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

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 typeObservational
Ages18 Years and up
SexMen only
Enrollment800 (estimated)
SponsorBayer
Industry-sponsored
Drugs / interventionsimmunotherapy
Locations1 site (Multiple Locations)
StatusRecruiting
StartedJuly 31, 2026
Main results expectedNovember 1, 2029
Study endsJanuary 30, 2030
Registry record updatedAugust 18, 2026
Trial IDNCT07538843 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

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.