Neo-DAB: Darolutamide and Abemaciclib in Prostate Cancer (NCT05617885) | Clinical Trial Compass
CompletedPhase 1
Neo-DAB: Darolutamide and Abemaciclib in Prostate Cancer
United States9 participantsStarted 2023-08-09
Plain-language summary
This research study is trying to determine the safety and efficacy of the combination of two oral drugs, abemaciclib and darolutamide, with androgen deprivation therapy (ADT) in the treatment of metastatic, non-metastatic, and advanced prostate cancers. The first phase of the study is to establish a recommended dose for the second phase.
The names of the study drugs and interventions involved in this study are:
* Darolutamide
* Abemaciclib
* Androgen deprivation therapy (ADT) - this includes several different treatments, including Gonadotropin-Releasing Hormone (GnRH) antagonists and agonists
It is expected that about 93 people will take part in the research study.
Treatment is expected to last 6 months with a follow up period of up to 4.5 years.
Who can participate
Age range
18 Years
Sex
MALE
See this in plain English?
AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria For Phase 1:
* Provision of signed informed consent prior to any study specific procedures, or have a legally authorized representative sign on the participant's behalf.
* Ability to swallow oral medications and comply with study procedures and requirements.
* Males ≥18 years
* Histologically or cytologically confirmed adenocarcinoma of the prostate without histologic variants (including neuroendocrine differentiation, small cell, sarcomatoid, ductal adenocarcinoma, squamous or transitional cell carcinoma) comprising \>50% of the sample as determined by academic medical center pathology review; men without histologic confirmation are eligible provided there is unequivocal evidence of prostate cancer (eg. very high PSA) in the view of the treating physician.
* M0 or M1 (by CT/MRI and bone scans) CRPC with evidence of progression at study entry demonstrated during continuous androgen deprivation therapy (LHRH/GnRH agonists/antagonists/post orchiectomy) and castrate level of serum testosterone (≤50 ng/dl). Progression is defined as one or more of the following:
* Sequence of at least 2 rising PSA values at a minimum of 1-week intervals with the last result being at least 1.0 ng/mL if confirmed PSA rise is the only indication of progression. Patients who received an anti-androgen (flutamide, bicalutamide or nilutamide) must have PSA progression ≥4 weeks after the last dose.
* Radiographic progression per RECIST 1.1 for soft tissue and/or per PCWG3 for bon…
Questions worth asking your doctor
Bring these to your next appointment. They're a starting point for a shared conversation — not a sign you qualify or a recommendation to enrol.
1Based on my diagnosis and history, is this trial worth exploring for me — or is there a standard treatment we should try first?
2What does this trial's phase tell us about how much is already known about its safety and benefit?
3What would taking part actually involve for me — visits, tests, time, and travel?
4What are the known and possible risks or side effects I should weigh, and how would they be monitored?
5If this trial isn't the right fit, what other options or trials would you suggest I look into?
Generated to help you prepare — always confirm anything about your own eligibility and care with the study team and your doctor.
Questions for the trial coordinator
The trial coordinator is the person who runs the study day to day. These cover the practical side — logistics, costs, and what taking part would actually mean for your life. The study team confirms whether you meet the criteria; these are questions to ask, not a sign you qualify.
1What does taking part actually involve week to week — how many visits, where, and how long does each one take?
2What costs are covered by the study, and what might I have to pay for myself, including travel, parking, or time off work?
3What happens during screening, and what happens if the study team confirms I don't meet the criteria after those tests?
4Who pays for the scans, blood work, and other tests the trial requires — the study, my insurance, or me?
5How will being in the trial affect my regular care, and will my own doctor stay informed and involved?
6Can I leave the trial at any point if I change my mind, and what would happen to my care if I do?
A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
What they're measuring
1
Phase 1 - Maximum Tolerated Dose (MTD)
Timeframe: 28 days/Cycle 1, up to 6 months
2
Phase 1 - Dose Limiting Toxicity (DLT)
Timeframe: 28 days/Cycle 1, up to 6 months
3
Phase 1 - Recommended Phase 2 Dose (RP2D)
Timeframe: 28 days/Cycle 1, up to 6 months
4
Phase 2 - Pathological Response Rate
Timeframe: Disease evaluated from baseline to Pre-Radical Prostatectomy (RP), up to 6 months