Fasudil plus PD-1 antibody with androgen-deprivation therapy before prostatectomy.
Official title: A Randomized Controlled Study of Fasudil Hydrochloride and PD1 Inhibitor Combined With Androgen Deprivation in Neoadjuvant Therapy for Prostate Cancer
Run by Zhongda Hospital · NCT06861192 · Data updated 2026-11-12
This trial tests whether adding fasudil and a PD-1 antibody to standard hormone (androgen-deprivation) therapy before prostatectomy helps men with locally advanced or oligometastatic prostate cancer.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 85 Years |
| Sex | Men only |
| Enrollment | 83 (estimated) |
| Sponsor | Zhongda Hospital Academic / other |
| Drugs / interventions | chemotherapy, triprilizumab |
| Locations | 1 site (Nanjing, Jiangsu) |
| Status | Recruiting |
| Started | February 16, 2025 |
| Main results expected | March 16, 2026 |
| Study ends | March 16, 2027 |
| Registry record updated | November 18, 2025 |
| Trial ID | NCT06861192 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are men aged 18–85 with histologically confirmed prostate adenocarcinoma who are cT3-4 or have ≤5 oligometastatic lesions, have ECOG 0–1, have not received prior prostate cancer treatment, and agree to radical prostatectomy.
✕Probably not a fit
Patients who have received prior prostate cancer treatments, have small-cell histology, significant comorbidities or drug allergies, or who refuse prostatectomy are unlikely to be eligible or to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, placebo-controlled trial enrolls men with locally advanced or oligometastatic prostate cancer who are scheduled for radical prostatectomy. Participants receive standard androgen-deprivation therapy and are randomized to receive either fasudil plus a PD-1 monoclonal antibody (triprilizumab 3 mg/kg IV on day 5 with fasudil 10 mg on days 1–5) or matching placebo. Patients are followed each treatment cycle with PSA and other laboratory tests, undergo imaging at the end of treatment, and proceed to radical prostatectomy about three weeks after the final intervention. The study focuses on pathological response (pCR and minimal residual disease) and preoperative PSA/imaging changes to see if the combination improves tumor control before surgery.
Why it matters
Potential benefit: If successful, the combination could increase complete pathological responses and reduce residual tumor before surgery, potentially improving surgical and long-term outcomes.
How similar studies have gone: Neoadjuvant PD-1 therapies have shown limited benefit in prostate cancer so far, and combining them with a Rho-kinase inhibitor like fasudil is largely novel with little prior clinical evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria:
* ① Age ≥18 years and ≤85 years;
* Histologically confirmed prostate cancer without small cell features;
* Metastatic prostate cancer was identified by imaging examination with ≤5 oligometastases (bone or lymph node metastases) or cT3-4 stages; ④The score of ECOG (Eastern Cooperative Oncology Group) was 0-1; ⑤ All patients voluntarily sign informed consent, and can adhere to treatment and follow-up;
Exclusion Criteria:
* ①Any previous or ongoing PCa treatment, including radiotherapy, chemotherapy, ADT, etc.
* Previous prostatectomy;
* Any other serious basic medical, mental, psychological, and other diseases that, in the judgment of the investigator, may affect the treatment of the patient
* Allergic to the drugs used; ⑤ Refuse to undergo radical prostatectomy; ⑥ According to the investigator's judgment, it is not suitable to participate in this clinical trial;
Where it's running
-
Zhongda Hospital
Nanjing, Jiangsu, China Recruiting
Study contacts
- Study coordinator: resident doctor
- Email: 2978793353@qq.com
- Phone: China+18852069821
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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.