- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03365297
Therapeutics in Active Prostate Cancer Surveillance (TAPS01)
Targeted Drug Intervention to Inhibit Cancer Progression in Men on Active Surveillance for Prostate Cancer. Therapeutics in Active Prostate Cancer Surveillance (TAPS01)
Study Overview
Detailed Description
The numbers of men diagnosed with prostate cancer in the United Kingdom (UK) and worldwide is increasing. In the UK 46,690 men were diagnosed in 2014 alone and it is estimated this figure will be closer to 70,000 by 2030. A significant proportion of these men will present with organ confined and low or intermediate risk disease. There is increasing recognition that many men with low and intermediate risk prostate cancer do not need immediate radical therapy.
There is sufficient evidence that pharmacological intervention used as short-term therapy in men with low to intermediate-risk disease can inhibit the growth of prostate tumours and delay or remove the need for radical therapy in men managed by active surveillance. Given the irrefutable role of the androgen receptor in prostate cancer pathogenesis it is logical to target this pathway as a method of inhibiting or delaying disease progression.
This window study will be built on the known anti-androgen effects of apalutamide and investigate the efficacy of using it as a short intervention strategy to cause a physiological change in the tumour by reducing its volume. Tumour volume can be measured using the well-established place of mpMRI defined tumour volumes as a surrogate of disease presence and change. The rationale for a short duration treatment is that it will not have the long term debilitating effects of androgen deprivation on general health and prevent the onset of androgen resistance.
It is anticipated that if successful, this approach could be a new therapeutic strategy for these men who otherwise are living and waiting for their disease to progress or not.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Cambridgeshire
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Cambridge, Cambridgeshire, United Kingdom, CB2 0QQ
- Cambridge University Hospitals NHS Foundation Trust/Addenbrookes Hospital
-
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Given Informed Consent (IC) to participate
- Age 18 or over
- Eastern Cooperative Oncology Group (ECOG) status 0-2
- Diagnosed with prostate cancer
- Patient selection of active surveillance as a management option
- mpMRI detectable lesion
- Prostate cancer on biopsy from a mpMRI defined lesion
- No contraindications to apalutamide
- Normal full blood count and normal renal and liver function tests
- At least 6 months since initiation of active surveillance and/or last rebiopsy date.
- Low or intermediate risk prostate cancer according to National Institute for Health and Care Excellence (NICE) classification
- M score of ≥ 3 using Prostate Imaging Reporting and Data System (PIRADS) version 2 reporting criteria
Exclusion Criteria:
- Contraindications to apalutamide or its excipients
- Concurrent medication that can lower seizure threshold
- Prior localised therapy for prostate cancer
- Any prior use of androgen deprivation therapy or androgen receptor targeting agents
- Any prior systemic therapy for prostate cancer
- Patient unable to have prostate 3T mpMRI scan
- Presence of any pelvic or hip metalwork
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Treatment
apalutamide, 240mg (4x60mg tablets) orally, daily for a max.
duration of 90 continuous days.
|
240mg (4x60mg) oral tablets daily over a max. of 90 days
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Physiological Response
Time Frame: over a 90 day treatment period
|
Tumour volume downsizing/absence of lesion, as determined by mpMRI
|
over a 90 day treatment period
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient Reported Outcomes
Time Frame: over 120 days
|
Function and wellbeing using established standardised EQ-5D-5L and EORTC-QLQ30+PR25 module questionnaires
|
over 120 days
|
Adverse Events
Time Frame: over 120 days
|
tolerability and side effect profile
|
over 120 days
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient acceptability
Time Frame: over an estimated 1 year recruitment period
|
number of men approached versus recruited
|
over an estimated 1 year recruitment period
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Vincent J Gnanapragasam, Cambridge University Hospitals NHS Foundation Trust/University of Cambridge
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- TAPS01
- 2017-001700-29 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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