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OncoMatch/Clinical Trials/NCT04887935

Neoadjuvant SGLT2 Inhibition in Localized Prostate Cancer

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

Phase 1RecruitingWashington University School of MedicineNCT04887935Data as of May 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

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)

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

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