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NCT06650579RecruitingPhase 3

REVELUTION-2: Relugolix+Abiraterone Acetate (AA) Versus Leuprolide+AA Cardiac Trial

Randomized Controlled Trial of Leuprolide Plus Abiraterone Acetate (AA) Versus Relugolix Plus AA for Advanced Prostate Cancer: The REVELUTION-2 Trial

Source: ClinicalTrials.gov · Last updated 24 Feb 2026

Brief summary (registry, in English)

This phase III/IV trial compares the impact of leuprolide and abiraterone acetate (AA) versus relugolix and AA on the heart in hormone-naive patients with advanced prostate cancer receiving pelvic radiation therapy. Leuprolide is in a class of medications called gonadotropin-releasing hormone agonists (GNRHa). It prevents the body from making luteinizing hormone-releasing hormone (LHRH) and luteinizing hormone (LH). This causes the testicles to stop making testosterone (a male hormone) in men and may stop the growth of prostate tumor cells that need testosterone to grow. Abiraterone acetate, an androgen biosynthesis inhibitor, works by decreasing the amount of certain hormones in the body. Relugolix, a GNRH antagonist, works by decreasing the amount of testosterone produced by the body. This may slow or stop the spread of prostate tumor cells that need testosterone to grow. The use of hormone therapy with radiation therapy has been shown to improve survival, however, studies have suggested that the addition of hormone therapy may worsen heart (cardiac) disease and high blood pressure. In fact, studies have shown that the most common cause of death in prostate cancer patients is due to heart disease or heart attacks. Computed tomography (CT) scans create a series of detailed pictures of areas inside the body; the pictures are created by a computer linked to an x-ray machine. In this study, sophisticated cardiac CT images are used to take pictures of patients' heart and coronary arteries to help assess damage to the heart. Using cardiac CT and blood tests, this trial may help doctors determine which patients are at risk of cardiac disease when treated with combination hormone therapy, as well as the differential risk of leuprolide versus relugolix in combination with abiraterone acetate.

Status (registry)
Recruiting
Phase (registry)
Phase 3
Study type
Interventional
Enrollment
72 (estimated)
First submitted
18 Oct 2024
Start date
31 Jan 2025
Primary completion date
1 Jul 2029
Lead sponsor
Emory University
NCT number
NCT06650579

What you commit to

  • Study type: Interventional · Phase 3
  • Planned participants: 72
  • From 31 Jan 2025 to the primary completion date, 1 Jul 2029
  • 4 sites in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Prior exposure to androgen deprivation therapy
  • Prior exposure to chemotherapy, immunotherapy, or radiation therapy

Other illness

  • Metastatic prostate cancer requiring indefinitive ADT or chemotherapy
  • History of cardiac bypass surgery or percutaneous coronary intervention
  • History of cardiac pacemaker or defibrillator

Who the study is looking for

  • 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

Age in the registry: 18 years to - · Sex: Male · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (4)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Emory University Hospital/Winship Cancer Institute
Coordinator of this site? Confirm its status
AtlantaUnited StatesRecruiting
Emory Saint Joseph's Hospital
Coordinator of this site? Confirm its status
AtlantaUnited StatesRecruiting
Winship at Emory Midtown
Coordinator of this site? Confirm its status
AtlantaUnited StatesRecruiting
Emory Proton Therapy Center
Coordinator of this site? Confirm its status
AtlantaUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.