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Testing the Addition of Docetaxel (Chemotherapy) to the Usual Treatment (Hormonal Therapy and Apalutamide) for Metastatic Prostate Cancer, ASPIRE Trial

NCT06931340 · Alliance for Clinical Trials in Oncology
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Official title
Docetaxel Addition in Metastatic Castrate-Sensitive Prostate Cancer (ASPIRE)
About this study
PRIMARY OBJECTIVE: I. To determine if the addition of docetaxel to androgen deprivation therapy and apalutamide improves overall survival for men with metastatic castrate sensitive prostate cancer. SECONDARY OBJECTIVES: I. To determine if the addition of docetaxel to androgen deprivation therapy and apalutamide improves overall survival for men whose cancers have loss or inactivating mutations of TP53, PTEN, or RB1. II. To determine if the addition of docetaxel to ADT plus apalutamide improves the time to radiographic progression per Prostate Cancer Working Group 3 (PCWG3) guidelines. III. To determine the time to castration-resistant prostate cancer (CRPC) between arms. IV. To determine symptomatic skeletal event free survival (SSE-FS) between arms. V. To determine the safety and tolerability of the triplet versus doublet using Common Terminology Criteria for Adverse Events (CTCAE) version (v)5.0. VI. To determine radiographic progression free survival (rPFS), and overall survival (OS) in patients by the stratification factors a) volume/timing of disease (metachronous high volume, synchronous high volume, and synchronous low volume metastases on conventional imaging) and b) tumor suppressor gene alteration status (0 versus \[vs\] 1 vs 2+) between arms. VII. To determine prostate specific antigen (PSA) 90 response rate at 6 weeks and 6 months between arms. VIII. To determine time to PSA progression by PCWG3 criteria between arms. IX. To determine objective response rate (ORR) in patients with measurable disease between arms. EXPLORATORY OBJECTIVES: I. To determine the time to worsening of physical symptoms of disease based on functional assessment of cancer therapy/National Comprehensive Cancer Network prostate cancer symptom index 17 item questionnaire (NCCN-FACT FPSI-17) between arms. II. To compare quality of life as measured by Functional Assessment of Cancer Therapy-Prostate (FACT-P) trial outcome index in patients with metastatic castrate-sensitive prostate cancer (mCSPC) who receive ADT + apalutamide + docetaxel vs ADT + apalutamide at the 24-month time point. III. To compare quality of life as measured by other scales of the FACT-P in the two arms. IV. To compare quality of life as measured by FACT-P total outcome index in the two arms at other timepoints. V. To compare pain severity and interference as measured by the Brief Pain Inventory Short Form (BPI-SF) in the two arms. VI. To compare quality-adjusted life years which accounts for survival and utility (measured by European Quality of Life Five Dimension Five Level Scale \[EQ-5D-5L\]) in the two arms. VII. To correlate baseline volume of disease on prostate-specific membrane antigen-positron emission tomography/computed tomography (PSMA-PET/CT) with baseline volume of disease on conventional imaging (CI). VIII. To determine if baseline PSMA-PET/CT and CI are individually and jointly associated with OS, progression-free survival (PFS), PSA90 response, and PSA \< 0.2 ng/ml after 6 months, and to estimate its clinical relevance when compared to these well characterized prognostic endpoints. IX. To correlate 6-month PSA level with the presence/absence and volume of residual disease on PSMA-PET/CT after 6 months of doublet or triplet therapy. X. To correlate the concordance of radiographic progression on CI versus PSMA-PET/CT at the time of PSA progression. XI. To determine rPFS, time to castration resistance, OS based on thresholds of volume of disease, and prostate-specific membrane antigen (PSMA) uptake (standardized uptake value \[SUV\]) based on baseline PSMA-PET/CT scan. XII. To compare rPFS, time to castration resistance, and OS between arms in patients with de novo metastatic disease having received primary directed radiation therapy. XIII. To determine rPFS, time to castration resistance, and OS correlation with PSA response at 6 weeks and 6 months. XIV. To compare the impact of treatment on aging trajectory, as measured by the change in Deficit-Accumulation Frailty Index (DAFI) from baseline, 6- and 12-months, in the two arms. OUTLINE: Patients are randomized to 1 of 2 arms. ARM 1: Patients receive ADT at the discretion of the investigator and apalutamide orally (PO) once daily (QD). Cycles repeat every 12 weeks in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo computed tomography (CT) scan or magnetic resonance imaging (MRI) and bone scan throughout the study. Patients may optionally undergo prostate-specific membrane antigen-positron emission tomography (PSMA-PET) scans and blood sample collection throughout the study. ARM 2: Patients receive ADT at the discretion of the investigator and apalutamide PO QD. Cycles repeat every 12 weeks in the absence of disease progression or unacceptable toxicity. Patients also receive docetaxel intravenously (IV) over 1 hour every 21 days for up to 6 doses. Additionally, patients undergo CT scan or MRI and bone scan throughout the study. Patients may optionally undergo PSMA-PET scans and blood sample collection throughout the study. After completion of study treatment, patients are followed up every 6 months for up to 10 years.
Eligibility criteria
Inclusion Criteria: * Documentation of disease: \* Histologically or cytologically confirmed adenocarcinoma of the prostate without small cell histology * Must have had evidence of metastatic disease (American Joint Committee on Cancer \[AJCC\] metastasis \[M\]1 disease) based on conventional CT/MRI and/or bone scan. This will be defined as: * Bone metastases detected by CT, radionuclide technetium-99 (99Tc)- methylene bisphosphonate bone scan, or MRI as defined by PCWG3 criteria; OR * Non-pelvic lymph node metastases (measurable lymph nodes above the aortic bifurcation; lymph nodes are measurable if the short axis diameter is ≥ 15 mm) detected on CT or MRI as defined by Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1. Subjects with regional lymph node metastases only (nodes \[N\]1, below the aortic bifurcation) will not be eligible for the study; OR * Visceral or soft tissue metastases detected on CT or MRI as defined by RECIST version 1.1. Soft tissue/visceral lesions are measurable if the long axis diameter is ≥ 10 mm * Evidence of metastatic disease by PSMA-PET only and not visible by CT, radionuclide bone scan, or MRI will not satisfy eligibility criteria * No metachronous low-volume disease (defined as recurrent metastatic disease after definitive treatment of prostate primary) and with ≤ 4 bone metastasis and no visceral metastasis on conventional imaging by CT, radionuclide 99Tc-biphosphonate bone scan, or MRI) * Next generation sequencing (NGS) results from any tissue based Clinical Laboratory Improvement Act (CLIA) test must be available at the time of registration. NGS from soft tissue or visceral lesion if available is preferred. NGS from bone or primary prostate will be accepted. Patients with failed NGS testing are not eligible * Prior treatment * ADT (luteinizing hormone-releasing hormone \[LHRH\] agonist/antagonist or orchiectomy) with or without first generation anti-androgen, or second-generation androgen receptor signaling inhibitor (ARSI) within 120 days of registration is permitted. No washout period will be needed for the first generation- androgen or ARSI prior to registration. Anti-androgen treatment is only permitted if used within 120 days of registration * No prior chemotherapy for prostate cancer * Age ≥ 18 years * Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2 * Absolute neutrophil count (ANC) ≥ 1,500/mm\^3 * Hemoglobin ≥ 9.0 g/dL * Platelet count ≥ 100,000/mm\^3 * Total bilirubin ≤ 1 x upper limit of normal (ULN) (Note: In subjects with Gilbert's syndrome, if total bilirubin is \> 1.5 × ULN, measure direct and indirect bilirubin and if direct bilirubin is ≤ 1 × ULN, subject may be eligible) * Aspartate aminotransferase (AST) (serum glutamic oxaloacetic transaminase \[SGOT\])/alanine aminotransferase (ALT) (serum glutamate transaminase \[SGT\]) ≤ 1.5 x upper limit of normal (ULN) * Calculated (Calc.) creatinine clearance \> 30 mL/min * Serum potassium ≥ 3.5 mmol/L * Comorbid conditions * Patients with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial * Leptomeningeal metastases: Patients with treated leptomeningeal metastases are eligible if follow-up brain imaging 30 days after central nervous system (CNS)-directed therapy shows no evidence of progression * HIV: Patients with known HIV infection on effective anti-retroviral therapy with undetectable viral load within 6 months prior to registration are eligible for this trial * Hepatitis B: For patients with evidence of chronic hepatitis B virus (HBV) infection, the HBV viral load must be undetectable on suppressive therapy, if indicated * Hepatitis C: Patients with a history of hepatitis C virus (HCV) infection must have been treated and cured. For patients with HCV infection who are currently on treatment, they are eligible if they have an undetectable HCV viral load * No seizure or known condition that may pre-dispose to seizure (e.g. prior stroke within 1 year to randomization, brain arteriovenous malformation or condition requiring CNS surgery or radiation therapy) * Patients with known history or current symptoms of cardiac disease, or history of treatment with cardiotoxic agents, should have a clinical risk assessment of cardiac function using the New York Heart Association functional classification. To be eligible for this trial, patients should be class II or better. Any condition that in the opinion of the investigator, would preclude participation in this study. Patients with stable asymptomatic deep venous thromboembolism on stable anti-coagulation will be eligible * Hypertension: Subjects with uncontrolled hypertension as indicated by a resting systolic blood pressure (BP) \>= 160 mmHg or diastolic BP \>= 100 mmHg despite medical management are not permitted to register * Allergies: Subjects with known hypersensitivity to any of the study drugs, or excipients in the formulation of the study drugs are not permitted to register * Concomitant medications * Chronic concomitant treatment with strong inhibitors of cytochrome P450 3A4 (CYP3A4) is not allowed on this study. Patients on strong CYP3A4 inhibitors must discontinue the drug prior to registration on the study. See Section 8.1.9 for more information * Chronic concomitant treatment with strong CYP3A4 inducers is not allowed. Patients must discontinue the drug 14 days prior to the start of study treatment * Medications known to lower the seizure threshold must be discontinued or substituted prior to study entry. See Section 8.1.9 for more information * Patient agrees to use a condom (even men with vasectomies) and another effective method of birth control if having sex with a woman of childbearing potential or agrees to use a condom if having sex with a woman who is pregnant while on study drug and for 3 months following the last dose of study drug. Must also agree not to donate sperm during the study and for 3 months after receiving the last dose of study drug
Study design
Enrollment target: 1260 participants
Allocation: randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2025-12-01
Estimated completion: 2039-05-08
Last updated: 2026-04-07
Interventions
Drug: Androgen TherapyDrug: ApalutamideDrug: DocetaxelProcedure: Computed TomographyProcedure: Magnetic Resonance ImagingProcedure: Bone ScanProcedure: PSMA PET ScanProcedure: Biospecimen CollectionOther: Questionnaire Administration
Primary outcomes
  • Overall survival (OS) (From randomization to death due to any cause, assessed up to 10 years)
Sponsor
Alliance for Clinical Trials in Oncology · other
With: National Cancer Institute (NCI)
Contacts & investigators
ContactShiva Baghaie, MPH · contact · GUprotocols@alliancenctn.org · (773) 702-9171
All locations (177)
Banner University Medical Center - TucsonRecruiting
Tucson, Arizona, United States
University of Arizona Cancer Center-North CampusRecruiting
Tucson, Arizona, United States
Kaiser Permanente DublinRecruiting
Dublin, California, United States
Kaiser Permanente-FremontRecruiting
Fremont, California, United States
Kaiser Permanente Fresno Orchard PlazaRecruiting
Fresno, California, United States
UC San Diego Moores Cancer CenterRecruiting
La Jolla, California, United States
Kaiser Permanente- Modesto MOB IIRecruiting
Modesto, California, United States
Kaiser Permanente-ModestoRecruiting
Modesto, California, United States
Kaiser Permanente-OaklandRecruiting
Oakland, California, United States
Eisenhower Medical CenterRecruiting
Rancho Mirage, California, United States
Kaiser Permanente-RosevilleRecruiting
Roseville, California, United States
Kaiser Permanente Downtown CommonsRecruiting
Sacramento, California, United States
Kaiser Permanente-South SacramentoRecruiting
Sacramento, California, United States
UC San Diego Medical Center - HillcrestRecruiting
San Diego, California, United States
Kaiser Permanente-San FranciscoRecruiting
San Francisco, California, United States
Kaiser Permanente-Santa Teresa-San JoseRecruiting
San Jose, California, United States
Kaiser Permanente San LeandroRecruiting
San Leandro, California, United States
Kaiser San Rafael-GallinasRecruiting
San Rafael, California, United States
Kaiser Permanente Medical Center - Santa ClaraRecruiting
Santa Clara, California, United States
Kaiser Permanente-Santa RosaRecruiting
Santa Rosa, California, United States
Kaiser Permanente-South San FranciscoRecruiting
South San Francisco, California, United States
Kaiser Permanente-VallejoRecruiting
Vallejo, California, United States
Kaiser Permanente-Walnut CreekRecruiting
Walnut Creek, California, United States
Kaiser Permanente-FranklinRecruiting
Denver, Colorado, United States
Saint Mary's Hospital and Regional Medical CenterRecruiting
Grand Junction, Colorado, United States
Kaiser Permanente-Rock CreekRecruiting
Lafayette, Colorado, United States
Bayhealth Hospital Kent CampusRecruiting
Dover, Delaware, United States
Bayhealth Hospital Sussex CampusRecruiting
Milford, Delaware, United States
MedStar Washington Hospital CenterRecruiting
Washington D.C., District of Columbia, United States
Kaiser Permanente Moanalua Medical CenterRecruiting
Honolulu, Hawaii, United States
Saint Luke's Cancer Institute - BoiseRecruiting
Boise, Idaho, United States
Kootenai Health - Coeur d'AleneRecruiting
Coeur d'Alene, Idaho, United States
Saint Luke's Cancer Institute - FruitlandRecruiting
Fruitland, Idaho, United States
Saint Luke's Cancer Institute - MeridianRecruiting
Meridian, Idaho, United States
Saint Luke's Cancer Institute - NampaRecruiting
Nampa, Idaho, United States
Kootenai Clinic Cancer Services - Post FallsRecruiting
Post Falls, Idaho, United States
Kootenai Clinic Cancer Services - SandpointRecruiting
Sandpoint, Idaho, United States
Illinois CancerCare-BloomingtonRecruiting
Bloomington, Illinois, United States
Illinois CancerCare-CantonRecruiting
Canton, Illinois, United States
Illinois CancerCare-CarthageRecruiting
Carthage, Illinois, United States
Centralia Oncology ClinicRecruiting
Centralia, Illinois, United States
University of IllinoisRecruiting
Chicago, Illinois, United States
Carle at The RiverfrontRecruiting
Danville, Illinois, United States
Cancer Care Specialists of Illinois - DecaturRecruiting
Decatur, Illinois, United States
Decatur Memorial HospitalRecruiting
Decatur, Illinois, United States
Illinois CancerCare-DixonRecruiting
Dixon, Illinois, United States
Carle Physician Group-EffinghamRecruiting
Effingham, Illinois, United States
Crossroads Cancer CenterRecruiting
Effingham, Illinois, United States
Illinois CancerCare-EurekaRecruiting
Eureka, Illinois, United States
Illinois CancerCare-GalesburgRecruiting
Galesburg, Illinois, United States
Illinois CancerCare-Kewanee ClinicRecruiting
Kewanee, Illinois, United States
Illinois CancerCare-MacombRecruiting
Macomb, Illinois, United States
Carle Physician Group-Mattoon/CharlestonRecruiting
Mattoon, Illinois, United States
Carle BroMenn Medical CenterRecruiting
Normal, Illinois, United States
Carle Cancer Institute NormalRecruiting
Normal, Illinois, United States
Cancer Care Center of O'FallonRecruiting
O'Fallon, Illinois, United States
HSHS Saint Elizabeth's HospitalRecruiting
O'Fallon, Illinois, United States
Illinois CancerCare-Ottawa ClinicRecruiting
Ottawa, Illinois, United States
Illinois CancerCare-PekinRecruiting
Pekin, Illinois, United States
Illinois CancerCare-PeoriaRecruiting
Peoria, Illinois, United States
Illinois CancerCare-PeruRecruiting
Peru, Illinois, United States
Illinois CancerCare-PrincetonRecruiting
Princeton, Illinois, United States
Memorial Hospital EastRecruiting
Shiloh, Illinois, United States
Southern Illinois University School of MedicineRecruiting
Springfield, Illinois, United States
Springfield ClinicRecruiting
Springfield, Illinois, United States
Springfield Memorial HospitalRecruiting
Springfield, Illinois, United States
Carle Cancer CenterRecruiting
Urbana, Illinois, United States
Illinois CancerCare - WashingtonRecruiting
Washington, Illinois, United States
Mary Greeley Medical CenterRecruiting
Ames, Iowa, United States
McFarland Clinic - AmesRecruiting
Ames, Iowa, United States
McFarland Clinic - BooneSuspended
Boone, Iowa, United States
Mercy HospitalRecruiting
Cedar Rapids, Iowa, United States
Oncology Associates at Mercy Medical CenterRecruiting
Cedar Rapids, Iowa, United States
McFarland Clinic - Trinity Cancer CenterRecruiting
Fort Dodge, Iowa, United States
McFarland Clinic - JeffersonSuspended
Jefferson, Iowa, United States
McFarland Clinic - MarshalltownRecruiting
Marshalltown, Iowa, United States
HaysMedRecruiting
Hays, Kansas, United States
Lawrence Memorial HospitalRecruiting
Lawrence, Kansas, United States
The University of Kansas Cancer Center - OlatheRecruiting
Olathe, Kansas, United States
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Overland Park, Kansas, United States
Salina Regional Health CenterRecruiting
Salina, Kansas, United States
University of Kansas Health System Saint Francis CampusRecruiting
Topeka, Kansas, United States
University of Kansas Hospital-Westwood Cancer CenterRecruiting
Westwood, Kansas, United States
Trinity Health IHA Medical Group Hematology Oncology - BrightonRecruiting
Brighton, Michigan, United States
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Canton, Michigan, United States
Trinity Health IHA Medical Group Hematology Oncology - Chelsea HospitalRecruiting
Chelsea, Michigan, United States
OSF Saint Francis Hospital and Medical GroupRecruiting
Escanaba, Michigan, United States
Genesys Hurley Cancer InstituteRecruiting
Flint, Michigan, United States
Hurley Medical CenterRecruiting
Flint, Michigan, United States
University of Michigan Health - Sparrow LansingRecruiting
Lansing, Michigan, United States
Trinity Health Saint Mary Mercy Livonia HospitalRecruiting
Livonia, Michigan, United States
Trinity Health Saint Joseph Mercy Oakland HospitalRecruiting
Pontiac, Michigan, United States
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor CampusRecruiting
Ypsilanti, Michigan, United States
Sanford Joe Lueken Cancer CenterRecruiting
Bemidji, Minnesota, United States
Coborn Cancer Center at Saint Cloud HospitalRecruiting
Saint Cloud, Minnesota, United States
Saint Francis Medical CenterRecruiting
Cape Girardeau, Missouri, United States
Siteman Cancer Center at Saint Peters HospitalRecruiting
City of Saint Peters, Missouri, United States
Siteman Cancer Center at West County HospitalRecruiting
Creve Coeur, Missouri, United States
University of Kansas Cancer Center - BriarcliffRecruiting
Kansas City, Missouri, United States
University of Kansas Cancer Center - NorthRecruiting
Kansas City, Missouri, United States
University of Kansas Cancer Center - Lee's SummitRecruiting
Lee's Summit, Missouri, United States
Washington University School of MedicineRecruiting
St Louis, Missouri, United States
Mercy Hospital SouthRecruiting
St Louis, Missouri, United States
Siteman Cancer Center-South CountyRecruiting
St Louis, Missouri, United States
Siteman Cancer Center at Christian HospitalRecruiting
St Louis, Missouri, United States
Mercy Hospital Saint LouisRecruiting
St Louis, Missouri, United States
Community Hospital of AnacondaRecruiting
Anaconda, Montana, United States
Billings Clinic Cancer CenterRecruiting
Billings, Montana, United States
Bozeman Health Deaconess HospitalRecruiting
Bozeman, Montana, United States
Benefis Sletten Cancer InstituteRecruiting
Great Falls, Montana, United States
Community Medical CenterRecruiting
Missoula, Montana, United States
Memorial Sloan Kettering Basking RidgeRecruiting
Basking Ridge, New Jersey, United States
Jefferson Cherry Hill HospitalRecruiting
Cherry Hill, New Jersey, United States
Memorial Sloan Kettering MonmouthRecruiting
Middletown, New Jersey, United States
Memorial Sloan Kettering BergenRecruiting
Montvale, New Jersey, United States
Sidney Kimmel Cancer Center Washington TownshipRecruiting
Sewell, New Jersey, United States
Roswell Park Cancer InstituteRecruiting
Buffalo, New York, United States
Memorial Sloan Kettering CommackRecruiting
Commack, New York, United States
Memorial Sloan Kettering WestchesterRecruiting
Harrison, New York, United States
Mount Sinai HospitalRecruiting
New York, New York, United States
Memorial Sloan Kettering Cancer CenterRecruiting
New York, New York, United States
Stony Brook University Medical CenterRecruiting
Stony Brook, New York, United States
Memorial Sloan Kettering NassauRecruiting
Uniondale, New York, United States
Duke University Medical CenterRecruiting
Durham, North Carolina, United States
FirstHealth of the Carolinas-Moore Regional HospitalRecruiting
Pinehurst, North Carolina, United States
Sanford Bismarck Medical CenterRecruiting
Bismarck, North Dakota, United States
Sanford Broadway Medical CenterRecruiting
Fargo, North Dakota, United States
Sanford Roger Maris Cancer CenterRecruiting
Fargo, North Dakota, United States
Ohio State University Comprehensive Cancer CenterRecruiting
Columbus, Ohio, United States
ProMedica Flower HospitalRecruiting
Sylvania, Ohio, United States
University of Oklahoma Health Sciences CenterRecruiting
Oklahoma City, Oklahoma, United States
Saint Vincent HospitalRecruiting
Erie, Pennsylvania, United States
Jefferson HospitalRecruiting
Jefferson Hills, Pennsylvania, United States
Forbes HospitalRecruiting
Monroeville, Pennsylvania, United States
Allegheny Valley HospitalRecruiting
Natrona Heights, Pennsylvania, United States
Thomas Jefferson University HospitalRecruiting
Philadelphia, Pennsylvania, United States
Jefferson Torresdale HospitalRecruiting
Philadelphia, Pennsylvania, United States
Jefferson Methodist HospitalSuspended
Philadelphia, Pennsylvania, United States
Allegheny General HospitalRecruiting
Pittsburgh, Pennsylvania, United States
West Penn HospitalRecruiting
Pittsburgh, Pennsylvania, United States
Guthrie Medical Group PC-Robert Packer HospitalRecruiting
Sayre, Pennsylvania, United States
Wexford Health and Wellness PavilionRecruiting
Wexford, Pennsylvania, United States
Asplundh Cancer PavilionRecruiting
Willow Grove, Pennsylvania, United States
Saint Francis HospitalRecruiting
Greenville, South Carolina, United States
Saint Francis Cancer CenterRecruiting
Greenville, South Carolina, United States
Self Regional HealthcareRecruiting
Greenwood, South Carolina, United States
Rapid City Regional HospitalRecruiting
Rapid City, South Dakota, United States
Sanford Cancer Center Oncology ClinicRecruiting
Sioux Falls, South Dakota, United States
Sanford USD Medical Center - Sioux FallsRecruiting
Sioux Falls, South Dakota, United States
Central Vermont Medical Center/National Life Cancer TreatmentRecruiting
Berlin Corners, Vermont, United States
University of Vermont Medical CenterRecruiting
Burlington, Vermont, United States
University of Vermont and State Agricultural CollegeRecruiting
Burlington, Vermont, United States
Hematology Oncology Associates of Fredericksburg IncRecruiting
Fredericksburg, Virginia, United States
VCU Massey Cancer Center at Stony PointRecruiting
Richmond, Virginia, United States
VCU Massey Comprehensive Cancer CenterRecruiting
Richmond, Virginia, United States
VCU Health Tappahannock HospitalRecruiting
Tappahannock, Virginia, United States
West Virginia University Charleston DivisionRecruiting
Charleston, West Virginia, United States
Ascension Saint Elizabeth HospitalRecruiting
Appleton, Wisconsin, United States
Ascension Southeast Wisconsin Hospital - Elmbrook CampusRecruiting
Brookfield, Wisconsin, United States
Ascension Calumet HospitalRecruiting
Chilton, Wisconsin, United States
Ascension Saint Francis - Reiman Cancer CenterRecruiting
Franklin, Wisconsin, United States
Saint Vincent Hospital Cancer Center Green BayRecruiting
Green Bay, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Saint Mary'sRecruiting
Green Bay, Wisconsin, United States
Froedtert Menomonee Falls HospitalRecruiting
Menomonee Falls, Wisconsin, United States
Ascension Columbia Saint Mary's Hospital OzaukeeRecruiting
Mequon, Wisconsin, United States
Ascension Columbia Saint Mary's Hospital - MilwaukeeRecruiting
Milwaukee, Wisconsin, United States
Medical College of WisconsinRecruiting
Milwaukee, Wisconsin, United States
Froedtert and MCW Moorland Reserve Health CenterRecruiting
New Berlin, Wisconsin, United States
Drexel Town Square Health CenterRecruiting
Oak Creek, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Oconto FallsRecruiting
Oconto Falls, Wisconsin, United States
Ascension Mercy HospitalRecruiting
Oshkosh, Wisconsin, United States
Ascension All Saints HospitalRecruiting
Racine, Wisconsin, United States
Saint Vincent Hospital Cancer Center at SheboyganRecruiting
Sheboygan, Wisconsin, United States
Sheboygan Physicians GroupRecruiting
Sheboygan, Wisconsin, United States
Saint Vincent Hospital Cancer Center at Sturgeon BayRecruiting
Sturgeon Bay, Wisconsin, United States
Ascension Medical Group Southeast Wisconsin - Mayfair RoadRecruiting
Wauwatosa, Wisconsin, United States
Froedtert West Bend Hospital/Kraemer Cancer CenterRecruiting
West Bend, Wisconsin, United States
Testing the Addition of Docetaxel (Chemotherapy) to the Usual Treatment (Hormonal Therapy and Apalutamide) for Metastatic Prostate Cancer, ASPIRE Trial · TrialPath