Clinical trial Recruiting at 4 sites Phase 3 Interventional Ages 18 and up Men only

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.

More Stage III Prostate Cancer AJCC v8 trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexMen only
Enrollment72 (estimated)
SponsorEmory University
Academic / other
Drugs / interventionschemotherapy, immunotherapy, radiation, prednisone
Locations4 sites (Atlanta, Georgia and 3 other locations)
StatusRecruiting
StartedJanuary 31, 2025
Main results expectedJuly 1, 2029
Study endsJuly 1, 2029
Registry record updatedFebruary 24, 2026
Trial IDNCT06650579 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

  • 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.

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.