Maximal Cytoreductive Therapies on Post-treatment Metastases in Pts With mHSPC During Apalutamide Plus ADT Treatment
NCT05717582 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 47
Last updated 2023-02-08
Summary
To assess the feasibility and safety of Maximal cytoreductive therapies in patients with de novo mCSPC who achieve ≤10 oligopersistent metastases on PSMA PET CT after initial 3-month systemic treatment with apalutamide plus ADT. Maximal cytoreductive therapies consist of 1.cytoreductive radical prostatectomy with/without PLND guided by post-treatment PET 2.metastasis-directed therapy with radiation guided by post-treatment oligopersistent metastases. All patients receive continuous systemic treatment with apalutamide plus ADT.
Conditions
- Metastatic Prostate Cancer
- Castration-Sensitive Prostate Cancer
Interventions
- DRUG
-
apalutamide
Patients receive apalutamide 240mg,qd,po.
- DRUG
-
androgen deprivation therapy
Patients receive systemic ADT.
- PROCEDURE
-
cytoreductive radical prostatectomy with/without pelvic lymph node dissection
Patients receive cytoreductive radical prostatectomy with/without pelvic lymph node dissection.
- RADIATION
-
metastasis-directed therapy with radiation
Patients receive metastasis-directed therapy with radiation guided by post-treatment oligopersistent metastases.
Sponsors & Collaborators
-
Fudan University
lead OTHER
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-05-01
- Primary Completion
- 2025-12-31
- Completion
- 2026-12-31
Countries
- China
Study Locations
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