Overview

Neoadjuvant Therapy of Abiraterone Plus ADT for Intraductal Carcinoma of the Prostate

Status:
Not yet recruiting
Trial end date:
2024-12-01
Target enrollment:
0
Participant gender:
Male
Summary
Neoadjuvant treatment before radical prostatectomy has been proven to provide benefits on peri-operation results, especially on reduction of tumor volume and minimization of biochemical recurrence. This study will evaluate the efficacy and safety of abiraterone acetate Plus androgen deprivation therapy(ADT)in high-risk localized prostate cancer with intraductal carcinoma of the prostate(IDC-P).
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
West China Hospital
Treatments:
Abiraterone Acetate
Goserelin
Prednisolone
Criteria
Inclusion Criteria:

- Age ≥ 18 years

- Histologically or cytologically diagnosis of prostate cancer with positive IDC-P
status

- High-risk localized prostate cancer, defined by either: Tumor stage ≥T3a by digital
rectal examination, or Primary tumor Gleason score ≥ 8, or PSA > 20 ng/mL

- No evidence of metastases

- The ECOG score of the patient is ≤2

- Expected survival over 5 years

- Patients must participate voluntarily and sign an informed consent form (ICF),
indicating that they understand the purpose and required procedures of the study, and
are willing to participate in. Patients must be willing to obey the prohibitions and
restrictions specified in the research protocol

- Agree to collect the tumor tissue and blood samples needed for the research and apply
them to related study

- Adequate hematologic, renal and hepatic function:

- Absolute neutrophil count [ANC] ≥1.5 x 10^9/L

- Platelet count [PLT] ≥100 x 10^9/L

- Hemoglobin [HGB] ≥9 g/dL

- Serum Total bilirubin [TBIL] ≤1.5 x upper limit of normal (ULN)

- Aspartate aminotransferase (AST), alanine aminotransferase (ALT) < 2.5 x ULN

- Serum albumin [ALB] ≥2.8 g/dL

- Serum Creatinine ≤ 1.5 x ULN

- Creatinine Clearance ≥ 40 mL/min

Exclusion Criteria:

- Prior androgen deprivation therapy (medical or surgical), radiation therapy or
chemotherapy for prostate cancer

- Evidence of metastatic disease (M1) on imaging studies

- Pathological finding consistent with small cell, ductal or neuroendocrine carcinoma of
the prostate

- Major surgery or severe trauma within 30 days before enrollment

- Patients with severe or uncontrolled concurrent,including but not limited to:

- Severe or uncontrolled concurrent infections

- Human immunodeficiency virus [HIV] infection positive

- Suffer from acute or chronic active hepatitis B (HBsAg positive and HBV
DNA>1x10^3/mL) Or acute or chronic active hepatitis C (HCV antibody positive and
HCV RNA>15 IU/mL)

- Active tuberculosis, etc

- Abnormal cardiac function as manifested by NYHA (New York Heart Association) class III
or IV heart failure,or clinically significant ventricular arrhythmias

- Uncontrolled hypertension(Systolic blood pressure≥160mmHg or Diastolic blood
pressure≥100mmHg)

- Severe or unstable angina, myocardial infarction,arterial or venous thromboembolic
events (eg, pulmonary embolism, cerebrovascular accident including transient ischemic
attacks) Occurred within 6 months before enrollment

- Evidence of serious and/or unstable pre-existing medical, psychiatric or other
condition (including laboratory abnormalities) that could interfere with patient
safety or provision of informed consent to participate in this study

- Any condition that in the opinion of the investigator, would preclude participation in
this study