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Testare l'aggiunta di docetaxel (chemioterapia) al solito trattamento (terapia ormonale e apalutamide) per il carcinoma della prostata metastatica, sperimentazione Aspire

2 novembre 2026 aggiornato da: Alliance for Clinical Trials in Oncology

Aggiunta di docetaxel nel carcinoma prostatico metastatico sensibile al castrato (Aspire)

This phase III trial compares the effect of adding docetaxel to hormonal therapy and apalutamide versus hormonal therapy and apalutamide alone in treating patients with prostate cancer that has spread from where it first started (primary site) to other places in the body (metastatic). Docetaxel is in a class of medications called taxanes. It stops tumor cells from growing and dividing and may kill them. Hormone therapy for prostate cancer, also called androgen deprivation therapy (ADT), uses surgery or drugs to lower the levels of male sex hormones in a man's body. This helps slow the growth of prostate cancer. Apalutamide is in a class of medications called androgen receptor inhibitors. It works by blocking the effects of androgen (a male reproductive hormone) to stop the growth and spread of tumor cells. Giving docetaxel in addition to the usual treatment of hormonal therapy and apalutamide may work better in treating patients with metastatic prostate cancer than the usual treatment alone.

Panoramica dello studio

Stato

Reclutamento

Condizioni

Intervento / Trattamento

Descrizione dettagliata

PRIMARY OBJECTIVE:

I. To determine if the addition of docetaxel to androgen deprivation therapy and apalutamide improves overall survival for men with metastatic castrate sensitive prostate cancer.

SECONDARY OBJECTIVES:

I. To determine if the addition of docetaxel to androgen deprivation therapy and apalutamide improves overall survival for men whose cancers have loss or inactivating mutations of TP53, PTEN, or RB1.

II. To determine if the addition of docetaxel to ADT plus apalutamide improves the time to radiographic progression per Prostate Cancer Working Group 3 (PCWG3) guidelines.

III. To determine the time to castration-resistant prostate cancer (CRPC) between arms.

IV. To determine symptomatic skeletal event free survival (SSE-FS) between arms.

V. To determine the safety and tolerability of the triplet versus doublet using Common Terminology Criteria for Adverse Events (CTCAE) version (v)5.0.

VI. To determine radiographic progression free survival (rPFS), and overall survival (OS) in patients by the stratification factors a) volume/timing of disease (metachronous high volume, synchronous high volume, and synchronous low volume metastases on conventional imaging) and b) tumor suppressor gene alteration status (0 versus [vs] 1 vs 2+) between arms.

VII. To determine prostate specific antigen (PSA) 90 response rate at 6 weeks and 6 months between arms.

VIII. To determine time to PSA progression by PCWG3 criteria between arms. IX. To determine objective response rate (ORR) in patients with measurable disease between arms.

EXPLORATORY OBJECTIVES:

I. To determine the time to worsening of physical symptoms of disease based on functional assessment of cancer therapy/National Comprehensive Cancer Network prostate cancer symptom index 17 item questionnaire (NCCN-FACT FPSI-17) between arms.

II. To compare quality of life as measured by Functional Assessment of Cancer Therapy-Prostate (FACT-P) trial outcome index in patients with metastatic castrate-sensitive prostate cancer (mCSPC) who receive ADT + apalutamide + docetaxel vs ADT + apalutamide at the 24-month time point.

III. To compare quality of life as measured by other scales of the FACT-P in the two arms.

IV. To compare quality of life as measured by FACT-P total outcome index in the two arms at other timepoints.

V. To compare pain severity and interference as measured by the Brief Pain Inventory Short Form (BPI-SF) in the two arms.

VI. To compare quality-adjusted life years which accounts for survival and utility (measured by European Quality of Life Five Dimension Five Level Scale [EQ-5D-5L]) in the two arms.

VII. To correlate baseline volume of disease on prostate-specific membrane antigen-positron emission tomography/computed tomography (PSMA-PET/CT) with baseline volume of disease on conventional imaging (CI).

VIII. To determine if baseline PSMA-PET/CT and CI are individually and jointly associated with OS, progression-free survival (PFS), PSA90 response, and PSA < 0.2 ng/ml after 6 months, and to estimate its clinical relevance when compared to these well characterized prognostic endpoints.

IX. To correlate 6-month PSA level with the presence/absence and volume of residual disease on PSMA-PET/CT after 6 months of doublet or triplet therapy.

X. To correlate the concordance of radiographic progression on CI versus PSMA-PET/CT at the time of PSA progression.

XI. To determine rPFS, time to castration resistance, OS based on thresholds of volume of disease, and prostate-specific membrane antigen (PSMA) uptake (standardized uptake value [SUV]) based on baseline PSMA-PET/CT scan.

XII. To compare rPFS, time to castration resistance, and OS between arms in patients with de novo metastatic disease having received primary directed radiation therapy.

XIII. To determine rPFS, time to castration resistance, and OS correlation with PSA response at 6 weeks and 6 months.

XIV. To compare the impact of treatment on aging trajectory, as measured by the change in Deficit-Accumulation Frailty Index (DAFI) from baseline, 6- and 12-months, in the two arms.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM 1: Patients receive ADT at the discretion of the investigator and apalutamide orally (PO) once daily (QD). Cycles repeat every 12 weeks in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo computed tomography (CT) scan or magnetic resonance imaging (MRI) and bone scan throughout the study. Patients may optionally undergo prostate-specific membrane antigen-positron emission tomography (PSMA-PET) scans and blood sample collection throughout the study.

ARM 2: Patients receive ADT at the discretion of the investigator and apalutamide PO QD. Cycles repeat every 12 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive docetaxel intravenously (IV) over 1 hour every 21 days for up to 6 doses. Additionally, patients undergo CT scan or MRI and bone scan throughout the study. Patients may optionally undergo PSMA-PET scans and blood sample collection throughout the study.

After completion of study treatment, patients are followed up every 6 months for up to 10 years.

Tipo di studio

Interventistico

Iscrizione (Stimato)

1260

Fase

  • Fase 3

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Contatto studio

Luoghi di studio

    • Arizona
      • Tucson, Arizona, Stati Uniti, 85719
        • Reclutamento
        • Banner University Medical Center - Tucson
        • Contatto:
        • Investigatore principale:
          • Edward P. Gelmann
      • Tucson, Arizona, Stati Uniti, 85719
        • Reclutamento
        • University of Arizona Cancer Center-North Campus
        • Contatto:
        • Investigatore principale:
          • Edward P. Gelmann
    • California
      • Dublin, California, Stati Uniti, 94568
        • Reclutamento
        • Kaiser Permanente Dublin
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
      • Fremont, California, Stati Uniti, 94538
        • Reclutamento
        • Kaiser Permanente-Fremont
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
      • Fresno, California, Stati Uniti, 93720
        • Reclutamento
        • Kaiser Permanente Fresno Orchard Plaza
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 833-574-2273
      • La Jolla, California, Stati Uniti, 92093
        • Reclutamento
        • UC San Diego Moores Cancer Center
        • Contatto:
        • Investigatore principale:
          • Yu-Wei Chen
      • Modesto, California, Stati Uniti, 95356
        • Reclutamento
        • Kaiser Permanente-Modesto
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
      • Modesto, California, Stati Uniti, 95356
        • Reclutamento
        • Kaiser Permanente- Modesto MOB II
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
      • Oakland, California, Stati Uniti, 94611
        • Reclutamento
        • Kaiser Permanente-Oakland
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
      • Rancho Mirage, California, Stati Uniti, 92270
        • Reclutamento
        • Eisenhower Medical Center
        • Investigatore principale:
          • Delshad Ahmad
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 760-834-3798
      • Roseville, California, Stati Uniti, 95661
        • Reclutamento
        • Kaiser Permanente-Roseville
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
      • Sacramento, California, Stati Uniti, 95814
        • Reclutamento
        • Kaiser Permanente Downtown Commons
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: kpoct@kp.org
      • Sacramento, California, Stati Uniti, 95823
        • Reclutamento
        • Kaiser Permanente-South Sacramento
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
      • San Diego, California, Stati Uniti, 92103
        • Reclutamento
        • UC San Diego Medical Center - Hillcrest
        • Contatto:
        • Investigatore principale:
          • Yu-Wei Chen
      • San Francisco, California, Stati Uniti, 94115
        • Reclutamento
        • Kaiser Permanente-San Francisco
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
      • San Jose, California, Stati Uniti, 95119
        • Reclutamento
        • Kaiser Permanente-Santa Teresa-San Jose
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
      • San Leandro, California, Stati Uniti, 94577
        • Reclutamento
        • Kaiser Permanente San Leandro
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
      • San Rafael, California, Stati Uniti, 94903
        • Reclutamento
        • Kaiser San Rafael-Gallinas
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
      • Santa Clara, California, Stati Uniti, 95051
        • Reclutamento
        • Kaiser Permanente Medical Center - Santa Clara
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
      • Santa Rosa, California, Stati Uniti, 95403
        • Reclutamento
        • Kaiser Permanente-Santa Rosa
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
      • South San Francisco, California, Stati Uniti, 94080
        • Reclutamento
        • Kaiser Permanente-South San Francisco
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
      • Vallejo, California, Stati Uniti, 94589
        • Reclutamento
        • Kaiser Permanente-Vallejo
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
      • Walnut Creek, California, Stati Uniti, 94596
        • Reclutamento
        • Kaiser Permanente-Walnut Creek
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-642-4691
          • Email: Kpoct@kp.org
    • Colorado
      • Aurora, Colorado, Stati Uniti, 80045
        • Reclutamento
        • Rocky Mountain Regional VA Medical Center
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 888-336-8262
        • Investigatore principale:
          • Jessica D. McDermott
      • Denver, Colorado, Stati Uniti, 80205
        • Reclutamento
        • Kaiser Permanente-Franklin
        • Investigatore principale:
          • Matthew J. Eadens
        • Contatto:
      • Edwards, Colorado, Stati Uniti, 81632
        • Reclutamento
        • Shaw Cancer Center
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 970-569-7429
        • Investigatore principale:
          • Erin Schwab
      • Grand Junction, Colorado, Stati Uniti, 81501
        • Reclutamento
        • Saint Mary's Hospital and Regional Medical Center
        • Contatto:
        • Investigatore principale:
          • Wallace Jones
      • Lafayette, Colorado, Stati Uniti, 80026
        • Reclutamento
        • Kaiser Permanente-Rock Creek
        • Investigatore principale:
          • Matthew J. Eadens
        • Contatto:
      • Lone Tree, Colorado, Stati Uniti, 80124
        • Reclutamento
        • Kaiser Permanente-Lone Tree
        • Investigatore principale:
          • Matthew J. Eadens
        • Contatto:
    • Delaware
      • Dover, Delaware, Stati Uniti, 19901
        • Attivo, non reclutante
        • Bayhealth Hospital Kent Campus
      • Milford, Delaware, Stati Uniti, 19963
        • Attivo, non reclutante
        • Bayhealth Hospital Sussex Campus
    • District of Columbia
      • Washington D.C., District of Columbia, Stati Uniti, 20007
        • Reclutamento
        • MedStar Georgetown University Hospital
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 202-444-2223
        • Investigatore principale:
          • Suthee Rapisuwon
      • Washington D.C., District of Columbia, Stati Uniti, 20010
        • Reclutamento
        • MedStar Washington Hospital Center
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 202-877-8839
        • Investigatore principale:
          • Suthee Rapisuwon
    • Florida
      • Gainesville, Florida, Stati Uniti, 32610
        • Reclutamento
        • Malcom Randall Veterans Administration Medical Center
        • Contatto:
        • Investigatore principale:
          • Jess DeLaune
    • Georgia
      • Atlanta, Georgia, Stati Uniti, 30342
        • Reclutamento
        • Northside Hospital
        • Contatto:
        • Investigatore principale:
          • Shailesh R. Satpute
      • Duluth, Georgia, Stati Uniti, 30096
        • Reclutamento
        • Northside Hospital - Duluth
        • Contatto:
        • Investigatore principale:
          • Shailesh R. Satpute
      • Lawrenceville, Georgia, Stati Uniti, 30046
        • Reclutamento
        • Northside Hospital - Gwinnett
        • Contatto:
        • Investigatore principale:
          • Shailesh R. Satpute
    • Hawaii
      • Honolulu, Hawaii, Stati Uniti, 96819
        • Reclutamento
        • Kaiser Permanente Moanalua Medical Center
        • Investigatore principale:
          • Andrea L. Harzstark
        • Contatto:
    • Idaho
      • Boise, Idaho, Stati Uniti, 83712
        • Reclutamento
        • Saint Luke's Cancer Institute - Boise
        • Investigatore principale:
          • Alison K. Conlin
        • Contatto:
      • Coeur d'Alene, Idaho, Stati Uniti, 83814
        • Reclutamento
        • Kootenai Health - Coeur d'Alene
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Fruitland, Idaho, Stati Uniti, 83619
        • Reclutamento
        • Saint Luke's Cancer Institute - Fruitland
        • Investigatore principale:
          • Alison K. Conlin
        • Contatto:
      • Meridian, Idaho, Stati Uniti, 83642
        • Reclutamento
        • Saint Luke's Cancer Institute - Meridian
        • Investigatore principale:
          • Alison K. Conlin
        • Contatto:
      • Nampa, Idaho, Stati Uniti, 83687
        • Reclutamento
        • Saint Luke's Cancer Institute - Nampa
        • Investigatore principale:
          • Alison K. Conlin
        • Contatto:
      • Post Falls, Idaho, Stati Uniti, 83854
        • Reclutamento
        • Kootenai Clinic Cancer Services - Post Falls
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Sandpoint, Idaho, Stati Uniti, 83864
        • Reclutamento
        • Kootenai Clinic Cancer Services - Sandpoint
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
    • Illinois
      • Bloomington, Illinois, Stati Uniti, 61704
        • Reclutamento
        • Illinois CancerCare-Bloomington
        • Contatto:
        • Investigatore principale:
          • Bryan A. Faller
      • Canton, Illinois, Stati Uniti, 61520
        • Reclutamento
        • Illinois CancerCare-Canton
        • Contatto:
        • Investigatore principale:
          • Bryan A. Faller
      • Carthage, Illinois, Stati Uniti, 62321
        • Reclutamento
        • Illinois CancerCare-Carthage
        • Contatto:
        • Investigatore principale:
          • Bryan A. Faller
      • Centralia, Illinois, Stati Uniti, 62801
        • Reclutamento
        • Centralia Oncology Clinic
        • Investigatore principale:
          • Bryan A. Faller
        • Contatto:
      • Chicago, Illinois, Stati Uniti, 60612
        • Reclutamento
        • University of Illinois
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 312-355-3046
        • Investigatore principale:
          • Karine Tawagi
      • Chicago, Illinois, Stati Uniti, 60612
        • Reclutamento
        • Rush MD Anderson Cancer Center
        • Investigatore principale:
          • Manan Shah
        • Contatto:
      • Danville, Illinois, Stati Uniti, 61832
        • Reclutamento
        • Carle at The Riverfront
        • Investigatore principale:
          • Kendrith M. Rowland
        • Contatto:
      • Decatur, Illinois, Stati Uniti, 62526
        • Reclutamento
        • Cancer Care Specialists of Illinois - Decatur
        • Investigatore principale:
          • Bryan A. Faller
        • Contatto:
      • Decatur, Illinois, Stati Uniti, 62526
        • Reclutamento
        • Decatur Memorial Hospital
        • Investigatore principale:
          • Bryan A. Faller
        • Contatto:
      • Dixon, Illinois, Stati Uniti, 61021
        • Reclutamento
        • Illinois CancerCare-Dixon
        • Investigatore principale:
          • Bryan A. Faller
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 815-285-7800
      • Effingham, Illinois, Stati Uniti, 62401
        • Reclutamento
        • Carle Physician Group-Effingham
        • Contatto:
        • Investigatore principale:
          • Kendrith M. Rowland
      • Effingham, Illinois, Stati Uniti, 62401
        • Reclutamento
        • Crossroads Cancer Center
        • Investigatore principale:
          • Bryan A. Faller
        • Contatto:
      • Eureka, Illinois, Stati Uniti, 61530
        • Reclutamento
        • Illinois CancerCare-Eureka
        • Contatto:
        • Investigatore principale:
          • Bryan A. Faller
      • Galesburg, Illinois, Stati Uniti, 61401
        • Reclutamento
        • Illinois CancerCare-Galesburg
        • Contatto:
        • Investigatore principale:
          • Bryan A. Faller
      • Hines, Illinois, Stati Uniti, 60141
        • Reclutamento
        • Edward Hines Jr VA Hospital
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 708-202-8387
        • Investigatore principale:
          • Elizabeth Henry
      • Kewanee, Illinois, Stati Uniti, 61443
        • Reclutamento
        • Illinois CancerCare-Kewanee Clinic
        • Contatto:
        • Investigatore principale:
          • Bryan A. Faller
      • Macomb, Illinois, Stati Uniti, 61455
        • Reclutamento
        • Illinois CancerCare-Macomb
        • Contatto:
        • Investigatore principale:
          • Bryan A. Faller
      • Mattoon, Illinois, Stati Uniti, 61938
        • Reclutamento
        • Carle Physician Group-Mattoon/Charleston
        • Contatto:
        • Investigatore principale:
          • Kendrith M. Rowland
      • Mount Vernon, Illinois, Stati Uniti, 62864
        • Reclutamento
        • SSM Health Good Samaritan
        • Investigatore principale:
          • Jay W. Carlson
        • Contatto:
      • Normal, Illinois, Stati Uniti, 61761
        • Reclutamento
        • Carle BroMenn Medical Center
        • Investigatore principale:
          • Kendrith M. Rowland
        • Contatto:
      • Normal, Illinois, Stati Uniti, 61761
        • Reclutamento
        • Carle Cancer Institute Normal
        • Investigatore principale:
          • Kendrith M. Rowland
        • Contatto:
      • O'Fallon, Illinois, Stati Uniti, 62269
        • Reclutamento
        • Cancer Care Center of O'Fallon
        • Investigatore principale:
          • Bryan A. Faller
        • Contatto:
      • O'Fallon, Illinois, Stati Uniti, 62269
        • Reclutamento
        • HSHS Saint Elizabeth's Hospital
        • Investigatore principale:
          • Bryan A. Faller
        • Contatto:
      • Ottawa, Illinois, Stati Uniti, 61350
        • Reclutamento
        • Illinois CancerCare-Ottawa Clinic
        • Contatto:
        • Investigatore principale:
          • Bryan A. Faller
      • Pekin, Illinois, Stati Uniti, 61554
        • Reclutamento
        • Illinois CancerCare-Pekin
        • Contatto:
        • Investigatore principale:
          • Bryan A. Faller
      • Peoria, Illinois, Stati Uniti, 61615
        • Reclutamento
        • Illinois CancerCare-Peoria
        • Contatto:
        • Investigatore principale:
          • Bryan A. Faller
      • Peru, Illinois, Stati Uniti, 61354
        • Reclutamento
        • Illinois CancerCare-Peru
        • Contatto:
        • Investigatore principale:
          • Bryan A. Faller
      • Princeton, Illinois, Stati Uniti, 61356
        • Reclutamento
        • Illinois CancerCare-Princeton
        • Contatto:
        • Investigatore principale:
          • Bryan A. Faller
      • Shiloh, Illinois, Stati Uniti, 62269
        • Reclutamento
        • Memorial Hospital East
        • Contatto:
        • Investigatore principale:
          • Eric M. Knoche
      • Springfield, Illinois, Stati Uniti, 62702
        • Reclutamento
        • Southern Illinois University School of Medicine
        • Investigatore principale:
          • Bryan A. Faller
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 217-545-7929
      • Springfield, Illinois, Stati Uniti, 62702
        • Reclutamento
        • Springfield Clinic
        • Investigatore principale:
          • Bryan A. Faller
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 800-444-7541
      • Springfield, Illinois, Stati Uniti, 62781
        • Reclutamento
        • Springfield Memorial Hospital
        • Investigatore principale:
          • Bryan A. Faller
        • Contatto:
      • Urbana, Illinois, Stati Uniti, 61801
        • Reclutamento
        • Carle Cancer Center
        • Contatto:
        • Investigatore principale:
          • Kendrith M. Rowland
      • Washington, Illinois, Stati Uniti, 61571
        • Reclutamento
        • Illinois CancerCare - Washington
        • Contatto:
        • Investigatore principale:
          • Bryan A. Faller
    • Iowa
      • Ames, Iowa, Stati Uniti, 50010
        • Reclutamento
        • Mary Greeley Medical Center
        • Investigatore principale:
          • Joseph J. Merchant
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 515-956-4132
      • Ames, Iowa, Stati Uniti, 50010
        • Reclutamento
        • McFarland Clinic - Ames
        • Investigatore principale:
          • Joseph J. Merchant
        • Contatto:
      • Boone, Iowa, Stati Uniti, 50036
        • Sospeso
        • McFarland Clinic - Boone
      • Cedar Rapids, Iowa, Stati Uniti, 52403
        • Reclutamento
        • Mercy Hospital
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 319-365-4673
        • Investigatore principale:
          • Deborah W. Wilbur
      • Cedar Rapids, Iowa, Stati Uniti, 52403
        • Reclutamento
        • Oncology Associates at Mercy Medical Center
        • Investigatore principale:
          • Deborah W. Wilbur
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 319-363-2690
      • Fort Dodge, Iowa, Stati Uniti, 50501
        • Reclutamento
        • McFarland Clinic - Trinity Cancer Center
        • Investigatore principale:
          • Joseph J. Merchant
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 515-956-4132
      • Jefferson, Iowa, Stati Uniti, 50129
        • Sospeso
        • McFarland Clinic - Jefferson
      • Marshalltown, Iowa, Stati Uniti, 50158
        • Reclutamento
        • McFarland Clinic - Marshalltown
        • Investigatore principale:
          • Joseph J. Merchant
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 515-956-4132
    • Kansas
      • Hays, Kansas, Stati Uniti, 67601
        • Reclutamento
        • HaysMed
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 785-623-5774
        • Investigatore principale:
          • Elizabeth M. Wulff
      • Lawrence, Kansas, Stati Uniti, 66044
        • Reclutamento
        • Lawrence Memorial Hospital
        • Contatto:
        • Investigatore principale:
          • Elizabeth M. Wulff
      • Olathe, Kansas, Stati Uniti, 66061
        • Reclutamento
        • The University of Kansas Cancer Center - Olathe
        • Contatto:
        • Investigatore principale:
          • Elizabeth M. Wulff
      • Overland Park, Kansas, Stati Uniti, 66210
        • Reclutamento
        • University of Kansas Cancer Center-Overland Park
        • Contatto:
        • Investigatore principale:
          • Elizabeth M. Wulff
      • Salina, Kansas, Stati Uniti, 67401
        • Reclutamento
        • Salina Regional Health Center
        • Contatto:
        • Investigatore principale:
          • Elizabeth M. Wulff
      • Topeka, Kansas, Stati Uniti, 66606
        • Reclutamento
        • University of Kansas Health System Saint Francis Campus
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 785-295-8000
        • Investigatore principale:
          • Elizabeth M. Wulff
      • Westwood, Kansas, Stati Uniti, 66205
        • Reclutamento
        • University of Kansas Hospital-Westwood Cancer Center
        • Contatto:
        • Investigatore principale:
          • Elizabeth M. Wulff
    • Michigan
      • Brighton, Michigan, Stati Uniti, 48114
        • Reclutamento
        • Trinity Health IHA Medical Group Hematology Oncology - Brighton
        • Contatto:
        • Investigatore principale:
          • Christopher M. Reynolds
      • Canton, Michigan, Stati Uniti, 48188
        • Reclutamento
        • Trinity Health IHA Medical Group Hematology Oncology - Canton
        • Contatto:
        • Investigatore principale:
          • Christopher M. Reynolds
      • Chelsea, Michigan, Stati Uniti, 48118
        • Reclutamento
        • Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
        • Contatto:
        • Investigatore principale:
          • Christopher M. Reynolds
      • Escanaba, Michigan, Stati Uniti, 49829
        • Reclutamento
        • OSF Saint Francis Hospital and Medical Group
        • Investigatore principale:
          • Anthony J. Jaslowski
        • Contatto:
      • Flint, Michigan, Stati Uniti, 48503
        • Reclutamento
        • Genesys Hurley Cancer Institute
        • Investigatore principale:
          • Christopher M. Reynolds
        • Contatto:
      • Flint, Michigan, Stati Uniti, 48503
        • Reclutamento
        • Hurley Medical Center
        • Investigatore principale:
          • Christopher M. Reynolds
        • Contatto:
      • Flint, Michigan, Stati Uniti, 48503
        • Reclutamento
        • Cancer Hematology Centers - Flint
        • Investigatore principale:
          • Christopher M. Reynolds
        • Contatto:
      • Lansing, Michigan, Stati Uniti, 48912
        • Reclutamento
        • University of Michigan Health - Sparrow Lansing
        • Investigatore principale:
          • Christopher M. Reynolds
        • Contatto:
      • Livonia, Michigan, Stati Uniti, 48154
        • Reclutamento
        • Trinity Health Saint Mary Mercy Livonia Hospital
        • Contatto:
        • Investigatore principale:
          • Christopher M. Reynolds
      • Pontiac, Michigan, Stati Uniti, 48341
        • Reclutamento
        • Trinity Health Saint Joseph Mercy Oakland Hospital
        • Contatto:
        • Investigatore principale:
          • Christopher M. Reynolds
      • Ypsilanti, Michigan, Stati Uniti, 48197
        • Reclutamento
        • Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
        • Contatto:
        • Investigatore principale:
          • Christopher M. Reynolds
    • Minnesota
      • Bemidji, Minnesota, Stati Uniti, 56601
      • Saint Cloud, Minnesota, Stati Uniti, 56303
        • Reclutamento
        • Coborn Cancer Center at Saint Cloud Hospital
        • Contatto:
        • Investigatore principale:
          • Donald J. Jurgens
    • Missouri
      • Cape Girardeau, Missouri, Stati Uniti, 63703
        • Reclutamento
        • Saint Francis Medical Center
        • Investigatore principale:
          • Bryan A. Faller
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 573-334-2230
          • Email: sfmc@sfmc.net
      • City of Saint Peters, Missouri, Stati Uniti, 63376
        • Reclutamento
        • Siteman Cancer Center at Saint Peters Hospital
        • Contatto:
        • Investigatore principale:
          • Eric M. Knoche
      • Creve Coeur, Missouri, Stati Uniti, 63141
        • Reclutamento
        • Siteman Cancer Center at West County Hospital
        • Contatto:
        • Investigatore principale:
          • Eric M. Knoche
      • Kansas City, Missouri, Stati Uniti, 64154
        • Reclutamento
        • University of Kansas Cancer Center - North
        • Contatto:
        • Investigatore principale:
          • Elizabeth M. Wulff
      • Kansas City, Missouri, Stati Uniti, 64108
        • Reclutamento
        • University Health Truman Medical Center
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 816-404-4375
        • Investigatore principale:
          • Elizabeth M. Wulff
      • Kansas City, Missouri, Stati Uniti, 64116
        • Reclutamento
        • University of Kansas Cancer Center - Briarcliff
        • Investigatore principale:
          • Elizabeth M. Wulff
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 913-588-3671
      • Lee's Summit, Missouri, Stati Uniti, 64064
        • Reclutamento
        • University of Kansas Cancer Center - Lee's Summit
        • Contatto:
        • Investigatore principale:
          • Elizabeth M. Wulff
      • St Louis, Missouri, Stati Uniti, 63110
        • Reclutamento
        • Washington University School of Medicine
        • Contatto:
        • Investigatore principale:
          • Eric M. Knoche
      • St Louis, Missouri, Stati Uniti, 63128
        • Reclutamento
        • Mercy Hospital South
        • Investigatore principale:
          • Jay W. Carlson
        • Contatto:
      • St Louis, Missouri, Stati Uniti, 63141
        • Reclutamento
        • Mercy Hospital Saint Louis
        • Investigatore principale:
          • Jay W. Carlson
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 314-251-7066
      • St Louis, Missouri, Stati Uniti, 63129
        • Reclutamento
        • Siteman Cancer Center-South County
        • Contatto:
        • Investigatore principale:
          • Eric M. Knoche
      • St Louis, Missouri, Stati Uniti, 63136
        • Reclutamento
        • Siteman Cancer Center at Christian Hospital
        • Contatto:
        • Investigatore principale:
          • Eric M. Knoche
      • St Louis, Missouri, Stati Uniti, 63125
        • Reclutamento
        • Veteran's Affairs Medical Center - Saint Louis
        • Contatto:
        • Investigatore principale:
          • Eric M. Knoche
    • Montana
      • Anaconda, Montana, Stati Uniti, 59711
        • Reclutamento
        • Community Hospital of Anaconda
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Billings, Montana, Stati Uniti, 59101
        • Reclutamento
        • Billings Clinic Cancer Center
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Billings, Montana, Stati Uniti, 59102
        • Reclutamento
        • Saint Vincent Frontier Cancer Center
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 800-648-6274
        • Investigatore principale:
          • Wallace Jones
      • Bozeman, Montana, Stati Uniti, 59715
        • Reclutamento
        • Bozeman Health Deaconess Hospital
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Great Falls, Montana, Stati Uniti, 59405
        • Reclutamento
        • Benefis Sletten Cancer Institute
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Kalispell, Montana, Stati Uniti, 59901
        • Reclutamento
        • Logan Health Medical Center
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
      • Missoula, Montana, Stati Uniti, 59804
        • Reclutamento
        • Community Medical Center
        • Investigatore principale:
          • John M. Schallenkamp
        • Contatto:
    • New Jersey
      • Basking Ridge, New Jersey, Stati Uniti, 07920
        • Reclutamento
        • Memorial Sloan Kettering Basking Ridge
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 212-639-7592
        • Investigatore principale:
          • Kristine P. Lacuna
      • Cherry Hill, New Jersey, Stati Uniti, 08002
        • Reclutamento
        • Jefferson Cherry Hill Hospital
        • Contatto:
        • Investigatore principale:
          • Kevin K. Zarrabi
      • Middletown, New Jersey, Stati Uniti, 07748
        • Reclutamento
        • Memorial Sloan Kettering Monmouth
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 212-639-7592
        • Investigatore principale:
          • Kristine P. Lacuna
      • Montvale, New Jersey, Stati Uniti, 07645
        • Reclutamento
        • Memorial Sloan Kettering Bergen
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 212-639-7592
        • Investigatore principale:
          • Kristine P. Lacuna
      • Sewell, New Jersey, Stati Uniti, 08080
        • Reclutamento
        • Sidney Kimmel Cancer Center Washington Township
        • Contatto:
        • Investigatore principale:
          • Kevin K. Zarrabi
    • New York
      • Buffalo, New York, Stati Uniti, 14263
        • Reclutamento
        • Roswell Park Cancer Institute
        • Contatto:
        • Investigatore principale:
          • Ellis G. Levine
      • Commack, New York, Stati Uniti, 11725
        • Reclutamento
        • Memorial Sloan Kettering Commack
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 212-639-7592
        • Investigatore principale:
          • Kristine P. Lacuna
      • Cortland, New York, Stati Uniti, 13045
        • Reclutamento
        • Guthrie Cortland Memorial Hospital
        • Investigatore principale:
          • Alina Basnet
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 607-756-3130
      • Harrison, New York, Stati Uniti, 10604
        • Reclutamento
        • Memorial Sloan Kettering Westchester
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 212-639-7592
        • Investigatore principale:
          • Kristine P. Lacuna
      • New York, New York, Stati Uniti, 10065
        • Reclutamento
        • Memorial Sloan Kettering Cancer Center
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 212-639-7592
        • Investigatore principale:
          • Kristine P. Lacuna
      • New York, New York, Stati Uniti, 10029
        • Reclutamento
        • Mount Sinai Hospital
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 212-824-7309
          • Email: CCTO@mssm.edu
        • Investigatore principale:
          • Eric J. Miller
      • Stony Brook, New York, Stati Uniti, 11794
        • Reclutamento
        • Stony Brook University Medical Center
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 800-862-2215
        • Investigatore principale:
          • Judy Huang
      • Uniondale, New York, Stati Uniti, 11553
        • Reclutamento
        • Memorial Sloan Kettering Nassau
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 212-639-7592
        • Investigatore principale:
          • Kristine P. Lacuna
    • North Carolina
      • Durham, North Carolina, Stati Uniti, 27710
        • Reclutamento
        • Duke University Medical Center
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 888-275-3853
        • Investigatore principale:
          • Hannah D. McManus
      • Durham, North Carolina, Stati Uniti, 27705
        • Reclutamento
        • Durham VA Medical Center
        • Contatto:
        • Investigatore principale:
          • Rhonda L. Bitting
      • Pinehurst, North Carolina, Stati Uniti, 28374
        • Reclutamento
        • FirstHealth of the Carolinas-Moore Regional Hospital
        • Contatto:
        • Investigatore principale:
          • Charles S. Kuzma
    • North Dakota
      • Bismarck, North Dakota, Stati Uniti, 58501
      • Fargo, North Dakota, Stati Uniti, 58122
      • Fargo, North Dakota, Stati Uniti, 58122
    • Ohio
      • Canton, Ohio, Stati Uniti, 44710
        • Reclutamento
        • Aultman Health Foundation
        • Contatto:
        • Investigatore principale:
          • Mehool A. Patel
      • Columbus, Ohio, Stati Uniti, 43210
        • Reclutamento
        • Ohio State University Comprehensive Cancer Center
        • Contatto:
        • Investigatore principale:
          • Lingbin Meng
      • Sylvania, Ohio, Stati Uniti, 43560
        • Reclutamento
        • ProMedica Flower Hospital
        • Contatto:
        • Investigatore principale:
          • Jeffrey H. Muler
    • Oklahoma
      • Oklahoma City, Oklahoma, Stati Uniti, 73104
        • Reclutamento
        • University of Oklahoma Health Sciences Center
        • Contatto:
        • Investigatore principale:
          • Adanma Anji Ayanambakkam Attanathi
    • Pennsylvania
      • Erie, Pennsylvania, Stati Uniti, 16544
        • Reclutamento
        • Saint Vincent Hospital
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 814-452-5000
        • Investigatore principale:
          • Shifeng S. Mao
      • Jefferson Hills, Pennsylvania, Stati Uniti, 15025
        • Reclutamento
        • Jefferson Hospital
        • Contatto:
        • Investigatore principale:
          • Shifeng S. Mao
      • Monroeville, Pennsylvania, Stati Uniti, 15146
        • Reclutamento
        • Forbes Hospital
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 412-858-7746
        • Investigatore principale:
          • Shifeng S. Mao
      • Natrona Heights, Pennsylvania, Stati Uniti, 15065
        • Reclutamento
        • Allegheny Valley Hospital
        • Contatto:
        • Investigatore principale:
          • Shifeng S. Mao
      • Philadelphia, Pennsylvania, Stati Uniti, 19107
        • Reclutamento
        • Thomas Jefferson University Hospital
        • Contatto:
        • Investigatore principale:
          • Kevin K. Zarrabi
      • Philadelphia, Pennsylvania, Stati Uniti, 19148
        • Sospeso
        • Jefferson Methodist Hospital
      • Philadelphia, Pennsylvania, Stati Uniti, 19114
        • Reclutamento
        • Jefferson Torresdale Hospital
        • Contatto:
        • Investigatore principale:
          • Kevin K. Zarrabi
      • Pittsburgh, Pennsylvania, Stati Uniti, 15224
        • Reclutamento
        • West Penn Hospital
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 412-578-5000
        • Investigatore principale:
          • Shifeng S. Mao
      • Pittsburgh, Pennsylvania, Stati Uniti, 15212
        • Reclutamento
        • Allegheny General Hospital
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-284-2000
        • Investigatore principale:
          • Shifeng S. Mao
      • Sayre, Pennsylvania, Stati Uniti, 18840
        • Reclutamento
        • Guthrie Medical Group PC-Robert Packer Hospital
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 800-836-0388
        • Investigatore principale:
          • Joyson Poulose
      • Wexford, Pennsylvania, Stati Uniti, 15090
        • Reclutamento
        • Wexford Health and Wellness Pavilion
        • Contatto:
        • Investigatore principale:
          • Shifeng S. Mao
      • Willow Grove, Pennsylvania, Stati Uniti, 19090
        • Reclutamento
        • Asplundh Cancer Pavilion
        • Contatto:
        • Investigatore principale:
          • Kevin K. Zarrabi
    • South Carolina
      • Greenville, South Carolina, Stati Uniti, 29601
        • Reclutamento
        • Saint Francis Hospital
        • Investigatore principale:
          • Stephen H. Dyar
        • Contatto:
      • Greenville, South Carolina, Stati Uniti, 29607
        • Reclutamento
        • Saint Francis Cancer Center
        • Investigatore principale:
          • Stephen H. Dyar
        • Contatto:
      • Greenwood, South Carolina, Stati Uniti, 29646
        • Reclutamento
        • Self Regional Healthcare
        • Contatto:
        • Investigatore principale:
          • Albert C. Lockhart
    • South Dakota
      • Rapid City, South Dakota, Stati Uniti, 57701
        • Attivo, non reclutante
        • Rapid City Regional Hospital
      • Sioux Falls, South Dakota, Stati Uniti, 57104
        • Reclutamento
        • Sanford Cancer Center Oncology Clinic
        • Investigatore principale:
          • Daniel Almquist
        • Contatto:
      • Sioux Falls, South Dakota, Stati Uniti, 57117-5134
        • Reclutamento
        • Sanford USD Medical Center - Sioux Falls
        • Investigatore principale:
          • Daniel Almquist
        • Contatto:
    • Texas
      • Dallas, Texas, Stati Uniti, 75390
        • Reclutamento
        • UT Southwestern/Simmons Cancer Center-Dallas
        • Contatto:
        • Investigatore principale:
          • Qian Qin
      • Dallas, Texas, Stati Uniti, 75237
        • Reclutamento
        • UT Southwestern Simmons Cancer Center - RedBird
        • Investigatore principale:
          • Qian Qin
        • Contatto:
      • Fort Worth, Texas, Stati Uniti, 76104
        • Reclutamento
        • UT Southwestern/Simmons Cancer Center-Fort Worth
        • Contatto:
        • Investigatore principale:
          • Qian Qin
      • Richardson, Texas, Stati Uniti, 75080
        • Reclutamento
        • UT Southwestern Clinical Center at Richardson/Plano
        • Contatto:
        • Investigatore principale:
          • Qian Qin
    • Utah
      • Murray, Utah, Stati Uniti, 84107
        • Reclutamento
        • Intermountain Medical Center
        • Contatto:
        • Investigatore principale:
          • Wallace Jones
      • Ogden, Utah, Stati Uniti, 84403
        • Reclutamento
        • McKay-Dee Hospital Center
        • Contatto:
        • Investigatore principale:
          • Wallace Jones
      • Salt Lake City, Utah, Stati Uniti, 84143
        • Reclutamento
        • LDS Hospital
        • Contatto:
        • Investigatore principale:
          • Wallace Jones
      • Sandy City, Utah, Stati Uniti, 84094
        • Reclutamento
        • Intermountain Health Alta View Hospital
        • Investigatore principale:
          • Wallace Jones
        • Contatto:
      • St. George, Utah, Stati Uniti, 84770
        • Reclutamento
        • Saint George Regional Medical Center
        • Contatto:
        • Investigatore principale:
          • Wallace Jones
    • Vermont
      • Berlin Corners, Vermont, Stati Uniti, 05602
        • Reclutamento
        • Central Vermont Medical Center/National Life Cancer Treatment
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 802-225-5400
        • Investigatore principale:
          • Rahul Anil
      • Burlington, Vermont, Stati Uniti, 05401
        • Reclutamento
        • University of Vermont Medical Center
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 802-656-4101
          • Email: rpo@uvm.edu
        • Investigatore principale:
          • Rahul Anil
      • Burlington, Vermont, Stati Uniti, 05405
        • Reclutamento
        • University of Vermont and State Agricultural College
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 802-656-8990
          • Email: rpo@uvm.edu
        • Investigatore principale:
          • Rahul Anil
    • Virginia
      • Fredericksburg, Virginia, Stati Uniti, 22408
        • Reclutamento
        • Hematology Oncology Associates of Fredericksburg Inc
        • Contatto:
        • Investigatore principale:
          • Asit K. Paul
      • Richmond, Virginia, Stati Uniti, 23235
        • Reclutamento
        • VCU Massey Cancer Center at Stony Point
        • Contatto:
        • Investigatore principale:
          • Asit K. Paul
      • Richmond, Virginia, Stati Uniti, 23298
        • Reclutamento
        • VCU Massey Comprehensive Cancer Center
        • Investigatore principale:
          • Asit K. Paul
        • Contatto:
      • Tappahannock, Virginia, Stati Uniti, 22560
        • Reclutamento
        • VCU Health Tappahannock Hospital
        • Investigatore principale:
          • Asit K. Paul
        • Contatto:
    • West Virginia
      • Charleston, West Virginia, Stati Uniti, 25304
        • Reclutamento
        • Vandalia Health/CAMC Institute for Academic Medicine
        • Investigatore principale:
          • Kok Hoe Chan
        • Contatto:
    • Wisconsin
      • Antigo, Wisconsin, Stati Uniti, 54409
        • Reclutamento
        • Aspirus Cancer Care-Antigo-Volm Cancer Center
        • Contatto:
        • Investigatore principale:
          • Andrew J. Huang
      • Appleton, Wisconsin, Stati Uniti, 54911
        • Reclutamento
        • ThedaCare Regional Cancer Center
        • Contatto:
        • Investigatore principale:
          • Joyce Philip
      • Appleton, Wisconsin, Stati Uniti, 54915
        • Reclutamento
        • Ascension Northeast Wisconsin-Saint Elizabeth Cancer Center-Appleton
        • Investigatore principale:
          • Kamal Kant Singh Abbi
        • Contatto:
      • Brookfield, Wisconsin, Stati Uniti, 53045
        • Reclutamento
        • Ascension Southeast Wisconsin Hospital-Elmbrook Campus-Brookfield
        • Investigatore principale:
          • Kamal Kant Singh Abbi
        • Contatto:
      • Chilton, Wisconsin, Stati Uniti, 53014
        • Reclutamento
        • Ascension Calumet Hospital-Chilton
        • Investigatore principale:
          • Kamal Kant Singh Abbi
        • Contatto:
      • Franklin, Wisconsin, Stati Uniti, 53132
        • Reclutamento
        • Reiman Cancer Center-Ascension Wisconsin Health Center-Rawson
        • Investigatore principale:
          • Kamal Kant Singh Abbi
        • Contatto:
      • Green Bay, Wisconsin, Stati Uniti, 54301
        • Reclutamento
        • Saint Vincent Hospital Cancer Center Green Bay
        • Investigatore principale:
          • Anthony J. Jaslowski
        • Contatto:
      • Green Bay, Wisconsin, Stati Uniti, 54303
        • Reclutamento
        • Saint Vincent Hospital Cancer Center at Saint Mary's
        • Investigatore principale:
          • Anthony J. Jaslowski
        • Contatto:
      • Madison, Wisconsin, Stati Uniti, 53705
        • Reclutamento
        • William S Middleton VA Medical Center
        • Investigatore principale:
          • David Kosoff
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 17007 608-256-1901
      • Medford, Wisconsin, Stati Uniti, 54451
        • Reclutamento
        • Aspirus Medford Hospital
        • Investigatore principale:
          • Andrew J. Huang
        • Contatto:
      • Menomonee Falls, Wisconsin, Stati Uniti, 53051
        • Reclutamento
        • Froedtert Menomonee Falls Hospital
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 262-257-5100
        • Investigatore principale:
          • Deepak Kilari
      • Mequon, Wisconsin, Stati Uniti, 53097
        • Reclutamento
        • Ascension Columbia Saint Mary's Hospital-Ozaukee Campus-Mequon
        • Investigatore principale:
          • Kamal Kant Singh Abbi
        • Contatto:
      • Milwaukee, Wisconsin, Stati Uniti, 53226
        • Reclutamento
        • Medical College of Wisconsin
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 414-805-3666
        • Investigatore principale:
          • Deepak Kilari
      • Milwaukee, Wisconsin, Stati Uniti, 53295
        • Reclutamento
        • Zablocki Veterans Administration Medical Center
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 888-469-6614
        • Investigatore principale:
          • Sumana Devata
      • Milwaukee, Wisconsin, Stati Uniti, 53211
        • Reclutamento
        • Ascension Columbia Saint Mary's Hospital-Milwaukee Campus
        • Investigatore principale:
          • Kamal Kant Singh Abbi
        • Contatto:
      • New Berlin, Wisconsin, Stati Uniti, 53151
        • Reclutamento
        • Froedtert and MCW Moorland Reserve Health Center
        • Investigatore principale:
          • Deepak Kilari
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 414-805-0505
      • Oak Creek, Wisconsin, Stati Uniti, 53154
        • Reclutamento
        • Drexel Town Square Health Center
        • Investigatore principale:
          • Deepak Kilari
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 414-805-0505
      • Oconto Falls, Wisconsin, Stati Uniti, 54154
        • Reclutamento
        • Saint Vincent Hospital Cancer Center at Oconto Falls
        • Investigatore principale:
          • Anthony J. Jaslowski
        • Contatto:
      • Oshkosh, Wisconsin, Stati Uniti, 54904
        • Reclutamento
        • Ascension Northeast Wisconsin-Mercy Hospital-Oshkosh
        • Investigatore principale:
          • Kamal Kant Singh Abbi
        • Contatto:
      • Racine, Wisconsin, Stati Uniti, 53405
        • Reclutamento
        • Ascension All Saints Hospital-Spring Street-Racine
        • Investigatore principale:
          • Kamal Kant Singh Abbi
        • Contatto:
      • Rhinelander, Wisconsin, Stati Uniti, 54501
        • Reclutamento
        • Aspirus Cancer Care-Rhinelander-James Beck Cancer Center
        • Investigatore principale:
          • Andrew J. Huang
        • Contatto:
      • Sheboygan, Wisconsin, Stati Uniti, 53081
        • Reclutamento
        • Saint Vincent Hospital Cancer Center at Sheboygan
        • Investigatore principale:
          • Anthony J. Jaslowski
        • Contatto:
      • Sheboygan, Wisconsin, Stati Uniti, 53081
        • Reclutamento
        • Sheboygan Physicians Group
        • Investigatore principale:
          • Anthony J. Jaslowski
        • Contatto:
      • Stevens Point, Wisconsin, Stati Uniti, 54481
        • Reclutamento
        • Aspirus Cancer Care - Stevens Point
        • Investigatore principale:
          • Andrew J. Huang
        • Contatto:
      • Sturgeon Bay, Wisconsin, Stati Uniti, 54235-1495
        • Reclutamento
        • Saint Vincent Hospital Cancer Center at Sturgeon Bay
        • Investigatore principale:
          • Anthony J. Jaslowski
        • Contatto:
      • Wausau, Wisconsin, Stati Uniti, 54401
        • Reclutamento
        • Aspirus Cancer Care-Wausau
        • Investigatore principale:
          • Andrew J. Huang
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 877-405-6866
      • Wauwatosa, Wisconsin, Stati Uniti, 53226
        • Reclutamento
        • Ascension Southeast Wisconsin Hospital-Mayfair Road-Wauwatosa
        • Investigatore principale:
          • Kamal Kant Singh Abbi
        • Contatto:
      • West Bend, Wisconsin, Stati Uniti, 53095
        • Reclutamento
        • Froedtert West Bend Hospital/Kraemer Cancer Center
        • Investigatore principale:
          • Deepak Kilari
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 414-805-0505
      • Wisconsin Rapids, Wisconsin, Stati Uniti, 54494
        • Reclutamento
        • Aspirus Cancer Care - Wisconsin Rapids
        • Investigatore principale:
          • Andrew J. Huang
        • Contatto:
          • Site Public Contact
          • Numero di telefono: 715-422-7718

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Maschio

Descrizione

Inclusion Criteria:

  • Documentation of disease:

    * Histologically or cytologically confirmed adenocarcinoma of the prostate without small cell histology

  • Must have had evidence of metastatic disease (American Joint Committee on Cancer [AJCC] metastasis [M]1 disease) based on conventional CT/MRI and/or bone scan. This will be defined as:

    • Bone metastases detected by CT, radionuclide technetium-99 (99Tc)- methylene bisphosphonate bone scan, or MRI as defined by PCWG3 criteria; OR
    • Non-pelvic lymph node metastases (measurable lymph nodes above the aortic bifurcation; lymph nodes are measurable if the short axis diameter is ≥ 15 mm) detected on CT or MRI as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Subjects with regional lymph node metastases only (nodes [N]1, below the aortic bifurcation) will not be eligible for the study; OR
    • Visceral or soft tissue metastases detected on CT or MRI as defined by RECIST version 1.1. Soft tissue/visceral lesions are measurable if the long axis diameter is ≥ 10 mm
    • Evidence of metastatic disease by PSMA-PET only and not visible by CT, radionuclide bone scan, or MRI will not satisfy eligibility criteria
  • No metachronous low-volume disease (defined as recurrent metastatic disease after definitive treatment of prostate primary) and with ≤ 4 bone metastasis and no visceral metastasis on conventional imaging by CT, radionuclide 99Tc-biphosphonate bone scan, or MRI)

  • Next generation sequencing (NGS) results from any tissue based Clinical Laboratory Improvement Act (CLIA) test must be available at the time of registration. NGS from soft tissue or visceral lesion if available is preferred. NGS from bone or primary prostate will be accepted. Patients with failed NGS testing are not eligible

  • Prior treatment

    • ADT (luteinizing hormone-releasing hormone [LHRH] agonist/antagonist or orchiectomy) with or without first generation anti-androgen, or second-generation androgen receptor signaling inhibitor (ARSI) within 120 days of registration is permitted. No washout period will be needed for the first generation- androgen or ARSI prior to registration. Anti-androgen treatment is only permitted if used within 120 days of registration
    • No prior chemotherapy for prostate cancer
  • Age ≥ 18 years

  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2

  • Absolute neutrophil count (ANC) ≥ 1,500/mm^3

  • Hemoglobin ≥ 9.0 g/dL

  • Platelet count ≥ 100,000/mm^3

  • Total bilirubin ≤ 1 x upper limit of normal (ULN) (Note: In subjects with Gilbert's syndrome, if total bilirubin is > 1.5 × ULN, measure direct and indirect bilirubin and if direct bilirubin is ≤ 1 × ULN, subject may be eligible)

  • Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase [SGOT])/alanine aminotransferase (ALT) (serum glutamate transaminase [SGT]) ≤ 1.5 x upper limit of normal (ULN)

  • Calculated (Calc.) creatinine clearance > 30 mL/min

  • Serum potassium ≥ 3.5 mmol/L

  • Comorbid conditions

    • Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial
    • Leptomeningeal metastases: Patients with treated leptomeningeal metastases are eligible if follow-up brain imaging 30 days after central nervous system (CNS)-directed therapy shows no evidence of progression
    • HIV: Patients with known HIV infection on effective anti-retroviral therapy with undetectable viral load within 6 months prior to registration are eligible for this trial
    • Hepatitis B: For patients with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated
    • Hepatitis C: Patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load
    • No seizure or known condition that may pre-dispose to seizure (e.g. prior stroke within 1 year to randomization, brain arteriovenous malformation or condition requiring CNS surgery or radiation therapy)
    • 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. Any condition that in the opinion of the investigator, would preclude participation in this study. Patients with stable asymptomatic deep venous thromboembolism on stable anti-coagulation will be eligible
    • Hypertension: Subjects with uncontrolled hypertension as indicated by a resting systolic blood pressure (BP) >= 160 mmHg or diastolic BP >= 100 mmHg despite medical management are not permitted to register
    • Allergies: Subjects with known hypersensitivity to any of the study drugs, or excipients in the formulation of the study drugs are not permitted to register
  • Concomitant medications

    • Chronic concomitant treatment with strong inhibitors of cytochrome P450 3A4 (CYP3A4) is not allowed on this study. Patients on strong CYP3A4 inhibitors must discontinue the drug prior to registration on the study. See Section 8.1.9 for more information
    • Chronic concomitant treatment with strong CYP3A4 inducers is not allowed. Patients must discontinue the drug 14 days prior to the start of study treatment
    • Medications known to lower the seizure threshold must be discontinued or substituted prior to study entry. See Section 8.1.9 for more information
  • Patient agrees to use a condom (even men with vasectomies) and another effective method of birth control if having sex with a woman of childbearing potential or agrees to use a condom if having sex with a woman who is pregnant while on study drug and for 3 months following the last dose of study drug. Must also agree not to donate sperm during the study and for 3 months after receiving the last dose of study drug

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Trattamento
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Comparatore attivo: Arm 1 (ADT, apalutamide)

Patients receive ADT at the discretion of the investigator and apalutamide PO QD. Cycles repeat every 12 weeks in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo CT scan or MRI and bone scan throughout the study. Patients may optionally undergo PSMA-PET scans and blood sample collection throughout the study.

Undergo blood sample collection

Undergo CT

Altri nomi:
  • TAC

Undergo MRI

Altri nomi:
  • Risonanza magnetica

Given PO

Undergo Bone Scan

Undergo PSMA PET Scan

Given ADT

undergo Questionnaire Administration

Sperimentale: Arm 2 (ADT, apalutamide, docetaxel)

Patients receive ADT at the discretion of the investigator and apalutamide PO QD. Cycles repeat every 12 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive docetaxel IV over 1 hour every 21 days for up to 6 doses. Additionally, patients undergo CT scan or MRI and bone scan throughout the study. Patients may optionally undergo PSMA-PET scans and blood sample collection throughout the study.

Given IV

Altri nomi:
  • Taxotere

Undergo blood sample collection

Undergo CT

Altri nomi:
  • TAC

Undergo MRI

Altri nomi:
  • Risonanza magnetica

Given PO

Undergo Bone Scan

Undergo PSMA PET Scan

Given ADT

undergo Questionnaire Administration

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Overall survival (OS)
Lasso di tempo: From randomization to death due to any cause, assessed up to 10 years

Will determine OS. To assess the potential OS benefit from the triplet therapy, a group sequential efficacy/futility monitoring design will be employed. The planned analyses for OS will be tested using a one-sided type 1 error rate of 0.025. An intent-to-treat approach will be used to evaluate OS between treatments. The stratified logrank test will be the primary analysis to compare OS between treatments. The Kaplan-Meier estimate will be used to evaluate the within treatment OS distributions. In addition, the proportional hazards model will be applied to assess the treatment comparison adjusting for important covariates in predicting OS.

From randomization to death due to any cause, assessed up to 10 years

Misure di risultato secondarie

Misura del risultato
Misura Descrizione
Lasso di tempo
Overall Survival (OS)
Lasso di tempo: From randomization to death due to any cause, assessed up to 10 years

Will determine if the addition of docetaxel to androgen deprivation therapy and apalutamide improves OS for men whose cancers have alterations of P53, PTEN, or RB1. To assess the potential OS benefit from the triplet therapy, a group sequential efficacy/futility monitoring design will be employed. The planned analyses for OS will be tested using a one-sided type 1 error rate of 0.025. An intent-to-treat approach will be used to evaluate OS between treatments. The stratified logrank test will be the primary analysis to compare OS between treatments. The Kaplan-Meier estimate will be used to evaluate the within treatment OS distributions. In addition, the proportional hazards model will be applied to assess the treatment comparison adjusting for important covariates in predicting OS.

From randomization to death due to any cause, assessed up to 10 years
Radiographic progression
Lasso di tempo: From randomization to first documentation of radiographic progressive disease or death due to any cause, assessed up to 10 years

Will determine the time to radiographic progression- per Prostate Cancer Working Group (PCWG3) guidelines. Tumor response will be assessed utilizing imaging measurements, as defined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1. In this study, RECIST has been modified based on PCWG3 criteria, which are specific for this patient population.

From randomization to first documentation of radiographic progressive disease or death due to any cause, assessed up to 10 years
Castration-resistant prostate cancer (CRPC)
Lasso di tempo: Time to prostate-specific antigen progression with serum testosterone being at castrate level < 0.50 ng/mL, or the time to progression by soft tissue/visceral lesions or time to progression by bone lesions per PCWG3 guidelines, assessed up to 10 years

Will determine the time to CRPC

Time to prostate-specific antigen progression with serum testosterone being at castrate level < 0.50 ng/mL, or the time to progression by soft tissue/visceral lesions or time to progression by bone lesions per PCWG3 guidelines, assessed up to 10 years
Symptomatic skeletal event free survival (SSE-FS)
Lasso di tempo: From randomization to first occurrence of SSE or death from any cause, assessed up to 10 years

Will determine SSE-FS. An SSE is defined as external beam radiation therapy to relieve skeletal symptoms, or new symptomatic pathologic bone fracture, or occurrence of spinal cord compression or tumor-related orthopedic surgical intervention, whichever comes first

From randomization to first occurrence of SSE or death from any cause, assessed up to 10 years
Worsening of physical symptoms of disease
Lasso di tempo: up to 10 years

Will determine the time to worsening of physical symptoms of disease based on functional assessment of cancer therapy / National Comprehensive Cancer Network prostate cancer symptom index 17 item questionnaire.

up to 10 years
Incidence of adverse events
Lasso di tempo: up to 10 years

Will determine the safety and tolerability of the triplet versus doublet using Common Terminology Criteria for Adverse Events version 5.0.

up to 10 years
Radiographic progression free survival (rPFS)
Lasso di tempo: From randomization to first documentation of radiographic progressive disease or death due to any cause, assessed up to 10 years

Will determine rPFS in patients by the stratification factors a) timing/volume of disease 1) metachronous high volume, 2) synchronous high volume and 3) synchronous low volume metastases on conventional imaging. Tumor response will be assessed utilizing imaging measurements, as defined by RECIST 1.1. In this study, RECIST has been modified based on PCWG3 criteria, which are specific for this patient population. Evaluation of rPFS will be assessed by the investigator.

From randomization to first documentation of radiographic progressive disease or death due to any cause, assessed up to 10 years
OS
Lasso di tempo: Will determine OS in patients by the stratification factors a) timing/volume of disease 1) metachronous high volume, 2) synchronous high volume and 3) synchronous low volume metastases on conventional imaging. To assess the potential OS benefit from the

Will determine OS in patients by the stratification factors a) timing/volume of disease 1) metachronous high volume, 2) synchronous high volume and 3) synchronous low volume metastases on conventional imaging. To assess the potential OS benefit from the triplet therapy, a group sequential efficacy/futility monitoring design will be employed. The planned analyses for OS will be tested using a one-sided type 1 error rate of 0.025. An intent-to-treat approach will be used to evaluate OS between treatments. The stratified logrank test will be the primary analysis to compare OS between treatments. The Kaplan-Meier estimate will be used to evaluate the within treatment OS distributions. In addition, the proportional hazards model will be applied to assess the treatment comparison adjusting for important covariates in predicting OS.

Will determine OS in patients by the stratification factors a) timing/volume of disease 1) metachronous high volume, 2) synchronous high volume and 3) synchronous low volume metastases on conventional imaging. To assess the potential OS benefit from the
Prostate specific antigen (PSA) 90 response rate
Lasso di tempo: At 6 weeks and 6 months

Will determine PSA 90 response rate.

At 6 weeks and 6 months
Time to PSA progression
Lasso di tempo: From randomization to the date of PSA progression based on PCWG3 criteria, assessed up to 10 years

Will determine PSA progression. PSA progression is defined as a ≥ 25% increase above the nadir (lowest screening or baseline) value, which is confirmed by a second value 3 or more weeks later, and an increase in absolute value of ≥ 2 ng/mL above nadir, at least 12 weeks from baseline. Subjects without PSA progression as of database cut-off, whether or not surviving, will be censored at the last total PSA lab assessment date.

From randomization to the date of PSA progression based on PCWG3 criteria, assessed up to 10 years
Objective response rate (ORR)
Lasso di tempo: up to 10 years

Will determine ORR in patients with measurable disease. Tumor response will be assessed utilizing imaging measurements, as defined by RECIST 1.1. In this study, RECIST has been modified based on PCWG3 criteria, which are specific for this patient population

up to 10 years

Altre misure di risultato

Misura del risultato
Misura Descrizione
Lasso di tempo
Estimates of treatment effect
Lasso di tempo: up to 10 years.

Estimates of treatment effect and the corresponding 95% confidence intervals (CIs) will be provided as follows (with an understanding that sometimes the CI or estimate will not be computable because of scant data):

  • Estimates of the OS hazard ratio and the corresponding 95% CIs by race.
  • Estimates of the OS hazard ratio and the corresponding 95% CIs by ethnicity.
up to 10 years.

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Sponsor

Collaboratori

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

1 dicembre 2025

Completamento primario (Stimato)

11 novembre 2031

Completamento dello studio (Stimato)

8 maggio 2039

Date di iscrizione allo studio

Primo inviato

9 aprile 2025

Primo inviato che soddisfa i criteri di controllo qualità

9 aprile 2025

Primo Inserito (Effettivo)

17 aprile 2025

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

3 novembre 2026

Ultimo aggiornamento inviato che soddisfa i criteri QC

2 novembre 2026

Ultimo verificato

1 novembre 2026

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • A032302
  • NCI-2025-00838 (Altro identificatore: NCI Clinical Trial Reporting Program)

Piano per i dati dei singoli partecipanti (IPD)

Hai intenzione di condividere i dati dei singoli partecipanti (IPD)?

INDECISO

Informazioni su farmaci e dispositivi, documenti di studio

Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti

No

Studia un dispositivo regolamentato dalla FDA degli Stati Uniti

No

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .