Prostate Cancer Non-MetastaticPhase 3ARAMISNCT02200614
Efficacy and Safety Study of Darolutamide (ODM-201) in Men With High-risk Non-metastatic Castration-resistant Prostate Cancer
A Phase 3 study testing Darolutamide (Nubeqa, BAY1841788) in people with Prostate Cancer Non-Metastatic and Castration-Resistant, run by Bayer at 404 sites in 36 countries.
Trial summary
The purpose of this study is to assess the safety and efficacy of BAY1841788 (ODM-201) in patients with non-metastatic castration-resistant prostate cancer. Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Prostate Cancer Non-Metastatic, Castration-Resistant
- What is being tested?
- Darolutamide (Nubeqa, BAY1841788)
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,509 participants
- Where
- 404 sitesin 36 countries
- Study dates
- 12 Sep 2014to 14 Jun 2021
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically or cytologically confirmed adenocarcinoma of prostate without neuroendocrine differentiation or small cell features.
- Castration-resistant prostate cancer (CRPC) with castrate level of serum testosterone.
- Prostate-specific Antigen (PSA) doubling time of ≤ 10 months and PSA > 2ng/ml.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
- Blood counts at screening: haemoglobin ≥ 9.0 g/dl,absolute neutrophil count ≥ 1500/µl, platelet count ≥ 100,000/µl.
- Screening values of serum alanine aminotransferase (ALT) and/or aspartate transaminase (AST) ≤ 2.5 x upper limit of normal (ULN), total bilirubin ≤ 1.5 x ULN, creatinine ≤ 2.0 x ULN.
- Sexually active patients, unless surgically sterile, must agree to use condoms as an effective barrier method and refrain from sperm donation during the study treatment and for 3 months after the end of the study treatment.
Who cannot join
- History of metastatic disease at any time or presence of detectable metastases.
- Acute toxicities of prior treatments and procedures not resolved to grade ≤ 1 or baseline before randomisation.
- Prior treatment with: second generation androgen receptor (AR) inhibitors, other investigational AR inhibitors, or CYP17 enzyme inhibitor.
- Use of estrogens or 5-α reductase inhibitors or AR inhibitors.
- Prior chemotherapy or immunotherapy for prostate cancer.
- Use of systemic corticosteroid.
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- Radiation therapy within 12 weeks before randomisation.
- Severe or uncontrolled concurrent disease, infection or co-morbidity.
- Treatment with bisphosphonate or denosumab within 12 weeks before randomisation.
- Known hypersensitivity to the study treatment or any of its ingredients.
- Major surgery within 28 days before randomisation.
- Any of the following within 6 months before randomisation: stroke, myocardial infarction, severe/unstable angina pectoris, coronary/peripheral artery bypass graft; congestive heart failure New York Heart Association (NYHA) Class III or IV.
- Uncontrolled hypertension.
- Prior malignancy.
- Gastrointestinal disorder or procedure which expects to interfere significantly with absorption of study treatment.
- Active viral hepatitis, active human immunodeficiency virus (HIV) or chronic liver disease.
- Treatment with any investigational drug within 28 days before randomisation.
- Any condition that in the opinion of the investigator would impair the patients' ability to comply with the study procedures.
Trial locations and contacts
404 sites in 36 countries.
404 sites in 36 countries
United States55 sites
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Anchorage, Alaska, 99503
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Annapolis, Maryland, 21401
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Asheboro, North Carolina, 27203
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Bala-Cynwyd, Pennsylvania, 19004
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Baltimore, Maryland, 21204
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Boca Raton, Florida, 33486
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Boston, Massachusetts, 02114
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Canton, Ohio, 44718
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Charlotte, North Carolina, 28277
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Chicago, Illinois, 60612
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Cincinnati, Ohio, 45212
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Cleveland, Ohio, 44195
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Coeur d'Alene, Idaho, 83814
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Dallas, Texas, 75231
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Denver, Colorado, 80211
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Denver, Colorado, 80220
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Evanston, Illinois, 60201-1613
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Fairfax, Virginia, 22031
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Fountain Valley, California, 92708
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Gahanna, Ohio, 43230
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Grand Rapids, Michigan, 49546
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Greenwood, Indiana, 46143
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Homewood, Alabama, 35209
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Indianapolis, Indiana, 46202
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Jeffersonville, Indiana, 47130
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La Jolla, California, 92093
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Laguna Hills, California, 92653
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Lebanon, New Hampshire, 03756-1000
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Los Angeles, California, 90048
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Los Angeles, California, 90073-1003
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Middleburg Heights, Ohio, 44130
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Myrtle Beach, South Carolina, 29572
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Nashville, Tennessee, 37209
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New Orleans, Louisiana, 70121
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Oklahoma City, Oklahoma, 73104
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Omaha, Nebraska, 68114
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Omaha, Nebraska, 68130
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Orlando, Florida, 32803
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Parker, Colorado, 80134
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Port Saint Lucie, Florida, 34952
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Richmond, Virginia, 23235
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Royal Oak, Michigan, 48073
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Salisbury, Maryland, 21801
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San Diego, California, 92120
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Springfield, Illinois, 62702
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Syracuse, New York, 13210
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The Bronx, New York, 10461
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The Bronx, New York, 10469
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Tucson, Arizona, 85704
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Virginia Beach, Virginia, 23462
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Voorhees Township, New Jersey, 08043
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West Des Moines, Iowa, 50266
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Wheeling, West Virginia, 26003
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Whittier, California, 90603
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Wichita, Kansas, 67226
Japan41 sites
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Bunkyo-ku, Tokyo, 113-8431
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Bunkyo-ku, Tokyo, 113-8603
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Chiba, 260-8717
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Fukui, 910-8526
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Hamamatsu, Shizuoka, 431-3192
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Higashiibaraki, Ibaraki, 311-3193
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Hiroshima, 730-8518
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Kanazawa, Ishikawa-ken, 920-8530
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Kashihara, Nara, 634-8522
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Kashiwa, Chiba, 277-8577
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Kobe, Hyōgo, 650-0047
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Kōriyama, Fukushima, 963-8052
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Kurume, Fukuoka, 839-0863
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Kyoto, 602-8566
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Maebashi, Gunma, 371-8511
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Minato-ku, Tokyo, 105-8471
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Mitaka, Tokyo, 181-8611
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Nagasaki, 852-8501
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Nagasaki, 852-8511
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Nagoya, Aichi-ken, 466-8560
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Nakano-ku, Tokyo, 164-8541
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Okayama, 700-8558
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Osaka, 541-8567
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Osaka, 545-8586
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Osaka, 558-8558
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Ōtake, Hiroshima, 739-0696
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Sagamihara, Kanagawa, 252-0375
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Sapporo, Hokkaido, 060-8543
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Sayama, Osaka, 589-8511
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Sendai, Miyagi, 981-8563
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Shinjuku-ku, Tokyo, 160-8582
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Sumida-ku, Tokyo, 130-8587
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tabashi City, Tokyo, 173-0015
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Toyama, 930-0194
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Ube, Yamaguchi, 755-8505
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Ueda, Nagano, 386-8610
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Utsunomiya, Tochigi, 321-0974
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Wako, Saitama, 351-0102
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Yokohama, Kanagawa, 232-0024
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Yokosuka, Kanagawa, 238-8558
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Yufu, Oita Prefecture, 879-5593
France27 sites
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Angers, 49100
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Bayonne, 64100
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Besançon, 25030
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Bordeaux, 33076
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Caen, 14076
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Cergy-Pontoise, 95303
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Clermont-Ferrand, 63011
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Créteil, 94010
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Dijon, 21000
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La Roche-sur-Yon, 85925
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Limoges, 87042
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Montpellier, 34295
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Montpellier, 34298
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Nancy, 54100
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Nantes, 44093
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Paris, 75010
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Paris, 75014
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Pierre-Bénite, 69495
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Poitiers, 86021
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Reims, 51726
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Rennes, 35033
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Rouen, 76031
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Saint-Mandé, 94160
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Strasbourg, 67000
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Suresnes, 92151
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Tours, 37044
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Villejuif, 94805
Spain26 sites
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Alcorcón, Madrid, 28922
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Barcelona, 08035
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Barcelona, 08036
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Bilbao, Vizcaya, 48013
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Cadiz, Andalusia, 11009
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Córdoba, 14004
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Elche, Alicante, 03203
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Granada, 18012
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Jerez de la Frontera, Cádiz, 11407
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L'Hospitalet de Llobregat, Barcelona, 08907
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Lugo, 27003
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Madrid, 28007
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Madrid, 28040
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Madrid, 28041
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Madrid, 28046
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Málaga, 29010
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Manacor, Illes Baleares, 07500
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Palma de Mallorca, Illes Baleares, 07120
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Sabadell, Barcelona, 08208
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Salamanca, 37007
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Seville, 41009
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Seville, 41013
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Terrassa, Barcelona, 08221
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Valencia, 46009
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Valencia, 46015
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Valencia, 46026
Germany23 sites
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Berlin, 12203
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Cologne, North Rhine-Westphalia, 50937
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Dresden, Saxony, 01307
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Düsseldorf, North Rhine-Westphalia, 40225
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Emmendingen, Baden-Wurttemberg, 79312
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Frankfurt am Main, Hesse, 60590
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Hagenow, Mecklenburg-Vorpommern, 19230
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Hamburg, 20246
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Hamburg, 22081
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Herzberg am Harz, Lower Saxony, 37412
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Holzminden, Lower Saxony, 37603
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Kirchheim unter Teck, Baden-Wurttemberg, 73230
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Magdeburg, Saxony-Anhalt, 39120
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Mainz, Rhineland-Palatinate, 55131
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Marburg, Hesse, 35039
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Mühlacker, Baden-Wurttemberg, 75417
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Mülheim, North Rhine-Westphalia, 45468
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Münster, North Rhine-Westphalia, 48149
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Nürtingen, Baden-Wurttemberg, 72622
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Reutlingen, Baden-Wurttemberg, 72764
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Tübingen, Baden-Wurttemberg, 72076
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Wuppertal, North Rhine-Westphalia, 42103
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Zirndorf, Bavaria, 90513
Russia23 sites
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Chelyabinsk, 454087
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Ivanovo, 153040
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Kazan', 420029
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Krasnoyarsk, 660133
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Moscow, 105425
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Moscow, 117997
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Moscow, 125284
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Moscow, 129301
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Nizhny Novgorod, 603006
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Novosibirsk, 630099
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Obninsk, 249036
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Omsk, 644013
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Orenburg, 460021
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Pyatigorsk, 357502
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Rostov-on-Don, 344022
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Saint Petersburg, 191014
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Saint Petersburg, 194017
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Saint Petersburg, 194354
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Saint Petersburg, 197022
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Saratov, 410054
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Tyumen, 625041
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Ufa, 450008
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Vladimir, 600009
Brazil21 sites
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Barretos, São Paulo, 14784-400
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Belo Horizonte, Minas Gerais, 30150-320
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Curitiba, Paraná, 81520-060
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Fortaleza, Ceará, 60430-230
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Goiânia, Goiás, 74605-070
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Itajaí, Santa Catarina, 88301-220
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Jaú, São Paulo, 17210-080
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Juiz de Fora, Minas Gerais, 36010-510
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Passo Fundo, Rio Grande do Sul, 99010-080
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Porto Alegre, Rio Grande do Sul, 90050 170
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Porto Alegre, Rio Grande do Sul, 90610-000
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Recife, Pernambuco, 50070-550
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Ribeirao Preto - SP, São Paulo, 14048-900
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Salvador, Estado de Bahia, 40050-001
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São Paulo, São Paulo, 01209-000
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São Paulo, São Paulo, 01236-030
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São Paulo, São Paulo, 01246-000
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São Paulo, São Paulo, 04014-002
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São Paulo, São Paulo, 04039-004
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Sorocaba, São Paulo, 18035-300
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Uberlândia, Minas Gerais, 38408-150
United Kingdom17 sites
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Bath, Somerset, BA1 3NG
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Bebington, Merseyside, CH63 4JY
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Cardiff, CF14 4XN
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Dartford, Kent, DA2 8DA
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Dudley, West Midlands, DY1 2HQ
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Glasgow, G12 0YN
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Huddersfield, West Yorkshire, HD3 3EA
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Llanelli, Carmarthenshire, SA14 8QF
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London, SW17 0QT
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Maidstone, Kent, ME16 9QQ
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Preston, Lancashire, PR2 4HT
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Reading, Berkshire, RG1 5AN
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Romford, Essex, RM7 0AG
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Scunthorpe, North East Lincolnshire, DN15 7BH
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Stevenage, Hertfordshire, SG1 4AB
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Stoke-on-Trent, Staffordshire, ST4 6QG
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Wakefield, West Yorkshire, WF1 4DG
Italy14 sites
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Arezzo, Tuscany, 52100
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Catanzaro, Calabria, 88100
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Chieti, Abruzzo, 66100
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Forlì Cesena, Emilia-Romagna, 47014
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Lecce, Apulia, 73100
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Messina, Sicily, 98125
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Modena, Emilia-Romagna, 41124
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Naples, Campania, 80131
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Palermo, Sicily, 90127
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Parma, Emilia-Romagna, 43126
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Rome, Lazio, 00144
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Rome, Lazio, 00189
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Turin, Piedmont, 10043
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Turin, Piedmont, 10060
Poland11 sites
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Elblag, 82-300
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Gdansk, 80-952
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Lodz, 90-302
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Lublin, 20-718
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Otwock, 05-400
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Rzeszów, 35-021
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Siedlce, 08-110
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Warsaw, 02-616
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Warsaw, 02-781
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Warsaw, 04-125
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Wroclaw, 54-144
South Korea11 sites
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Cheongju-si, North Chungcheong, 28644
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Daegu, 41404
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Daegu, 42601
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Gwangju, Gwangju Gwang''yeogsi, 61469
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Incheon, 21565
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Seoul, Seoul Teugbyeolsi, 03080
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Seoul, Seoul Teugbyeolsi, 06273
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Seoul, 03722
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Seoul, 05505
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Seoul, 06351
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Seoul, 06591
Canada10 sites
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Burlington, Ontario, L7N 3V2
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Calgary, Alberta, T2V 1P9
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Granby, Quebec, J2G 8Z9
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Halifax, Nova Scotia, B3H 2Y9
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Hamilton, Ontario, L8N 4A6
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Kingston, Ontario, K7L 3J7
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London, Ontario, N6A 5W9
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Pointe-Claire, Quebec, H9R 4S3
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Toronto, Ontario, M4N 3M5
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Toronto, Ontario, M5G 2M9
Hungary10 sites
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Budapest, 1086
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Budapest, 1145
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Budapest, 1204
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Debrecen, 4032
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Győr, 9023
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Nyíregyháza, 4400
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Szeged, 6725
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Szekszárd, 7100
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Szolnok, 5000
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Zalaegerszeg, 8900
Portugal10 sites
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Almada, Lisbon District, 2801-951
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Braga, 4710-243
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Guimarães, Braga District, 4835-044
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Lisbon, 1099-023
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Lisbon, 1150-199
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Lisbon, 1400-038
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Lisbon, 1500-650
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Matosinhos Municipality, Porto District, 4464-513
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Porto, 4200-072
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Porto, 4200-319
Romania10 sites
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Bucharest, 22328
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Bucharest, 41345
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Bucharest, 50659
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Bucharest, 75000
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Cluj-Napoca, 400015
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Craiova, 200347
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Craiova, 200385
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Oradea, 410159
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Ploieşti, 100337
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Târgu Mureş, 540103
Czechia8 sites
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Jablonec nad Nisou, 466 60
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Kolín, 280 00
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Olomouc, 775 20
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Opava, 746 01
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Prague, 120 00
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Prague, 128 08
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Prague, 160 00
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Prague, 180 81
South Africa8 sites
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Cape Town, 7505
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Cape Town, 7925
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George, Eastern Cape, 6530
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Paarl, Western Cape, 7646
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Port Elizabeth, Eastern Cape, 6045
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Pretoria, Gauteng, 0002
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Pretoria, Gauteng, 0083
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Rondebosch, Western Cape, 7700
Ukraine8 sites
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Chernivtsi, 58002
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Dnipro, 49102
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Kharkiv, 61037
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Kryvyi Rih, 50048
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Kyiv, 04053
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Kyiv, 2660
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Uzhhorod, 88014
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Zaporizhzhya, 69600
Argentina7 sites
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Buenos Aires, Ciudad Auton. de Buenos Aires, C1120AAT
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Córdoba, X5000HXL
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Córdoba, X5004FHP
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Córdoba, X5016KEH
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La Rioja, F5300COE
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San Miguel de Tucumán, Tucumán Province, T4000HXU
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Santa Fe, Santa Fe Province, S3000FFV
Australia6 sites
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Douglas, Queensland, 4814
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Fitzroy, Victoria, 3065
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Kurralta Park, South Australia, 5037
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Randwick, New South Wales, 2031
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South Brisbane, Queensland, 4101
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St Leonards, New South Wales, 2065
Latvia6 sites
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Daugavpils, LV5401
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Jelgava, LV-3001
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Leipaja, LV-3401
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Riga, LV-1001
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Riga, LV-1002
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Riga, LV-1038
Turkey (Türkiye)6 sites
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Ankara, 06500
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Istanbul, 34724
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Izmir, 35100
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Izmir, 35340
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Manisa, 45030
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Sivas, 58140
Belgium5 sites
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Bonheiden, 2820
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Kortrijk, 8500
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Libramont, 6800
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Liège, 4000
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Sint-Truiden, 3800
Finland5 sites
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Helsinki, 00290
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Kuopio, 70210
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Seinäjoki, 60220
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Tampere, 33521
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Turku, FIN-20521
Lithuania5 sites
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Kaunas, LT-45434
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Kaunas, LT-50009
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Klaipėda, LT-92288
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Vilnius, LT-08660
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Vilnius, LT-08661
Taiwan5 sites
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Kaohsiung City, 807
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Kaoshiung, 81362
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Taichung, 40705
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Taipei, 100
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Taoyuan, 33305
Peru4 sites
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La Victoria, Arequipa, 4001
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Lima, 15046
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Lima, 15073
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San Isidro, 15036
Slovakia4 sites
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Bratislava, 851 01
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Bratislava, 851 05
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Martin, 036 59
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Trenčín, 91101
Sweden4 sites
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Gothenburg, 413 45
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Örebro, 701 85
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Stockholm, 171 76
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Uppsala, 751 85
Colombia3 sites
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Floridablanca, Santander Department, 681004
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Medellín, Antioquia, 050034
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Montería, Departamento de Córdoba, 230002
Serbia3 sites
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Belgrade, 11000
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Belgrade, 11080
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Niš, 18000
About this study
Official title: A Multinational, Randomised, Double-blind, Placebo-controlled, Phase III Efficacy and Safety Study of Darolutamide (ODM-201) in Men With High-risk Non-metastatic Castration-resistant Prostate Cancer
The purpose of this study is to assess the safety and efficacy of BAY1841788 (ODM-201) in patients with non-metastatic castration-resistant prostate cancer.
- Being tested
- Darolutamide (Nubeqa, BAY1841788), Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Darolutamide (Nubeqa, BAY1841788)Drug
Also called ODM-201
Darolutamide 600 mg (2 tablets of 300 mg) twice daily with food, equivalent to a total daily dose of 1200 mg.
PlaceboDrug
Matching placebo 2 tablets twice daily with food.
| Study group | Role | What they receive |
|---|---|---|
| Darolutamide (BAY1841788) | Experimental | Participants received Darolutamide 600 mg (2 tablets of 300 mg) twice daily with food, equal to a total daily dose of 1200 mg. Receives: Drug: Darolutamide (Nubeqa, BAY1841788) |
| Placebo | Placebo comparator | Participants received matching placebo 2 tablets twice daily with food. Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Metastasis-Free Survival
Metastasis-Free Survival (MFS) is defined as the time from randomisation to evidence of metastasis or death from any cause, whichever occurs first (cut-off date 15 Nov 2019)
Measured: From randomization to the time approximately 385 MFS events were observed (approximately 48 months)
Secondary outcomes (8)
Overall Survival - Primary Analysis
Overall Survival (OS) was defined as the time from randomization to death due to any cause.
Measured: From randomization of the first subject to the time approximatively 140 death events were observed (approximately 48 months)
Time to Pain Progression - Primary Analysis
Time to pain progression (PP) is defined as time from randomization to pain progression, where progression is defined as an increase of 2 or more points from baseline in question 3 of the Brief Pain Inventory-Short Form questionnaire (BPI-SF) related to the worst pain in the last 24 hours taken as a 7-day average for post-baseline scores, or initiation of short or long-acting opioids for pain, whichever comes first. Initiation or change in the use of other non-opioid analgesics is not used in the analysis of pain progression.
Measured: From randomization until last study treatment (assessed every 4 months) (approximately 48 months)
Time to Initiation of First Cytotoxic Chemotherapy for Prostate Cancer - Primary Analysis
The time to cytotoxic chemotherapy was defined as the time from randomization to the start of the first cytotoxic chemotherapy cycle.
Measured: From randomization until last study treatment (assessed every 4 months) (approximately 48 months)
Time to First Symptomatic Skeletal Event (SSE) - Primary Analysis
The time to the first SSE was defined as the time from randomization to the occurrence of the first SSE.
Measured: From randomization until last study treatment (assessed every 4 months) (approximately 48 months)
Overall Survival - Final Analysis
Overall Survival (OS) was defined as the time from randomization to death due to any cause. The final analysis was done at the time of the data cut-off (15 NOV 2019).
Measured: From randomization of the first subject to the time approximatively 254 death events were observed (approximately 56 months)
Time to Pain Progression - Final Analysis
For time to pain progression, the analysis performed using the primary completion cut-off data (03 SEP 2018) was considered final and no new analysis was performed for time to pain progression.
Measured: From randomization until last study treatment (assessed every 4 months) (approximately 48 months)
Time to Initiation of First Cytotoxic Chemotherapy for Prostate Cancer - Final Analysis
The time to cytotoxic chemotherapy was defined as the time from randomization to the start of the first cytotoxic chemotherapy cycle. The final analysis was done at the time of the data cut-off (15 NOV 2019).
Measured: From randomization until initiation of first cytotoxic chemotherapy treatment (approximately 59 months)
Time to First Symptomatic Skeletal Event (SSE) - Final Analysis
The time to the first SSE was defined as the time from randomization to the occurrence of the first SSE. The final analysis was done at the time of the data cut-off (15 NOV 2019).
Measured: From randomization until occurrence of first SSE event (approximately 59 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Jul 2014 (estimated)
- Study start12 Sep 2014
- Primary completion3 Sep 2018
- Study completion14 Jun 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (11)Papers the sponsor has linked to this study.
- Other trials for Prostate Cancer Non-MetastaticStudies of the same condition, open and under way.
- More trials run by BayerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,509 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bayer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Orion Corporation, Orion Pharma
- Responsible party
- Sponsor
- Investigators
- Bayer Study Director, Study director, Bayer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02200614
- Sponsor's protocol ID
- 17712
- Other IDs
- 2013-003820-36
- Acronym
- ARAMIS
- Status last verified
- Jun 2022
- First submitted
- 22 Jul 2014
- Last updated
- 28 Jun 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Publications
Saar M, Fizazi K, Shore ND, Smith M, Damber JE, Semenov A, Ribal MJ, Birtle A, Rigaud J, Wallis CJD, Grimm MO, Halabi S, Armstrong AJ, Mohamed AF, Adorjan P, Srinivasan S, Verholen F, Morgans AK, Siemens DR. Effects of Prior Local Therapy by Radical Prostatectomy or Radiotherapy on the Efficacy and Quality of Life of Patients Treated With Darolutamide in ARAMIS. Cancer Med. 2026 Jan;15(1):e71343. doi: 10.1002/cam4.71343.
PubMed 41450200Ni X, Sui J, Wang B, Wang H, Freedland SJ, Ye D, Zhu Y. Lower Testosterone Level and Metastases-Free Survival in Patients With Nonmetastatic Castration-Resistant Prostate Cancer Treated With Novel Antiandrogens: A Post Hoc Analysis of SPARTAN and ARAMIS. J Urol. 2025 Jul;214(1):10-17. doi: 10.1097/JU.0000000000004545. Epub 2025 Mar 25.
PubMed 40132221Shore ND, Gratzke C, Feyerabend S, Werbrouck P, Carles J, Vjaters E, Tammela TLJ, Morris D, Aragon-Ching JB, Concepcion RS, Emmenegger U, Fleshner N, Grabbert M, Lietuvietis V, Mahammedi H, Cruz FM, Paula A, Pieczonka C, Rannikko A, Richardet M, Silveira G, Kuss I, Le Berre MA, Verholen F, Sarapohja T, Smith MR, Fizazi K. Extended Safety and Tolerability of Darolutamide for Nonmetastatic Castration-Resistant Prostate Cancer and Adverse Event Time Course in ARAMIS. Oncologist. 2024 Jul 5;29(7):581-588. doi: 10.1093/oncolo/oyae019.
PubMed 38394384Fizazi K, Shore ND, Smith M, Ramos R, Jones R, Niegisch G, Vjaters E, Wang Y, Srinivasan S, Sarapohja T, Verholen F. Efficacy and safety outcomes of darolutamide in patients with non-metastatic castration-resistant prostate cancer with comorbidities and concomitant medications from the randomised phase 3 ARAMIS trial. Eur J Cancer. 2023 Oct;192:113258. doi: 10.1016/j.ejca.2023.113258. Epub 2023 Jul 27.
PubMed 37660438Carles J, Medina-Lopez RA, Puente J, Gomez-Ferrer A, Nebra JC, Saez Medina MI, Ribal MJ, Antolin AR, Alvarez-Ossorio JL, Suarez Novo JF, Agut CM, Srinivasan S, Ortiz J, Fizazi K. Darolutamide in Spanish patients with nonmetastatic castration-resistant prostate cancer: ARAMIS subgroup analysis. Future Oncol. 2023 Apr;19(12):819-828. doi: 10.2217/fon-2022-1131. Epub 2023 May 24.
PubMed 37222151Shore ND, Stenzl A, Pieczonka C, Klaassen Z, Aronson WJ, Karsh L, Ryan CJ, Ortiz J, Srinivasan S, Mohamed AF, Verholen F. Impact of darolutamide on local symptoms: pre-planned and post hoc analyses of the ARAMIS trial. BJU Int. 2023 Apr;131(4):452-460. doi: 10.1111/bju.15887. Epub 2022 Sep 29.
PubMed 36087070Chowdhury S, Oudard S, Uemura H, Joniau S, Dearden L, Capone C, Van Sanden S, Diels J, Hadaschik BA. Apalutamide Compared with Darolutamide for the Treatment of Non-metastatic Castration-Resistant Prostate Cancer: Efficacy and Tolerability in a Matching-Adjusted Indirect Comparison. Adv Ther. 2022 Jan;39(1):518-531. doi: 10.1007/s12325-021-01885-6. Epub 2021 Nov 19.
PubMed 34797506Fizazi K, Blue I, Nowak JT. Darolutamide and survival in nonmetastatic, castration-resistant prostate cancer: a patient perspective of the ARAMIS trial. Future Oncol. 2021 May;17(14):1699-1707. doi: 10.2217/fon-2020-1291. Epub 2021 Feb 8.
PubMed 33554636Fizazi K, Shore N, Tammela TL, Ulys A, Vjaters E, Polyakov S, Jievaltas M, Luz M, Alekseev B, Kuss I, Le Berre MA, Petrenciuc O, Snapir A, Sarapohja T, Smith MR; ARAMIS Investigators. Nonmetastatic, Castration-Resistant Prostate Cancer and Survival with Darolutamide. N Engl J Med. 2020 Sep 10;383(11):1040-1049. doi: 10.1056/NEJMoa2001342.
PubMed 32905676Shore N, Zurth C, Fricke R, Gieschen H, Graudenz K, Koskinen M, Ploeger B, Moss J, Prien O, Borghesi G, Petrenciuc O, Tammela TL, Kuss I, Verholen F, Smith MR, Fizazi K. Evaluation of Clinically Relevant Drug-Drug Interactions and Population Pharmacokinetics of Darolutamide in Patients with Nonmetastatic Castration-Resistant Prostate Cancer: Results of Pre-Specified and Post Hoc Analyses of the Phase III ARAMIS Trial. Target Oncol. 2019 Oct;14(5):527-539. doi: 10.1007/s11523-019-00674-0.
PubMed 31571095Fizazi K, Shore N, Tammela TL, Ulys A, Vjaters E, Polyakov S, Jievaltas M, Luz M, Alekseev B, Kuss I, Kappeler C, Snapir A, Sarapohja T, Smith MR; ARAMIS Investigators. Darolutamide in Nonmetastatic, Castration-Resistant Prostate Cancer. N Engl J Med. 2019 Mar 28;380(13):1235-1246. doi: 10.1056/NEJMoa1815671. Epub 2019 Feb 14.
PubMed 30763142
Study at a glance
From the registry record, last updated by the sponsor on 28 Jun 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multinational, Randomised, Double-blind, Placebo-controlled, Phase III Efficacy and Safety Study of Darolutamide (ODM-201) in Men With High-risk Non-metastatic Castration-resistant Prostate Cancer
- ClinicalTrials.gov ID
- NCT02200614
- Acronym / sponsor ID
- ARAMIS / 17712
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,509 participants (actual)
- Lead sponsor
- BayerIndustry (pharma, biotech, devices)
- Collaborators
- Orion Corporation, Orion Pharma
- Study start
- 12 Sep 2014 (actual)
- Primary completion
- 3 Sep 2018 (actual)
- Study completion
- 14 Jun 2021 (actual)
- First posted
- 25 Jul 2014 (estimated)
- Results
- Posted 29 Oct 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to assess the safety and efficacy of BAY1841788 (ODM-201) in patients with non-metastatic castration-resistant prostate cancer.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Darolutamide (BAY1841788) | Experimental | Drug: Darolutamide (Nubeqa, BAY1841788)Participants received Darolutamide 600 mg (2 tablets of 300 mg) twice daily with food, equal to a total daily dose of 1200 mg. |
| Placebo | Placebo comparator | Drug: PlaceboParticipants received matching placebo 2 tablets twice daily with food. |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Histologically or cytologically confirmed adenocarcinoma of prostate without neuroendocrine differentiation or small cell features.
- Castration-resistant prostate cancer (CRPC) with castrate level of serum testosterone.
- Prostate-specific Antigen (PSA) doubling time of ≤ 10 months and PSA > 2ng/ml.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1.
- Blood counts at screening: haemoglobin ≥ 9.0 g/dl,absolute neutrophil count ≥ 1500/µl, platelet count ≥ 100,000/µl.
Key exclusion criteria (18 listed)
- History of metastatic disease at any time or presence of detectable metastases.
- Acute toxicities of prior treatments and procedures not resolved to grade ≤ 1 or baseline before randomisation.
- Prior treatment with: second generation androgen receptor (AR) inhibitors, other investigational AR inhibitors, or CYP17 enzyme inhibitor.
- Use of estrogens or 5-α reductase inhibitors or AR inhibitors.
- Prior chemotherapy or immunotherapy for prostate cancer.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Darolutamide (Nubeqa, BAY1841788)Also: ODM-201Darolutamide 600 mg (2 tablets of 300 mg) twice daily with food, equivalent to a total daily dose of 1200 mg. | Drug | Darolutamide (BAY1841788) |
| PlaceboMatching placebo 2 tablets twice daily with food. | Drug | Placebo |
Primary outcome
Metastasis-Free Survival
Time frame: From randomization to the time approximately 385 MFS events were observed (approximately 48 months)
Metastasis-Free Survival (MFS) is defined as the time from randomisation to evidence of metastasis or death from any cause, whichever occurs first (cut-off date 15 Nov 2019)
8 secondary outcomes
Overall Survival - Primary Analysis
Time frame: From randomization of the first subject to the time approximatively 140 death events were observed (approximately 48 months)
Time to Pain Progression - Primary Analysis
Time frame: From randomization until last study treatment (assessed every 4 months) (approximately 48 months)
Time to Initiation of First Cytotoxic Chemotherapy for Prostate Cancer - Primary Analysis
Time frame: From randomization until last study treatment (assessed every 4 months) (approximately 48 months)
Time to First Symptomatic Skeletal Event (SSE) - Primary Analysis
Time frame: From randomization until last study treatment (assessed every 4 months) (approximately 48 months)
Overall Survival - Final Analysis
Time frame: From randomization of the first subject to the time approximatively 254 death events were observed (approximately 56 months)
Time to Pain Progression - Final Analysis
Time frame: From randomization until last study treatment (assessed every 4 months) (approximately 48 months)
Time to Initiation of First Cytotoxic Chemotherapy for Prostate Cancer - Final Analysis
Time frame: From randomization until initiation of first cytotoxic chemotherapy treatment (approximately 59 months)
Time to First Symptomatic Skeletal Event (SSE) - Final Analysis
Time frame: From randomization until occurrence of first SSE event (approximately 59 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Jun 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41450200Saar M, Fizazi K, Shore ND, Smith M, Damber JE, Semenov A, Ribal MJ, Birtle A, Rigaud J, Wallis CJD, Grimm MO, Halabi S, Armstrong AJ, Mohamed AF, Adorjan P, Srinivasan S, Verholen F, Morgans AK, Siemens DR. Effects of Prior Local Therapy by Radical Prostatectomy or Radiotherapy on the Efficacy and Quality of Life of Patients Treated With Darolutamide in ARAMIS. Cancer Med. 2026 Jan;15(1):e71343. doi: 10.1002/cam4.71343.
- Derived from this study: PubMed 40132221Ni X, Sui J, Wang B, Wang H, Freedland SJ, Ye D, Zhu Y. Lower Testosterone Level and Metastases-Free Survival in Patients With Nonmetastatic Castration-Resistant Prostate Cancer Treated With Novel Antiandrogens: A Post Hoc Analysis of SPARTAN and ARAMIS. J Urol. 2025 Jul;214(1):10-17. doi: 10.1097/JU.0000000000004545. Epub 2025 Mar 25.
- Derived from this study: PubMed 38394384Shore ND, Gratzke C, Feyerabend S, Werbrouck P, Carles J, Vjaters E, Tammela TLJ, Morris D, Aragon-Ching JB, Concepcion RS, Emmenegger U, Fleshner N, Grabbert M, Lietuvietis V, Mahammedi H, Cruz FM, Paula A, Pieczonka C, Rannikko A, Richardet M, Silveira G, Kuss I, Le Berre MA, Verholen F, Sarapohja T, Smith MR, Fizazi K. Extended Safety and Tolerability of Darolutamide for Nonmetastatic Castration-Resistant Prostate Cancer and Adverse Event Time Course in ARAMIS. Oncologist. 2024 Jul 5;29(7):581-588. doi: 10.1093/oncolo/oyae019.
- Derived from this study: PubMed 37660438Fizazi K, Shore ND, Smith M, Ramos R, Jones R, Niegisch G, Vjaters E, Wang Y, Srinivasan S, Sarapohja T, Verholen F. Efficacy and safety outcomes of darolutamide in patients with non-metastatic castration-resistant prostate cancer with comorbidities and concomitant medications from the randomised phase 3 ARAMIS trial. Eur J Cancer. 2023 Oct;192:113258. doi: 10.1016/j.ejca.2023.113258. Epub 2023 Jul 27.
- Derived from this study: PubMed 37222151Carles J, Medina-Lopez RA, Puente J, Gomez-Ferrer A, Nebra JC, Saez Medina MI, Ribal MJ, Antolin AR, Alvarez-Ossorio JL, Suarez Novo JF, Agut CM, Srinivasan S, Ortiz J, Fizazi K. Darolutamide in Spanish patients with nonmetastatic castration-resistant prostate cancer: ARAMIS subgroup analysis. Future Oncol. 2023 Apr;19(12):819-828. doi: 10.2217/fon-2022-1131. Epub 2023 May 24.
- Derived from this study: PubMed 36087070Shore ND, Stenzl A, Pieczonka C, Klaassen Z, Aronson WJ, Karsh L, Ryan CJ, Ortiz J, Srinivasan S, Mohamed AF, Verholen F. Impact of darolutamide on local symptoms: pre-planned and post hoc analyses of the ARAMIS trial. BJU Int. 2023 Apr;131(4):452-460. doi: 10.1111/bju.15887. Epub 2022 Sep 29.
- Derived from this study: PubMed 34797506Chowdhury S, Oudard S, Uemura H, Joniau S, Dearden L, Capone C, Van Sanden S, Diels J, Hadaschik BA. Apalutamide Compared with Darolutamide for the Treatment of Non-metastatic Castration-Resistant Prostate Cancer: Efficacy and Tolerability in a Matching-Adjusted Indirect Comparison. Adv Ther. 2022 Jan;39(1):518-531. doi: 10.1007/s12325-021-01885-6. Epub 2021 Nov 19.
- Derived from this study: PubMed 33554636Fizazi K, Blue I, Nowak JT. Darolutamide and survival in nonmetastatic, castration-resistant prostate cancer: a patient perspective of the ARAMIS trial. Future Oncol. 2021 May;17(14):1699-1707. doi: 10.2217/fon-2020-1291. Epub 2021 Feb 8.
- Derived from this study: PubMed 32905676Fizazi K, Shore N, Tammela TL, Ulys A, Vjaters E, Polyakov S, Jievaltas M, Luz M, Alekseev B, Kuss I, Le Berre MA, Petrenciuc O, Snapir A, Sarapohja T, Smith MR; ARAMIS Investigators. Nonmetastatic, Castration-Resistant Prostate Cancer and Survival with Darolutamide. N Engl J Med. 2020 Sep 10;383(11):1040-1049. doi: 10.1056/NEJMoa2001342.
- Derived from this study: PubMed 31571095Shore N, Zurth C, Fricke R, Gieschen H, Graudenz K, Koskinen M, Ploeger B, Moss J, Prien O, Borghesi G, Petrenciuc O, Tammela TL, Kuss I, Verholen F, Smith MR, Fizazi K. Evaluation of Clinically Relevant Drug-Drug Interactions and Population Pharmacokinetics of Darolutamide in Patients with Nonmetastatic Castration-Resistant Prostate Cancer: Results of Pre-Specified and Post Hoc Analyses of the Phase III ARAMIS Trial. Target Oncol. 2019 Oct;14(5):527-539. doi: 10.1007/s11523-019-00674-0.
- Derived from this study: PubMed 30763142Fizazi K, Shore N, Tammela TL, Ulys A, Vjaters E, Polyakov S, Jievaltas M, Luz M, Alekseev B, Kuss I, Kappeler C, Snapir A, Sarapohja T, Smith MR; ARAMIS Investigators. Darolutamide in Nonmetastatic, Castration-Resistant Prostate Cancer. N Engl J Med. 2019 Mar 28;380(13):1235-1246. doi: 10.1056/NEJMoa1815671. Epub 2019 Feb 14.
- Click here to find information about studies related to Bayer Healthcare products conducted in Europe.Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Bayer Study Director study director
Bayer
404 sites in 36 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Darolutamide (Nubeqa, BAY1841788) in people with Prostate Cancer Non-Metastatic and Castration-Resistant, run by Bayer at 404 sites in 36 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Jun 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 404 sites in United States, Japan, France, Spain, Germany and 31 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 29 Oct 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Metastasis-Free Survival (time frame: From randomization to the time approximately 385 MFS events were observed (approximately 48 months)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02200614, which also lists 11 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Jun 2022.