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A Randomized Phase III Clinical Trial for the Addition of Docetaxel to Androgen Receptor Pathway Inhibitors in Patients With Metastatic Castration Sensitive Prostate Cancer and Suboptimal PSA Response (TRIPLE-SWITCH)

Cancer
Omid Yazdanpanah
Prostate

Study Description

This study is being done to answer the following question: can the chance of prostate cancer growing or spreading be lowered by adding a drug to the usual combination of drugs?

This study would like to find out if this approach is better or worse than the usual approach for prostate cancer.

The usual approach for patients who are not in a study is hormone treatment with Androgen Deprivation Therapy (ADT) and Androgen-Receptor Pathway Inhibitor (ARPI).

Eligibility

  • Histologically/cytologically confirmed adenocarcinoma of the prostate
  • Metastatic disease by conventional imaging
  • PSA of >= 5.0 ng/ml (5.0 ug/L) prior to commencement of ADT
  • Receipt of ADT for mCSPC for at least 6 months and no greater than 12 months at time of enrollment.
  • Receipt of ARPI (e.g. abiraterone acetate, enzalutamide, apalutamide, or darolutamide) for at least 4 months at time of enrollment
  • Evidence of radiographic progression or clinical progression since start of ADT.
  • Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association Functional Classification. To be eligible for this trial, patients should be class II or better.
  • Patients with uncontrolled intercurrent illness or any other significant condition(s) that would make this protocol unreasonably hazardous.
  • Concurrent treatment with other anti-cancer systemic therapy other than ADT and ARPI.
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