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RecruitingNCT05740488Updated Mar 15, 2024

Efficacy and Safety of Apalutamide in Combination With 89Sr as Neoadjuvant Therapy in Prostate Cancer With ≤10 Bone Metastases

An interventional study of Apalutamide and 89Sr in Prostate Cancer With ≤10 Bone Metastases, sponsored by Zhujiang Hospital. Recruiting at 1 site in China. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-03-15.

Sponsored by Zhujiang Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Apr 2025, 1 year 6 months ago, but the record still lists the study as recruiting.
  • Registered 1 year 1 month after the study started (first participant enrolled Jan 2022, registered Feb 2023).
  • Started Jan 2022; still recruiting 4 years 9 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
Male
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Study summary

The aim of this study is to evaluate the efficacy and safety of apalutamide in combination with 89Sr as neoadjuvant therapy in prostate cancer with ≤10 bone metastases. The primary endpoint is PFS and the second endpoints are pCR, rPFS, PSA response, pain score, number and extent of bone metastases.

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Conditions studied

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In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,397 are open to participants now.

This study's planned enrollment of 30 is below the median of 58 across 4,821 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Zhujiang Hospital is the lead sponsor of 199 studies on the registry; 96 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  1. Prostate cancer confirmed by pathological findings;
  2. Bone metastasis confirmed by bone scan, the number of bone metastases ≤10
  3. Agreement to undergo laparoscopic radical prostatectomy + pelvic lymphadenectomy;
  4. ECOG score of 0 - 1
  5. Agreement to undergo preoperative and postoperative endocrine therapy and 89Sr radionuclide therapy;
  6. Voluntary signing of an ICF for the clinical trial

Exclusion criteria

Exclusion Criteria:

  1. Any other tumor disease requiring treatment;
  2. Any organ metastasis confirmed by imaging, such as liver and brain metastases, or the possibility of paralysis due to spinal cord metastasis;
  3. A history of epilepsy or any condition that may lead to seizures;
  4. Severe liver or kidney dysfunction, severe cardiovascular or cerebrovascular diseases, and systemic immune system diseases
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    apalutamide combined with 89Sr and ADT

    Neoadjuvant therapy with apalutamide in combination with 89Sr and ADT

    Drug: Apalutamide · Drug: 89Sr · Drug: Luteinizing Hormone-Releasing Hormone Analog

Interventions

  • DrugApalutamide

    240mg, po, qd

  • Drug89Sr

    100\~150MBq(based on weight), iv, q90d

  • DrugLuteinizing Hormone-Releasing Hormone Analog

    sc, 3.6mg, q30d or 10.8mg, q90d

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What researchers measure

Primary outcomes

  1. PFS

    progression-free survival

    Time frame: Up to 2 years after radical prostatectomy

Secondary outcomes

  1. pCR

    pathological complete response

    Time frame: Up to 1 year

  2. rPFS

    radiographic progression-free survival

    Time frame: Up to 3 years

  3. PSA response rate

    more than 50% decrease from baseline

    Time frame: Up to 3 years

  4. pain score

    Measurement of pain assessed by a Visual Analogue Scale (VAS). The analogous visual scale used for this study measures from 0 to 10 the intensity of pain with a series of "faces" that show the intensity in the pain experimentation with categories such as "No pain" in number 0, mild in number 1-3, moderate in number 4-6, intense in number 7-9 and worst in number 10.

    Time frame: Measured at baseline and follow up visits throughout the study, an average of 3 years

  5. number and extent of bone metastases

    Bone Scan

    Time frame: Up to 3 years

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Study locations

1 of 1 sites recruiting
  • zhujiang Hospital of Southern Medical University
    Guangzhou, Guangdong 510200, China
    • yiming zhang · Contact
    Recruiting
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05740488
Lead sponsor
Zhujiang Hospital
Responsible party
Binshen Chen (associate chief physician, Zhujiang Hospital) — Principal investigator
First posted
Feb 23, 2023
Start date
Jan 7, 2022
Primary completion
Apr 2025 (estimated)
Completion
Dec 2025 (estimated)
Last update
Mar 15, 2024

Study contacts

Zhang Yiming
Contact
359281481@qq.com
020-62782726
Chen Binshen
study chair · Southern Medical University, China

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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