{
"info": {
"nct_id": "NCT06120491",
"official_title": "A Randomized, 2-cohort, Double-blind, Placebo-controlled, Phase III Study of Saruparib (AZD5305) in Combination With Physician's Choice New Hormonal Agents in Patients With HRRm and Non-HRRm Metastatic Castration-Sensitive Prostate Cancer (EvoPAR-Prostate01)",
"inclusion_criteria": "* Male ≥ 18 years of age.\n* Histologically documented prostate adenocarcinoma which is de novo or recurrent and castration-sensitive. Participants with pathologic features of small cell, neuroendocrine, sarcomatoid, spindle cell, or signet cell histology are not eligible.\n* Metastatic disease as documented by the investigator prior to randomisation, with clear evidence of ≥ 1 bone lesion and/or ≥ 1 soft tissue lesion that is suitable for repeated assessment with CT and/or MRI.\n* Participant is receiving ADT with a GnRH analogue or has undergone bilateral orchiectomy starting ≥ 14 days and < 4 months prior to randomisation.\n* ECOG performance status of 0 or 1 with no deterioration over the 2 weeks prior to randomisation.\n* Provision of FFPE tumour tissue sample and blood sample (for ctDNA).\n* Confirmed HRRm status by central tumour tissue and/or ctDNA test is required to determine cohort eligibility.\n* Adequate organ and bone marrow function as described in study protocol.\n* Participants must not father children or donate sperm from signing ICF, during the study intervention and for 6 months after the last dose of study intervention.\n* Participants must use a condom from signing ICF, during study intervention, and for 6 months after the last dose of study drug, with all sexual partners.\nHealthy volunteers allowed\nMust be MALE\nMust have minimum age of 18 Years\nMust have maximum age of 130 Years",
"exclusion_criteria": "* Participants with a history of MDS/AML or with features suggestive of MDS/AML (as determined by prior diagnostic investigation). In case there is no clinical MDS/AML suspicion, no specific screening for MDS/AML (by BM/bone biopsy) is required.\n* Participants with any known predisposition to bleeding.\n* Any history of persisting (> 2 weeks) severe cytopenia.\n* Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection that would preclude adequate absorption of AZD5305 and/or the assigned NHA.\n* History of another primary malignancy, with exceptions.\n* Persistent toxicities (CTCAE Grade ≥ 2) caused by previous anticancer therapy.\n* Spinal cord compression or brain metastases unless asymptomatic, stable, and not requiring steroids for at least 4 weeks prior to start of study intervention.\n* Cardiac criteria, including history of arrhythmia and cardiovascular disease.\n* Any prior anticancer pharmacotherapy or surgery for metastatic prostate cancer, with exceptions.\n* Prior treatment within 14 days with blood product support or growth factor support.\n* Participants who are unevaluable for both bone and soft tissue progression.",
"miscellaneous_criteria": ""
},
"inclusion_lines": [
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"identified_line": {
"line": "* Male ≥ 18 years of age.",
"criterions": [
{
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"line": "* Histologically documented prostate adenocarcinoma which is de novo or recurrent and castration-sensitive. Participants with pathologic features of small cell, neuroendocrine, sarcomatoid, spindle cell, or signet cell histology are not eligible.",
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{
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}
},
{
"exact_snippets": "Participants with pathologic features of small cell, neuroendocrine, sarcomatoid, spindle cell, or signet cell histology are not eligible",
"criterion": "pathologic features",
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"requirement_type": "exclusion",
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"and_criteria": [
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"and_criteria": [
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"line": "* Participant is receiving ADT with a GnRH analogue or has undergone bilateral orchiectomy starting ≥ 14 days and < 4 months prior to randomisation.",
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},
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{
"operator": ">=",
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"unit": "days"
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{
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"value": 4,
"unit": "months"
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"line": "* ECOG performance status of 0 or 1 with no deterioration over the 2 weeks prior to randomisation.",
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}
}
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}
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}
},
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}
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}
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}
},
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}
}
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}
}
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}
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},
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},
{
"and_criteria": [
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"exact_snippets": "brain metastases unless asymptomatic, stable, and not requiring steroids for at least 4 weeks",
"criterion": "brain metastases",
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"requirement_type": "symptoms",
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}
},
{
"exact_snippets": "brain metastases unless asymptomatic, stable, and not requiring steroids for at least 4 weeks",
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"expected_value": "stable"
}
},
{
"exact_snippets": "brain metastases unless asymptomatic, stable, and not requiring steroids for at least 4 weeks",
"criterion": "brain metastases",
"requirement": {
"requirement_type": "steroid requirement",
"expected_value": false
}
},
{
"exact_snippets": "brain metastases unless asymptomatic, stable, and not requiring steroids for at least 4 weeks",
"criterion": "brain metastases",
"requirement": {
"requirement_type": "time since steroid use",
"expected_value": {
"operator": ">=",
"value": 4,
"unit": "weeks"
}
}
}
]
}
]
}
},
{
"identified_line": {
"line": "* Cardiac criteria, including history of arrhythmia and cardiovascular disease.",
"criterions": [
{
"exact_snippets": "history of arrhythmia",
"criterion": "arrhythmia",
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"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "history of ... cardiovascular disease",
"criterion": "cardiovascular disease",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
}
]
},
"logical_structure": {
"and_criteria": [
{
"exact_snippets": "history of arrhythmia",
"criterion": "arrhythmia",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
},
{
"exact_snippets": "history of ... cardiovascular disease",
"criterion": "cardiovascular disease",
"requirement": {
"requirement_type": "history",
"expected_value": true
}
}
]
}
},
{
"identified_line": {
"line": "* Prior treatment within 14 days with blood product support or growth factor support.",
"criterions": [
{
"exact_snippets": "Prior treatment within 14 days with blood product support",
"criterion": "prior treatment with blood product support",
"requirement": {
"requirement_type": "time frame",
"expected_value": {
"operator": "<=",
"value": 14,
"unit": "days"
}
}
},
{
"exact_snippets": "Prior treatment within 14 days with ... growth factor support",
"criterion": "prior treatment with growth factor support",
"requirement": {
"requirement_type": "time frame",
"expected_value": {
"operator": "<=",
"value": 14,
"unit": "days"
}
}
}
]
},
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"or_criteria": [
{
"and_criteria": [
{
"exact_snippets": "Prior treatment within 14 days with blood product support",
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"requirement_type": "time frame",
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"operator": "<=",
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"unit": "days"
}
}
}
]
},
{
"and_criteria": [
{
"exact_snippets": "Prior treatment within 14 days with ... growth factor support",
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"requirement_type": "time frame",
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"operator": "<=",
"value": 14,
"unit": "days"
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}
}
]
}
]
}
},
{
"identified_line": {
"line": "* Participants who are unevaluable for both bone and soft tissue progression.",
"criterions": [
{
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"criterion": "bone progression",
"requirement": {
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"expected_value": false
}
},
{
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"criterion": "soft tissue progression",
"requirement": {
"requirement_type": "evaluability",
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}
]
},
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"exact_snippets": "unevaluable for both bone and soft tissue progression",
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}
},
{
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]
}
}
],
"miscellaneous_lines": [],
"failed_inclusion": [
{
"identified_line": {
"line": "* Metastatic disease as documented by the investigator prior to randomisation, with clear evidence of ≥ 1 bone lesion and/or ≥ 1 soft tissue lesion that is suitable for repeated assessment with CT and/or MRI.",
"criterions": [
{
"exact_snippets": "Metastatic disease as documented by the investigator prior to randomisation",
"criterion": "metastatic disease",
"requirement": {
"requirement_type": "documentation",
"expected_value": true
}
},
{
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"requirement_type": "quantity",
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"operator": ">=",
"value": 1,
"unit": "lesion"
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}
},
{
"exact_snippets": "clear evidence of ... ≥ 1 soft tissue lesion",
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"operator": ">=",
"value": 1,
"unit": "lesion"
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}
},
{
"exact_snippets": "suitable for repeated assessment with CT and/or MRI",
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}
]
},
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"and_criteria": [
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"requirement_type": "documentation",
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},
{
"or_criteria": [
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"exact_snippets": "clear evidence of \u001e 1 bone lesion",
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},
{
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]
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}
],
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{
"identified_line": {
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},
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}
]
},
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},
{
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}
]
},
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},
"else_criteria": null
}
},
{
"identified_line": {
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{
"exact_snippets": "Any prior anticancer pharmacotherapy",
"criterion": "prior anticancer pharmacotherapy",
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"requirement_type": "presence",
"expected_value": false
}
},
{
"exact_snippets": "surgery for metastatic prostate cancer",
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"requirement_type": "presence",
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]
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"and_criteria": [
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},
{
"exact_snippets": "surgery for metastatic prostate cancer",
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]
}
]
}
}
],
"failed_miscellaneous": []
}