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OncoMatch/Clinical Trials/NCT04887935

Neoadjuvant SGLT2 Inhibition in Localized Prostate Cancer

Is NCT04887935 recruiting? Yes, currently enrolling (Jun 2026). This Phase 1 trial studies Dapagliflozin for prostate cancer.

Phase 1RecruitingWashington University School of MedicineNCT04887935Data as of Jun 2026

Treatment: DapagliflozinThis is a pilot study of the tolerability and safety of neoadjuvant dapagliflozin for patients with unfavorable intermediate, high-risk, or very high-risk prostatic adenocarcinoma prior to radical prostatectomy. The primary hypothesis is that four weeks of daily dapagliflozin prior to surgery is well-tolerated and safe to use in this patient population. The investigators also hypothesize that dapagliflozin will be efficacious in resulting in tumor shrinkage on pre-operative imaging and will result in tumor necrosis at prostatectomy.

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Extracted eligibility criteria

Treatments studied

Other

Dapagliflozin

Cancer type

Prostate Cancer

Disease stage

Required: Stage LOCALIZED (NCCN)

Patients with prostatic adenocarcinoma in one of the following risk groups as defined by NCCN criteria: Unfavorable intermediate risk, High-risk, Very high-risk

Performance status

ECOG 0–1(Restricted strenuous activity)

Demographics

Male only

Prior therapy

Cannot have received: SGLT2 inhibitor

Current or previous treatment with SGLT2i

Cannot have received: thiazolidinedione

Current or previous treatment with...thiazolidinedione

Lab requirements

Blood counts

Leukocytes ≥ 3.0 K/cumm; Absolute neutrophil count ≥ 1.5 K/cumm; Platelets ≥ 100 K/cumm

Kidney function

Estimated glomerular filtration rate eGFR ≥ 30 mL/min/1.73m^2

Liver function

Total bilirubin ≤ 1.5 x institutional upper limit of normal (IULN); AST(SGOT)/ALT(SGPT) ≤ 3.0 x IULN

Adequate bone marrow and organ function as defined below: * Leukocytes ≥ 3.0 K/cumm * Absolute neutrophil count ≥ 1.5 K/cumm * Platelets ≥ 100 K/cumm * Total bilirubin ≤ 1.5 x institutional upper limit of normal (IULN) * AST(SGOT)/ALT(SGPT) ≤ 3.0 x IULN * Estimated glomerular filtration rate eGFR ≥ 30 mL/min/1.73m^2

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Washington University School of Medicine · St Louis, Missouri

Showing up to 5 US sites.

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Frequently asked questions

Is NCT04887935 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior SGLT2 inhibitor, thiazolidinedione disqualifies patients from enrollment.

What disease stage is eligible?

Stage LOCALIZED is required.

Is this trial open to female patients?

No. This trial enrolls male patients only.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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