Clinical trial Recruiting at 1 site Phase 2 Interventional Men only

Adaptive external beam radiotherapy added to Lutetium-177 PSMA therapy for metastatic castration-resistant prostate cancer

Official title: Adaptive External Beam and Radioligand Radiotherapy for MEtaSTatic Castration Resistant Prostate Cancer (ARREST): a Phase II Registry-based RCT

Run by Centre hospitalier de l'Université de Montréal (CHUM) · NCT07354594 · Data updated 2026-11-12

This trial tests whether adding targeted external beam radiotherapy during Lutetium-177 PSMA treatment can improve outcomes for men with metastatic castration‑resistant prostate cancer.

More Castration-resistant Prostate Cancer trials

Quick facts

PhasePhase 2
Study typeInterventional
SexMen only
Enrollment120 (estimated)
SponsorCentre hospitalier de l'Université de Montréal (CHUM)
Academic / other
Drugs / interventionsradiation
Locations1 site (Montreal, Quebec)
StatusRecruiting
StartedJuly 7, 2026
Main results expectedMay 2028
Study endsMay 2028
Registry record updatedSeptember 1, 2026
Trial IDNCT07354594 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with metastatic castration-resistant prostate cancer who are receiving 177Lu-PSMA and have measurable metastases suitable for EBRT, with ECOG 0–1.

Probably not a fit

Patients without measurable metastases or those unlikely to tolerate additional EBRT may not benefit from this combined approach.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This pragmatic, registry-based phase 2 study compares standard 177Lu-PSMA therapy with an added adaptive external beam radiotherapy (EBRT) approach in men with metastatic castration-resistant prostate cancer. EBRT is delivered between cycles of radioligand treatment to boost underdosed metastatic sites while maintaining overall safety. The trial is multi-center and randomized, aiming to see if the combined approach reduces skeletal-related events without increasing toxicity. Eligible patients have measurable metastases suitable for EBRT and are receiving 177Lu-PSMA, with good performance status. Outcomes will inform whether adaptive EBRT can enhance the effectiveness of PSMA-targeted radioligand therapy.

Why it matters

Potential benefit: If successful, patients could experience better control of metastatic lesions and fewer skeletal-related events while staying on PSMA-targeted therapy.

How similar studies have gone: Previous PSMA therapies have shown benefit; adding adaptive EBRT to radioligand therapy is a novel approach with promising rationale but requires confirmation.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Receiving 177Lu-PSMA for mCRPC
* ECOG 0-1
* Presence of a discernible metastatic burden suitable for EBRT
* Receiving bone protective therapy

Exclusion Criteria:

* no exclusions

Where it's running

  • Centre Hospitalier de l'Université-de-Montréal
    Montreal, Quebec, Canada
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.