Clinical trial Recruiting at 10 sites Observational Ages 18 and up Men only

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.

More Metastatic Hormone-sensitive Prostate Cancer (mHSPC) trials

Quick facts

Study typeObservational
Ages18 Years and up
SexMen only
Enrollment1600 (estimated)
SponsorBayer
Industry-sponsored
Locations16 sites (Many Locations and 15 other locations)
StatusRecruiting
StartedJanuary 29, 2026
Main results expectedDecember 31, 2029
Study endsJune 30, 2030
Registry record updatedOctober 19, 2026
Trial IDNCT07344779 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

  • 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
  • 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

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.