Clinical trial Recruiting at 1 site Observational Ages 18 and up Men only

Comparing triple therapy to double therapy for high volume metastatic prostate cancer

Official title: Longitudinal Evaluation of Adding Docetaxel to ADT and Novel Hormone Treatment for Patients With High Volume Metastatic Hormone Sensitive Prostate Cancer in Order to Assess Relative Effectiveness: the Case of "Triple" Versus "Double" Therapy

Run by Uppsala University · NCT06446401 · Data updated 2026-11-12

This study is testing whether a combination of three treatments is better than two for men with advanced prostate cancer to see which option helps them live longer and feel better.

Quick facts

Study typeObservational
Ages18 Years and up
SexMen only
Enrollment1400 (estimated)
SponsorUppsala University
Academic / other
Locations2 sites (Uppsala, Region Uppsala and 1 other locations)
StatusRecruiting
StartedOctober 20, 2024
Main results expectedDecember 31, 2030
Study endsDecember 31, 2031
Registry record updatedOctober 14, 2026
Trial IDNCT06446401 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with high metastatic burden mHSPC who have initiated either triple or double therapy within the last three months.

Probably not a fit

Patients who do not understand written and/or oral instructions in Swedish may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Lead4Care is an observational, open-label, multicenter study that evaluates the effectiveness, tolerance, and cost-effectiveness of triple therapy (androgen deprivation therapy, docetaxel, and novel hormonal therapy) versus double therapy (androgen deprivation therapy and novel hormonal therapy) in patients with high tumor burden metastatic hormone-sensitive prostate cancer (mHSPC). The study compares these therapies in terms of mortality, morbidity, and side effects, while also assessing cost-effectiveness through a Markov model. Patients will be enrolled based on their treatment choice, and advanced matching methods will be used to ensure comparability between the two therapy groups.

Why it matters

Potential benefit: If successful, this study could provide valuable insights into the most effective treatment options for patients with high volume metastatic hormone-sensitive prostate cancer.

How similar studies have gone: While other studies have evaluated these therapies indirectly, this study aims to provide direct comparative effectiveness data, making it a novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

Patients eligible for inclusion in this study must meet all of the following criteria:

* Patients should have initiated triple or double therapy no longer than 3 months from the start of ADT,
* Patients must have mHSPC at the time of enrolment, and high metastatic burden.
* Patients must be ≥ 18 years old at the time of enrolment. Note: NHT could be abiraterone acetate, apalutamide, darolutamide or enzalutamide.

Exclusion Criteria:

Participants meeting any of the of the following criteria are not eligible for inclusion:

* Patients who do not understand written and/or oral instructions in Swedish.

Where it's running

  • Uppsala University
    Uppsala, Uppsala County, Sweden
    Recruiting
  • Uppsala University Hospital
    Uppsala, Region Uppsala, Sweden
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.