A Study to Learn How Men With Advanced Prostate Cancer Respond to Treatment With Darolutamide and Hormone Therapy, With or Without Chemotherapy, in Real-world Medical Practice (ROAD)
ROAD - Real-World Outcomes of Darolutamide, ADT, With or Without Docetaxel in Metastatic Hormone-Sensitive Prostate Cancer
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Bayer Clinical Trials Contact
- Phone Number: (+)1-888-84 22937
- Email: clinical-trials-contact@bayer.com
Study Locations
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Multiple Locations, Belgium
- Many locations
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Multiple Locations, Finland
- Many locations
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Multiple Locations, France
- Many locations
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Multiple Locations, Germany
- Many locations
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Multiple Locations, Greece
- Many locations
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Multiple Locations, Israel
- Many locations
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Multiple Locations, Italy
- Many locations
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Multiple Locations, Lithuania
- Many locations
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Multiple Locations, Norway
- Many locations
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Multiple Locations, Poland
- Many locations
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Multiple Locations, Portugal
- Many locations
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Multiple Locations, Saudi Arabia
- Many locations
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Multiple Locations, Spain
- Many locations
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Multiple Locations, Sweden
- Many locations
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Multiple Locations, Switzerland
- Many locations
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Multiple Locations, United Kingdom
- Many locations
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
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 AR inhibitors (enzalutamide, apalutamide, or investigational AR inhibitors), CYP17 inhibitors (abiraterone acetate or investigational CYP17 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
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
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Darolutamide + ADT + Docetaxel (Triplet therapy)
This group includes men with metastatic hormone-sensitive prostate cancer (mHSPC) who are treated with a combination of darolutamide, androgen deprivation therapy (ADT), and docetaxel.
The decision to use this triplet therapy is made by the treating physician as part of routine clinical practice before the patient enrolls in the study.
Patients in this cohort receive all three treatments according to local standard of care.
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Darolutamide administered per local standard of care in combination with ADT.
Other Names:
Androgen deprivation therapy administered per local standard of care.
Docetaxel administered per local standard of care in combination with darolutamide and ADT for cohort 1.
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Darolutamide + ADT (Doublet therapy)
This group includes men with metastatic hormone-sensitive prostate cancer (mHSPC) who are treated with darolutamide and androgen deprivation therapy (ADT), but without docetaxel.
The decision to use this doublet therapy is made by the treating physician as part of routine clinical practice before the patient enrolls in the study.
Patients in this cohort receive darolutamide and ADT according to local standard of care.
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Darolutamide administered per local standard of care in combination with ADT.
Other Names:
Androgen deprivation therapy administered per local standard of care.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Proportion of patients in cohort 1 achieving undetectable PSA (<0.2 ng/mL) at 1 year
Time Frame: after 1 year of treatment
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To describe the effectiveness of darolutamide + ADT + docetaxel in patients with mHSPC by means of estimating the prostate-specific antigen (PSA) undetectable rates (PSA<0.2
ng/mL) after 1 year of study treatment.
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after 1 year of treatment
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Proportion of patients in cohort 2 achieving undetectable PSA (<0.2 ng/mL) at 1 year
Time Frame: after 1 year of treatment
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To describe the effectiveness of darolutamide + ADT in patients with mHSPC by means of estimating the prostate-specific antigen (PSA) undetectable rates (PSA<0.2
ng/mL) after 1 year of study treatment.
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after 1 year of treatment
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Overall survival per cohort and per country
Time Frame: up to 4 years
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Time from start of darolutamide treatment until death from any cause.
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up to 4 years
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Overall survival per cohort in all countries
Time Frame: up to 4 years
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Time from start of darolutamide treatment until death from any cause.
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up to 4 years
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Time to subsequent treatment per cohort and per country
Time Frame: up to 4 years
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Time from start of darolutamide treatment to initiation of a new anti-cancer therapy.
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up to 4 years
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Time to subsequent treatment per cohort in all countries
Time Frame: up to 4 years
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Time from start of darolutamide treatment to initiation of a new anti-cancer therapy.
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up to 4 years
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Time to castration resistance (CRPC) per cohort and per country
Time Frame: up to 4 years
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Time from enrollment until documented clinical or PSA progression with testosterone level <50 ng/dL or documented medical/surgical castration.
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up to 4 years
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Time to castration resistance (CRPC) per cohort in all countries
Time Frame: up to 4 years
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Time from enrollment until documented clinical or PSA progression with testosterone level <50 ng/dL or documented medical/surgical castration.
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up to 4 years
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Time to PSA progression per cohort and per country
Time Frame: up to 4 years
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Time from start of darolutamide treatment to PSA progression (≥25% increase above nadir and ≥2 ng/mL, confirmed by a second value ≥3 weeks later, but prior to 6 months, while on treatment).
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up to 4 years
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Time to PSA progression per cohort in all countries
Time Frame: up to 4 years
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Time from start of darolutamide treatment to PSA progression (≥25% increase above nadir and ≥2 ng/mL, confirmed by a second value ≥3 weeks later, but prior to 6 months, while on treatment).
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up to 4 years
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PSA response rate per cohort and per country
Time Frame: 1 year
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Proportion of patients with blood PSA level <0.2 ng/mL, confirmed by a second subsequent PSA value <0.2 ng/mL 3 or more weeks later
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1 year
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PSA response rate per cohort in all countries
Time Frame: 1 year
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Proportion of patients with blood PSA level <0.2 ng/mL, confirmed by a second subsequent PSA value <0.2 ng/mL 3 or more weeks later
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1 year
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Survival rate per cohort and per country
Time Frame: up to 4 years
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Survival rate at specified time points.
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up to 4 years
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Survival rate per cohort and all countries
Time Frame: up to 4 years
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Survival rate at specified time points.
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up to 4 years
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Time to discontinuation per cohort and per country
Time Frame: up to 4 years
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Time from start of darolutamide treatment to permanent discontinuation or death
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up to 4 years
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Time to discontinuation per cohort in all countries
Time Frame: up to 4 years
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Time from start of darolutamide treatment to permanent discontinuation or death
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up to 4 years
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Reason for discontinuation percohort and per country
Time Frame: up to 4 years
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Reason for permanent darolutamide discontinuation
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up to 4 years
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Reason for discontinuation per cohort in all countries
Time Frame: up to 4 years
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Reason for permanent darolutamide discontinuation
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up to 4 years
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Patient demographics per cohort and per country
Time Frame: at baseline
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Demographic characteristics at the first documented regular visit ion the study, referred to as baseline).
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at baseline
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Patient demographics per cohort in all countries
Time Frame: at baseline
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Demographic characteristics at the first documented regular visit ion the study, referred to as baseline).
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at baseline
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Medical History per cohort and per country
Time Frame: at baseline
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The medical history will be documented at study start.
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at baseline
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Medical History per cohort in all countries
Time Frame: at baseline
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The medical history will be documented at study start.
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at baseline
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Concomitant medication per cohort and per country
Time Frame: up to 4 years
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Documentation of Concomitant medication.
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up to 4 years
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Concomitant medication per cohort in all countries
Time Frame: up to 4 years
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Documentation of Concomitant medication.
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up to 4 years
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Concomitant treatment per cohort and per country
Time Frame: up to 4 years
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Documentation of Concomitant treatments.
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up to 4 years
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Concomitant treatment per cohort in all countries
Time Frame: up to 4 years
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Documentation of Concomitant treatments.
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up to 4 years
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Darolutamide use per cohort and per country
Time Frame: up to 4 years
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To describe real-world use of darolutamide in mHSPC patients.
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up to 4 years
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Darolutamide use per cohort in all countries
Time Frame: up to 4 years
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To describe real-world use of darolutamide in mHSPC patients.
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up to 4 years
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Diagnostic Imaging Technology per cohort and per country
Time Frame: at baseline
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Documentation of Diagnostic Imaging Technology at the initial study visits (baseline).
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at baseline
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Diagnostic Imaging Technology per cohort in all countries
Time Frame: at baseline
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Documentation of Diagnostic Imaging Technology at the initial study visits (baseline).
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at baseline
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Adverse events per cohort and per country
Time Frame: up to 4 years
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Number of all adverse events.
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up to 4 years
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Adverse events per cohort in all countries
Time Frame: up to 4 years
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Number of all adverse events.
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up to 4 years
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Serious Adverse events per cohort and per country
Time Frame: up to 4 years
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Number of all serious adverse events.
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up to 4 years
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Serious Adverse events per cohort in all countries
Time Frame: up to 4 years
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Number of all serious adverse events.
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up to 4 years
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Drug-related Adverse events per cohort and per country
Time Frame: up to 4 years
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Number of all drug-related (darolutamide) adverse events.
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up to 4 years
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Drug-related Adverse events per cohort in all countries
Time Frame: up to 4 years
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Number of all drug-related (darolutamide) adverse events.
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up to 4 years
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Serious Drug-related Adverse events per cohort and per country
Time Frame: up to 4 years
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Number of all serious drug-related (darolutamide) adverse events.
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up to 4 years
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Serious Drug-related Adverse events per cohort in all countries
Time Frame: up to 4 years
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Number of all serious drug-related (darolutamide) adverse events.
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up to 4 years
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Adverse events leading to treatment discontinuation per cohort and per country
Time Frame: up to 4 years
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Number of adverse events leading to treatment discontinuation.
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up to 4 years
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Adverse events leading to treatment discontinuation per cohort in all countries
Time Frame: up to 4 years
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Number of adverse events leading to treatment discontinuation.
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up to 4 years
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Vital Signs: Blood Pressure per cohort and per country
Time Frame: up to 4 years
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Blood Pressure is measured in mmHg throughout the study, at all major visit types, over the full observation period.
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up to 4 years
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Vital Signs: Blood Pressure per cohort in all countries
Time Frame: up to 4 years
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Blood Pressure is measured in mmHg throughout the study, at all major visit types, over the full observation period.
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up to 4 years
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Vital Signs: Body Temperature per cohort and per country
Time Frame: up to 4 years
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Body Temperature is measured in degrees Celsius (°C) or Fahrenheit (°F) (as per local practice) throughout the study, at all major visit types, over the full observation period.
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up to 4 years
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Vital Signs: Body Temperature per cohort in all countries
Time Frame: up to 4 years
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Body Temperature is measured in degrees Celsius (°C) or Fahrenheit (°F) (as per local practice) throughout the study, at all major visit types, over the full observation period.
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up to 4 years
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Vital Signs: Weight per cohort and per country
Time Frame: up to 4 years
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Weight is measured in kilograms (kg) throughout the study, at all major visit types, over the full observation period.
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up to 4 years
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Vital Signs: Weight per cohort in all countries
Time Frame: up to 4 years
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Weight is measured in kilograms (kg) throughout the study, at all major visit types, over the full observation period.
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up to 4 years
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Vital Signs: Height per cohort and per country
Time Frame: up to 4 years
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Height is measured in centimeters (cm) throughout the study, at all major visit types, over the full observation period.
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up to 4 years
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Vital Signs: Height per cohort in all countries
Time Frame: up to 4 years
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Height is measured in centimeters (cm) throughout the study, at all major visit types, over the full observation period.
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up to 4 years
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Laboratory Parameters: Hematology (Hemoglobin) per cohort and per country
Time Frame: up to 4 years
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Hemoglobin (g/dL)) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Hematology (Hemoglobin) per cohort in all countries
Time Frame: up to 4 years
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Hemoglobin (g/dL)) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Hematology (WBC) per cohort and per country
Time Frame: up to 4 years
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White Blood Cell Count (WBC) (x10^9/L) is performed throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Hematology (WBC) per cohort in all countries
Time Frame: up to 4 years
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White Blood Cell Count (WBC) (x10^9/L) is performed throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Hematology (Platelet Count) per cohort and per country
Time Frame: up to 4 years
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Platelet Count (x10^9/L) is performed throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Hematology (Platelet Count) per cohort in all countries
Time Frame: up to 4 years
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Platelet Count (x10^9/L) is performed throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Clinical Chemistry (Creatinine) per cohort and per country
Time Frame: up to 4 years
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Serum Creatinine (mg/dL or µmol/L) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Clinical Chemistry (Creatinine) per cohort in all countries
Time Frame: up to 4 years
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Serum Creatinine (mg/dL or µmol/L) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Clinical Chemistry (ALT) per cohort and per country
Time Frame: up to 4 years
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Alanine Aminotransferase (ALT) (U/L) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Clinical Chemistry (ALT) per cohort in all countries
Time Frame: up to 4 years
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Alanine Aminotransferase (ALT) (U/L) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Clinical Chemistry (AST) per cohort and per country
Time Frame: up to 4 years
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Aspartate Aminotransferase (AST) (U/L) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Clinical Chemistry (AST) per cohort in all countries
Time Frame: up to 4 years
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Aspartate Aminotransferase (AST) (U/L) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Clinical Chemistry (Bilirubin) per cohort and per country
Time Frame: up to 4 years
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Total Bilirubin (mg/dL or µmol/L) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Clinical Chemistry (Bilirubin) per cohort in all countries
Time Frame: up to 4 years
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Total Bilirubin (mg/dL or µmol/L) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Clinical Chemistry (Alkaline Phosphatase) per cohort and per country
Time Frame: up to 4 years
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Alkaline Phosphatase (U/L) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Clinical Chemistry (Alkaline Phosphatase) per cohort in all countries
Time Frame: up to 4 years
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Alkaline Phosphatase (U/L) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Clinical Chemistry (PSA) per cohort and per country
Time Frame: up to 4 years
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Prostate-Specific Antigen (PSA) (ng/mL) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Laboratory Parameters: Clinical Chemistry (PSA) per cohort in all countries
Time Frame: up to 4 years
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Prostate-Specific Antigen (PSA) (ng/mL) is determined throughout the study, at all major visit types, for the duration of darolutamide treatment and as needed during follow-up, up to the end of observation.
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up to 4 years
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Genital Neoplasms, Male
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Genital Diseases, Male
- Prostatic Diseases
- Male Urogenital Diseases
- Prostatic Neoplasms
- Organic Chemicals
- Hydrocarbons
- Cycloparaffins
- Hydrocarbons, Alicyclic
- Hydrocarbons, Cyclic
- Terpenes
- Taxoids
- Cyclodecanes
- Diterpenes
- Docetaxel
- darolutamide
Other Study ID Numbers
Other Study ID Numbers
- 23100
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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