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Trial Title: Cytoreductive Prostatectomy Combined With Triple or Dual Systemic Therapy in mHSPC Patients

NCT ID: NCT06350825

Condition: Metastatic Prostate Cancer
Therapy, Directly Observed

Conditions: Official terms:
Prostatic Neoplasms
Androgen Antagonists

Conditions: Keywords:
prostate cancer
cytoreductive prostatectomy

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: randomized control

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Procedure
Intervention name: Cytoreductive prostatectomy or brachytherapy
Description: local treatment+SOC for metastatic prostate cancer
Arm group label: Local treatment group

Other name: surgery or radiation therapy+SOC

Intervention type: Drug
Intervention name: ADT+second-generation antiandrogens ± chemotherapy
Description: SOC(Triplet or doublet therapy) for mHSPC
Arm group label: SOC group

Other name: hormonal therapy or chemotherapy

Summary: To evaluate: The radiographic progression-free survival (rPFS) of metastatic hormone-sensitive prostate cancer (mHSPC) patients treated with androgen deprivation therapy (ADT) + second-generation antiandrogens±chemotherapy combined with cytoreductive prostatectomy (CRP)

Detailed description: To investigate the multimodality approaches for mHSPC

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Male aged ≥18 and ≤75; 2. Histologically confirmed prostate adenocarcinoma; 3. Evidence of metastasis confirmed by magnetic resonance imaging (MRI)/computed tomography (CT) scan, bone scan, or histology; 4. Clinical stage M1a (distant lymph node positive), M1b (bone metastasis), or M1c (visceral organ metastasis); 5. Prostate cancer has not received local treatment (e.g., prostate radiotherapy, cryotherapy, etc.); 6. The surgeon believes the prostate can be removed; Exclusion Criteria: 1. The surgeon believes the disease is unresectable; 2. Life expectancy less than 2 years; 3. Active spinal cord compression; 4. History of prior local treatment for prostate cancer; 5. Difficulty swallowing, chronic diarrhea, intestinal obstruction, and other factors affecting drug intake and absorption; 6. Refusal to sign the informed consent; 7. Investigator believes the individual is not suitable for inclusion.

Gender: Male

Minimum age: 18 Years

Maximum age: 75 Years

Healthy volunteers: No

Locations:

Facility:
Name: The First Affiliated Hospital of Nanjing Medical University

Address:
City: Nanjing
Zip: 210029
Country: China

Status: Recruiting

Contact:
Last name: Shangqian Wang, M.D.

Phone: 13770561625
Email: wsq5501@126.com

Investigator:
Last name: Lixin Hua, M.D.
Email: Principal Investigator

Start date: January 1, 2016

Completion date: December 31, 2028

Lead sponsor:
Agency: The First Affiliated Hospital with Nanjing Medical University
Agency class: Other

Source: The First Affiliated Hospital with Nanjing Medical University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06350825

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