- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03223597
Registry of Treatment Outcomes of Symptomatic Metastasized Castration Resistant Prostate Cancer Treated With Radium-223 (ROTOR)
Registry of Treatment Outcomes in a Non-study Population of Symptomatic Metastasized Castration Resistant Prostate Cancer (mCRPC) Patients Treated With Radium-223
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Every year approximately 12,000 men are diagnosed with prostate cancer in the Netherlands and approximately 2,400 die of this disease. When prostate cancer is limited to the prostate, patients can be operated or radiated with a curative intention, however, metastasized disease is incurable. Initially, prostate cancer responds to testosterone at castration level and treatment with androgen receptor signaling inhibitors. However, after an average of 24 months, prostate cancer will reach a castration resistant stage (mCRPC), which is associated with high morbidity and mortality. Since the introduction of Docetaxel in 2004, multiple treatments for mCRPC have become available. All these treatments have a proven beneficial effect on quality of life and all expand life expectancy. An important clinical problem is that approximately 50% of older patients are not able or not willing to receive docetaxel treatment. These patients are also not eligible for treatments of docetaxel refractory disease. Therefore, there is a need for effective treatments with little site effects.
In the phase 3, ALSYMPCA study 921 patients were randomized between Rad-223 (Xofigo®) and placebo in a 2:1 distribution1. Patients with symptomatic bone metastases, limited lymph node involvement, adequate bone marrow, kidney and liver functions were included in this trial. Patients were previously treated with docetaxel or could not receive docetaxel, declined docetaxel or docetaxel was not available. At a planned interim analysis after 538 deaths, the primary end point overall survival (OS) was 14.9 months in the Radium-223 treated arm and 11.3 months in the placebo arm (HR 0.70; 95% CI 0.58-0.83). All secondary end points were at the favor of Radium-223 treated patients, including time to first skeletal related event, quality of life and various biochemical end points. However, patient reported pain scores were not collected in the trial. Radium-223 treatment was well tolerated, with the most prominent side effects (all grades) thrombocytopenia 12 and 6%, neutropenia 5 and 1% and diarrhea 25 and 15% in the Radium-223 and placebo arm, respectively.
A post-hoc analysis showed an equal efficacy of Radium-223 treatment in docetaxel pre-treated patients as in docetaxel naïve patients.
In this registry the investigators aim to evaluate the efficacy of Radium-223 treatment and first subsequent therapy in a non-study population. Various parameters will be collected, including changes in patient reported pain score. Moreover, changes in serum and blood levels of biomarkers of bone metabolism and levels of blood osteoclast precursors in Radium-223 treated patients will be evaluated for their potential to predict treatment outcome.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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's Hertogenbosch, Netherlands
- Jeroen Bosch Hospital
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Alkmaar, Netherlands
- Noordwest Ziekenhuisgroep
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Almelo, Netherlands
- Zorggroep Twente
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Amsterdam, Netherlands, 1066CX
- The Netherlands Cancer Intitute
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Arnhem, Netherlands
- Rijnstate
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Breda, Netherlands
- Amphia Ziekenhuis
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Delft, Netherlands
- Reinier de Graaf Hospital
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Deventer, Netherlands
- Deventer Ziekenhuis
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Eindhoven, Netherlands
- Catharina Ziekenhuis
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Gouda, Netherlands
- Groene Hart Ziekenhuis
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Groningen, Netherlands
- Martini Ziekenhuis
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Heerlen, Netherlands, 6401 CX
- Atrium Medisch Centrum Parkstad
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Hoofddorp, Netherlands
- Spaarne Gasthuis
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Nieuwegein, Netherlands
- Antonius Ziekenhuis
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Rotterdam, Netherlands, 3045 PM
- Franciscus Gasthuis-Vlietland
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The Hague, Netherlands
- Haga ziekenhuis
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The Hague, Netherlands
- MC Haaglanden
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Utrecht, Netherlands
- Universitair Medisch Centrum Utrecht
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Zwolle, Netherlands
- Isala Klinieken
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Utrecht
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Amersfoort, Utrecht, Netherlands, 3818 ES
- Meander Medical Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- At the physicians discretion
Exclusion Criteria:
- At the physicians discretion
- Radium-223 treatment in combination with another life-prolonging agent
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Reported analgesic use and pain outcome
Time Frame: through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
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Evaluate Radium-223 treatment efficacy by patient reported analgesic use and pain outcome, assessed by BPI-S, FACT-P and questionnaire about analgesic use.
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through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Time Frame: through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
|
Evaluate Radium-223 treatment tolerability in a non-study population of CRPC patients, through patient records (using the CTCAE v4.03 for adverse events).
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through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
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Subsequent therapy after Radium-223: Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Time Frame: through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
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Evaluate of the treatment after Radium-223 the treatment tolerability in a non-study population of CRPC patients, through patient records (using the CTCAE v4.03 for adverse events).
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through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
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Efficacy on clinical parameters of treatment with Radium-223
Time Frame: through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
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Evaluate Radium-223 treatment efficacy in a non-study population of CRPC patients by clinical parameters, through patient records (WHO PS)
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through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
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Efficacy of subsequent treatment on clinical parameters
Time Frame: through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
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Evaluate the subsequent treatment efficacy in a non-study population of CRPC patients by clinical parameters, through patient records (WHO PS) But also by patient records (recors of bonescans, CT scans, blood measurements, out-patient clinic visits).
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through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
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Symptomatic Skeletal Events
Time Frame: through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
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To evaluate the efficacy of Radium-223 treatment in a nonstudy population by effects on Symptomatic Skeletal Event (SSE).
Through patient records and questionnairs (FACT-P, BPI-S and use of painmedication)
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through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
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Evaluate the efficacy of Radium-223 by patient records
Time Frame: through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
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Records of bonescans, CT scans, blood measurements, this will all be combined in one reported value; Progressve disease, stable disease, partial remission or complete remission.
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through study completion, an average of 1 year. (6 months treatment, 6 months follow-up after end of treatment)
|
Collaborators and Investigators
Sponsor
Collaborators
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- m14ROT
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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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