Darolutamide with hormone therapy (± chemotherapy) in metastatic hormone-sensitive prostate cancer
Official title: ROAD - Real-World Outcomes of Darolutamide, ADT, With or Without Docetaxel in Metastatic Hormone-Sensitive Prostate Cancer
Run by Bayer · NCT07344779 · Data updated 2026-11-12
This real-world study tests whether darolutamide plus hormone therapy, with or without chemotherapy, helps men with metastatic hormone-sensitive prostate cancer achieve very low PSA levels and stay safe.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 1600 (estimated) |
| Sponsor | Bayer Industry-sponsored |
| Locations | 16 sites (Many Locations and 15 other locations) |
| Status | Recruiting |
| Started | January 29, 2026 |
| Main results expected | December 31, 2029 |
| Study ends | June 30, 2030 |
| Registry record updated | October 19, 2026 |
| Trial ID | NCT07344779 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Male patients with metastatic hormone-sensitive prostate cancer who are starting darolutamide plus androgen deprivation therapy, with or without docetaxel, and who have informed consented to data collection.
✕Probably not a fit
Patients who do not respond clinically or who experience adverse events limiting ongoing therapy may not experience PSA or survival benefits observed in other patients.
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 international, prospective, observational study that follows patients treated with darolutamide in combination with androgen deprivation therapy, with or without docetaxel, in routine clinical practice. The study aims to describe real-world effectiveness and safety in approximately 1,600 men across multiple countries, focusing on PSA response at 1 year. Data collected include patient demographics, disease characteristics, prior and concurrent treatments, adverse events, and survival outcomes. Enrollment is limited to patients for whom the treating physician has already decided to initiate darolutamide treatment. No interventional procedures are mandated; treatment decisions are at the discretion of local clinicians.
Why it matters
Potential benefit: If successful, results could inform patient selection and real-world use of darolutamide with hormone therapy in mHSPC, potentially guiding treatment decisions and improving outcomes.
How similar studies have gone: Prior studies in real-world settings have shown varied effectiveness with AR-targeted therapies; this study builds on that approach in a broader international, observational framework.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male patient with a diagnosis of mHSPC * Male aged ≥18 years (or country's legal age of adulthood if \>18 years) * Histologically or cytologically confirmed adenocarcinoma of prostate; may have begun ADT (up to 120 days prior to enrollment) * Metastatic disease by conventional or new generation imaging * Decision to initiate treatment with darolutamide with or without docetaxel made prior to enrollment * Signed informed patient consent before start of data collection * Life expectancy of ≥3 months based on clinical judgment Exclusion Criteria: * Participation in an investigational program with interventions outside of routine clinical practice * Contraindications according to local marketing authorization * Any prior treatment with second-generation androgen receptor (AR) inhibitors such as enzalutamide, apalutamide, or other investigational AR inhibitors, cytochrome P17 enzyme inhibitor (except prior abiraterone acetate if discontinued at least 24 months before metastatic diagnosis) or other investigational CYP 17 enzyme inhibitors as antineoplastic treatment for prostate cancer. * Prior hormone therapy in the metastatic setting * Treatment with darolutamide initiated more than 7 days prior to enrollment
Where it's running
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Many Locations
Many Locations, Belgium Recruiting -
Many Locations
Many Locations, Finland Recruiting -
Many Locations
Many Locations, France Recruiting -
Many Locations
Many Locations, Greece Recruiting -
Many Locations
Many Locations, Israel Recruiting -
Many Locations
Many Locations, Italy Recruiting
Show 10 more locations
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Many Locations
Many Locations, Poland Recruiting -
Many Locations
Many Locations, Spain Recruiting -
Many Locations
Many Locations, Switzerland Recruiting -
Many Locations
Many Locations, United Kingdom Recruiting -
Many Locations
Many Locations, Germany Not yet recruiting -
Many Locations
Many Locations, Lithuania Not yet recruiting -
Many Locations
Many Locations, Norway Not yet recruiting -
Many Locations
Many Locations, Portugal Not yet recruiting -
Many Locations
Many Locations, Saudi Arabia Not yet recruiting -
Many Locations
Many Locations, Sweden Not yet recruiting
Study contacts
- Study coordinator: Bayer Clinical Trials Contact
- Email: clinical-trials-contact@bayer.com
- Phone: (+)1-888-84 22937
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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JUR-003 in adults with advanced prostate cancer
This first-in-human study tests JUR-003 to see if it is safe and tolerable and to get an early sense of activity in adults with metastatic or advanced prostate cancer.
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Tracking apalutamide use in men with metastatic hormone-sensitive prostate cancer in France
This project will see if men with metastatic hormone-sensitive prostate cancer in France take apalutamide as prescribed during their first year of treatment.
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ASP5541 with prednisone and ADT for Chinese men with prostate cancer
This study tests whether giving ASP5541 together with prednisone and ongoing androgen-deprivation therapy is safe and how the medicine behaves in Chinese men with metastatic prostate cancer.
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Intensifying Treatment With Docetaxel and Apalutamide for Metastatic Hormone-Sensitive Prostate Cancer After a Partial PSA Response
This trial tests whether adding docetaxel to apalutamide and ADT helps men with metastatic hormone-sensitive prostate cancer who did not achieve a deep PSA response after initial apalutamide treatment.
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Phase 2 test of ASP5541 for men with advanced prostate cancer
This study will test whether an injectable form of abiraterone (ASP5541) is safe and works as well or better than the standard oral abiraterone for men with metastatic prostate cancer who are on hormone therapy, with or without prednisone.
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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.
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.