Impact of Apalutamide in Metastatic Hormone Sensitive Prostate Cancer Patients

NCT ID: NCT06019676

Last Updated: 2025-09-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Total Enrollment

170 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-09-26

Study Completion Date

2027-04-01

Brief Summary

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The ADAPT study is an observational study of apalutamide, which can be given to patients with hormone sensitive metastatic prostate cancer as standard of care. The clinical decision for patients to have apalutamide as part of their management plan will be decided by the clinician. The patient will only be approached about the ADAPT study if they decide they want to have apalutamide as part of their management.

The aims of the ADAPT study include documenting the biochemical effectiveness, as determined by the Prostate-Specific Antigen (PSA) and impact of apaluatmide on health related quality of life. The blood test for PSA is regularly monitored as standard of care.

Additionally, the impact of apalutamide on fatigue, cognitive function, patients reported outcomes, health related quality of life will be evaluated using patient questionnaires answered at defined timepoints. The questionnaires will be sent either electronically or via post at week 12, 24, 36, 48, 72 and 104 weeks after commencement of apalutamide.

Currently, the majority of data regarding tolerability and biochemical response to apalutamide has been from large phase III trials, where there are strict eligibility criteria. Real-world data as from the ADAPT study can provide valuable complementary data to randomised controlled trials, which can be used to address the 'generalizability' limitations of randomised control trials and can provide evidence on the external validity of their findings. This information can advance knowledge of patterns of care, treatment effectiveness and side-effects and inform clinical practice to improve outcomes.

Detailed Description

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Conditions

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Metastatic Hormone-Sensitive Prostate Cancer (mHSPC)

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with mHSPC and treatment decision for apalutamide by clinician

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Male 18 years of age or older
* Histologically confirmed diagnosis of adenocarcinoma of the prostate with both:
* Metastatic hormone sensitive prostate cancer
* Treatment decision for apalutamide by clinician

Exclusion Criteria

* Non-metastatic prostate cancer
* Prior chemotherapy / abiraterone / apalutamide / darolutamide / enzalutamide for prostate cancer
* Unable to complete patient reported outcome questionnaires
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Janssen, LP

INDUSTRY

Sponsor Role collaborator

Royal Marsden NHS Foundation Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Julia Murray, Dr.

Role: PRINCIPAL_INVESTIGATOR

The Royal Marsden Hospital, NHS Foundation Trust

Locations

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The Royal Marsden Hospital

Sutton, Surrey, United Kingdom

Site Status

Buckinghamshire Healthcare NHS Trust

Aylesbury, , United Kingdom

Site Status

Northern Ireland Cancer Centre, Belfast Health & Social Care Trust

Belfast, , United Kingdom

Site Status

East Lancashire Hospitals NHS Trust

Blackburn, , United Kingdom

Site Status

Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust

Cambridge, , United Kingdom

Site Status

Velindre Cancer Centre, Velindre University NHS Trust

Cardiff, , United Kingdom

Site Status

University Hospitals of Morecambe Bay NHS Foundation Trust

Lancaster, , United Kingdom

Site Status

Clatterbrdige Cancer Centre, NHS Foundation Trust

Liverpool, , United Kingdom

Site Status

The James Cook University Hospital, South Tees Hospitals NHS Foundation Trust

Middlesbrough, , United Kingdom

Site Status

South Tyneside and Sunderland NHS Foundation Trust

Newcastle, , United Kingdom

Site Status

Freeman Hospital, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Newcastle, , United Kingdom

Site Status

The University Hospital of North Tees

Stockton-on-Tees, , United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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CCR5793

Identifier Type: -

Identifier Source: org_study_id

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