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审核状态: Project audit state: |
通过审核 Successful |
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注册号: Registration number: |
ChiCTR2400093262 |
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最近更新日期: Date of Last Refreshed on: |
2024-12-01 14:00:38 |
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注册时间: Date of Registration: |
2024-12-01 00:00:00 |
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注册号状态: |
预注册 |
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Registration Status: |
Prospective registration |
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注册题目: |
瑞维鲁胺联合雄激素剥夺治疗(ADT)联合或不联合多西他赛新辅助治疗寡转移前列腺癌的随机、平行队列、多中心临床研究 |
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Public title: |
A randomized, parallel-cohort, multicenter clinical study of Rezvilutamide in combination with androgen deprivation therapy (ADT) with or without docetaxel in the neoadjuvant treatment of oligometastatic prostate cancer |
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注册题目简写: |
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English Acronym: |
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研究课题的正式科学名称: |
瑞维鲁胺联合雄激素剥夺治疗(ADT)联合或不联合多西他赛新辅助治疗寡转移前列腺癌的随机、平行队列、多中心临床研究 |
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Scientific title: |
A randomized, parallel-cohort, multicenter clinical study of Rezvilutamide in combination with androgen deprivation therapy (ADT) with or without docetaxel in the neoadjuvant treatment of oligometastatic prostate cancer |
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研究课题代号(代码): Study subject ID: |
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在二级注册机构或其它机构的注册号: The registration number of the Partner Registry or other register: |
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申请注册联系人: |
林琦 |
研究负责人: |
陈伟 |
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Applicant: |
Lin Qi |
Study leader: |
Chen Wei |
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申请注册联系人电话: Applicant telephone: |
+86 152 0577 1010 |
研究负责人电话:
Study leader's |
+86 138 5777 1505 |
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申请注册联系人传真 : Applicant Fax: |
研究负责人传真: Study leader's fax: |
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申请注册联系人电子邮件: Applicant E-mail: |
devillynch@126.com |
研究负责人电子邮件: Study leader's E-mail: |
2818777033@qq.com |
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申请单位网址(自愿提供): Applicant website(voluntary supply): |
研究负责人网址(自愿提供): Study leader's website(voluntary supply): |
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申请注册联系人通讯地址: |
浙江省温州市瓯海区南白象街道上蔡村温州医科大学附属第一医院门诊2号楼4层a02诊室 |
研究负责人通讯地址: |
浙江省温州市瓯海区南白象街道上蔡村温州医科大学附属第一医院门诊2号楼4层a02诊室 |
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Applicant address: |
a02 Room, 4th Floor, Building 2, the First Affiliated Hospital of Wenzhou Medical University, Shangcai Village, Nanbaixiang Street, Ouhai District, Wenzhou City, Zhejiang Province |
Study leader's address: |
a02 Room, 4th Floor, Building 2, the First Affiliated Hospital of Wenzhou Medical University, Shangcai Village, Nanbaixiang Street, Ouhai District, Wenzhou City, Zhejiang Province |
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申请注册联系人邮政编码: Applicant postcode: |
研究负责人邮政编码: Study leader's postcode: |
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申请人所在单位: |
温州医科大学附属第一医院 |
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Applicant's institution: |
The First Affiliated Hospital of Wenzhou Medical University |
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研究负责人所在单位: |
温州医科大学附属第一医院 |
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Affiliation of the Leader: |
The First Affiliated Hospital of Wenzhou Medical University |
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是否获伦理委员会批准: |
是 |
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Approved by ethic committee: |
Yes |
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伦理委员会批件文号: Approved No. of ethic committee: |
(2024)第(231)号 |
伦理委员会批件附件: Approved file of Ethical Committee: |
查看附件View |
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批准本研究的伦理委员会名称: |
温州医科大学附属第一医院临床研究伦理委员会 |
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Name of the ethic committee: |
Ethics Committee in Clinical Research of the First Affiliated Hospital of Wenzhou Medical University |
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伦理委员会批准日期: Date of approved by ethic committee: |
2024-10-12 00:00:00 | ||
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伦理委员会联系人: |
许慧清 |
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Contact Name of the ethic committee: |
Xu Huiqing |
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伦理委员会联系地址: |
浙江省温州市瓯海区南白象温州医科大学附属第一医院新院区 |
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Contact Address of the ethic committee: |
New hospital of the First Affiliated Hospital of Wenzhou Medical University, South White Elephant, Ouhai District, Wenzhou City, Zhejiang Province |
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伦理委员会联系人电话: Contact phone of the ethic committee: |
+86 577 5557 8055 |
伦理委员会联系人邮箱: Contact email of the ethic committee: |
wyyyclinical@126.com |
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研究实施负责(组长)单位: |
温州医科大学附属第一医院 |
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Primary sponsor: |
The First Affiliated Hospital of Wenzhou Medical University |
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研究实施负责(组长)单位地址: |
浙江省温州市瓯海区南白象温州医科大学附属第一医院新院区 |
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Primary sponsor's address: |
New hospital of the First Affiliated Hospital of Wenzhou Medical University, South White Elephant, Ouhai District, Wenzhou City, Zhejiang Province |
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试验主办单位(项目批准或申办者): Secondary sponsor: |
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经费或物资来源: |
国家卫生健康委医药卫生科技发展研究中心“创新药物上市后临床研究科研专项” |
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Source(s) of funding: |
"Post-marketing clinical research projects of innovative drugs" of the Development Center for Medical Science & Technology National Health Commission of the People's Republic of China |
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研究疾病: |
前列腺腺癌 |
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Target disease: |
prostate cancer |
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研究疾病代码: |
| - - - - - 2C82.0 |
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Target disease code: |
| - - - - - 2C82.0 |
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研究类型: |
干预性研究 |
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Study type: |
Interventional study |
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研究所处阶段: |
上市后药物 | ||||||||||||||||||||||
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Study phase: |
4 |
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研究设计: |
随机平行对照 |
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Study design: |
Parallel |
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研究目的: |
寡转移激素敏感性前列腺癌作为转移性前列腺癌的一个独特亚型,是一个重要的治疗窗口期,本研究探索瑞维鲁胺联合雄激素剥夺疗法联合或不联合多西他赛新辅助治疗寡转移激素敏感前列腺癌的疗效,通过合适的治疗干预,有望控制前列腺癌的进展,避免寡转移前列腺癌发展为广泛转移性前列腺癌。 |
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Objectives of Study: |
Oligometastatic hormone-sensitive prostate cancer, as a distinct subtype of metastatic prostate cancer, represents an important therapeutic window. This study explores the efficacy of rezvilutamide in combination with androgen deprivation therapy, with or without docetaxel neoadjuvant treatment, for oligometastatic hormone-sensitive prostate cancer. Through appropriate therapeutic intervention, it is hoped that the progression of prostate cancer can be controlled, preventing oligometastatic prostate cancer from evolving into widespread metastatic prostate cancer. |
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药物成份或治疗方案详述: |
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Description for medicine or protocol of treatment in detail: |
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纳入标准: |
1: 受试者自愿加入本研究,签署知情同意书,依从性好并愿意配合随访。 2: 年龄:≥18岁且<75岁(签署知情同意书时)。 3: 经组织学或细胞学确诊为前列腺腺癌。 4: 东部肿瘤协作组(ECOG)体能状态评分≤1级,预期寿命≥1年。 5: 随机化前1个月内临床和传统影像学检查(骨扫描、MRI/CT平扫等)证实的骨转移灶与淋巴结转移灶≤5个,且无内脏转移。 6: 重要的器官功能需符合如下: a、血红蛋白≥90g/L; b、ANC ≥ 1500/μL; c、血小板计数≥100 * 10^9/L; d、血钾≥3.5mmol/L; e、丙氨酸氨基转移酶(ALT)≤2.5×ULN;天门冬氨酸氨基转移酶(AST)≤2.5×ULN;尿素氮(BUN)(或尿素(UREA))和肌酐(Cr)≤1.5×ULN;左心室射血分数(LVEF)≥50%。 f、血清白蛋白≥30g/L。 7: 如配偶为育龄期妇女的受试者,同意在治疗期间及手术后4个月内采取有效的避孕措施。 |
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Inclusion criteria |
1: The participant is willing to join this study, has signed the informed consent form, is compliant and is willing to cooperate with follow-up. 2: age: >=18 years and <75 years when signing the informed consent. 3: Histologically or cytologically confirmed prostate adenocarcinoma. 4: Eastern Cooperative Oncology Group (ECOG) performance status <= 1, with an expected survival of >= 1 year. 5: Confirmed by conventional imaging (such as bone scans, MRI/CT) within one month before randomization, with ≤5 bone or lymph node metastases and no visceral metastasis. 6: Important organ functions must meet the following criteria: a. Hemoglobin >= 90 g/L; b. Absolute neutrophil count (ANC) >= 1500/μL; c. Platelet count >= 100 * 10^9/L; d. Serum potassium >= 3.5 mmol/L; e. Alanine aminotransferase (ALT) <= 2.5 × upper limit of normal (ULN); aspartate aminotransferase (AST) <= 2.5 × ULN; blood urea nitrogen (BUN) (or urea) and creatinine (Cr) >= 1.5 × ULN; left ventricular ejection fraction (LVEF) >= 50%. f. Serum albumin >= 30 g/L. 7: If the participant's partner is a woman of childbearing potential, the participant agrees to use effective contraception during the treatment period and for 4 months after surgery. |
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排除标准: |
1: 前列腺病理学结果为神经内分泌前列腺癌,包括小细胞癌。 2: 具有以下任何一项的患者不能入组本研究: a、既往接受过针对前列腺癌的 ADT、化疗、手术、放射线外照射、近距离照射、放射性药物或试验性局部治疗(如射频消融、冷冻、高能聚焦超声等),但以下情况允许入组:在本研究第一周期第一天(C1D1)之前,最长 3 个月的 ADT 治疗(药物或手术去势)伴有或不伴第一代抗雄激素药物(氟他胺、比卡鲁胺等)和/或瑞维鲁胺治疗(使用第一代抗雄激素药物的受试者,在研究治疗期须停用第一代抗雄激素药物),且在 C1D1 前没有影像学疾病进展证据(即达到 RECIST 1.1 标准的软组织疾病进展,和或≥2 个新发骨病灶(根据PCWG3 标准))或有临床意义的 PSA 升高(定义:在血清睾酮达到去势水平后,PSA 较最低水平升高≥50%); b、既往使用过或计划在研究治疗期间使用第二代雄激素受体拮抗剂(如恩杂卢胺、阿帕他胺、达罗他胺、ARN-509、ODM-201等)、酮康唑、醋酸阿比特龙或其他抑制雄激素合成的在研药物(如 TAK-700)治疗前列腺癌; c、在 C1D1 前 4 周内,接受过以下治疗: ·α-还原酶抑制剂(如非那雄胺、度他雄胺等); ·雌激素、孕酮类药物、雄激素、类固醇全身治疗(除外抗过敏目的的临时使用); ·已知有抗前列腺癌或降低 PSA 水平作用的植物药(如锯棕榈) 3: 药物控制不佳的高血压(收缩压≥160mmg或舒张压≥95mmg)。 4: 活动期或有症状的病毒性肝炎或其它慢性肝脏疾病,已知的感染人免疫缺陷病毒(HIV)。 5: 有垂体或肾上腺功能障碍的病史。 6: 活动的自身免疫性疾病需使用激素治疗者。 7: 有临床意义的心脏病,包括:过去6个月内曾发生心肌梗死或动脉血栓;重度或不稳定型心绞痛;纽约心脏学会分级III或IV级心脏病;房颤或其他需要治疗的心律失常。 8: 首次使用化疗前3个月内参加过其他药物临床研究者。 9: 对紫杉类或多西他赛产生超敏反应的历史。 10: 需要伴随接受强CYP3A4抑制剂治疗的。 11: 在 C1D1 前 5 年内患有其他任何恶性肿瘤(已完全缓解的原位癌及研究者判定进展缓慢的恶性肿瘤除外)。 12: 根据研究者的判断,存在严重危害患者安全、可能混淆研究结果、或影响患者完成本研究的伴随疾病(如严重的糖尿病、神经或精神疾病等)或其他任何情况。 |
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Exclusion criteria: |
1: Pathological Diagnosis: Prostate pathology results indicate indicating neuroendocrine PCa, including small cell carcinoma. 2: Prior or Current Treatments: ·Patients who have previously received androgen deprivation therapy (ADT), chemotherapy, surgery, external beam radiation, brachytherapy, radiopharmaceuticals, or experimental local treatments (such as radiofrequency ablation, cryotherapy, high-intensity focused ultrasound, etc.) for PCa, except for the following: up to 3 months of ADT (medical or surgical castration) with or without first-generation anti-androgens (e.g., flutamide, bicalutamide, etc.) and/or rezvilutamide treatment before the first day of the first cycle (C1D1). Participants using first-generation anti-androgens must discontinue these medications during the study treatment period. Additionally, there should be no evidence of radiographic disease progression (i.e., soft tissue disease progression per RECIST 1.1 criteria, or >=2 new bone lesions per PCWG3 criteria) or clinically significant PSA rise (defined as a >=50% increase in PSA from the nadir after serum testosterone has reached castrate levels) before C1D1. ·Patients who have previously used or plan to use second-generation androgen receptor antagonists (e.g., enzalutamide, apalutamide, darolutamide, ARN-509, ODM-201, etc.), ketoconazole, abiraterone acetate, or other investigational drugs that inhibit androgen synthesis (e.g., TAK-700) for the treatment of PCa. ·Patients who have received any of the following treatments within 4 weeks before C1D1: a.5α-reductase inhibitors (e.g., finasteride, dutasteride, etc.). b.Estrogens, progestins, androgens, or systemic steroid therapy (except for short-term use for anti-allergic purposes). c.Herbal medicines known to have anti-prostate cancer effects or to lower PSA levels (e.g., saw palmetto). 3: Uncontrolled Hypertension: Uncontrolled hypertension (systolic blood pressure >= 160 mmHg or diastolic blood pressure >= 95 mmHg). 4: Hepatic Disorders: Active or symptomatic viral hepatitis or other chronic liver diseases , or known HIV infection. 5: Endocrine Disorders: History of pituitary or adrenal insufficiency. 6: Autoimmune Diseases: Active autoimmune diseases requiring hormone treatment. 7: Cardiac Conditions: Clinically significant heart disease, including: a. Myocardial infarction or arterial thrombosis within the past 6 months. b. Severe or unstable angina pectoris. c. New York Heart Association (NYHA) Class III or IV heart disease. d. Atrial fibrillation or other arrhythmias requiring treatment. 8: Recent Participation in Clinical Trials: Participation in another drug clinical trial within 3 months before the first dose of chemotherapy in this study. 9: Hypersensitivity: History of hypersensitivity to taxanes or docetaxel. 10: Concomitant Medications: Concomitant treatment with potent CYP3A4 inhibitors is needed. 11: Other Malignancies: History of any other malignancy within 5 years before C1D1, except for completely resolved in situ cancers and slowly progressing malignancies as determined by the investigator. 12: Other Conditions: Any other condition, as judged by the investigator, that may severely jeopardize the patient's safety, confuse the study results, or interfere with the patient's ability to complete the study (e.g., severe diabetes, neurological or psychiatric disorders, etc.). |
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研究实施时间: Study execute time: |
从 From 2024-11-01 00:00:00至 To 2027-11-01 00:00:00 |
征募观察对象时间: Recruiting time: |
从 From 2024-11-30 00:00:00 至 To 2026-11-01 00:00:00 |
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干预措施: Interventions: |
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研究实施地点: Countries of recruitment and research settings: |
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测量指标: Outcomes: |
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采集人体标本:
Collecting sample(s)
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征募研究对象情况: Recruiting status: |
尚未开始 Not yet recruiting |
年龄范围: Participant age: |
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性别: |
男性 |
Gender: |
Male |
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随机方法(请说明由何人用什么方法产生随机序列): |
由非直接接触患者的主治医师通过随机化R语言程序包生成随机数列 |
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Randomization Procedure (please state who generates the random number sequence and by what method): |
Random number sequences are generated by the attending physician, who does not have direct contact with the patients, using R language randomization packages. |
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是否公开试验完成后的统计结果: Calculated Results after the Study Completed public access: |
公开/Public |
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盲法: |
无 |
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Blinding: |
None |
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试验完成后的统计结果(上传文件): |
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Calculated Results after
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是否共享原始数据: IPD sharing |
否No |
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共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址): |
不共享 |
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The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url): |
No share |
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数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC: |
病例记录表 |
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Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture: |
CRF |
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数据与安全监察委员会: Data and Safety Monitoring Committee: |
暂未确定/Not yet |