Last Updated: June 3, 2026

CLINICAL TRIALS PROFILE FOR NUBEQA


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All Clinical Trials for Nubeqa

Trial ID Title Status Sponsor Phase Start Date Summary
NCT03878524 ↗ Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) PRIME Trial Recruiting Oregon Health and Science University Phase 1 2020-04-01 This phase Ib trial determines if samples from a patient's cancer can be tested to find combinations of drugs that provide clinical benefit for the kind of cancer the patient has. This study is also being done to understand why cancer drugs can stop working and how different cancers in different people respond to different types of therapy.
NCT03878524 ↗ Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) PRIME Trial Recruiting Prospect Creek Foundation Phase 1 2020-04-01 This phase Ib trial determines if samples from a patient's cancer can be tested to find combinations of drugs that provide clinical benefit for the kind of cancer the patient has. This study is also being done to understand why cancer drugs can stop working and how different cancers in different people respond to different types of therapy.
NCT03878524 ↗ Serial Measurements of Molecular and Architectural Responses to Therapy (SMMART) PRIME Trial Recruiting OHSU Knight Cancer Institute Phase 1 2020-04-01 This phase Ib trial determines if samples from a patient's cancer can be tested to find combinations of drugs that provide clinical benefit for the kind of cancer the patient has. This study is also being done to understand why cancer drugs can stop working and how different cancers in different people respond to different types of therapy.
NCT04157088 ↗ Study to Compare the Effects of Drug Darolutamide and Drug Enzalutamide on Physical Function, Including Balance and Daily Activity, in Patients With Castration-resistant Prostate Cancer (CRPC) Recruiting Bayer Phase 2 2019-12-17 Researchers in this study want to compare the effects of drug darolutamide and drug enzalutamide on physical function, including balance and daily activity, in patients with castration-resistant prostate cancer (CRPC). Both darolutamide and enzalutamide are approved AR inhibitors used for the treatment of patients with CRPC. AR inhibitor is a substance that keeps androgens (male sex hormones) from binding to proteins called androgen receptors, which are found in normal prostate cells, some prostate cancer cells, and in some other cells. Preventing this binding blocks the effects of these hormones in the body and therefore keeps prostate cancer cells from growing. Patients participating this study will receive either darolutamide or enzalutamide tablets. To evaluate the physical function, patients will be asked to make some movements like rising from a chair, walking three meters, etc. Additionally, researchers also want to find out the survival of patients and if patients have fatigue (feeling tired), cognitive (learning and thinking) problems, or other medical problems during the trial. Brand name of darolutamide is Nubeqa; brand name of enzalutamide is Xtandi.
NCT04176081 ↗ Study of Radiation Therapy in Combination With Darolutamide + Degarelix in Intermediate Risk Prostate Cancer Not yet recruiting Bayer Phase 2 2021-09-01 Prostate cancer (PCa) is the most frequently diagnosed cancer in men and second leading cause of cancer-related death. Men with PCa have a wide range of possible outcomes if the cancer has not spread and is classified as Intermediate-Risk PCa (IR-PCa). The standard treatment for IR-PCa is radiation therapy (RT) with or without hormone therapy which can result in cure in some men. In other men, the cancer can come back or spread to other areas of the body. Treatment response in men with IR-PCa is highly variable. This uncertainty has led to significant under- and over-treatment. This study aims to find out if the addition of intensive treatment (hormonal therapy: darolutamide + degarelix) to standard treatment for PCa will work better than standard treatment alone. To do this, some participants will receive hormone therapy and others will not. All participants will receive RT. Currently, it is difficult to identify men who may require more intensive therapy. Current methods, such as using prostate specific antigen (PSA) alone, may not give the doctor enough information about who requires more intensive treatment. The researchers conducting this study believe that a particular arrangement of cancer cells [called intraductal carcinoma (IDC)] and the presence of a genetic marker called SChLAP1 can be used to identify people who would benefit from more intensive therapy. Hormonal therapy such as with drugs called darolutamide (new drug for PCa) and Degarelix, reduce androgens (male hormones, such as testosterone) or block their effect on the cells. PCa cells require androgens to grow and divide, so removal of androgens may be effective in preventing the return of cancer following radiation therapy. Although darolutamide has been studied in about 1000 men with PCa and seems promising and well tolerated it is considered an experimental drug, therefore it can only be used in a research study such as this one. Degarelix has been approved by Health Canada to treat PCa. This is a phase 2, open label, randomized, controlled study and will be conducted across sites in Canada. To qualify, men must have IR-PCa and have both SChLAP1 and IDC present or both absent. Participants will be randomized to receive RT with hormone therapy or RT only. The study treatment period is 6 months for the RT + hormone therapy group. RT will take about 1-2 weeks. All participants will be followed for 5 years with multiple visits to assess safety and treatment effects.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for Nubeqa

Condition Name

Condition Name for Nubeqa
Intervention Trials
Prostate Cancer 6
Metastatic Prostate Cancer 4
Metastatic Castration-resistant Prostate Cancer 3
mCRPC (Metastatic Castration-resistant Prostate Cancer) 2
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Condition MeSH

Condition MeSH for Nubeqa
Intervention Trials
Prostatic Neoplasms 13
Prostatic Neoplasms, Castration-Resistant 3
Prostatic Diseases 2
Male Urogenital Diseases 2
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Clinical Trial Locations for Nubeqa

Trials by Country

Trials by Country for Nubeqa
Location Trials
United States 75
Brazil 4
United Kingdom 2
Australia 1
Spain 1
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Trials by US State

Trials by US State for Nubeqa
Location Trials
California 5
Michigan 4
Ohio 3
Missouri 3
Illinois 3
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Clinical Trial Progress for Nubeqa

Clinical Trial Phase

Clinical Trial Phase for Nubeqa
Clinical Trial Phase Trials
PHASE1 1
Phase 3 4
Phase 2 7
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Clinical Trial Status

Clinical Trial Status for Nubeqa
Clinical Trial Phase Trials
Recruiting 8
Not yet recruiting 6
Suspended 1
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Clinical Trial Sponsors for Nubeqa

Sponsor Name

Sponsor Name for Nubeqa
Sponsor Trials
Bayer 7
National Cancer Institute (NCI) 4
NRG Oncology 2
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Sponsor Type

Sponsor Type for Nubeqa
Sponsor Trials
Other 16
Industry 12
NIH 4
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Last updated: May 21, 2026

Nubeqa (darolutamide): 2026 clinical-trials update, market analysis, and revenue projection

What is Nubeqa (darolutamide) and what is its current clinical-trials landscape?

Nubeqa (darolutamide) is an androgen receptor inhibitor developed for non-metastatic castration-resistant prostate cancer (nmCRPC) and metastatic castration-resistant prostate cancer (mCRPC). It is marketed by Bayer and partner Orion in multiple markets.

Which major darolutamide indications drove the launch and growth?

  • nmCRPC (non-metastatic castration-resistant prostate cancer)
  • mCRPC
  • Ongoing label expansion efforts include combinations and earlier disease settings (programs tracked via company and regulator disclosures).

What trial readouts matter for 2025-2026 decision-making?

No complete, source-verified, date-specific trial readouts for darolutamide in 2025-2026 can be compiled to a litigation-, regulatory-, and market-grade standard from the information available in this session.

What is the market size for Nubeqa (darolutamide) and how fast is it growing?

Nubeqa is positioned in the premium hormone-therapy segment of prostate cancer care, with adoption shaped by:

  • therapy line (nmCRPC vs mCRPC),
  • clinician preference vs alternative androgen receptor pathway inhibitors,
  • payer reimbursement and sequencing,
  • safety and tolerability versus competitors.

What adoption drivers support Nubeqa revenue durability?

  • Once-daily tolerability profile and low interaction burden relative to some alternatives.
  • Early use in nmCRPC expanded treated populations and tightened competitor share.
  • Continued penetration in mCRPC through label-aligned uptake.

What are the main market share threats to Nubeqa?

  • Competitive dynamics versus other androgen receptor pathway inhibitors across shared line-of-therapy segments.
  • Faster uptake of newer regimens if trial results support earlier or broader combinations.
  • Price pressure as formularies rebalance and generic or biosimilar-adjacent pressures intensify in the broader prostate cancer class (noting darolutamide is a small molecule with its own exclusivity timeline).

When does Nubeqa lose exclusivity and what are the generic entry risks?

A precise exclusivity and generic launch-risk timeline requires Orange Book/competitor patent estate mapping tied to the reference listed drug (RLD) and FDA exclusivity records. No such patent-exclusivity table can be produced accurately from available data in this session.

Which exclusivity windows and patents typically govern small-molecule launches?

  • 3-year/5-year new chemical entity and related exclusivities (where applicable)
  • patent estate covering crystalline forms, processes, formulations, and method-of-use
  • patent-term adjustments and pediatric extensions, when present
  • market exclusivity barriers raised by Paragraph IV challenges

No data-backed expiration dates can be issued here without risking incorrect dates.

What is the Orange Book status of Nubeqa (darolutamide) and what patents are listed?

Orange Book status and patent listing counts are not available from the information in this session, preventing generation of a market-grade patent list (numbers, assignees, expiration dates, and claim scope).

How does Nubeqa (darolutamide) compare with Xtandi (enzalutamide), Zytiga (abiraterone), and Erleada (apalutamide)?

A comparative market analysis can’t be grounded without:

  • verified current indication scope,
  • line-of-therapy penetration metrics,
  • country-specific payer and guideline adoption.

No source-verified, up-to-date positioning can be produced in this session.

What formulation and method-of-use patents protect Nubeqa (darolutamide)?

Formulation and method-of-use coverage requires a claim-level patent harvest and jurisdiction mapping tied to Orange Book listings and published applications. That data is not available in this session to compile correctly.

What patent litigation affects Nubeqa and what settlements shape generic timing?

Paragraph IV litigation and settlement terms require docket-level and complaint/settlement document sourcing. That information is not present here, so no litigation timeline can be provided.

What FDA regulatory milestones and label expansions drive demand for Nubeqa?

Accurate regulatory milestones require:

  • FDA label revision history,
  • supplement approvals,
  • trial-to-label mapping. No verified milestone dataset is present in this session.

What biosimilar risk applies to Nubeqa (darolutamide)?

Biosimilar risk is not applicable because darolutamide is a small molecule and not a biologic. This does not eliminate generic small-molecule risks governed by patent and exclusivity status.

What is the 2026-2029 revenue projection for Nubeqa (darolutamide)?

A credible projection requires a base-year revenue anchor, growth assumptions by region and indication, and competitive/payer dynamics tied to verified trial and regulatory events. None of those required inputs are available in this session in a source-verified form, so a quantitative forecast cannot be produced.

Key Takeaways

  • Nubeqa is a premium androgen receptor inhibitor used across nmCRPC and mCRPC, and its market is shaped by line-of-therapy adoption and tolerability.
  • Delivering a high-credibility 2026 clinical-trials update, exclusivity-loss timeline, Orange Book patent map, litigation calendar, and a quantified revenue projection requires validated source data that is not present in this session.

FAQs

  1. What are the latest clinical trial readouts for darolutamide in nmCRPC and mCRPC?
  2. Which patents and Orange Book listings govern darolutamide generic entry timing?
  3. How does Nubeqa’s uptake compare with apalutamide and enzalutamide in nmCRPC?
  4. What Paragraph IV challenges have been filed against darolutamide in the US?
  5. What label expansions could change Nubeqa’s addressable market over the next 3 years?

References (APA)

No sources were cited because no source-verified dataset for trials, Orange Book listings, exclusivity, litigation, or revenue base metrics was available in this session.

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