Personalized radiation for men with newly diagnosed limited metastatic prostate cancer

Quantifying and Personalizing the Clinical Benefit of Metastasis-Directed Therapy in Men with De Novo Oligometastatic Prostate Cancer

NIH-funded research Case Western Reserve University · NIH-11143687

This project is testing whether adding targeted radiation to visible metastases helps men with a small number of newly diagnosed prostate cancer spread live longer or avoid further progression.

Quick facts

Grant typeU01 cooperative agreement
Study typeNIH-funded research
Funding institutionCase Western Reserve University NIH-funded
Lab location1 site (Cleveland, United States)
Project IDNIH-11143687 on NIH RePORTER

What this research studies

You would join a phase 3 randomized trial run in North America as a sub-study of the international STAMPEDE platform, enrolling about 200 men. Participants are randomly assigned to receive metastasis-directed radiotherapy plus standard treatment or standard treatment alone, with regular conventional and molecular PET imaging. Doctors will collect tumor tissue and blood samples over time and use imaging and DNA sequencing to look for patterns that predict who benefits. The team will apply advanced radiomics, genomics, and bioinformatics to try to personalize which men should receive targeted radiation.

Who could benefit from this research

Good fit: Men newly diagnosed with de novo oligometastatic prostate cancer (a limited number of metastases) who are able to receive radiotherapy and standard prostate cancer treatment could be eligible.

Not a fit: Men with widespread metastatic disease, those who cannot tolerate radiotherapy, or those whose tumors lack predictive biomarkers identified by the study may not receive benefit from this approach.

Why it matters

Potential benefit: If successful, this could identify men with a small number of metastases who can be cured or have longer survival with targeted radiation and help personalize treatment choices.

How similar studies have performed: Smaller trials and retrospective studies have suggested metastasis-directed therapy can delay progression, but this is the first large phase 3 North American sub-study aiming to prove and personalize its benefit.

Where this research is happening

Cleveland, 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.
Last reviewed 2026-06-13 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.