Actively Recruiting

Phase 3
Age: 18Years +
MALE
NCT06320067

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

Led by University College, London · Updated on 2025-09-26

3360

Participants Needed

18

Research Sites

402 weeks

Total Duration

On this page

Sponsors

U

University College, London

Lead Sponsor

C

Cancer Research UK

Collaborating Sponsor

AI-Summary

What this Trial Is About

STAMPEDE2 is a clinical trial comparing two new treatments with standard of care in people with prostate cancer that has spread to other parts of the body and is responsive to hormone therapy. People from all backgrounds and ethnicities are encouraged to take part and multiple hospitals across the UK are involved. University College London is running the trial. Each comparison within the trial has its own control arm where people get the best standard of care (Arm A) versus a research arm where a new treatment is added to standard of care. Participants are allocated to an arm by a computerised system with a 50% chance of getting the research treatment. Comparison S: Arm A versus Arm S (Stereotactic Ablative Body Radiotherapy (SABR)) - Tests whether giving targeted doses of radiotherapy (SABR) to parts of the body where the cancer has spread slows the spread of the cancer and improves survival. 2476 people will be in this comparison. Comparison P: Arm A versus Arm P (PSMA-Lutetium (177Lu-PSMA-617)) - Tests whether giving a radioactive material (177Lu-PSMA-617) that targets prostate cancer cells slows the spread of the cancer and improves survival. 1756 people will be in this comparison. All participants will be followed up with scans and tests to monitor their cancer. Doctors will check for any side effects from the treatments. Treatments will be stopped if side effects are serious, or people no longer wish to take the treatments.

CONDITIONS

Official Title

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

Who Can Participate

Age: 18Years +
MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • At least 18 years old
  • Histological confirmation or strong clinical suspicion of prostate adenocarcinoma
  • Confirmation of metastatic sites on CT/MRI and bone or PET scan
  • Metastases to bone, non-regional lymph nodes (with at least one node ≥1.5cm outside pelvis if only lymph nodes), or visceral sites
  • Clinical presentation either de novo or relapsed with continuing hormone sensitivity
  • Long-term androgen deprivation therapy started or planned for minimum 2 years
  • WHO performance status 0-2 or 3 if due to metastatic burden and expected to improve with therapy
  • Willing and able to comply with trial treatments
  • Signed informed consent for trial registration
Not Eligible

You will not qualify if you...

  • Clinically and pathologically overt small cell carcinoma
  • Metastatic brain or leptomeningeal disease
  • Active malignancies other than prostate cancer in last 36 months (except certain low-risk cancers)
  • Medical conditions making participant unfit for long-term androgen deprivation therapy or trial treatments
  • For Comparison S: relapsed prostate cancer, prior radical prostate treatment, intracranial metastases, prior treatment to metastatic sites, urgent neurological conditions needing immediate treatment, conditions preventing radiotherapy delivery
  • For Comparison P: prior specific radiotherapy or PSMA-targeted therapy, symptomatic or impending spinal cord compression, conditions preventing certain positioning or bladder control, MRI contraindications for imaging sub-study

AI-Screening

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Trial Site Locations

Total: 18 locations

1

Mount Vernon Hospital

Barnsley, United Kingdom

Actively Recruiting

2

Addenbrookes

Cambridge, United Kingdom

Actively Recruiting

3

Royal Devon University Hospital Trust

Exeter, United Kingdom, EX2 5DW

Actively Recruiting

4

Royal Devon & Exeter Hospital

Exeter, United Kingdom

Actively Recruiting

5

The Princess Alexandra Hospital

Harlow, United Kingdom

Actively Recruiting

6

University College London Hospitals NHS Foundation Trust

London, United Kingdom, NW3 2PG

Actively Recruiting

7

The Royal Marsden Hospital

London, United Kingdom, SW3 6JJ

Actively Recruiting

8

Barts Health NHS Trust

London, United Kingdom

Actively Recruiting

9

North Middlesex Hospital

London, United Kingdom

Actively Recruiting

10

Royal Free Hospital

London, United Kingdom

Actively Recruiting

11

The James Cook University Hospital

Middlesbrough, United Kingdom

Actively Recruiting

12

Churchill Hospital

Oxford, United Kingdom

Actively Recruiting

13

Derriford Hospital

Plymouth, United Kingdom

Actively Recruiting

14

Queen Alexandra Hospital

Portsmouth, United Kingdom

Actively Recruiting

15

Barking, Havering and Redbridge University Hospitals NHS Trust

Romford, United Kingdom

Actively Recruiting

16

North Tees Health NHS Trust

Stockton-on-Tees, United Kingdom

Actively Recruiting

17

The Royal Marsden Hospital

Sutton, United Kingdom, SM2 5PT

Actively Recruiting

18

Kings Mill Hospital

Sutton in Ashfield, United Kingdom

Actively Recruiting

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Research Team

P

Pamela Niem

CONTACT

A

Aaron Horsey

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

4

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