study drug, relugolix, plus the usual radiation therapy in patients with castration-sensitive prostate cancer that has spread to limited other parts of the body (oligometastatic). Relugolix is in a class of medications called gonadotropin-releasing hormone (GnRH) receptor antagonists. It works by decreasing the amount of testosterone (a male hormone) produced by the body. It may stop the growth of cancer cells that need testosterone to grow. Radiation therapy uses high-energy x rays or protons to kill tumor cells. The addition of relugolix to the radiation may reduce the chance of oligometastatic prostate cancer spreading further.

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Extracted eligibility criteria

Cancer type

Prostate Cancer

Biomarker criteria

Required: KLK3 any tested (PSA <= 10.0 ng/mL and meets recurrence definitions)

Serum total prostate-specific antigen (PSA) <= 10.0 ng/mL that also meets ONE of the following PSA recurrence definitions

Required: AR wild-type

Currently on androgen deprivation or anti-androgen therapy [excluded]

Disease stage

Required: Stage IVB

Metastatic disease required

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Must have received: radiation therapy — curative-intent to prostate (external beam and/or brachytherapy, or radical prostatectomy with/without post-op RT)

Prior curative-intent treatment to the prostate, by either: External beam and/or brachytherapy ... or radical prostatectomy alone, radical prostatectomy plus postoperative radiotherapy

Cannot have received: androgen deprivation therapy

Exception: prior ADT allowed if discontinued and testosterone >= 100 ng/dL

Currently on androgen deprivation or anti-androgen therapy [excluded]

Cannot have received: chemotherapy

Exception: prior chemotherapy for a different cancer is allowed if disease-free >= 3 years

Prior chemotherapy for prostate cancer or bilateral orchiectomy [excluded]

Cannot have received: bilateral orchiectomy

Prior chemotherapy for prostate cancer or bilateral orchiectomy [excluded]

Cannot have received: high dose radiotherapy to a lesion

Exception: lesions included in or near a previously irradiated PTV are eligible if previous delivered dose < EQD2 of 50 Gy

Prior high dose radiotherapy to a lesion (i.e. oligometastatic recurrence by PET) [excluded]

Lab requirements

Liver function

Total bilirubin <= 1.5 x ULN (Gilbert's syndrome: direct bilirubin <= 1.5 x ULN); AST and ALT <= 2.5 x ULN

Total bilirubin: <= 1.5 x ULN ... AST and ALT: <= 2.5 x ULN

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Cancer Center at Saint Joseph's · Phoenix, Arizona
  • Alta Bates Summit Medical Center-Herrick Campus · Berkeley, California
  • Tower Cancer Research Foundation · Beverly Hills, California
  • Marin General Hospital · Greenbrae, California
  • UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care · Irvine, California

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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