About this trial
Prostate cancer is a disease where cells in the prostate gland grow out of control. When prostate cancer has spread to other parts of the body but still responds to hormone treatment, it is called metastatic hormone-sensitive prostate cancer (mHSPC).
The usual treatment for this stage of prostate cancer is hormone therapy (called androgen-deprivation therapy or ADT) combined with another medicine that blocks the effect of male hormones on cancer cells, known as an androgen-receptor pathway inhibitor. Darolutamide is a newer type of androgen-receptor inhibitor.
The main goal of this study is to find out how well a combination of two treatments-darolutamide and hormone therapy (also called androgen-deprivation therapy or ADT)-works for men in Germany who have advanced prostate cancer that has spread to other parts of the body and still responds to hormone treatment. The study will look at how many men have very low or undetectable levels of a protein called prostate-specific antigen (PSA) in their blood after 12 months of treatment. PSA is a marker that doctors use to check how active prostate cancer is.
The study will also look at how long men live after starting this treatment, and will collect information about their health, the type of prostate cancer they have, and any other medicines they are taking. The study will last for 5 years. At the start of the study, the study doctor will collect information about each patient's background, such as age, other health problems, and details about their prostate cancer. This information will be taken from the patient's medical records if available. If some information is missing, the doctor may ask the patient directly.
Other information will be collected as the study goes on. This includes details about the patient's treatment, how they are doing during their regular medical visits, and any changes in their health. These check-ups and data collection will happen as part of the patient's usual care, including at the beginning of treatment, during treatment visits, follow-up visits, and at the end of the study observation period.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male patients aged ≥ 18 years
Diagnosis of mHSPC with histological or cytological evidence for adenocarcinoma of prostate
Metastatic disease by conventional or new generation imaging
Physician decision to initiate treatment with Darolutamide+ADT was made as per investigator's routine treatment practice prior to enrollment in the study
Disqualifiers
Darolutamide treatment started more than 30 days prior to study enrollment
ADT treatment started more than 12 weeks before the start of treatment with darolutamide plus ADT
Hypersensitivity to darolutamide or any other excipient
Other prior systemic hormonal or anti-cancer treatment for mHSPC
Trial population
Men with metastatic hormone-sensitive mHSPC fulfilling the inclusion and exclusion criteria
Trial design
Cohort
Prospective
Treatments tested in this trial
darolutamide plus ADT treatment
Drug2\*300 mg darolutamide twice daily + ADT treatment
Treatment groups
Trial outcomes
Primary outcomes
Number of participants with PSA < 0.2 ng/mL
Secondary outcomes
Number of deaths or participants with end of observation
Number of participants with PSA < 0.2 ng/mL
Number of participants with certain demographic characteristics
* age * race
Number of participants with certain clinical characteristics
* comorbities * Gleason score/ISUP * PSA prior therapy * prostate cancer volume and risk * type of metastatic disease * ECOG performance
Locations
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