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Trial Title: Efficacy and Safety of Apalutamide in Combination With 89Sr as Neoadjuvant Therapy in Prostate Cancer With ≤10 Bone Metastases

NCT ID: NCT05740488

Condition: Prostate Cancer With ≤10 Bone Metastases

Conditions: Official terms:
Prostatic Neoplasms
Neoplasm Metastasis
Bone Neoplasms
Bone Marrow Diseases
Hormones
Prolactin Release-Inhibiting Factors

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Apalutamide
Description: 240mg, po, qd
Arm group label: apalutamide combined with 89Sr and ADT

Intervention type: Drug
Intervention name: 89Sr
Description: 100~150MBq(based on weight), iv, q90d
Arm group label: apalutamide combined with 89Sr and ADT

Intervention type: Drug
Intervention name: Luteinizing Hormone-Releasing Hormone Analog
Description: sc, 3.6mg, q30d or 10.8mg, q90d
Arm group label: apalutamide combined with 89Sr and ADT

Summary: The aim of this study is to evaluate the efficacy and safety of apalutamide in combination with 89Sr as neoadjuvant therapy in prostate cancer with ≤10 bone metastases. The primary endpoint is PFS and the second endpoints are pCR, rPFS, PSA response, pain score, number and extent of bone metastases.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Prostate cancer confirmed by pathological findings; 2. Bone metastasis confirmed by bone scan, the number of bone metastases ≤10 3. Agreement to undergo laparoscopic radical prostatectomy + pelvic lymphadenectomy; 4. ECOG score of 0 - 1 5. Agreement to undergo preoperative and postoperative endocrine therapy and 89Sr radionuclide therapy; 6. Voluntary signing of an ICF for the clinical trial Exclusion Criteria: 1. Any other tumor disease requiring treatment; 2. Any organ metastasis confirmed by imaging, such as liver and brain metastases, or the possibility of paralysis due to spinal cord metastasis; 3. A history of epilepsy or any condition that may lead to seizures; 4. Severe liver or kidney dysfunction, severe cardiovascular or cerebrovascular diseases, and systemic immune system diseases

Gender: Male

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: zhujiang Hospital of Southern Medical University

Address:
City: Guangzhou
Zip: 510200
Country: China

Status: Recruiting

Contact:
Last name: yiming zhang

Start date: January 7, 2022

Completion date: December 2025

Lead sponsor:
Agency: Zhujiang Hospital
Agency class: Other

Source: Zhujiang Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05740488

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