Current partner codePEPTIDESDE
NCT05694819·Phase 2·INTERVENTIONAL

Darolutamide in Patients With Androgen Receptor-Positive Salivary Gland Carcinoma (DISCOVARY)

Status

Completed

Phase

Phase 2

Enrollment

57

Locations

12

Results

Not posted

Publications

0

Study summary

What the protocol is testing.

This study is an open-label phase 2 study to evaluate the safety and efficacy of Darolutamide monotherapy in patients with androgen receptor-positive salivary gland carcinoma. Moreover, this study will evaluate the safety and efficacy of Darolutamide and Goserelin combination in patients with androgen receptor-positive salivary gland carcinoma.

Interventions

Treatment arms and agents.

DRUG

Darolutamide

Darolutamide at a dose of 600 mg (2 tablets of 300 mg) twice daily with food (equivalent to a daily dose of 1200 mg) will be administered orally.

DRUG

Goserelin

Goserelin at a dose of 3.6 mg will be administered subcutaneously every 4 weeks.

Timeline

From registration to results.

  1. First posted

    Jan 23, 2023

  2. Study start

    Apr 17, 2020

  3. Primary completion

    Aug 9, 2024

  4. Study completion

    Mar 23, 2026

  5. Results posted

    Not reported

  6. Registry updated

    Apr 8, 2026

Outcomes

What the study measures.

Primary outcomes

Darolutamide monotherapy group: Objective response rate(ORR) assessed by investigators

Time frame · Up to 13 month

The proportion of patients with confirmed tumor response of complete response (CR) or partial response (PR) per RECIST 1.1, as assessed by investigators

Darolutamide and Goserelin combination therapy group: Objective response rate(ORR) assessed by an Independent Review Committee

Time frame · Up to 13 month

The proportion of patients with confirmed tumor response of CR or PR per RECIST 1.1, as assessed by an independent review committee

Secondary outcomes

Duration of Response (DOR)

Time frame · Up to 13 month

DOR will be defined among responders from the date of initial documentation of a response (CR or PR) to the date of first documented evidence of progressive disease as defined in RECIST version 1.1 or death, whichever occurred first.

Best Overall Response (BOR)

Time frame · Up to 13 month

BOR will be defined as the best response recorded from the start of protocol treatment based on RECIST version 1.1

Disease Control Rate (DCR)

Time frame · Up to 13 month

DCR will be defined as the percentage of participants who achieved a confirmed best overall response of CR, PR, or SD for at least 6 weeks based on RECIST version 1.1.

Clinical Benefit Rate (CBR)

Time frame · Up to 13 month

CBR will be defined as the percentage of participants who achieved a confirmed best overall response of CR, PR, or stable disease (SD) for at least 24 weeks based on RECIST version 1.1.

Clinical Benefit Duration (CBD)

Time frame · Up to 13 month

CBD will be defined the period starting from the date of enrollment (start of treatment) and ending on the earlier of the date of determination of progression, the date of death from any cause, or the end of the study period.

Progression-Free Survival (PFS)

Time frame · Up to 13 month

PFS will be defined as the time from the date of the initial dose of study intervention to the date of first documented disease progression as defined in the RECIST version 1.1, or death due to any cause, whichever occurred first.

Overall Survival (OS)

Time frame · Up to 13 month

OS will be defined as the time from the date of the initial dose of study intervention to the date of the participant's death

Adverse events

Time frame · Up to 30 days after the last dose

All adverse events, adverse events with undeniable causal relationship to the investigational drug, severe adverse events (SAEs) and SAEs with undeniable causal relationship to the investigational drug will be evaluated based on CTCAE version 5.0

Quality of Life assessed using the EuroQol-5Dimention-5Level (EQ-5D-5L) questionnaire

Time frame · Up to 30 days after the last dose

Changes from baseline to each time point in health-related quality of life will be measured using the European Quality of Life Five Dimension Five Level Scale Assessment Questionnaire (EQ-5D-5L). The EQ-5D-5L consists of a description and a health assessment. The health description consists of five dimensions (mobility, self-care, normal activities, pain / discomfort, and anxiety / depression), with each dimension identifying five levels of severity \[best (1) - worst (5)\]. Health assessment is assessed using a visual analogue scale (VAS)(\[worse (0) - better (100)\].

Darolutamide monotherapy group: ORR assessed by an Independent Review Committee

Time frame · Up to 13 month

The proportion of patients with confirmed tumor response of CR or PR per RECIST 1.1, as assessed by an independent review committee

Eligibility

Who can take part.

Minimum age
20 Years
Maximum age
Not reported
Sex
ALL
Healthy volunteers
No

Inclusion Criteria: Darolutamide monotherapy group: 1. Signed, written informed consent. 2. Patients older than 20 years. 3. Histologically confirmed any salivary duct carcinoma (SDC), adenocarcinoma (AC)(NOS), or Carcinoma ex pleomorphic adenoma. 4. Patients with locally recurrent(unresectable) or metastatic salivary gland carcinoma who are not applied for surgery or radiation treatment. 5. Presence of measurable or evaluable disease according to RECIST v1.1 6. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 7. Adequate organ or bone marrow function 8. Patients who agree to practice effective barrier contraception and refrain from sperm donation during the entire study treatment period and 3 months after the last dose of the study drug. Darolutamide and Goserelin combination therapy group: 1. Signed, written informed consent. 2. Patients older than 20 years. 3. Histologically confirmed as androgen receptor-positive salivary gland carcinoma at the medical institution. 4. Histologically confirmed as salivary gland carcinoma at the medical institution. 5. Patients with locally recurrent(unresectable) or metastatic salivary gland carcinoma who are not applied for surgery or radiation treatment. 6. Presence of measurable or evaluable disease according to RECIST v1.1 7. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2 8. Adequate organ or bone marrow function 9. Patients who agree to practice effective barrier contraception refrain from sperm donation and stop breastfeeding during the entire study treatment period and through 3 months after the last dose of the study drug. Exclusion Criteria: Darolutamide monotherapy group: 1. Histologically confirmed as androgen receptor-negative salivary gland carcinoma at a central laboratory. 2. Prior treatment with AR inhibitors, CYP17 enzyme inhibitors, or LH-RH analogue. 3. Metastases in the brain/central nervous system (CNS). 4. Patients who are pregnant or breastfeeding. 5. Synchronous or metachronous malignancies. 6. Participant has a known history of HIV infection. 7. A positive test result for any of the followings: * HBsAg positive * HBsAb positive and hepatitis B virus (HBV)-DNA positive * HBcAb positive and HBV-DNA positive 8. Severe or uncontrolled concurrent heart disease or hypertension. 9. Inability to swallow oral medications. Darolutamide and Goserelin combination therapy group: 1. Prior treatment with AR inhibitors, CYP17 enzyme inhibitors, LH-RH analogue, Sex Hormones, or Gonadotropin 2. Prior treatment with Darolutamide or Goserelin. 3. Metastases in the brain/CNS. 4. Patients who are pregnant or breastfeeding. 5. Synchronous or metachronous malignancies. 6. Participant has a known history of HIV infection. 7. A positive test result for any of the followings: * HBsAg positive * HBsAb positive and HBV-DNA positive * HBcAb positive and HBV-DNA positive 8. Severe or uncontrolled concurrent heart disease or hypertension. 9. Inability to administer Darolutamide or Goserelin.

Study locations

12 registered sites.

Japan. Showing up to 24 locations stored in the fast local snapshot.

Nagoya University Hospital

Nagoya, Aichi-ken, Japan

Chiba University Hospital

Chiba, Chiba, Japan

National Cancer Center Hospital East

Kashiwa, Chiba, Japan

National Hospital Organization Kyushu Medical Center

Fukuoka, Fukuoka, Japan

Hokkaido University Hospital

Sapporo, Hokkaido, Japan

Kobe University Hospital

Kobe, Hyōgo, Japan

Yokohama City University Hospital

Yokohama, Kanagawa, Japan

Tohoku University Hospital

Sendai, Miyagi, Japan

Osaka International Cancer Institute

Osaka, Osaka, Japan

The Jikei University Hospital

Tokyo, Tokyo, Japan

Tokyo Medical And Dental University Hospital

Tokyo, Tokyo, Japan

Tokyo Medical University Hospital

Tokyo, Tokyo, Japan

Publications

Results and literature.

No PMID-linked publications were present in this registry snapshot.

Primary links

Continue at the source.

Related trials

More studies on Goserelin.

Related PeptideStat pages

Put the record in context.

Research pages describe evidence. Vendor pages, where available, describe independently tracked research-product listings and are not clinical recommendations.