A Study of Androgen Annihilation in High-Risk Biochemically Relapsed Prostate Cancer

PHASE3Active, not recruitingINTERVENTIONAL
Enrollment

504

Participants

Timeline

Start Date

March 6, 2017

Primary Completion Date

July 1, 2025

Study Completion Date

January 1, 2026

Conditions
Prostate Cancer
Interventions
DRUG

Apalutamide

Take apalutamide 240 mg (four 60 mg tablets) orally once daily, starting on C1D1 and continuing throughout 52-week treatment period.

DRUG

LHRH Analogue

"Patients will receive a LHRH analogue therapy of either Degarelix OR Leuprolide with bicalutamide.~Degarelix:~Patients will receive subcutaneous injections every 28 days (+/- 3 days). Patients will receive a loading dose of 240 mg (two 120 mg injections) on C1D1, followed by maintenance dose of 80 mg on Day 1 of subsequent cycles.~Leuprolide:~Patients treated with leuprolide will receive a 7.5 mg IM injection on C1D1. Patients in arm A ONLY will take this in combination with bicalutamide 50 mg orally once daily starting on C1D1 and continuing for 28 days through completion of cycle 1. Starting on C2D1, patients will continue on one of the following two treatments at investigator discretion:~1. Leuprolide 7.5 mg IM injection on Day 1 of subsequent cycles without concurrent bicalutamide.~ OR:~2. Leuprolide 22.5 mg IM injection at the following visits without concurrent bicalutamide: C2D1, C5D1, C8D1, and C11D1."

DRUG

Abiraterone Acetate

Take abiraterone acetate 1000 mg (four 250 mg tablets) orally once daily, starting on C1D1 and continuing throughout 52-week treatment period.

DRUG

Prednisone

Take two prednisone 5 mg tablets daily, starting on C1D1 and continuing throughout the 52-week treatment period. Following completion of treatment period, patients will taper off prednisone per institutional guidelines. Suggested tapering plan: prednisone 5 mg daily for 7 days, then 2.5 mg daily for 7 days before discontinuing.

Trial Locations (69)

10065

Memorial Sloan Kettering Cancer Center, New York

Weill Cornell Medical Ctr - New York Presbyterian Hospital, New York

10461

Montefiore Medical Center, New York

11533

Memorial Sloan Kettering Cancer Center, Harrison

11725

Memorial Sloan Kettering Cancer Center, Commack

13210

SUNY Upstate Medical University, Syracuse

14215

VA Western New York, Buffalo

14263

Roswell Park Cancer Institute, Buffalo

15232

University of Pittsburgh Medical Center, Pittsburgh

20007

Georgetown University Medical Center, Washington D.C.

MedStar Washington Hospital Center, Washington D.C.

27157

Wake Forest University Health Sciences, Winston-Salem

27514

University of North Carolina Hospital, Chapel Hill

28144

VA Salisbury, Salisbury

28204

Novant Health Presbyterian Medical Center, Charlotte

29303

Spartanburg Medical Center/Gibbs Cancer Center, Spartanburg

43210

The Ohio State University Comprehensive Cancer Center, Columbus

43623

The Toledo Clinic, Toledo

45459

Dayton Physicians Miami Valley South, Centerville

53226

Froedtert Hospital/Medical College of Wisconsin, Milwaukee

54449

Marshfield Clinic Cancer Center, Marshfield

55416

Metro Minnesota Community Oncology Research Consortium, Saint Louis Park

55455

University of Minnesota, Minneapolis

60153

Loyola University, Maywood

60201

Northshore University Health System, Evanston

60637

University of Chicago Comprehensive Cancer Center, Chicago

61801

Carle Cancer Center, Urbana

62301

Quincy Medical Group, Quincy

63110

Washington University School of Medicine, St Louis

67214

Cancer Center of Kansas, Wichita

68114

Nebraska Methodist Hospital, Omaha

74146

Oklahoma Cancer Specialists and Research Institute, Tulsa

77030

University of Texas MD Anderson Cancer Center, Houston

85054

The Mayo Clinic - Phoenix, Phoenix

87109

New Mexico Oncology Hematology Consultants, Albuquerque

87131

University of New Mexico Comprehensive Cancer Center, Albuquerque

87505

Christus St. Vincent's Regional Cancer Center, Santa Fe

88011

Memorial Medical Center- Cancer Center, Las Cruces

89106

Nevada Cancer Research Foundation, Las Vegas

91010

City of Hope National Medical Center, Duarte

91911

Sharp Memorial Hospital, Chula Vista

91942

Sharp Memorial Hospital, La Mesa

92093

University of California San Diego - Moores Cancer Center, San Diego

92123

Sharp Memorial Hospital, San Diego

93703

VA Central California Health Care System, Fresno

94040

Palo Alto Medical Foundation, Mountain View

94086

Palo Alto Medical Foundation, Sunnyvale

94158

University of California San Francisco, San Francisco

94301

Palo Alto Medical Foundation, Palo Alto

94538

Palo Alto Medical Foundation, Fremont

94574

Adventist Health St. Helena/St. Helena Hospital/Martin O'Neil Cancer Center, St. Helena

95065

Palo Alto Medical Foundation, Santa Cruz

96701

Pali Momi Medical Center, ‘Aiea

96813

University of Hawaii Cancer Center, Honolulu

97213

Providence Portland Medical Center, Portland

97239

Oregon Health & Science University, Portland

606012

Rush University Medical Center, Chicago

04412

Eastern Maine Medical Center, Brewer

04043

New England Cancer Specialists, Kennebunk

04074

New England Cancer Specialists, Scarborough

04086

New England Cancer Specialists, Topsham

02215

Dana Farber Cancer Institute, Boston

01757

Dana Farber Cancer Institute, Milford

02190

Dana Farber Cancer Institute, South Weymouth

03301

New Hampshire Oncology & Hematology, Concord

03106

New Hampshire Oncology & Hematology, Hooksett

07920

Memorial Sloan Kettering Basking Ridge, Basking Ridge

07748

Memorial Sloan Kettering Cancer Center, Middletown

07962

Atlantic Health System/Morristown Medical Center, Morristown

All Listed Sponsors
collaborator

Janssen Research & Development, LLC

INDUSTRY

lead

Alliance Foundation Trials, LLC.

OTHER