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Darolutamide

Phase 2

Prostate Cancer | Small molecule | Oncology |Veracyte, Inc.|Last Updated: Mar 19, 2026

Target and mechanism

Molecular targetAR
Target classAntagonist
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLEDDMC
Total Trials1
Total Enrollment493

FDA Designations

No designations recorded

Clinical trial landscape

Darolutamide · 1 trial · 1 indication

Phase 2 1
NCT06282588Treatment of High-Risk Prostate Cancer Guided by Novel Diagnostic Radio- and Molecular TracersProstate Cancer
RECRUITING493 Analytics
PHASE2RECRUITING
Treatment of High-Risk Prostate Cancer Guided by Novel Diagnostic Radio- and Molecular Tracers
Prostate CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Phase 3: PSMA PET metastasis free survival (ppMFS)
Time from randomization to the date of at least 1 new PSMA-PET positive distant lesion as compared to baseline or date of death from any cause, assessed up to 42 months

Improvement in PSMA PET metastasis free survival (ppMFS)

Phase 2: quality of life (sexual subdomain)
At 12 months

EPIC mean changes in sexual subdomain scores over time will be compared, both for change from baseline and absolute scores

Phase 2: quality of life (hormonal subdomain)
At 12 months

EPIC mean changes in hormonal subdomain scores over time will be compared, both for change from baseline and absolute scores

Secondary Endpoints

Overall survival
Time interval between randomization and time of death, assessed up to 42 months
Prostate-cancer specific survival
Time interval between randomization and prostate cancer death, assessed up to 42 months
Biochemical progression-free survival
Measured from the date of randomization to the date event, or death or censored at the last known follow-up date, assessed up to 42 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Phase 2 Open LabelEXPERIMENTALDarolutamide for up to 96 weeks (24 months) and primary SOC RT
Phase 3 Blinded ExperimentalEXPERIMENTALDarolutamide + LHRHA for up to 96 weeks (24 months) and primary SOC RT
Phase 3 Blinded ComparatorPLACEBO_COMPARATORDarolutamide matched placebo + LHRHA for up to 96 weeks (24 months) and primary SOC RT

Interventions

NameTypeDescription
DarolutamideDRUG2x300 mg tablets twice daily, for up to 96 weeks
Darolutamide matched placeboDRUG2x300 mg tablets twice daily, for up to 96 weeks
RadiotherapyRADIATIONPreferred regimens: 60 to 62 Gy delivered in 20 fractions of 3.0 to 3.1Gy per fraction; 36.25 Gy delivered in 5 fractions of 7.25 Gy per fraction, 2-3 fractions per week
Zoladex 3.6Mg ImplantDRUG3.6 mg, subcutaneous use
Zoladex LADRUG10.8 mg, subcutaneous use
Decapeptyl sustained release 22.5 mgDRUG22.5 mg, intramusculair injection
Decapeptyl sustained release 11.25 mgDRUG11.25 mg, intramusculair injection
Depo-Eligard 45 mgDRUG45 mg, subcutaneous use
Depo-Eligard 22.5 mgDRUG22.5 mg, subcutaneous use
Depo-Eligard 7.5 mgDRUG7.5 mg, subcutaneous use
Firmagon 120 MG InjectionDRUG120 mg, subcutaneous use
Firmagon 80 MG InjectionDRUG80 mg, subcutaneous use
DocetaxelDRUG75 mg per square m, IV infusion
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Eligibility Criteria

Age Range18 Years to N/A
SexMALE
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: 1. Histopathology-proven PCa 2. High-risk locally advanced disease is defined as any of the following factors: PSA \> 20 ng/mL OR T-stage 3 or 4 OR Gleason score 8-10 OR cN1. Note: documentation of the clinical T-stage may be obtained from any clinical assessment acceptable ...

Countries:Belgium
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Competitive Landscape -Prostate Cancer 252 trials

Frequently asked questions about Darolutamide

What is Darolutamide used for in Prostate Cancer?

Darolutamide is an investigational small molecule being studied for the treatment of prostate cancer. It is currently in Phase 2 clinical development, evaluated in a randomized, double-blind, placebo-controlled trial for high-risk prostate cancer. The drug is not yet approved and remains under clinical investigation.

What does Darolutamide target?

Darolutamide targets the androgen receptor (AR) and acts as an antagonist. By blocking the androgen receptor, it is designed to interfere with androgen signaling that can drive prostate cancer growth. This mechanism is being evaluated in a Phase 2 clinical trial for prostate cancer.

Who is developing Darolutamide?

Darolutamide is being developed by Veracyte, Inc., a company traded on the stock exchange under the ticker VCYT. The company is conducting a Phase 2 clinical trial of darolutamide in prostate cancer, with the study currently recruiting participants in Belgium.

What phase is Darolutamide in?

Darolutamide is in Phase 2 clinical development. It is an investigational drug, not yet approved by regulatory authorities. The ongoing Phase 2 trial is a randomized, double-blind, placebo-controlled study enrolling 493 male participants aged 18 years and older with prostate cancer.

What clinical trials is Darolutamide in?

Darolutamide is being studied in one active Phase 2 clinical trial with the identifier NCT06282588. The trial, titled 'Treatment of High-Risk Prostate Cancer Guided by Novel Diagnostic Radio- and Molecular Tracers,' is recruiting participants in Belgium. The study is randomized, double-blind, and placebo-controlled, with a planned enrollment of 493 participants.