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Not yet recruitingNCT07882862Updated Oct 20, 2026

HRT-PC Trial: Hormone Recovery After Treatment for Prostate Cancer Trial. An Open-label Phase II Study of Clomiphene Citrate in Patients With Persistent Hypogonadism After ADT for Treatment of Localized Prostate Cancer

A Phase 2 interventional study of Clomiphene Citrate 25mg in Prostate Cancer, sponsored by University of Nebraska. Not yet recruiting at 1 site in United States. Open to male participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-10-20.

Sponsored by University of Nebraska · Phase 2, Interventional, and Treatment

Updated Oct 20, 2026Newly registeredGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
83
Allocation
Non-randomized
Ages
19 Years and older
Sex
Male
01

Study summary

The purpose of this phase II trial is to assess the clinical utility of clomiphene citrate for the augmentation of testosterone in prostate cancer survivors who complete androgen deprivation therapy (ADT), including the efficacy and tolerability of clomiphene, patient-reported quality of life outcomes, metabolic effects, biomarkers of response, and the oncologic safety of increasing testosterone.

Up to 83 eligible participants who have completed radiation and ADT for non-metastatic prostate cancer will participate in this study. Participants are assigned to one of two cohorts: Cohort A is comprised intermediate-risk survivors who underwent short-course ADT (4-17 mo.) and are hypogonadal ≥6 months after ending ADT, and Cohort R is comprised of survivors who recovered to eugonadal levels of testosterone (≥ 300 ng/dL) within 6 months after ending ADT.

Participants will be evaluated for clinical findings, toxicities, laboratory abnormalities (CBC, CMP, Lipid panel, Hgb A1C), changes to the hypothalamic-pituitary-gonadal axis (E2, LH, FSH, TT) [dependent on Cohort], biochemical recurrence (PSA), and quality of life (FACT-P, FACT-Fatigue, qADAM).

Cohort R is an observational natural-recovery control group and will not be treated. Cohort A will be treated with oral clomiphene citrate, 25 mg, once daily for 6 months, then tested for persistence of response (eugonadal testosterone) after a 1-month washout period.

After completing study assessments, participants will transition to standard survivorship follow-up. Thereafter, long-term health outcomes will be reviewed to determine the rates of biochemical recurrence and metastasis after 5 years.

02

Conditions studied

  • Prostate Cancer

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03

In context

Prostatic Neoplasms

6,484 studies on the registry are indexed under Prostatic Neoplasms; 1,415 are open to participants now.

This study's planned enrollment of 83 is above the median of 58 across 4,908 interventional studies indexed under Prostatic Neoplasms.

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Lead sponsor

University of Nebraska is the lead sponsor of 495 studies on the registry; 68 are open to participants now.

Of its 83 completed or terminated interventional studies of FDA-regulated products, 52 (63%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Histologic diagnosis of adenocarcinoma of the prostate
  2. No evidence of metastatic disease
  3. Prior definitive local therapy with radiation
  4. Prior definitive continuous ADT 4-17 months in duration (treatment may include abiraterone).
  5. Available serum testosterone measurement. Testosterone \< 300 ng/dL is required for inclusion in Cohort A; testosterone ≥300 ng/dL is required for inclusion in Cohort R.
  6. PSA \<0.1
  7. ECOG performance status \< 3
  8. Prior pre-treatment staging (bone and soft tissue imaging) that ruled out metastatic disease

Exclusion criteria

Exclusion Criteria:

  1. Known hypogonadism prior to initiation of ADT
  2. Prior prostatectomy
  3. Known endocrine or liver dysfunction
  4. Polycythemia
  5. Symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia
  6. Known intracranial tumor
  7. Psychiatric illness/social situations or geographical condition that would limit compliance with study requirements
  8. Use of clomiphene citrate, testosterone, or other hormone replacement therapy
  9. Recent (within the last 3 months) venous thromboembolism
  10. Severe lower urinary tract symptoms
  11. Use of inhibitors or inducers of CYP2D6
  12. Symptoms suggestive of recurrent or metastatic disease
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
83 participants (estimated)

Study arms

  • Experimental
    Cohort A - oral clomiphene citrate, 25 mg, once daily for 6 months

    Drug: Clomiphene Citrate 25mg

  • No intervention
    Cohort R is an observational natural-recovery control group and will not be treated

Interventions

  • Oral clomiphene citrate, 25 mg, once daily for 6 months, then tested for persistence of response (eugonadal testosterone) after a 1-month washout period

06

What researchers measure

Primary outcomes

  1. To evaluate the proportion of participants with eugonadal serum testosterone (≥ 300 ng/dL).

    Time frame: 6 Months

Secondary outcomes

  1. To evaluate the change in total testosterone as indicated by change from serum testosterone at baseline through end of study (EOS).

    Time frame: 8 years

07

Study locations

1 site
  • University if Nebraska Medical Center
    Omaha, Nebraska 68198, United States
    • IIT Office · Contact · IITOffice@unmc.edu · 402-559-5669
    • Benjamin Teply, MD · Principal investigator
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Oct 20, 2026
Show all 1 update
  1. Oct 20, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07882862
Responsible party
Sponsor
First posted
Oct 20, 2026
Start date
Jan 31, 2027 (estimated)
Primary completion
Jun 30, 2029 (estimated)
Completion
Jan 31, 2037 (estimated)
Last update
Oct 20, 2026

Study contacts

IIT Office
Contact
iitoffice@unmc.edu
402-559-4596
Benjamin Teply, MD
principal investigator · University of Nebraska

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Clomiphene

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