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OncoMatch/Clinical Trials/NCT05404139

Duration of Androgen Receptor Pathway Inhibitor and ADT With Metastasis Directed Therapy in Oligometastatic Cancer of the Prostate (DIRECT)

Is NCT05404139 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Enzalutamide for metastatic prostate cancer.

Phase 2RecruitingUniversity Health Network, TorontoNCT05404139Data as of May 2026

Treatment: EnzalutamideThis is a multi-centre, investigator-initiated, two-arm, randomized trial to investigate the addition on androgen receptor pathway inhibitor to standard of care radiation and hormone therapy improve quality of life. Participants will either receive standard of care radiation and hormone (ADT) therapy (Arm 1) or standard of care radiation and hormone (ADT) therapy plus oral abiraterone for 8-9 months (Arm 3). Participants will be routinely follow-up in clinic or remotely for up to 5 years.

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Extracted eligibility criteria

Cancer type

Prostate Cancer

Disease stage

Required: Stage IV

Metastatic disease required

Performance status

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

Prior therapy

Cannot have received: salvage systemic therapy

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

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