Irish Programme for Stratified Prostate Cancer Therapy (iPROSPECT)

July 4, 2025 updated by: Cancer Trials Ireland
The purpose of the trial is to investigate new clinical tests that could predict what treatments work best for certain patients with advanced prostate cancer by identifying markers and indicators present in blood and tissue which correlate with treatment response.

Study Overview

Status

Completed

Conditions

Detailed Description

Prostate Cancer (PCa) is a complex disease and not all patients respond to every treatment available.

This study aims to investigate new clinical tests based on simple and routine blood tests to allow men with PCa and their doctors to choose the correct treatment for their metastatic PCa.

In this way, only men likely to respond to the specific treatment will be chosen, sparing unnecessary or prolonged treatment for those who will not respond and allowing them to avail of alternative therapies likely to have more benefit. This is termed personalised therapy.

The study will perform research on biological elements present in the blood including deoxyribonucleic acids (DNA), ribonucleic acid (RNA), protein and circulating tumour cells (CTCs) which are cancer cells that have spread beyond the prostate gland and can be found floating in the blood. Clinical data will be correlated to research findings to form conclusions on personalised therapy.

Additional optional sub studies include; magnetic resonance imaging (MRI) with a biopsy of another tumour in a different site of their body such as bone, lung or liver (metastatic biopsy), metastatic biopsy only and biopsies of the fluid of solid part of the bone. These optional components provide more detailed information on prostate cancer and how men are responding to treatment. The research results from these optional sub studies will be correlated with the research analysis from the blood samples and clinical data and will help to make treatment decisions.

Study Type

Observational

Enrollment (Actual)

55

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Cork, Ireland
        • Cork University Hospital, Wilton road
      • Dublin, Ireland
        • Adelaide and Meath Hospital incorporating the National Children's Hospital (AMNCH), Tallaght
      • Dublin, Ireland
        • Beacon Hospital, Sandyford
      • Dublin, Ireland
        • St Vincent's University Hospital, Elm Park
      • Dublin 7, Ireland
        • Mater Misericordiae University Hospital & Mater Private Hospital
      • Dublin 8, Ireland
        • St James's Hospital, James's street
      • Dublin 9, Ireland
        • Beaumont Hospital, Beaumont
      • Sligo, Ireland
        • Sligo University Hospital, The Mall
      • Waterford, Ireland
        • University Hospital Waterford

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Sampling Method

Probability Sample

Study Population

Men with castrate sensitive (cohort 1) or castrate resistant (cohort 2) metastatic prostate cancer.

Description

Inclusion Criteria:

  1. Stage 4 mPCa as confirmed by CT/MRI or by bone scan
  2. Patient with visceral disease and/or bone lesions (excluding patients who only have nodal disease), who have commenced or are about to commence ADT and whose disease has not shown any evidence of castration resistance (cohort 1) Or Patient with castrate-resistant disease at time of treatment change (cohort 2)
  3. Stable medical condition, including the absence of acute exacerbations of chronic illnesses, serious infections, or major surgery within 28 days prior to recruitment
  4. Life expectancy of at least 6 months
  5. Ability to give written informed consent obtained before any study-related procedures
  6. Age ≥ 18 years and male

Exclusion Criteria:

  1. Diagnosis of or treatment for another systemic malignancy within 2 years before study entry.*
  2. Any evidence of residual disease from a previously diagnosed malignancy. *Patients with non-melanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone complete resection

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Cohort 1
Patient with visceral disease and/or bone lesions (excluding patients who only have nodal disease), who have commenced or are about to commence ADT and whose disease has not shown any evidence of castration resistance.
Cohort 2
Patient with castrate-resistant disease at time of treatment change

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Biomarkers of Androgen Deprivation Therapy (ADT) alone and combined.
Time Frame: 10 years
Identification of predictive biomarkers for ADT treatment or ADT combined treatment response in metastatic prostate cancer
10 years
Biomarkers to treatment response
Time Frame: 10 years
Identification of predictive biomarker(s) for treatment response in metastatic castrate resistant prostate cancer
10 years

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Circulating Tumour Cells (CTC's)
Time Frame: 10 years
Analysis of the biology of CTCs from metastatic prostate cancer patients.
10 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Prof Ray McDermott, SVUH, AMNCH

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

February 1, 2015

Primary Completion (Actual)

August 1, 2020

Study Completion (Actual)

October 8, 2020

Study Registration Dates

First Submitted

May 19, 2017

First Submitted That Met QC Criteria

May 19, 2017

First Posted (Actual)

May 22, 2017

Study Record Updates

Last Update Posted (Actual)

July 8, 2025

Last Update Submitted That Met QC Criteria

July 4, 2025

Last Verified

July 1, 2025

More Information

Terms related to this study

Other Study ID Numbers

  • CTRIAL-IE (ICORG) 14-04

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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