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A Study in Which Non-metastatic Castration-resistant Prostate Cancer (nmCRPC) Patients for Whom a Decision to Treat With Darolutamide Has Been Made Before Enrollment Are Observed and Certain Outcomes Are Described

Darolutamide Observational Study in Non-metastatic Castration-resistant Prostate Cancer Patients

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04122976
Acronym
DAROL
Enrollment
805
Registered
2019-10-10
Start date
2020-01-30
Completion date
2026-10-07
Last updated
2026-08-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prostate Cancer

Brief summary

The purpose of this study is to find out in the real-world setting, if darolutamide is safe and effective for patients diagnosed with prostate cancer that has not spread to other parts of the body. When a patient is enrolled to the study, his/her physician would have already made the decision to treat patient with darolutamide per local standard practice.

Interventions

DRUGDarolutamide(Nubeqa, BAY1841788)

The decision on the dose and duration of treatment is solely at the discretion of the treating physician, based on the recommendations written in the local product information.

Sponsors

Bayer
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Men over the age of 18 years * Histologically or cytologically confirmed adenocarcinoma CRPC defined by disease progression despite ADT and may present as a confirmed rise in serum PSA levels (as defined by PCWG3: Rising PSA values at a minimum of 1-week intervals, and a baseline PSA value ≥ 1.0 ng/mL). For patients with a prior ARi treatment (Enzalutamide or Apalutamide), there is no baseline PSA value required * No evidence of metastasis based on conventional imaging. An imaging assessment needs to be obtained prior to the 1st dose of darolutamide. For patients with a prior ARi treatment (Enzalutamide or Apalutamide) for nmCRPC, M0 status with no evidence of disease progression should be confirmed within 3 months of ARi discontinuation * Decision to initiate treatment with darolutamide was made as per investigator's routine treatment practice prior to enrollment in the study * Signed informed consent * Life expectancy of ≥3 months * For a patient with a prior ARi treatment (Enzalutamide or Apalutamide) for nmCRPC for less than one year, all toxic effects from prior use of any ARi treatment have to be resolved at the time of enrollment and prior to the 1st dose of darolutamide

Exclusion criteria

* Participation in an investigational program with interventions outside of routine clinical practice * Contraindications according to the local marketing authorization * Previous treatment with darolutamide (more than 3 days prior to enrollment) * Patient with a prior ARi treatment (Enzalutamide or Apalutamide) for nmCRPC for more than one year

Design outcomes

Primary

MeasureTime frameDescription
Occurrence of treatment-emergent adverse events (TEAEs)Up to 30 days after last dose of darolutamide within the patient's observation periodIncluding severity, seriousness and outcome.
Reasonable causal relationship between darolutamide and an adverse event (AE)Up to 30 days after last dose of darolutamide within the patient's observation period
Action taken related to darolutamide treatmentUp to 30 days after last dose of darolutamide within the patient's observation periodDose modifications and time periods

Secondary

MeasureTime frame
Subject's demographicsUp to 7 years
Subject's characteristicsUp to 7 years
Co-morbiditiesUp to 7 years
Disease course and progression (including performance status)Up to 7 years
Concomitant medication/treatment (including opioids)Up to 7 years
Dosage and dose modification of darolutamideUp to 7 years
Reasons for ending treatment and/or observation/follow-upUp to 7 years
Metastasis-Free Survival (MFS)Up to 7 years
Time to Symptomatic Skeletal Event (TSSE)Up to 7 years
Time to Prostate-Specific Antigen (PSA) progressionUp to 7 years
Survival rateUp to 7 years
Duration of darolutamide therapyUp to 7 years
Imaging exams used to define tumor statusUp to 7 years
Imaging exams (as chosen by treating physician) used to diagnose nmCRPC (including date and clinical finding)Up to 7 years
Prior and post - darolutamide treatments for prostate cancerUp to 7 years

Countries

Argentina, Austria, Belgium, Brazil, Canada, China, Colombia, Denmark, France, Germany, Greece, Italy, Japan, Russia, Spain, Taiwan, United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Aug 7, 2026