Radiotherapy or Radical Prostatectomy Combined With Intense Androgen Deprivation Therapy for Newly Diagnosed Metastatic Prostate Cancer: A Multi-center Randomized Controlled Phase II Trial

Status: Recruiting
Location: See location...
Intervention Type: Drug, Procedure, Radiation
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This multi-center randomized controlled phase II trial was carried out in several hospitals in China to evaluate the efficacy and safety of radiotherapy or radical prostatectomy combined with intense androgen deprivation therapy for newly diagnosed metastatic prostate cancer.

Eligibility
Participation Requirements
Sex: Male
Minimum Age: 18
Maximum Age: 80
Healthy Volunteers: f
View:

• Histologically or cytologically confirmed prostate adenocarcinoma, with distant metastasis diagnosed by novel imaging modalities (PSMA PET/CT or PSMA PET/MR), involving ≤10 metastatic sites (amenable to local therapy) and without visceral metastasis.

• The primary lesion is deemed resectable, or can achieve a resectable state following IADT.

• Non-castration range (≥50 ng/dl), or the duration of testosterone levels in the castration range is no more than 3 months.

• Eastern Cooperative Oncology Group (ECOG) physical condition score ≤ 1.

• Patients must have adequate hematologic function, hepatic function and renal function.

• Patients must participate voluntarily and sign an informed consent form(ICF), indicating that they understand the purpose and required procedures of the study, and are willing to participate in. Patients must be willing to obey the prohibitions and restrictions specified in the research protocol.

• Fertile patients must be willing to use highly effective contraception during the study period.

Locations
Other Locations
China
Department of Urology, Drum Tower Hospital, Medical School of Nanjing University, Institute of Urology, Nanjing University
RECRUITING
Nanjing
Contact Information
Primary
Junlong Zhuang, PhD
zhuangjl-2008@163.com
+86 15950451917
Backup
Hongqian Guo, PhD
Time Frame
Start Date: 2024-08-01
Estimated Completion Date: 2028-07-31
Participants
Target number of participants: 144
Treatments
Active_comparator: Intense androgen deprivation therapy (IADT)
Patients received ADT plus ARi (enzalutamide, apalutamide, darolutamide or rezvilutamide) for 2 years in the Intense androgen deprivation therapy (IADT) group.
Experimental: Radiotherapy or Surgery plus IADT
For patients in the experimental group, local treatment either radiotherapy or surgery was arranged in addition to systemic ADT plus ARi. Those allocated radiotherapy received 70Gy/2.8Gy/25f schedule for primary tumor and 70Gy/2.6-2.8Gy/25f or 37.5Gy/7.5Gy/5f for metastatic lymph nodes and bone lesions based on the size and location. While those allocated surgery received robot-assisted laparoscopic radical prostaectomy plus extended pelvic lymph node dissection for local treatment.
Related Therapeutic Areas
Sponsors
Collaborators: The First Affiliated Hospital of Soochow University, Peking University First Hospital, Beijing, CHINA
Leads: The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School

This content was sourced from clinicaltrials.gov