NCT07172685 Study on Triple Therapy Combined With HIFU for High-Tumor-Burden mHSPC
| NCT ID | NCT07172685 |
| Status | Recruiting |
| Phase | — |
| Sponsor | Qilu Hospital of Shandong University |
| Condition | Prostate Cancer |
| Study Type | INTERVENTIONAL |
| Enrollment | 116 participants |
| Start Date | 2025-07-30 |
| Primary Completion | 2026-06-30 |
Eligibility & Interventions
Eligibility Fast-Check
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What to Expect as a Participant
You will actively receive the study intervention — which may be a drug, biologic, device, or procedure.
This trial targets 116 participants in total. It began in 2025-07-30 with a primary completion date of 2026-06-30.
⚠ This information is for research awareness only. Always consult your physician before joining any clinical trial. Participation is voluntary and you may withdraw at any time.
Brief Summary
This study is a single-arm prospective cohort study designed to evaluate the efficacy and safety of triple therapy (ADT + darolutamide + docetaxel) combined with transrectal high-intensity focused ultrasound (HIFU) focal therapy in patients with high-tumor-burden metastatic hormone-sensitive prostate cancer (mHSPC). A total of 116 high-tumor-burden mHSPC patients will be enrolled and are scheduled to receive the following treatment: Darolutamide + Docetaxel + ADT + Transrectal HIFU Focal Therapy for the Prostate.
Eligibility Criteria
Inclusion Criteria: 1. Patients who agree to participate in the study and sign the informed consent form. 2. Age ≥18 years, male. 3. Histologically or cytologically confirmed prostate adenocarcinoma. 4. Bone scan, CT, or MRI showing ≥4 bone metastases (with ≥1 outside the pelvis or spine) or visceral metastases. 5. Newly diagnosed or recurrent disease after local therapy, with sensitivity to androgen deprivation therapy (ADT). 6. Patients who have received ADT (medical or surgical castration) with or without first-generation antiandrogens for ≤3 months, without evidence of soft tissue disease progression (per RECIST 1.1) or clinically significant PSA progression (≥50% increase from nadir with serum testosterone at castrate levels). 7. Planned treatment with docetaxel plus apalutamide and ADT, or apalutamide plus ADT. 8. ECOG Performance Status (PS) score of 0-1. 9. Adequate hematologic and organ function: * \*\*Bone marrow function (without transfusion or growth factor support):\*\* * Absolute neutrophil count (ANC) ≥1.5 × 10⁹/L (1500/μL) * Hemoglobin ≥90 g/L (9.0 g/dL) * Platelet count ≥100 × 10⁹/L (100,000/μL) * \*\*Liver function:\*\* * Total bilirubin (TBIL) ≤1.5 × ULN * AST, ALT, and alkaline phosphatase (ALP) ≤2.5 × ULN * \*\*Renal function:\*\* * Serum creatinine ≤1.5 × ULN \*\*or\*\* calculated creatinine clearance ≥30 mL/min (Cockcroft-Gault formula) * \*\*Coagulation function (without anticoagulation therapy):\*\* INR ≤1.5 10. Patients of reproductive potential must use effective contraception during the study and for 6 months after the last dose. Exclusion Criteria: 1. Lesions located at the prostate apex or in areas inaccessible for focal therapy. 2. Beaded prostatic calculi or cysts \>1 cm in diameter within the treatment or ultrasound pathway. 3. Urethral stricture or presence of metal/other implants in the urethra. 4. Prior rectal surgery. 5. History of or existing rectal fistula. 6. Rectal stenosis preventing transrectal ultrasound. 7. Rectal invasion. 8. Active severe urinary tract infection. 9. Severe cardiovascular or cerebrovascular disease affecting anesthesia/surgery. 10. History of hypersensitivity or intolerance to any study drugs. 11. Planned concurrent anticancer therapy during the study. 12. Prior treatment with second-generation androgen receptor (AR) inhibitors (e.g., apalutamide, enzalutamide, darolutamide), CYP17 inhibitors (e.g., abiraterone acetate, ketoconazole), chemotherapy, immunotherapy, or adjuvant/neoadjuvant therapy. 13. Use of herbal products with anti-prostate cancer or PSA-lowering effects (e.g., saw palmetto) within 4 weeks before study treatment. 14. History of seizures, medications that lower seizure threshold, or conditions predisposing to seizures within 12 months (including TIA, stroke, or traumatic brain injury with hospitalization). 15. Active cardiac disease within 6 months before treatment: severe/unstable angina, myocardial infarction, congestive heart failure (NYHA Class III/IV), or arrhythmia requiring medication. 16. Conditions impairing drug absorption (e.g., dysphagia, chronic diarrhea, intestinal obstruction). 17. Immunodeficiency (e.g., HIV-positive, congenital/acquired immunodeficiency) or organ transplant history. 18. Known brain metastases. 19. Other malignancies within 5 years (except cured basal cell carcinoma or cervical carcinoma in situ). 20. Concurrent participation in another investigational drug/device trial. 21. Poor compliance likely to hinder treatment/follow-up. 22. Uncontrolled comorbidities (e.g., hypertension, diabetes, neuropsychiatric disorders) that may compromise safety or confound results, per investigator judgment. 23. Any other condition deemed unsuitable for inclusion by the investigator.
Contact & Investigator
Shouzhen Chen, Dr.
STUDY CHAIR
Qilu Hospital of Shandong University
Frequently Asked Questions
Who can join the NCT07172685 clinical trial?
This trial is open to male participants only, aged 18 Years or older, studying Prostate Cancer. Full inclusion and exclusion criteria are listed in the Eligibility Criteria section. Always confirm your eligibility with the research team before applying.
Is NCT07172685 currently recruiting?
Yes, NCT07172685 is actively recruiting participants. Contact the research team at chensz@mail.sdu.edu.cn for enrollment information.
Where is the NCT07172685 trial being conducted?
This trial is being conducted at Jinan, China.
Who is sponsoring the NCT07172685 clinical trial?
NCT07172685 is sponsored by Qilu Hospital of Shandong University. The principal investigator is Shouzhen Chen, Dr. at Qilu Hospital of Shandong University. The trial plans to enroll 116 participants.
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