Metastatic castration-resistant prostate cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age * 18 years; 2. Patients with a confirmed diagnosis of mCRPC with an indication for cabazitaxel treatment at the standard dose of 20 mg/m2. 3. WHO performance * 1. 4. Able and willing to sign the Informed Consent Form prior to screening evaluations 5. Adequate baseline patient characteristics (complete blood count, serum biochemistry which involves sodium, potassium, creatinine, calculation of creatinine clearance, AST, ALT, gamma glutamyltranspeptidase, lactate dehydrogenase, ALP, Total bilirubin, Albumin, glucose)
Exclusion criteria
Exclusion criteria: 1. Use of (over the counter) medication or (herbal) supplements which can interact with either cabazitaxel or darolutamide, e.g. by induction or inhibition of CYP3A4 or P-gp. Dexamethasone and prednisone are allowed. 2. Patients with known impaired drug absorption (e.g. gastrectomy and achlorhydria) 3. Known serious illness or medical unstable conditions that could interfere with this study requiring treatment (e.g. HIV, hepatitis, Varicella zoster or herpes zoster, organ transplants, kidney failure (GFR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| In this exploratory study, the influence of darolutamide on the pharmacokinetics of cabazitaxel will be determined. Each patient will be its own control. The primary study endpoint is the Area Under the plasma concentration time Curve (AUC) of cabazitaxel, where a comparison will be made between the AUC of cabazitaxel monotherapy and the AUC of cabazitaxel with darolutamide. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To evaluate the efficacy of cabazitaxel and darolutamide combination therapy, by means of PSA response, compared to baseline. 2. To study the pharmacokinetic profile of darolutamide. 3. To evaluate the safety of cabazitaxel and darolutamide combination therapy. | — |
Countries
Netherlands