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Brief Title: Cabazitaxel Versus the Switch to Alternative AR-targeted Agent (Enzalutamide or Abiraterone) in Metastatic Castration-resistant Prostate Cancer (mCRPC) Patients Previously Treated With Docetaxel and Who Rapidly Failed a Prior AR-targeted Agent
Official Title: A Randomized, Open Label, Multicenter Study of Cabazitaxel Versus an Androgen Receptor (AR)-Targeted Agent (Abiraterone or Enzalutamide) in mCRPC Patients Previously Treated With Docetaxel and Who Rapidly Failed a Prior AR-targeted Agent (CARD)
Study ID: NCT02485691
Brief Summary: Primary Objective: To compare the radiographic progression-free survival (rPFS) (using Response Evaluation Criteria in Solid Tumors \[RECIST\] 1.1 for tumor lesions and Prostate Cancer Working Group 2 (PCWG2) criteria for bone scan lesions or death due to any cause) with chemotherapy (cabazitaxel plus prednisone, Arm A) versus Androgen Receptor (AR)-targeted therapy (enzalutamide or abiraterone acetate plus prednisone, Arm B) in mCRPC participants who have been treated with docetaxel and who had disease progression while receiving AR-targeted therapy within 12 months of AR treatment initiation (less than or equal to \[\<=\]12 months, either before or after docetaxel). Secondary Objective: * To compare efficacy for: * Prostate-specific antigen (PSA) response rate and time to PSA progression (TTPP). * Progression-free survival (PFS). * Overall survival (OS). * Tumor response rate and duration of tumor response. * Pain response and time to pain progression. * Symptomatic skeletal event (SSE) rate and time to occurrence of any SSE. * Health status and Health-related Quality of Life (HRQOL). * To evaluate the correlation of a signature of resistance to AR-targeted agents with clinical outcome via the analysis of circulating tumor cell (CTC) phenotypes as well as expression and localization of proteins including AR isoforms in CTCs. * To evaluate safety in the 2 treatment arms.
Detailed Description: The duration of the study per participant was approximately 2 years. Each participant was treated until radiographic disease progression, unacceptable toxicity, or participant's refusal of further study treatment, and each participant was followed after completion of study treatment until death, study cut-off date, or withdrawal of participant consent.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: MALE
Healthy Volunteers: No
Investigational Site Number 040002, Linz, , Austria
Investigational Site Number 040003, Wien, , Austria
Investigational Site Number 040004, Wien, , Austria
Investigational Site Number 056013, Brugge, , Belgium
Investigational Site Number 056007, Brussels, , Belgium
Investigational Site Number 056003, Bruxelles, , Belgium
Investigational Site Number 056006, Charleroi, , Belgium
Investigational Site Number 056001, Gent, , Belgium
Investigational Site Number 056005, Leuven, , Belgium
Investigational Site Number 203005, Brno, , Czechia
Investigational Site Number 203001, Olomouc, , Czechia
Investigational Site Number 203002, Plzen, , Czechia
Investigational Site Number 203003, Praha 4, , Czechia
Investigational Site Number 250010, Clermont Ferrand, , France
Investigational Site Number 250006, Lyon Cedex 8, , France
Investigational Site Number 250004, Marseille, , France
Investigational Site Number 250011, Montpellier, , France
Investigational Site Number 250002, Paris Cedex 15, , France
Investigational Site Number 250013, Paris, , France
Investigational Site Number 250007, Paris, , France
Investigational Site Number 250014, Plerin, , France
Investigational Site Number 250016, Reims, , France
Investigational Site Number 250018, Saint-Mandé, , France
Investigational Site Number 250009, Strasbourg, , France
Investigational Site Number 250005, Suresnes, , France
Investigational Site Number 250008, Tours, , France
Investigational Site Number 250001, Villejuif, , France
Investigational Site Number 276028, Aschaffenburg, , Germany
Investigational Site Number 276008, Berlin, , Germany
Investigational Site Number 276022, Duisburg, , Germany
Investigational Site Number 276023, Essen, , Germany
Investigational Site Number 276002, Frankfurt Am Main, , Germany
Investigational Site Number 276007, Göttingen, , Germany
Investigational Site Number 276026, Jena, , Germany
Investigational Site Number 276025, Lübeck, , Germany
Investigational Site Number 276004, Magdeburg, , Germany
Investigational Site Number 276018, Mannheim, , Germany
Investigational Site Number 276006, Münster, , Germany
Investigational Site Number 276003, Nürtingen, , Germany
Investigational Site Number 276010, Rostock, , Germany
Investigational Site Number 276011, Tübingen, , Germany
Investigational Site Number 300001, Athens, , Greece
Investigational Site Number 300005, Marousi, Athens, , Greece
Investigational Site Number 300004, Thessaloniki, , Greece
Investigational Site Number 352001, Reykjavik, , Iceland
Investigational Site Number 372001, Dublin 24, , Ireland
Investigational Site Number 372003, Dublin 7, , Ireland
Investigational Site Number 380004, Brescia, , Italy
Investigational Site Number 380005, Candiolo, , Italy
Investigational Site Number 380009, Meldola, , Italy
Investigational Site Number 380006, Napoli, , Italy
Investigational Site Number 380002, Pisa, , Italy
Investigational Site Number 380001, Roma, , Italy
Investigational Site Number 380008, Verona, , Italy
Investigational Site Number 528002, Breda, , Netherlands
Investigational Site Number 528003, Nijmegen, , Netherlands
Investigational Site Number 528005, Rotterdam, , Netherlands
Investigational Site Number 528004, Sittard-Geleen, , Netherlands
Investigational Site Number 578001, Grålum, , Norway
Investigational Site Number 578002, Trondheim, , Norway
Investigational Site Number 724001, Barcelona, , Spain
Investigational Site Number 724004, Madrid, , Spain
Investigational Site Number 724002, Madrid, , Spain
Investigational Site Number 724003, Sevilla, , Spain
Investigational Site Number 826001, Sutton, , United Kingdom
Name: Clinical Sciences & Operations
Affiliation: Sanofi
Role: STUDY_DIRECTOR