Darolutamide plus ADT for men with non-metastatic prostate cancer that progressed after prior ADT+bicalutamide
Official title: A Multicenter, Real-world Study Evaluating the Effectiveness of Darolutamide Plus ADT in Patients Progressing to nmCRPC After Bicalutamide Plus ADT Treatment During nmHSPC Stage
Run by Bayer · NCT07538843 · Data updated 2026-11-12
This study tests whether adding darolutamide to ongoing androgen deprivation therapy helps men with non-metastatic castration-resistant prostate cancer who previously progressed on bicalutamide plus ADT.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 800 (estimated) |
| Sponsor | Bayer Industry-sponsored |
| Drugs / interventions | immunotherapy |
| Locations | 1 site (Multiple Locations) |
| Status | Recruiting |
| Started | July 31, 2026 |
| Main results expected | November 1, 2029 |
| Study ends | January 30, 2030 |
| Registry record updated | August 18, 2026 |
| Trial ID | NCT07538843 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adult men (18+) with nmCRPC, ECOG 0-1, receiving or starting ADT plus bicalutamide and darolutamide, and no radiographic metastasis.
✕Probably not a fit
Patients with progression to metastatic disease or intolerable treatment-related adverse effects may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an observational study conducted in China evaluating the use of darolutamide in combination with ongoing ADT for men with non-metastatic castration-resistant prostate cancer. Eligible participants are adults with good performance status and confirmed nmCRPC without metastasis, who are starting or continuing ADT plus darolutamide as part of routine clinical care. The study collects safety and real-world treatment data to understand outcomes in this specific treatment context. No randomization or experimental assignment is involved; data reflects standard practice and physician decisions. Key endpoints are safety signals and disease control in a real-world setting.
Why it matters
Potential benefit: If the approach is beneficial, patients might experience delayed progression and continued disease control while on combination therapy.
How similar studies have gone: Darolutamide has shown efficacy in nmCRPC in randomized trials, supporting further real-world observation in similar contexts.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Males Age ≥ 18 years. * Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1. * Patients receiving ≥6 m ADT+Bicalutamide in nmHSPC, progressed to nmCRPC judged by investigators. * Serum testosterone level\<1.7 nmol/L. * Decision to initiate treatment with ADT + Darolutamide as per investigator's routine treatment practice. * No evidence of metastasis as assessed by computed tomography (CT)/magnetic resonance imaging (MRI) for soft tissue disease and whole-body radionuclide bone scan for bone disease. * The informed consent form must be signed by the patient or his legal guardian (as applicable). * Patients who are fertile must use an effective method of contraception during the study and must refrain from donating sperm during the study or for 3 months after the end of treatment, unless they have undergone a radical prostatectomy. Exclusion Criteria: * Participation in an investigational program with interventions outside of routine clinical practice. * Presence of distant metastases, including involvement of the Central Nervous System (CNS) and vertebral or meningeal involvement. * Symptomatic local or regional lesions requiring medical intervention (moderate or severe urinary tract obstruction or hydronephrosis caused by the primary tumor). * Previous treatment with 2nd-generation ARIs. * Previous treatment with CYP17 inhibitors. * Previous treatment with radiopharmaceuticals, immunotherapy, or other investigational treatment for nmCRPC. * Severe/unstable angina, myocardial infarction, symptomatic congestive heart failure, arterial or venous thromboembolic events, or clinically significant ventricular arrhythmias. * Gastrointestinal diseases affecting absorption.
Where it's running
-
Many locations
Multiple Locations, China Recruiting
Study contacts
- Study coordinator: Bayer Clinical Trials Contact
- Email: clinical-trials-contact@bayer.com
- Phone: 18888422937
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Registry for prostate cancer treatment and outcomes
This study is tracking the treatment and progress of men with recurrent and advanced prostate cancer to see how different therapies affect their lives over time.
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Observing the safety of darolutamide in Korean men with prostate cancer
This study is testing the safety of darolutamide in Korean men with prostate cancer to see how well it works as part of their regular treatment.
-
Evaluating the safety and effectiveness of Darolutamide with standard hormone therapy for prostate cancer
This study is testing if adding Darolutamide to standard hormone therapy can help men with high-risk prostate cancer that keeps progressing even when testosterone is low.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.