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Sequential Testosterone and Enzalutamide Prevents Unfavorable Progression

StatusRecruiting
PhasePhase 2
Started2020-08-19
View on ClinicalTrials.gov ↗
Trial flagged as At Risk
Primary completion moved at least 11 months later Jul 2026 → Jul 2027
See other at-risk trials from Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Amendment history

2026-07-15
critical
Study Status v15
Primary completion pushed: 2026-07 → 2027-07
Completion pushed: 2027-07 → 2028-07
2026-03-31
minor
Study Status v14
Re-verified, no change to tracked fields
2025-07-10
minor
Study Status v13
Primary completion date2025-07→2026-07
Completion date2026-07→2027-07
2025-01-03
minor
4 amendments v9-v12
4 re-verifications since 2024-04-17, no change to tracked fields
2023-10-30
minor
Study Status, Contacts/Locations v8
Study sites1→6
Show 7 earlier versions
2023-05-22
minor
Study Status v7
Re-verified, no change to tracked fields
2022-08-04
minor
Study Status, Study Description, Arms and Interventions, Eligibility v6
Eligibility criteria-32 characters
[...] eeks. Attempts must be made to wean patients off prednisone and be off therapy for ≥ 1 week prior to starting therapy. Patients who cannot be weaned due [...]
Study description+467 characters
[...] or at least one cycle. Each cycle is 56 days. Patients with PSA progression (≥25% increase in PSA from baseline PSA on BAT cycle) will stop T injection and begin Enzalutamide. Patients on T with initial with declining PSA decline PSA will remain on high dose T for additional cycles of 2 injections until PSA progression occurs (≥25% increase in PSA from PSA nadir on current BAT cycle)based on PCWG3 criteria. Patients with PSA progression (≥25% [...] ction. These patients will then be started on Enzalutamide. Patients with PSA progression (≥25% increase in PSA from baseline on enzalutamide cycle) will [...] [...]
2022-02-01
minor
2 amendments v4-v5
2 re-verifications since 2021-09-22, no change to tracked fields
2021-02-03
notable
Active, Not Recruiting→Recruiting Study Status, Study Description, Study Design, Arms and Interventions, Eligibility, Contacts/Locations v3
Trial statusActive, Not Recruiting→Recruiting
Enrollment target90→150
Study arms2→3
Eligibility criteria-17 characters
Inclusion Criteria: Eastern Cooperative Oncology Group (ECOG) Performance status ≤2. Age ≥18 years. Histologically-confir [...] CT or bone scan. Must have had disease progression while on abirateronecombination acetate alone orof abiraterone acetate in combination with otherplus ADT. either given concurrently or sequentially based on: PSA progression defined as an increase in PSA, as determin [...] tamide, apalutamide, darolutamide, or other investigational androgen receptor (AR) targeted treatment is allowed. Prior treatment with testosterone is allowed. Prior treatment with one chemotherapy regimen with d [...] [...]
Study description+1,009 characters
[...] sistance to primary ADT. Patients will continue on ADT with Luteinizing hormone-releasing hormone (LHRH) agonist (i.e. Zoladex, Trelstar, Eligard or Lupron) or LHRH [...] enous testosterone production. Patients will be randomized 1:2:2 and stratified based on whether patientsthey received Abi in combination with ADT or in sequence after p [...] e (2 injections) with one cycle of 56 days of enzalutamide. Patients randomized to Arm C will receive Variable Sequential Testosterone and Enzalutamide (VSTE). Patients in Arm C will receive intramuscular injection with testosterone cypionate (T) at an FDA-approved d [...] [...]
Study sitesdetails revised at 1 of 1 site
2020-08-31
notable
Not Yet Recruiting→Active, Not Recruiting Study Identification, Study Status, Study Design, Contacts/Locations v2
Trial statusNot Yet Recruiting→Active, Not Recruiting
Start dateestimated 2020-10→confirmed 2020-08-19
2020-07-10
minor
Study Status v1
Start date2020-07→2020-10
2020-04-23
minor
Original filing
Asymptomatic men without pain due to prostate cancer progressing with metastatic CRPC after treatment with combination or sequential ADT + Abi will be treated on a randomized, open label study to determine if sequential treatment with high dose T and Enza will improve primary and secondary objectives vs. continuous Enza as standard therapy.
Trial Details
NCT Number NCT04363164
Lead Sponsor Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Collaborators: United States Department of Defense
Conditions Castration Resistant Metastatic Prostate Cancer
Enrollment 150 participants
Start Date 2020-08-19
Primary Completion 2027-07 (estimated)
Study Completion 2028-07 (estimated)
Updated on ClinicalTrials.gov 2026-07-17