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Brief Title: Study of Abiraterone Acetate Plus ADT Versus APALUTAMIDE Versus Abiraterone and APALUTAMIDE in Patients With Advanced Prostate Cancer With Non-castrate Testosterone Levels
Official Title: Phase II Randomized Study of Abiraterone Acetate Plus ADT Versus APALUTAMIDE Versus Abiraterone and APALUTAMIDE in Patients With Advanced Prostate Cancer With Non-castrate Testosterone Levels
Study ID: NCT02867020
Brief Summary: Evaluation of the activity, safety and patients reported outcome of ADT plus abiraterone, abiraterone plus APALUTAMIDE (a second-generation antiandrogen) or APALUTAMIDE alone in hormone naïve locally advanced or metastatic prostate cancer which ADT was indicated.
Detailed Description: Based on the current guidelines, ADT alone or combined with is antiandrogens are considered the appropriate active therapy for the patient population planned for this study. Recent data showed that chemotherapy also benefit patients in this setting. Even though, there is a clear unmet medical need for alternative treatment option in metastatic hormone sensitive prostate cancer (mHSPC). Treatments that can delay disease progression, and are associated with less comorbidities would be of significant clinical benefit in this patient population. The study is designed to assess the efficacy and safety of abiraterone plus APALUTAMIDE (a second-generation antiandrogen) or APALUTAMIDE alone without castration side effects and the other arm a combination of ADT and abiraterone; this last arm is to reflect an Abiraterone ongoing pivotal trial (LATITUDE), that assess the efficacy of adding abiraterone to castration in this setting of patients. Abiraterone had already showed clinical benefit in CRPC patients without prior chemotherapy.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: MALE
Healthy Volunteers: No
Clínica AMO, Salvador, Bahia, Brazil
CRIO, Fortaleza, Ceará, Brazil
Hospital Erasto Gaertner, Curitiba, Paraná, Brazil
Liga Norte Riograndense de Oncologia, Natal, Rio Grande Do Norte, Brazil
Hospital de Caridade de Ijuí, Ijuí, Rio Grande Do Sul, Brazil
CPO - Pucrs, Porto Alegre, Rio Grande Do Sul, Brazil
Oncologia Rede D'Or S.A., Rio de Janeiro, RJ, Brazil
Hospital de Câncer de Barretos, Barretos, São Paulo, Brazil
Centro de Pesquisa Clínica em Hematologia e Oncologia - CEPHO, Santo André, São Paulo, Brazil
Grupo COI, Rio de Janeiro, , Brazil
Beneficiencia Portuguesa de São Paulo/Hospital São José, São Paulo, , Brazil
Hospital Israelita Albert Einstein, São Paulo, , Brazil
IBCC, São Paulo, , Brazil
ICESP, São Paulo, , Brazil
Name: Fernando Maluf, MD
Affiliation: Beneficiência Portuguesa de São Paulo
Role: PRINCIPAL_INVESTIGATOR
Name: Gustavo Werutsky, MD
Affiliation: Latin American Cooperative Oncology Group
Role: STUDY_DIRECTOR