Table 2 Active clinical trials evaluating pharmacotherapy at BCR after primary treatment.

From: Biochemical recurrence in patients with prostate cancer after primary definitive therapy: treatment based on risk stratification

Study phase

Therapy

Estimated (actual) enrollment

Comparator

Primary endpoint

Estimated completion date

NCT

2

Apalutamide + ADT + sEBRT, docetaxel

40

None

PFS at 36 mo

Completed

NCT03311555

2

RV001V

180

Placebo

Time to PSA progression (up to 3 yr)

November 2022

NCT04114825

2

Enzalutamide + sEBRT

96

sEBRT + placebo

Freedom from PSA progression (assessed 2 yr from end of therapy)

December 2023

NCT02203695

3

Apalutamide + LHRH analog, apalutamide, abiraterone + prednisone, LHRH analog

504

LHRH analog (degarelix or leuprolide + bicalutamide)

PSA PFS up to 36 mo

January 2024

NCT03009981

2

Olaparib, durvalumab

32(5)a

None

Number of participants with an undetectable PSA (assessed after 1 yr)

February 2024

NCT03810105

 

Olaparib

50b

None

Response rate as measured by 50% decline in PSA from baseline (assessed after 4 wk)

February 2024

NCT03047135

2

pTVG-HP, nivolumab, GM-CSF

41(19)

None

Percentage of pts within acceptable toxicity boundaries (up to 48 wk); PSA CR rate (up to 48 wk)

January 2025

NCT03600350

2

GnRH + bicalutamide + sEBRT, GnRH + abiraterone + apalutamide + prednisone + sEBRT

345

None

PSA PFS at 2 yr

December 2025

NCT03141671

2

Nivolumab

15c

None

Percentage of pts with a ≥ 50% decline in PSA (up to 6 mo post-intervention)

January 2025

NCT04019964

2

Nivolumab

34

None

Proportion of pts with high-risk BCR that experiences PSA decline or stabilization after 12 wk of treatment

March 2025

NCT03637543

2

Pactritinib

46

None

Number of pts with 6-mo PSA PFS

June 2026

NCT04635059

2

sEBRT + ADT for 24 mo (triptorelin)

394

sEBRT + ADT for 6 mo (triptorelin)

MFS at 5 yr

February 2029

NCT04242017

2

Enhanced ADT (enzalutamide + GnRH analog) + EBRT

242

Standard ADT (GnRH analog ± bicalutamide) + sEBRT

PFS (assessed up to 5 yr)

September 2029

NCT03809000

3

Apalutamide + LHRH + EBRT

490

LHRH + EBRT

PFS at 5 yr

December 2033

NCT04181203

  1. ADT androgen deprivation therapy, BCR biochemical recurrence, CR complete response, EBRT external beam radiation therapy, GM-CSF granulocyte-macrophage colony-stimulating factor, GnRH gonadotropin-releasing hormone, LHRH luteinizing hormone-releasing hormone, MFS metastasis-free survival, NCT national clinical trial number, PFS progression-free survival, pt patient, PSA prostate-specific antigen, s salvage, wk week(s), yr year(s).
  2. aBCR is defined as rising PSA (50% increase to 0.5 ng/ml or more based on at least three determinations obtained 1 wk apart).
  3. bBCR is defined as PSADT of ≤6 mo and minimum PSA of ≥1 ng/ml.
  4. cAbsolute PSA ≥ 1.0 ng/ml at screening.