A Novel Insight Into CRPC Progression and Immune: Evidence From Single-cell Spatial Transcriptome Multi-omics

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexMale
Age18-85
SponsorAnhui Medical University

About this trial

This study will follow patients with metastatic hormone-sensitive prostate cancer (mHSPC) who receive androgen deprivation therapy (ADT) combined with different treatments. Prostate cancer is a common cancer in men, and many patients in China are diagnosed at an advanced stage. While ADT alone has been the standard treatment, most patients eventually progress to castration-resistant disease.

New medicines such as abiraterone, enzalutamide, apalutamide, darolutamide, and chemotherapy like docetaxel have shown survival benefits when added to ADT. This study aims to observe how different ADT-based combinations work in real-world practice and whether genetic differences affect outcomes.

About 396 patients will be enrolled and followed until disease progression or death. The results will help identify which treatments are most effective and guide more personalized care for men with advanced prostate cancer.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male patients, age >18 and <85 years.

Histologically confirmed prostate adenocarcinoma, ductal adenocarcinoma, or intraductal carcinoma.

Evidence of distant metastases by imaging (according to RECIST criteria).

No prior systemic therapy for prostate cancer (no ADT or other systemic treatments).

Disqualifiers

Histological diagnosis of neuroendocrine or small-cell prostate cancer.

No evidence of distant metastases on imaging.

Prior systemic therapy for prostate cancer (neoadjuvant, adjuvant, or systemic).

Severe endocrine, metabolic, gastrointestinal, hepatic, or renal disease (including chronic hepatitis, cirrhosis, chronic nephritis, or renal failure).

Trial population

Male patients with newly diagnosed metastatic hormone-sensitive prostate cancer (mHSPC), recruited from multiple centers in China. Eligible patients are treatment-naïve and will receive androgen deprivation therapy (ADT) combined with different regimens according to real-world clinical practice.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Abiraterone + ADT

    Drug

    Patients receiving androgen deprivation therapy (ADT) combined with abiraterone. Abiraterone is a CYP17A1 inhibitor used in combination with prednisone and ADT for metastatic hormone-sensitive prostate cancer (mHSPC). This combination is given in real-world practice according to clinical guidelines.

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Time to progression to castration-resistant prostate cancer (CRPC)

Time frame
Up to 36 months

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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