Informations générales (source: ClinicalTrials.gov)
Evaluation of dAroLutamide Addition to anDrogen Deprivation Therapy and radIatioN Therapy in Newly Diagnosed Prostate Cancer With Pelvic Lymph Nodes Metastases (ALADDIN)
Interventional
Phase 3
Association Pour La Recherche des Thérapeutiques Innovantes en Cancérologie (Voir sur ClinicalTrials)
août 2022
février 2027
29 juin 2024
Prospective, multicenter, comparative, randomized placebo-controlled Phase III trial -
patients with hormone-naïve prostate cancer and pelvic lymph nodes metastases
Etablissements
| Les établissements d'Île-de-France ayant mis à jour leurs données Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| CLCC INSTITUT CURIE | 04/09/2024 13:49:39 | Contact (sur clinicalTrials) | |||
| CLCC RENE HUGUENIN INSTITUT CURIE | 04/09/2024 13:49:27 | Contact (sur clinicalTrials) | |||
| Les établissements sans correspondance certaine dans le répertoire FINESS dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
| Pôle Santé Léonard de Vinci - 37170 - Chambray-lès-Tours - France | Pierre COMBE, MD | Contact (sur clinicalTrials) | |||
Critères
Homme
Inclusion Criteria:
1. . Newly diagnosed, histologically confirmed prostate adenocarcinoma
2. ≥ 18 years old.
3. Initial staging with Pelvic MRI, body CT-scan/bone scan or Choline or PSMA PET-CT
4. Any T stage
5. N stage: N1 - Pelvis lymph nodes metastases (upper limit defined as the L4/L5
interspace).
6. Intention to treat with long-term androgen deprivation therapy (24 months).
7. Hormonal therapy with LH-RH agonist or antagonist is allowed up to 3months prior to
randomization.
8. Able to receive protocol therapy and have life expectancy of at least 36 months,
ECOG Performance Status (PS) 0-2.
9. . Blood counts at screening: hemoglobin ≥ 9.0 g/dl, absolute neutrophil count ≥
1500/μl (1.5x109/l), platelet count ≥ 100,000/μl (100x109/l ) (patient must not have
received any growth factor or blood transfusion within 7 days of the hematology
laboratory obtained at screening).
10. Screening values of serum alanine aminotransferase (ALT) and/or aspartate
transaminase (AST) < 2.5 x upper limit of normal (ULN), total bilirubin < 1.5 x ULN
(except patients with a diagnosis of Gilbert's disease), creatinine < 2.0 x ULN.
11. Sexually active patients, unless surgically sterile, must agree to use condoms as an
effective barrier method during the study treatment and for 3 months after the end
of the study treatment.
12. Written informed consent.
13. Willing and expected to comply with follow-up schedule.
14. Affiliated to the social security system.
15. Use of 5-α reductase inhibitors (finasteride, dutasteride) is allowed
1. . Newly diagnosed, histologically confirmed prostate adenocarcinoma
2. ≥ 18 years old.
3. Initial staging with Pelvic MRI, body CT-scan/bone scan or Choline or PSMA PET-CT
4. Any T stage
5. N stage: N1 - Pelvis lymph nodes metastases (upper limit defined as the L4/L5
interspace).
6. Intention to treat with long-term androgen deprivation therapy (24 months).
7. Hormonal therapy with LH-RH agonist or antagonist is allowed up to 3months prior to
randomization.
8. Able to receive protocol therapy and have life expectancy of at least 36 months,
ECOG Performance Status (PS) 0-2.
9. . Blood counts at screening: hemoglobin ≥ 9.0 g/dl, absolute neutrophil count ≥
1500/μl (1.5x109/l), platelet count ≥ 100,000/μl (100x109/l ) (patient must not have
received any growth factor or blood transfusion within 7 days of the hematology
laboratory obtained at screening).
10. Screening values of serum alanine aminotransferase (ALT) and/or aspartate
transaminase (AST) < 2.5 x upper limit of normal (ULN), total bilirubin < 1.5 x ULN
(except patients with a diagnosis of Gilbert's disease), creatinine < 2.0 x ULN.
11. Sexually active patients, unless surgically sterile, must agree to use condoms as an
effective barrier method during the study treatment and for 3 months after the end
of the study treatment.
12. Written informed consent.
13. Willing and expected to comply with follow-up schedule.
14. Affiliated to the social security system.
15. Use of 5-α reductase inhibitors (finasteride, dutasteride) is allowed
1. Lymph nodes metastases outside of the pelvis
2. Bone or visceral metastases
3. Prior systemic therapy for locally-advanced prostate cancer except for LH-RH agonist
or antagonist up to 3 months before randomization
4. Prior treatment with:
- Second generation AR inhibitors such as enzalutamide, apalutamide (ARN-509),
darolutamide (ODM-201) other investigational AR inhibitors
- CYP17 enzyme inhibitor such as abiraterone acetate, TAK-700 or
- Oral ketoconazole
- Use of estrogens, or AR inhibitors (bicalutamide, flutamide, nilutamide,
cyproterone acetate)
5. Use of systemic corticosteroid with dose greater than the equivalent 10 mg of
prednisone/day within 28 days before randomization.
6. Patients with QTor QTc interval > 450 ms on the ECG
7. Initiation of treatment with bisphosphonate or denosumab within 12 weeks before
randomization. Patients receiving bone loss prevention treatment on a stable dose of
e.g. bisphosphonate or denosumab for at least 28 days before randomization can
continue the treatment during the study.
8. Known hypersensitivity to the study treatment (RT, ADT, darolutamide/placebo) or any
of its ingredients.
9. Major surgery within 28 days before randomization.
10. Any of the following within 6 months before randomization: stroke, myocardial
infarction, severe/unstable angina pectoris, coronary/peripheral artery bypass
graft; congestive heart failure New York Heart Association (NYHA) Class III or IV or
arterial thromboembolic event.
11. Uncontrolled hypertension as indicated by a resting systolic BP > 160 mmHg or
diastolic BP > 100 mmHg at screening. Patients may be re-screened after adjustments
of anti- hypertensive medications.
12. Prior malignancy. Adequately treated basal cell or squamous cell carcinoma of skin
or superficial bladder cancer that has not spread behind the connective tissue layer
(i.e. pTis, pTa, and pT1) is allowed, as well as any other cancer for which
chemotherapy has been completed > 5 years ago and from which the patient has been
disease-free.
13. Gastrointestinal disorder or procedure which expects to interfere significantly with
absorption of study treatment.
14. Active viral hepatitis, active human immunodeficiency virus (HIV) or chronic liver
disease.
15. Participation in another interventional clinical trial and any concurrent treatment
with any investigational drug
16. Any condition that in the opinion of the investigator would impair the patients'
ability to comply with the study procedures.
17. Unable to swallow study medications and comply with study requirements.
18. Galactose intolerance, the Lapp lactase deficiency or glucose
galactose-malabsorption
19. History of bilateral hip replacements making IMRT impossible
20. Contra-indications for the administration of any of the study treatments (RT, ADT,
Darolutamide/placebo) or any of its ingredients.
21. Patient under guardianship, administrative tutorship and incapable to give informed
consent