Comparing heart effects of two hormone therapies in advanced prostate cancer
Official title: Randomized Controlled Trial of Leuprolide Plus Abiraterone Acetate (AA) Versus Relugolix Plus AA for Advanced Prostate Cancer: The REVELUTION-2 Trial
Run by Emory University · NCT06650579 · Data updated 2026-11-12
This study is testing whether two different hormone treatments for advanced prostate cancer affect heart health differently in men receiving radiation therapy.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 72 (estimated) |
| Sponsor | Emory University Academic / other |
| Drugs / interventions | chemotherapy, immunotherapy, radiation, prednisone |
| Locations | 4 sites (Atlanta, Georgia and 3 other locations) |
| Status | Recruiting |
| Started | January 31, 2025 |
| Main results expected | July 1, 2029 |
| Study ends | July 1, 2029 |
| Registry record updated | February 24, 2026 |
| Trial ID | NCT06650579 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are men aged 18 and older with non-metastatic, biochemically recurrent prostate cancer planning to undergo curative pelvic radiation therapy.
✕Probably not a fit
Patients with metastatic prostate cancer or those who have previously received androgen deprivation therapy or chemotherapy may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This phase III trial evaluates the cardiovascular outcomes of leuprolide combined with abiraterone acetate versus relugolix combined with abiraterone acetate in hormone-naive men with advanced prostate cancer undergoing pelvic radiation therapy. The study aims to measure the impact of these hormone therapies on heart health and identify any genomic factors that may increase cardiovascular toxicity. Patients will be randomized into two groups, receiving either leuprolide or relugolix alongside standard treatment, with assessments including coronary computed tomography angiography and blood sample collection. The trial seeks to improve understanding of hormone therapy's effects on cardiovascular health in this patient population.
Why it matters
Potential benefit: If successful, this study could lead to safer hormone therapy options for patients with advanced prostate cancer, minimizing cardiovascular risks.
How similar studies have gone: Other studies have shown varying success with hormone therapies in prostate cancer, but this specific comparison of cardiovascular outcomes is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Men ≥ 18 years old * Non-metastatic prostate cancer * Non-metastatic, biochemically recurrent prostate cancer * Plan to undergo curative-intent pelvic radiation therapy (photons or protons) with or without brachytherapy * Plan to undergo up to 24 months of combination androgen deprivation therapy (ADT) plus AA and prednisone Exclusion Criteria: * Metastatic prostate cancer requiring indefinitive ADT or chemotherapy * Prior exposure to androgen deprivation therapy * Prior exposure to chemotherapy, immunotherapy, or radiation therapy * History of cardiac bypass surgery or percutaneous coronary intervention * History of cardiac pacemaker or defibrillator
Where it's running
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Emory Proton Therapy Center
Atlanta, Georgia, United States Recruiting -
Winship at Emory Midtown
Atlanta, Georgia, United States Recruiting -
Emory University Hospital/Winship Cancer Institute
Atlanta, Georgia, United States Recruiting -
Emory Saint Joseph's Hospital
Atlanta, Georgia, United States Recruiting
Study contacts
- Principal investigator: Sagar A Patel, MD — Emory University Hospital/Winship Cancer Institute
- Study coordinator: Bill Zheng, BS
- Email: bill.zheng@emory.edu
- Phone: 404-686-6856
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Using advanced imaging to predict lymph node spread in high-risk prostate cancer
This study is testing a new imaging method to see if it can help doctors predict whether high-risk prostate cancer has spread to lymph nodes before surgery.
-
Comparing shorter radiation therapy to standard radiation for high-risk prostate cancer
This study is testing if a shorter, more intense radiation treatment for high-risk prostate cancer can work just as well as the standard longer treatment.
-
High-dose vitamin D for bone health in older prostate cancer patients on hormone therapy
This study is testing if high-dose vitamin D can help older prostate cancer patients on hormone therapy keep their bones strong and reduce the risk of falls and fractures.
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Androgen therapy with or without niraparib for high-risk prostate cancer after radiation
This study is testing whether adding the drug niraparib to hormone therapy after radiation can help men with high-risk prostate cancer do better than hormone therapy alone.
-
Combining high dose-rate brachytherapy and stereotactic body radiotherapy for prostate cancer treatment
This study is testing whether combining two types of radiation therapy can improve treatment outcomes for men with prostate cancer.
-
MRI or CT planning to guide high-dose-rate prostate brachytherapy
This trial tests whether adding an MRI to CT-based treatment planning for HDR prostate brachytherapy changes urinary side effects in men with localized prostate cancer.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.