How aggressive prostate cancer spreads

Mechanisms of Prostate Cancer Metastasis

['FUNDING_R01'] · CEDARS-SINAI MEDICAL CENTER · NIH-11179174

This project tests new drugs that block a protein called ONECUT2 to try to slow or stop aggressive prostate cancers that no longer respond to hormone therapy.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorCEDARS-SINAI MEDICAL CENTER (nih funded)
Locations1 site (LOS ANGELES, UNITED STATES)
Trial IDNIH-11179174 on ClinicalTrials.gov

What this research studies

Researchers are studying why some prostate cancers change identity and become resistant to hormone treatments, focusing on a protein called ONECUT2 that drives this change. They use human tumor samples and circulating tumor cells, genomic and bioinformatics analyses, lab-grown 3D models, and mouse models to track chromosome and nuclear changes tied to aggressive behavior. The team has developed small-molecule ONECUT2 inhibitors and tests their effects on tumor growth and spread in preclinical models. The goal is to find drug targets and biomarkers to better treat or detect prostate cancers that stop responding to standard therapies.

Who could benefit from this research

Good fit: Ideal candidates are people with advanced or metastatic prostate cancer that has become resistant to androgen receptor–targeting therapies, especially tumors showing AR-V7 or neuroendocrine features.

Not a fit: Patients with early-stage, hormone-sensitive prostate cancer or cancers driven by unrelated mechanisms may not receive direct benefit from this research.

Why it matters

Potential benefit: If successful, this work could lead to drugs or tests that prevent metastasis and overcome treatment resistance in advanced prostate cancer.

How similar studies have performed: Preclinical work, including xenograft and mouse models, has shown ONECUT2 inhibitors can slow tumor growth and metastasis, but testing in people has not yet been established.

Where this research is happening

LOS ANGELES, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.