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临床试验/NCT04997252
NCT04997252招募中不适用

An Evaluation of the Efficacy and Safety of Apalutamide as Neoadjuvant Endocrine Therapy in High-Risk and Oligometastatic Prostate Cancer

Zhujiang Hospital1 个研究点 分布在 1 个国家目标入组 50 人开始时间: 2021年2月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
不适用
状态
招募中
发起方
入组人数
50
试验地点
1
主要终点
rPFS

研究概览

简要总结

The neoadjuvant therapy with apalutamide can significantly improve the prognosis of patients with high-risk and oligometastatic prostate cancer, lower the rate of positive margins, reduce recurrence, and show high safety.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Male
接受健康志愿者

入选标准

  • Adult males aged above 18 years old, no healthy volunteers included;
  • Prostate cancer confirmed by pathological findings;
  • High risk based on risk assessment, or laboratory tests suggestive of oligometastasis;
  • Agreement to undergo laparoscopic radical prostatectomy + pelvic lymphadenectomy;
  • ECOG score of 0 - 1
  • Agreement to undergo preoperative and postoperative endocrine therapy;
  • Voluntary signing of an ICF for the clinical trial

排除标准

  • Any other tumor disease requiring treatment;
  • Any organ metastasis confirmed by imaging, such as liver and brain metastases, or the possibility of paralysis due to spinal cord metastasis;
  • A history of epilepsy or any condition that may lead to seizures;
  • Severe liver or kidney dysfunction, severe cardiovascular or cerebrovascular diseases, and systemic immune system diseases.

研究组 & 干预措施

high-risk and oligometastatic prostate cance

Experimental

Neoadjuvant therapy with apalutamide in combination with luteinizing hormone-releasing hormone analogues

干预措施: Apalutamide (Drug)

结局指标

主要结局

rPFS

时间窗: Change from Baseline at preoperative 1, 2, and 3 months and postoperative 1, 3, 6, 9, 12, 18, and 24 months.

radiographic progression-free survival

次要结局

  • pCR(preoperative 1, 2, and 3 months and postoperative 1, 3, 6, 9, 12, 18, and 24 months.)
  • PFS(preoperative 1, 2, and 3 months and postoperative 1, 3, 6, 9, 12, 18, and 24 months.)
  • PSA response rate:(preoperative 1, 2, and 3 months and postoperative 1, 3, 6, 9, 12, 18, and 24 months.)
  • TTPP(preoperative 1, 2, and 3 months and postoperative 1, 3, 6, 9, 12, 18, and 24 months.)
  • time to BCR after surgery(preoperative 1, 2, and 3 months and postoperative 1, 3, 6, 9, 12, 18, and 24 months.)
  • pathological stage(preoperative 1, 2, and 3 months and postoperative 1, 3, 6, 9, 12, 18, and 24 months.)

研究者

发起方
Zhujiang Hospital
申办方类型
Other
责任方
Principal Investigator
主要研究者

Binshen Chen

associate chief physician

Zhujiang Hospital

研究点 (1)

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