About this trial
This study is a randomized, open-label, controlled, multicenter phase III clinical trial, which plans to randomly enroll 370 subjects with advanced metastatic castration-resistant prostate cancer (mCRPC). The efficacy of HRS-4357 versus novel androgen receptor pathway inhibitors (ARPI) in the treatment of PSMA-positive advanced metastatic castration-resistant prostate cancer (mCRPC) will be evaluated based on radiographic progression-free survival (rPFS) assessed by the BIRC.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Be willing to participate in this clinical trial, understand the study procedures, and be able to sign the informed consent form in writing;
Male, aged ≥ 18 years;
ECOG performance status score of 0-1;
Expected survival time of no less than 6 months;
Disqualifiers
Any radionuclide therapy or hemi-body radiotherapy within 6 months.
Any PSMA-targeted radiopharmaceutical therapy.
Surgery, radiotherapy, or any local therapy within 4 weeks.
Any other investigational drug intervention within 4 weeks.
Trial design
Parallel
Treatments tested in this trial
HRS-4357 injection
DrugHRS-4357 injection are administered each time, with dosing for 4 to 6 cycles
Enzalutamide;Abiraterone
DrugARPI (investigator's choice of any of the following agents, with the requirement that the agent has not been used previously): * Enzalutamide 160 mg orally once daily (qd) * Abiraterone 1000 mg orally once daily (qd) + Prednisone 5 mg orally twice daily (bid)
Treatment groups
Trial outcomes
Primary outcomes
radiographic progression-free survival (rPFS) assessed by the BIRC.
Secondary outcomes
OS
rPFS(Investigator-Assessed)
ORR (Investigator-Assessed and BIRC-Assessed)
DCR(Investigator-Assessed and BIRC-Assessed)
Sponsors and contacts
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