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Brief Title: ADT +/- Darolutamide in de Novo Metastatic Prostate Cancer Patients With Vulnerable Functional Ability (PEACE6-Vulnerable)
Official Title: A Double-blind Randomised Phase III Trial Evaluating the Efficacy of ADT +/- Darolutamide in de Novo Metastatic Prostate Cancer Patients With Vulnerable Functional Ability and Not Elected for Docetaxel or Androgen Receptor Targeted Agents
Study ID: NCT04916613
Brief Summary: This is a Phase III, international, multicentre, randomised, double-blinded placebo controlled trial, evaluating the efficacy and safety of ADT +/- darolutamide in castration-naïve de novo metastatic prostate cancer patients with vulnerable functional ability who have not elected for docetaxel or other androgen receptor pathway inhibitors.
Detailed Description: This is a Phase III, international, multicentre, randomised, double-blinded placebo controlled trial, evaluating the efficacy and safety of ADT +/- darolutamide in castration-naïve de novo metastatic prostate cancer patients with vulnerable functional ability who have not elected for docetaxel or other androgen receptor pathway inhibitors. The study plans to enroll 300 patients who will be randomized (1:1) to receive either: (i) Experimental arm: ADT + darolutamide 600 mg po bid, or (ii) Control arm: ADT + placebo po bid. Response to treatment will be assessed according to the Prostate Cancer Clinical Trials Working Group 3 (PCWG3) criteria (Scher, 2016). Treatment will be continued until radiographic disease progression. Treatment may also be terminated at the initiative of either the patient or the investigator for any reason that would be beneficial to the patient, including: unacceptable toxicity, intercurrent conditions that preclude continuation of treatment, or patient request. Following treatment discontinuation patients will enter the follow-up period and will be monitored for up to 10 years with regards to survival status, subsequent antineoplastic treatments and the status of ongoing adverse events (AEs) and/or new investigational product related AEs.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: MALE
Healthy Volunteers: No
Grand Hopital de Charleroi - site Notre Dame, Charleroi, , Belgium
Groupe Jolimont - Hôpital De Jolimont, Haine-Saint-Paul, , Belgium
CHU UCL NAMUR - Site STE. ELISABETH, Namur, , Belgium
Clinique Saint Pierre, Ottignies, , Belgium
Institut Sainte Catherine, Avignon, , France
Centre Hospitalier Cote basque, Bayonne, , France
CHU Besançon - Hopital Jean Mijoz, Besançon, , France
Centre Institut Bergonié, Bordeaux, , France
Clinique Pasteur, Brest, , France
Centre François Baclesse, Caen, , France
Centre Hospitalier Métropole Savoie, Chambéry, , France
Centre Jean Perrin, Clermont-Ferrand, , France
APHP - Hôpital Henri Mondor, Créteil, , France
Centre Georges François Leclerc, Dijon, , France
CHU Grenoble, Grenoble, , France
Centre CHV Vendée, La Roche-sur-Yon, , France
CHU le MANS, Le Mans, , France
Centre Oscar Lambret, Lille, , France
Polyclinique de Limoges, Limoges, , France
Groupe Hospitalier Bretagne Sud, Lorient, , France
Centre Léon Bérard, Lyon, , France
Institut Paoli-Calmettes, Marseille, , France
Centre Azuréen de Cancérologie, Mougins, , France
Centre Antoine Lacassagne, Nice, , France
CHU Nîmes, Nîmes, , France
Institut Curie, Paris, , France
Centre Groupe Hospitalier Diaconesses Croix Saint-Simon, Paris, , France
Hôpital Saint Louis, Paris, , France
Hôpital Européen Georges Pompidou, Paris, , France
Hôpital Tenon, Paris, , France
Hospices Civils de Lyon -Lyon Sud, Pierre-Bénite, , France
CHU de Poitiers - Pôle Régional de Cancérologie, Poitiers, , France
CH Annecy Genevois, Pringy, , France
CHIC Quimper, Quimper, , France
Institut Jean Godinot, Reims, , France
Centre Eugène Marquis, Rennes, , France
Centre Hospitalier Rodez, Rodez, , France
CHP Centre Saint Grégoire, Saint Grégoire, , France
Hôpital Instruction des Armées - BEGIN, Saint Mandé, , France
CHU Saint-Etienne, Saint-Étienne, , France
Hôpital Privé de la Loire, Saint-Étienne, , France
Clinique Sainte Anne - Strasbourg Oncologie Libérale, Strasbourg, , France
Institut de cancérologie Strasbourg Europe, Strasbourg, , France
Hôpital FOCH, Suresnes, , France
Centre Hospitalier Intercommunal de Toulon-La Seyne - Hôpital Ste Musse, Toulon, , France
IUCT Oncopole, Toulouse, , France
Clinique Pasteur ONCORAD, Toulouse, , France
CHRU de Tours -Hôpital Bretonneau, Tours, , France
Institut de Cancérologie de Lorraine, Vandœuvre-lès-Nancy, , France
Gustave Roussy Center, Villejuif, , France
St Vincent's University Hospital, Dublin, , Ireland
Tallaght university Hospital, Dublin, , Ireland
Mater Misericordiae University Hospital, Dublin, , Ireland
Mater Private Hospital, Dublin, , Ireland
Institut Catala d'Oncologia, Badalona-Hospital Germans Trias i Pujol, Badalona, , Spain
Hospital Clinic, Barcelona, , Spain
Hospital del Mar, Barcelona, , Spain
Vall d'Hebron Institute of Oncology. Vall d'Hebron University Hospital, Barcelona, , Spain
Institut Català d'Oncologia de Girona, Girona, , Spain
Centro Integral Oncologico HM Clara Campal, Madrid, , Spain
Hospital Universitario 12 de Octubre, Madrid, , Spain
Althaia, Xara Assistencial Universitaria Mansera, Manresa, , Spain
Fundacion Instituto Valenciano De Oncologia, Valencia, , Spain
Name: Giulia Baciarello, MD
Affiliation: San Camillo-Forlanino hospital, Italy
Role: PRINCIPAL_INVESTIGATOR
Name: Karim Fizazi, MD
Affiliation: Gustave Roussy Cancer Campus, France
Role: PRINCIPAL_INVESTIGATOR