Prostate Androgen Response Investigation Using a Stratification BIOmarker; Predicting Prostate Cancer Downstaging by Neoadjuvant Darolutamide With PCAI ImmunoScore
NCT07617272 · Status: RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2026-06-01
Summary
The PARIS-BIO study evaluates whether a novel genomic biomarker, the PCAI ImmunoScore, can predict the response to neoadjuvant treatment with Darolutamide in patients with high-risk localized or locally advanced prostate cancer. Patients will receive Darolutamide monotherapy for 90-120 days prior to radical prostatectomy. The study aims to validate if the biomarker can identify patients who achieve Minimal Residual Disease (MRD) at the time of surgery.
Conditions
- Prostate Cancer (Adenocarcinoma)
Interventions
- DRUG
-
Neoadjuvant Darolutamide alone (without ADT) 2x300 mg orally twice daily is given to all study subjects for 90-120 days prior to prostatectomy.
- PROCEDURE
-
Radical prostatectomy
Robot-assisted radical prostatectomy, with or without extirpation of pelvic lymph nodes according to clinician's choice in concordance with local guidelines
Sponsors & Collaborators
-
Sahlgrenska University Hospital
collaborator OTHER -
Philips Intellectual Property & Standards
collaborator UNKNOWN -
OHMX.bio
collaborator UNKNOWN - collaborator OTHER
- collaborator INDUSTRY
-
Region Stockholm
lead OTHER_GOV
Principal Investigators
-
Peter N Wiklund, MD, Professor · Region Stockholm represented by Karolinska University Hospital
Study Design
- Allocation
- NA
- Purpose
- OTHER
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-11-09
- Primary Completion
- 2027-06-30
- Completion
- 2030-12-31
Countries
- Sweden
Study Locations
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