Trial Condition(s):

Biochemically recurrent prostate cancer

A study to compare darolutamide given with Androgen Deprivation Therapy (ADT) with ADT in men with hormone sensitive prostate cancer and raise of Prostate Specific Antigen (PSA) levels after local therapies (ARASTEP)

Bayer Identifier:

21492

ClinicalTrials.gov Identifier:

NCT05794906

EudraCT Number:

Not Available

EU CT Number:

2022-501343-33-00

Recruiting

Trial Purpose

Researchers are looking for a better way to treat men at high-risk of biochemical recurrence (BCR) of prostate cancer.

BCR means that in men who had prostate cancer and were treated by either surgery and/ or radiation therapy, the blood level of a specific protein called PSA rises. PSA is a marker of prostate cancer cells activity. The PSA increase means that the cancer has come back even though conventional imaging such as computed tomography (CT) scans, magnetic resonance imaging (MRI) and bone scans does not show any lesion of prostate cancer. Recently a more sensitive imaging method called prostate-specific membrane antigen [PSMA] positron emission tomography [PET]) /computed tomography [CT]) scan may identify prostate cancer lesions not detectable by conventional imaging. Men with BCR have a higher risk of their cancer spreading to other parts of the body, particularly when PSA levels raised to a certain limit within a short period of time after local therapies. Once the cancer spreads to other parts of the body, it can become even harder to treat.

In men with prostate cancer, male sex hormones (also called androgens) like testosterone can help the cancer grow and spread. To reduce androgens levels in these patients, there are treatments that block androgens production in the body called androgen deprivation therapy (ADT). ADT is often used to stop prostate cancer. Another way to stop prostate cancer growth and spread is to block the action of androgen receptors on prostate cancer cells called androgen receptor inhibitors (ARIs). The new generation ARIs including darolutamide can block the action of androgens receptors and are available for the treatment of prostate cancer in addition to ADT. It is already known that men with prostate cancer benefit from these treatments.

The main objective of this study is to learn if the combination of darolutamide and ADT prolongs the time that the participants live without their cancer getting worse, or to death due to any cause, compared to placebo (which is a treatment that looks like a medicine but does not have any medicine in it) and ADT given for a pre-specified duration of 24 months.

To do this, the study team will measure the time from the date of treatment allocation to the finding of new cancer spread in the participants by using PSMA PET/CT, or death due to any cause. The PSMA PET/CT scans is performed using a radioactive substance called a “tracer” that specifically binds to the prostate-specific membrane antigen (PSMA) which is a protein often found in large amounts on prostate cancer cells.

To avoid bias in treatment, the study participants will be randomly (by chance) allocated to one of two treatment groups. Based on the allocated treatment group, the participants will either take darolutamide plus ADT or placebo plus ADT twice daily as tablets by mouth. The study will consist of a test (screening) phase, a treatment phase and a follow-up phase. The treatment duration is pre-specified to be 24 months unless the cancer gets worse, the participants have medical problems, or they leave the study for any reason. In addition, image guided radiotherapy (IGRT) or surgery is allowed and your doctor will explain the benefits and risks of this type of therapy.

During the study, the study team will:
•    take blood and urine samples.
•    measure PSA and testosterone levels in the blood samples
•    do physical examinations
•    check the participants’ overall health
•    examine heart health using electrocardiogram (ECG)
•    check vital signs
•    check cancer status using PSMA PET/CT scans, CT, MRI and bone scans
•    take tumor samples (if required)
•    ask the participants if they have medical problems

About 30 days after the participants have taken their last treatment, the study doctors and their team will check the participants’ health and if their cancer worsened. The study team will continue to check this and regularly ask the participants questions about medical problems and subsequent therapies until they leave the study for any reason or until they leave the study for any reason or until the end of the study, whatever comes first.

Inclusion Criteria
- Capable of giving signed informed consent as described which includes compliance with the requirements, restrictions listed in the informed consent form (ICF), and in this protocol.
- Male ≥18 years of age at the time of signing the informed consent.
- Histologically or cytologically confirmed adenocarcinoma of prostate.
- Prostate cancer initially treated by: radical prostatectomy (RP) followed by adjuvant radiotherapy (ART), or salvage radiotherapy (SRT), or RP in participants who are unfit for (or refused) ART or SRT, or primary radiotherapy (RT).
- High-risk biochemical recurrence (BCR), defined as Prostate-specific antigen doubling time (PSADT) <12 months calculated using the formula provided by the Sponsor, and PSA ≥0.2 ng/mL after ART or SRT post RP or after RP in participants who are unfit for ART or SRT (local or central values accepted), or PSA ≥2 ng/mL above the nadir after primary RT only (local or central values accepted).
- Participants must undergo prostate-specific membrane antigen positron emission tomography/computed tomography (PSMA PET/CT) within the 42-day Screening period using either 18F-DCFPyL (piflufolastat F 18) or 68Ga-PSMA-11 which will be assessed by blinded independent central review (BICR) to identify at least one PSMA PET/CT lesion of prostate cancer.
- Serum testosterone ≥150 ng/dL (5.2 nmol/L) (local assessment is allowed whenever central assessment cannot be done).
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- Blood counts at screening: Hemoglobin ≥9.0 g/dL (participant must not have received blood transfusion within 7 days prior to sample being taken); Absolute neutrophil count (ANC) ≥1.5x10^9/L (participant must not have received any growth factor within 4 weeks prior to sample being taken); Platelet count ≥100x10^9/L.
- Screening values of: Alanine aminotransferase (ALT) ≤1.5 x upper limit of normal (ULN); Aspartate aminotransferase (AST) ≤1.5 x ULN; Total bilirubin (TBL) ≤1.5 ULN, (except participants with a diagnosis of Gilbert’s disease); Estimated glomerular filtration rate (eGFR) >40 ml/min/1.73 m^2 calculated by the CKD-EPI formula.
- Sexually active male participants must agree to use contraception as detailed in the protocol during the Treatment period and for at least 1 week after the last dose of study treatment, and refrain from donating sperm during this period.
Exclusion Criteria
- Pathological finding consistent with small cell, ductal or ≥50 % component of neuroendocrine carcinoma of the prostate.
- History of bilateral orchiectomy.
- Metastases or recurrent /new malignant lesions in prostate gland/bed seminal vesicles, lymph nodes below the CIA bifurcation on conventional imaging (CI) as assessed by BICR during screening.
- Brain metastasis on PSMA PET /CT by BICR at screening. 
- High-risk BCR after primary radiotherapy with new loco-regional lesions on screening PSMA PET/CT who are eligible for curative salvage prostatectomy. 
Note: Participants treated with curative salvage prostatectomy after primary RT who meet the PSA criteria (inclusion criteria 5) may be considered for the study. 
- Prior treatment with second generation (e.g. enzalutamide, apalutamide) androgen receptor inhibitors (ARIs) and CYP 17 inhibitors (e.g., abiraterone) within 18 months prior to signing of the ICF. 
- Prior treatments with PSMA-radiotherapeutics within 12 months prior to randomization.
- Prior radiotherapy (including image-guided radiotherapy) as primary, adjuvant or salvage treatment completed within 8 weeks prior to signing of the ICF.
- Any prior malignancy (other than adequately treated basal cell or squamous cell skin cancer, superficial bladder cancer, or any other cancer in situ currently in complete remission) within 5 years.
- History of pelvic radiotherapy for other malignancy.

Trial Summary

Enrollment Goal
750
Trial Dates
black-arrow
Phase
3
Could I receive a placebo?
Yes
Products
Darolutamide+ADT (BAY1841788)
Accepts Healthy Volunteers
No

Where to Participate

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Locations
Status
LocationsStatus
Locations

Medizinische Universität Wien Universitätsklinik f. Innere Medizin I Klinische Abteilung für Onkologie

Wien, Austria, 1090

Status
Recruiting
Locations

Ordensklinikum Linz GmbH Elisabethinen

Linz, Austria, 4020

Status
Recruiting
Locations

Krankenhaus der Barmherzigen Brüder

Vienna, Austria, 1020

Status
Not yet recruiting
Locations

Dana-Farber Cancer Institute

Boston, United States, 02215

Status
Recruiting
Locations

Carolina Urological Research Center

Myrtle Beach, United States, 29579

Status
Recruiting
Locations

Colorado Urology (Colorado Clinical Research)

Lakewood, United States, 80228

Status
Recruiting
Locations

Urology San Antonio, PA dba USA Clinical Trials

San Antonio, United States, 78229

Status
Recruiting
Locations

White Plains Hospital

White Plains, United States, 10601

Status
Not yet recruiting
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Tower Urology, Inc

Los Angeles, United States, 90048

Status
Terminated
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Alliance Urology Specialists

Greensboro, United States, 27403

Status
Recruiting
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New Jersey Urology, LLC

Voorhees, United States, 08043

Status
Not yet recruiting
Locations

Barbara Ann Karmanos Cancer Institute - Detroit

Detroit, United States, 48201

Status
Recruiting
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University of Kansas

Kansas City, United States, 66160

Status
Recruiting
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University of Southern California

Los Angeles, United States, 90033

Status
Recruiting
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University of California, Los Angeles

Los Angeles, United States, 90095

Status
Not yet recruiting
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NYU Langone Health

Mineola, United States, 11501

Status
Completed
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University of Texas MD Anderson Cancer Center

Houston, United States, 77030

Status
Recruiting
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Johns Hopkins Univ School Med|Sidney Kimmel Comp Cancer Cntr

Baltimore, United States, 21231

Status
Recruiting
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Mayo Clinic Hospital

Phoenix, United States, 85054

Status
Recruiting
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The Urology Group

Cincinnati, United States, 45212

Status
Not yet recruiting
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UCSF Med Center Helen Diller Family Comp Cancer Center

San Francisco, United States, 94143

Status
Not yet recruiting
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City of Hope National Medical Center

Duarte, United States, 91010

Status
Recruiting
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Washington University School of Medicine - Center for Advanced Medicine (CAM)

Saint Louis, United States, 63110-1032

Status
Not yet recruiting
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Institut de Cancérologie de l'Ouest - Saint Herblain

Saint-Herblain, France, 44800

Status
Recruiting
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Institut Gustave Roussy - Département de Médecine Oncologique

VILLEJUIF CEDEX, France, 94805

Status
Recruiting
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Hôpital Pellegrin - Bordeaux

BORDEAUX cedex, France, 33076

Status
Recruiting
Locations

Centre Hospitalier Lyon Sud

PIERRE BENITE, France, 69495

Status
Recruiting
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Centre Hospitalier Universitaire de Clermont Ferrand - Gabriel Montpied

Clermont Ferrand, France, 63003

Status
Recruiting
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Hôpital Claude Huriez - Lille

LILLE, France, 59037

Status
Recruiting
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Hôpital Pontchaillou

RENNES CEDEX, France, 35033

Status
Recruiting
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Uniklinikum Salzburg - Landeskrankenhaus

Salzburg, Austria, 5020

Status
Recruiting
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East and North Hertfordshire NHS Trust - Mount Vernon Hospital - Mount Vernon Cancer Centre (MVCC)

Northwood, United Kingdom, HA6 2RN

Status
Recruiting
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Royal Marsden Hospital (London)

London, United Kingdom, SW3 6JJ

Status
Not yet recruiting
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Charing Cross Hospital

London, United Kingdom, W6 8RF

Status
Recruiting
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University of Minnesota Medical Center

Minneapolis, United States, 55455

Status
Recruiting
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Northwestern University Feinberg School of Medicine - Department of Urology

Chicago, United States, 60611

Status
Recruiting
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Michigan Institute of Urology, PC

Troy, United States, 48084

Status
Not yet recruiting
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Hospital Clínico Universitario de Santiago de Compostela

Santiago de Compostela, Spain, 15706

Status
Recruiting
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Hospital Universitario Puerta del Mar

Cadiz, Spain, 11009

Status
Not yet recruiting
Locations

MD Anderson International Espanya, S.A.

Madrid, Spain, 28033

Status
Not yet recruiting
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Hospital Universitario Virgen de la Victoria | Cardiology Department

Malaga, Spain, 29010

Status
Recruiting
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Hospital del Mar

Barcelona, Spain, 08003

Status
Recruiting
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Hospital Clínic i Provincial de Barcelona

Barcelona, Spain, 8036

Status
Recruiting
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Ciutat Sanitaria i Universitaria de la Vall d'Hebron

Barcelona, Spain, 08035

Status
Recruiting
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Hospital Fundació Puigvert

Barcelona, Spain, 8025

Status
Not yet recruiting
Locations

Instituto Valenciano de Oncología

Valencia, Spain, 46009

Status
Recruiting
Locations

Hospital Universitari i Politècnic La Fe

Valencia, Spain, 46009

Status
Recruiting
Locations

Hospital Universitario Ramon y Cajal

Madrid, Spain, 28034

Status
Recruiting
Locations

H. General Uiversitario Morales Meseguer - Department of Urology

Murcia, Spain, 30008

Status
Not yet recruiting
Locations

Centro Integral Oncológico Clara Campal

Madrid, Spain, 28050

Status
Not yet recruiting
Locations

Princess Margaret Cancer Centre - UHN

Toronto, Canada, M5G 2M9

Status
Not yet recruiting
Locations

St. Joseph's Healthcare - Hamilton

Hamilton, Canada, L8N 4A6

Status
Recruiting
Locations

Sir Mortimer B. Davis Jewish General Hospital - Radiation Oncology

Montreal, Canada, H3T 1E2

Status
Recruiting
Locations

Vancouver Prostate Centre

Vancouver, Canada, V5Z 1M9

Status
Not yet recruiting
Locations

Prostate Cancer Centre

Calgary, Canada, T2V 1P9

Status
Recruiting
Locations

Hopital Hotel-Dieu de Levis

Quebec, Canada, G6V 3Z1

Status
Recruiting
Locations

BC Cancer - Victoria

Victoria, Canada, V8R 6V5

Status
Recruiting
Locations

Prince of Wales Hospital NSW

Randwick, Australia, 2031

Status
Not yet recruiting
Locations

Austin Health

Heidelberg, Australia, 3084

Status
Recruiting
Locations

University of New South Wales (UNSW) - Liverpool Hospital - Liverpool Cancer Therapy Centre

Liverpool, Australia, 2170

Status
Not yet recruiting
Locations

Sydney Adventist Hospital

Wahroonga, Australia, 2076

Status
Recruiting
Locations

Epworth HealthCare

Richmond, Australia, 3121

Status
Recruiting
Locations

Instituto Portugues de Oncologia de Lisboa | Unidade de Investigacao Clinica - Departamento de Urologia

Lisbon, Portugal, 1099-023

Status
Not yet recruiting
Locations

Luz Saude | Hospital da Luz Lisboa - Centro de Investigacao Clinica

Lisboa, Portugal, 1500-650

Status
Not yet recruiting
Locations

University College London Hospitals NHS Foundation Trust

London, United Kingdom, W1T 7HA

Status
Recruiting
Locations

Canterbury Urology Research Trust

Christchurch, New Zealand, 8013

Status
Recruiting
Locations

Auckland City Hosptial

Auckland, New Zealand, 1023

Status
Recruiting
Locations

Tauranga Urology Research Limited

Tauranga, New Zealand, 3112

Status
Not yet recruiting
Locations

Assistência Multidisciplinar em Oncologia (AMO)

Salvador, Brazil, 41950-640

Status
Recruiting
Locations

Instituto do Cancer do Estado de Sao Paulo

São Paulo, Brazil, 01246-000

Status
Recruiting
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Faculdade de Medicina do ABC

Santo André, Brazil, 09060-650

Status
Recruiting
Locations

Inst. de Assistência Médica ao Sérvidor Público Estadual

São Paulo, Brazil, 04039-004

Status
Recruiting
Locations

Liga Norte Riograndense Contra o Cancer | Centro de Pesquisa Clínica

Natal, Brazil, 59040-000

Status
Recruiting
Locations

Hospital Sirio Libanes

Sao Paulo, Brazil, 01409-000

Status
Recruiting
Locations

Liga Paranaense de Combate ao Cancer-Hosp Erasto Gaertner

Curitiba, Brazil, 81520-060

Status
Recruiting
Locations

Universitaetsklinikum Muenster

Münster, Germany, 48149

Status
Not yet recruiting
Locations

Klinikum rechts der Isar

München, Germany, 81675

Status
Not yet recruiting
Locations

Universitätsmedizin der Georg-August-Universität Göttingen

Göttingen, Germany, 37075

Status
Not yet recruiting
Locations

Universitätsklinikum Köln

Köln, Germany, 50937

Status
Not yet recruiting
Locations

Klinikum der Universität Würzburg

Wurzburg, Germany, 97080

Status
Not yet recruiting
Locations

Städtisches Klinikum Braunschweig gGmbH

Braunschweig, Germany, 38126

Status
Not yet recruiting
Locations

Medizinische Fakultät der Otto-von-Guericke Universität

Magdeburg, Germany, 39120

Status
Not yet recruiting
Locations

Universitätsklinikum der Johann Wolfgang Goethe Universität

Frankfurt, Germany, 60590

Status
Not yet recruiting
Locations

Studienpraxis Urologie

Nürtingen, Germany, 72622

Status
Not yet recruiting
Locations

ICANS - Institut de Cancérologie de Strasbourg Europe

STRASBOURG, France, 67033

Status
Recruiting
Locations

Hôpital Bretonneau

TOURS, France, 37044

Status
Not yet recruiting
Locations

Institute of Science Tokyo Hospital

Bunkyo-ku, Japan, 113-8519

Status
Recruiting
Locations

Kyoto University Hospital

Kyoto, Japan, 606-8507

Status
Recruiting
Locations

Hokkaido University Hospital

Sapporo, Japan, 060-8648

Status
Recruiting
Locations

Kanazawa University Hospital

Kanazawa, Japan, 920-8641

Status
Not yet recruiting
Locations

Osaka University Hospital

Suita, Japan, 565-0871

Status
Recruiting
Locations

Yokohama City University Hospital

Yokohama, Japan, 236-0004

Status
Recruiting
Locations

Ospedale San Raffaele s.r.l - Urologia

Milano, Italy, 20132

Status
Recruiting
Locations

A.O.U. di Modena - Policlinico

Modena, Italy, 41124

Status
Recruiting
Locations

Centro di Riferimento Oncologico di Aviano - Oncologia Radioterapica

Aviano (PN), Italy, 33081

Status
Not yet recruiting
Locations

A.O. di Perugia_Hospital Santa Maria della Misericordia - S.C. Radioterapia Oncologica

Perugia, Italy, 06129

Status
Not yet recruiting
Locations

IRCCS Ist Nazionale Tumori GE - Oncologia Medica

Genova, Italy, 16132

Status
Recruiting
Locations

Azienda Provinciale Per I Servizi Sanitari_Ospedale Santa Chiara - UO Oncologia Medica

Trento, Italy, 38122

Status
Not yet recruiting
Locations

IRCCS Istituto Nazionale Tumori Fondazione Pascale - S. C. Oncologia Clinica Sperimentale Uro-Ginecologica

Napoli, Italy, 80131

Status
Recruiting
Locations

Azienda USL IRCCS di Reggio Emilia_Arcispedale Santa Maria Nuova - S.C. Oncologia

Reggio Emilia, Italy, 42123

Status
Not yet recruiting
Locations

A.O.U. Città della Salute e della Scienza di Torino - Urologia U

Torino, Italy, 10126

Status
Recruiting
Locations

I.F.O. Istituti Fisioterapici Ospitalieri_Ospedale Regina Elena - Urologia

Roma, Italy, 00128

Status
Recruiting
Locations

Azienda Unita Sanitaria Locale Di Bologna_Ospedale Bellaria - Oncologia Medica

Bologna, Italy, 40139

Status
Not yet recruiting
Locations

Virgen del Rocio University Hospital - Oncology Department

Sevilla, Spain, 41013

Status
Recruiting
Locations

Hospital Santa Maria | Centro de Investigacao Clinica

Lisboa, Portugal, 1649-035

Status
Not yet recruiting
Locations

Companhia Uniao Fabril | Hospital CUF Tejo - Academic Center - Research Center

Lisboa, Portugal, 1350-352

Status
Not yet recruiting
Locations

Hospital Israelita Albert Einstein | Morumbi - Clinical Research Department

Sao Paulo, Brazil, 05651-901

Status
Not yet recruiting
Locations

Hospital Moinhos de Vento-Centro Clínico

Porto Alegre, Brazil, 90035-001

Status
Recruiting
Locations

Turun yliopistollinen keskussairaala

Turku, Finland, 20520

Status
Recruiting
Locations

Oulun yliopistollinen sairaala

Oulu, Finland, 90220

Status
Recruiting
Locations

HUS, Meilahden sairaala

Helsinki, Finland, FIN-00260

Status
Recruiting
Locations

Tampereen yliopistollinen sairaala

Tampere, Finland, 33520

Status
Recruiting
Locations

Royal Surrey County Hospital

Guildford, United Kingdom, GU2 7XX

Status
Recruiting
Locations

Institut Curie - Ulm - Paris

PARIS cedex 5, France, 75248

Status
Not yet recruiting
Locations

CHU GRENOBLE - Hopital Michallon

GRENOBLE Cedex 09, France, 38043

Status
Recruiting
Locations

Azienda Ospedaliero Universitaria Ospedali Riuniti_Foggia - Oncologia Medica e Terapia Biomolecolare Universitaria

Foggia, Italy, 71122

Status
Not yet recruiting
Locations

Chris O'Brien Lifehouse

Randwick, Australia, 2031

Status
Recruiting
Locations

Eastern Clinical Research Unit - Box Hill

Box Hill, Australia, 3128

Status
Recruiting
Locations

Medizinische Universität Innsbruck

Innsbruck, Austria, 6020

Status
Recruiting
Locations

The Urology Place

San Antonio, United States, 78240

Status
Recruiting
Locations

Istituto Oncologico Veneto_Castelfranco Veneto - UOC Urologia Oncologica

Castelfranco Veneto, Italy, 31033

Status
Not yet recruiting
Locations

Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII - Oncologia

Bergamo, Italy, 24127

Status
Recruiting
Locations

Azienda Ospedaliera Policlinico Universitario Tor Vergata - UOC Radioterapia

Roma, Italy, 00133

Status
Not yet recruiting
Locations

Klinikum Mannheim GmbH

Mannheim, Germany, 68135

Status
Not yet recruiting
Locations

Allegheny General Hospital

Pittsburgh, United States, 15212

Status
Recruiting
Locations

Humanitas Mirasole S.p.A. - Oncologia Medica ed Ematologia

Rozzano, Italy, 20089

Status
Not yet recruiting
Locations

Vivantes Klinikum Am Urban

Berlin, Germany, 10967

Status
Not yet recruiting
Locations

Skane University Hospital - Department of Urology

Malmo, Sweden, 20502

Status
Recruiting
Locations

Goteborgs Universitet

Gothenburg, Sweden, 413 45

Status
Not yet recruiting
Locations

Rigshospitalet - Kræftbehandling

København Ø, Denmark, 2100

Status
Recruiting
Locations

Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden

Dresden, Germany, 1307

Status
Not yet recruiting
Locations

Fondazione Policlinico Universitario Agostino Gemelli IRCCS - Degenza di Radioterapia Oncologica

Roma, Italy, 00168

Status
Not yet recruiting
Locations

Azienda Ospedaliero-Universitaria Di Bologna IRCCS_Policlinico Sant'Orsola - Urologia

Bologna, Italy, 40138

Status
Recruiting
Locations

Aarhus Universitetshospital

Aarhus N, Denmark, 8200

Status
Recruiting
Locations

Aalborg University Hospital

Aalborg, Denmark, 9000

Status
Recruiting
Locations

London Health Sciences Centre (LHSC) - London Regional Cancer Program (LRCP)

London, Canada, N6A 5W9

Status
Not yet recruiting
Locations

Cabrini Malvern

Malvern, Australia, 3144

Status
Not yet recruiting
Locations

Fudan University Shanghai Cancer Center

Shanghai, China, 200000

Status
Recruiting
Locations

Peking Union Medical College Hospital (PUMCH) - East Location

Beijing, China, 100730

Status
Recruiting
Locations

The 1st Affiliated Hospital of Zhejiang University

Hangzhou, China, 310003

Status
Recruiting
Locations

Nova Scotia Health Authority

Halifax, Canada, B3H 2Y9

Status
Recruiting
Locations

Centre Hospitalier Universitaire de Sherbrooke (CHUS) - Hopital Fleurimont

Sherbrooke, Canada, J1H 5N4

Status
Recruiting
Locations

Institut de Cancérologie Jean Godinot

Reims, France, 51726

Status
Not yet recruiting
Locations

Nanjing First Hospital

Nanjing, China, 210006

Status
Recruiting
Locations

Marien-Krankenhaus Bergisch Gladbach

Bergisch Gladbach, Germany, 51465

Status
Not yet recruiting
Locations

Chesapeake Urology Associates

Baltimore, United States, 21204

Status
Recruiting
Locations

Urology Cancer Center, PC

Omaha, United States, 68130

Status
Recruiting
Locations

Universitaetsklinikum Jena - Klinik fuer Urologie

Jena, Germany, 7747

Status
Not yet recruiting
Locations

Royal Melbourne Hospital

Parkville, Australia, 3050

Status
Not yet recruiting
Locations

Institue Curie - Saint-Cloud

Saint-Cloud, France, 92210

Status
Not yet recruiting
Locations

Hopital Maisonneuve-Rosemont

Montreal, Canada, H1T 2M4

Status
Not yet recruiting
Locations

Zhongnan hospital ,Wuhan University

Wuhan, China, 430071

Status
Recruiting
Locations

West China Hospital,Sichuan University

Chengdu, China, 610041

Status
Recruiting
Locations

BC Cancer - Abbotsford Centre

Abbotsford, Canada, V2S 0C2

Status
Recruiting
Locations

The Affiliated Hospital of Inner Mongolia Medical University

Hohehot, China, 10050

Status
Not yet recruiting
Locations

Tianjin Cancer Hospital, Airport Hospital

Tianjin, China, 300308

Status
Recruiting
Locations

Swietokrzyskie Centrum Onkologii

Kielce, Poland, 25-734

Status
Not yet recruiting
Locations

Jiangsu Provincial People's Hospital - The First Affiliated Hospital of Nanjing Medical University

Nanjing, China, 210029

Status
Recruiting
Locations

Hunan Cancer Hospital

Changsha, China, 410013

Status
Not yet recruiting
Locations

Sir Charles Gairdner Hospital

Nedlands, Australia, 6009

Status
Not yet recruiting
Locations

National Taiwan University Hospital

Taipei, Taiwan, China, 100

Status
Not yet recruiting
Locations

HagaZiekenhuis van Den Haag

The Hague, Netherlands, 2545

Status
Recruiting
Locations

Albert Schweitzer Hospital | Internal Medicine - Oncology Department

Dordrecht, Netherlands, 3300 AK

Status
Not yet recruiting
Locations

University Medical Center Groningen | Urology Department

GRONINGEN, Netherlands, 9713 GZ

Status
Not yet recruiting
Locations

St. Franciscus Gasthuis

Rotterdam, Netherlands, 3045 PM

Status
Not yet recruiting
Locations

St. Antonius Ziekenhuis | Utrecht - R&D Interne Geneeskunde

Nieuwegein, Netherlands, 3435 CM

Status
Not yet recruiting
Locations

Tergooi MC | Hilversum - Wetenschapsbureau

HILVERSUM, Netherlands, 1213 XZ

Status
Not yet recruiting
Locations

UZ Gent - department Urology

Gent, Belgium, 9000

Status
Not yet recruiting
Locations

AZ Groeninge Campus Kennedylaan - Urology

Kortrijk, Belgium, 8500

Status
Not yet recruiting
Locations

Jessa Hospital | Campus Virga Jesse - Data Management Oncology and Hematology Department

Hasselt, Belgium, 3500

Status
Not yet recruiting
Locations

Universitair Ziekenhuis Leuven | Gasthuisberg Campus - Urology Department

Leuven, Belgium, 3000

Status
Not yet recruiting
Locations

Maria Middelares General Hospital | Medical Oncology Department

Gent, Belgium, 9000

Status
Not yet recruiting
Locations

Northern Hospital

Epping, Australia, 3076

Status
Not yet recruiting
Locations

Masarykova Univerzita - Masarykuv Onkologicky Ustav (MOU) - Klinika Komplexni Onkologicke Pece (KKOP)

Brno, Czech Republic, 602 00

Status
Recruiting
Locations

Koo Foundation Sun Yet-Sen Cancer Centre

Taipei, Taiwan, China, TBC

Status
Recruiting
Locations

Chang Gung Memorial Hospital at Linkou

Taoyuan, Taiwan, China, 33305

Status
Not yet recruiting
Locations

Tungs' Taichung MetroHarbor Hospital

Taichung, Taiwan, China, 435403

Status
Not yet recruiting
Locations

Fakultni Nemocnice Olomouc (FNOL) - Onkologicka Klinika

Olomouc, Czech Republic, 779 00

Status
Recruiting
Locations

Royal Brisbane & Women's Hospital

Brisbane, Australia, 4029

Status
Not yet recruiting
Locations

Western Urology

Maribyrnong, Australia, 3032

Status
Recruiting
Locations

Centrum Medyczne iMed24

Krakow, Poland, 31-864

Status
Not yet recruiting
Locations

Medrise Sp. z o.o. Centrum Badan Klinicznych

Lublin, Poland, 20-582

Status
Not yet recruiting
Locations

Vseobecna fakultni nemocnice - Urologicka klinika, Praha

Praha 2, Czech Republic, 128 08

Status
Not yet recruiting
Locations

Fakultni nemocnice u Sv. Anny, Onkologicko-chirurgicke oddeleni

Brno, Czech Republic, 602 00

Status
Recruiting
Locations

Martini-Klinik Hamburg

Hamburg, Germany, 20246

Status
Recruiting
Locations

Centrum Onkologii im. Prof. Franciszka Lukaszczyka

Bydgoszcz, Poland, 85-796

Status
Not yet recruiting
Locations

Barwon Health

Geelong, Australia, 3220

Status
Not yet recruiting
Locations

Szpital Grochowski im. dr.med. Rafala Masztaka

Warszawa, Poland, 04-073

Status
Not yet recruiting
Locations

Semmelweis Egyetem, Altalanos Orvostudomanyi Kar, Urologiai Klinika

Budapest, Hungary, 1082

Status
Not yet recruiting
Locations

Budapesti Jahn Ferenc Del-pesti Korhaz es Rendelointezet

Budapest, Hungary, 1204

Status
Not yet recruiting
Locations

Orszagos Onkologiai Intezet

Budapest, Hungary, 1122

Status
Not yet recruiting
Locations

Gyor-Moson-Sopron Varmegyei Petz Aladar Egyetemi Oktato Korhaz

Gyor, Hungary, 9024

Status
Not yet recruiting
Locations

Budapesti Uzsoki Utcai Korhaz

Budapest, Hungary, 1145

Status
Recruiting
Locations

Szabolcs-Szatmar-Bereg Varmegyei Oktatokorhaz Nyiregyhazi Josa Andras Tagkorhaz

Nyiregyhaza, Hungary, H-4400

Status
Not yet recruiting
Locations

EMC Instytut Medyczny SA

Wroclaw, Poland, 54-144

Status
Recruiting
Locations

Centro Hospitalar e Universitario de Coimbra EPE (CHUC)

Coimbra, Portugal, 3004-561

Status
Not yet recruiting
Locations

Marienhospital Herne Universitätsklinik

Herne, Germany, 44625

Status
Not yet recruiting
Locations

Johannes Gutenberg-Universität Mainz - Urologie

Mainz, Germany, 55131

Status
Not yet recruiting
Locations

Medizinische Universitaet Graz - Klinische Abteilung für Onkologie - Innere Medizin

Graz, Austria, 8036

Status
Not yet recruiting
Locations

Clinique Clementville

Montpellier, France, 34070

Status
Recruiting
Locations

Centre Georges Francois Leclerc Dijon

DIJON, France, 21079

Status
Not yet recruiting
Locations

Centre d'oncologie du Pays Basque

Bayonne, France, 64100

Status
Not yet recruiting
Locations

Institut de Cancérologie de Lorraine - Alexis Vautrin

Vandoeuvre-les-Nancy, France, 54519

Status
Recruiting
Locations

Blacktown Hospital

Blacktown, Australia, 2148

Status
Not yet recruiting
Locations

Assistance Publique-Hopitaux de Paris (AP-HP) - Hopitaux Universitaires Henri Mondor (Hopital Henri-Mondor)

Creteil, France, 94000

Status
Not yet recruiting
Locations

Hôpital de la Timone - Marseille

MARSEILLE, France, 13005

Status
Not yet recruiting
Locations

Royal Adelaide Hospital

Adelaide, Australia, 5000

Status
Not yet recruiting
Locations

University of Texas Southwestern Medical Center-Harold C. Simmons Comprehensive Cancer Center

Dallas, United States, 75235

Status
Not yet recruiting
Locations

Kaye Edmonton Clinic - Dianne and Irving Kipnes Urology Centre

Edmonton, Canada, T6G 1Z1

Status
Not yet recruiting
Locations

CISSS de l'Outaouais - Hopital de Gatineau - Centre de cancerolgie

Gatineau, Canada, J8P 7H2

Status
Not yet recruiting
Locations

Centre integre universitaire de sante et de services sociaux de la Mauricie-et-du-Centre-du-Quebec - Radio-oncologie

Trois-rivieres, Canada, G8Z 3R9

Status
Recruiting
Locations

Urology South Shore Research - Research Department

Greenfield Park, Canada, J4V 2H3

Status
Not yet recruiting
Locations

MidCentral District Health Board (MDHB) - Palmerston North Hospital (PNH)

TBC, New Zealand, 4414

Status
Not yet recruiting
Locations

Real e Benemérita Associação Portuguesa de Beneficência

São Paulo, Brazil, 01323-001

Status
Not yet recruiting
Locations

Universidade Estadual do Rio de Janeiro

Rio de Janeiro, Brazil, TBC

Status
Not yet recruiting
Locations

Hospital do Cancer de Sao Paulo - A. C. Camargo

Sao Paulo, Brazil, 01509-900

Status
Not yet recruiting
Locations

Hospital Alemao Oswaldo Cruz

Sao Paulo, Brazil, 01321-001

Status
Not yet recruiting
Locations

Oncocentro - Fortaleza

Fortaleza, Brazil, 60135-237

Status
Not yet recruiting
Locations

Hospital São Rafael

Salvador, Brazil, 41253-190

Status
Not yet recruiting
Locations

Urologicum Duisburg

Duisburg, Germany, 47169

Status
Not yet recruiting
Locations

Urologische Gemeinschaftspraxis Wesel

Wesel, Germany, 46483

Status
Not yet recruiting
Locations

Hopital de La Louvière - Site Jolimont - Oncology department

La Louvière, Belgium, 7100

Status
Not yet recruiting
Locations

Fakultni nemocnice v Motole, Onkologicka klinika 2. LF UK a FN Motol

Prague, Czech Republic, 15006

Status
Not yet recruiting
Locations

Klinikum Stuttgart / Klinik für Urologie und Transplantationschirurgie

Stuttgart, Germany, 70174

Status
Not yet recruiting
Locations

Universitätsklinikum Schleswig-Holstein/ Klinik für Urologie

Kiel, Germany, 24105

Status
Not yet recruiting
Locations

Universitätsklinikum Aachen / Klinik und Poliklinik für Urologie und Kinderurologie

Aachen, Germany, 52074

Status
Not yet recruiting
Locations

Centre Hospitalier Regional Universitaire (CHRU) Brest - Hopital de la Cavale Blanche

Brest, France, 29609

Status
Not yet recruiting
Locations

Institut de Cancérologie de Bourgogne

Dijon, France, 21000

Status
Not yet recruiting
Locations

Centre Bourgogne - Hôpital Privé Le Bois

LILLE, France, 59000

Status
Not yet recruiting
Locations

Centre Hospitalier Regional et Universitaire (CHRU) de Besancon - L'Hopital Jean Minjoz

Besancon, France, 25000

Status
Not yet recruiting
Locations

UNICANCER - Centre Leon-Berard (CLB)

Lyon, France, 69008

Status
Not yet recruiting
Locations

Institut Claudius Regaud - iUCT Oncopole

TOULOUSE CEDEX 9, France, 31059

Status
Not yet recruiting
Locations

Cliniche Gavazzeni S.p.A - Dipartimento Area Chirurgia Unità Operativa di Urologia

Bergamo, Italy, 24125

Status
Not yet recruiting
Locations

Hospital Universitario "Marqués de Valdecilla"

Santander, Spain, 39008

Status
Not yet recruiting
Locations

Sjællands University hospital Næstved

Næstved, Denmark, 4700

Status
Not yet recruiting
Locations

Thomayerova Nemocnice (TN) (Thomayers Hospital) - Onkologicka Klinika 1. LF UK A TN

Prague, Czech Republic, 140 59

Status
Not yet recruiting
Locations

Instituto D'Or Pesquisa e Ensino (IDOR) (D'Or Institute for Research & Education) - Rio de Janeiro

Rio de Janeiro, Brazil, 22281-100

Status
Not yet recruiting
Locations

Hospital das Clínicas da Universidade de Campinas - UNICAMP

São Paulo, Brazil, 13083-881

Status
Not yet recruiting
Locations

Peking University First Hospital

Beijing, China, 100034

Status
Not yet recruiting
Locations

Hospital Evangélico de Cachoeiro de Itapemirim

Vitória, Brazil, 29047-660

Status
Not yet recruiting
Locations

City of Hope - Phoenix Cancer Center

Goodyear, United States, 85338

Status
Not yet recruiting
Locations

Hospital Mae de Deus

Porto Alegre, Brazil, 90850-170

Status
Not yet recruiting
Locations

NAIC - Instituto do Cancer

Bauru, Brazil, 17033-490

Status
Not yet recruiting
Locations

Icahn School of Medicine at Mount Sinai (ISMMS) - The Mount Sinai Hospital (MSH)

New York, United States, 10029-6500

Status
Not yet recruiting

Trial Design