A Study of Real-World Characteristics, Treatment Patterns, and Outcomes Among mCRPC Patients Previously Treated With an Androgen Receptor Pathway Inhibitor, Taxane-Based Chemotherapy, and Lutetium-177 Vipivotide Tetraxetan

July 15, 2026 updated by: Novartis Pharmaceuticals

Real-World Characteristics, Treatment Patterns, and Outcomes Among Adults With mCRPC Previously Treated With an Androgen Receptor Pathway Inhibitor, Taxane-Based Chemotherapy, and Lutetium-177 Vipivotide Tetraxetan

The aim of this study is to assess treatment patterns, characteristics, and clinical outcomes among adults with metastatic castration-resistant prostate cancer (mCRPC) who have previously received ≥1 androgen receptor pathway inhibitor (ARPI), ≥1 taxane, and 177Lu-PSMA-617 in the United States (US) real-world clinical practice. This study will be conducted using data extracted from the PRECISION (PRostatE Cancer dISease observatION) data platform.

Study Overview

Status

Recruiting

Conditions

Prostatic Neoplasms, Castration-Resistant

Study Type

Observational

Enrollment (Estimated)

1067

Contacts and Locations

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

Study Contact

Name: Novartis Pharmaceuticals
Phone Number: +41613241111
Email: novartis.email@novartis.com

Study Contact Backup

Name: Novartis Pharmaceuticals

Study Locations

United States
- New Jersey
  - East Hanover, New Jersey, United States, 07936
    - Recruiting
    - Novartis

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

Adult
Older Adult

Accepts Healthy Volunteers

Sampling Method

Non-Probability Sample

Study Population

Adult male patients with a diagnosis of mCRPC and evidence of prior treatment with ≥1 ARPI, ≥1 taxane, and 177Lu-PSMA-617 in the PRECISION data platform.

Description

Inclusion criteria:

Evidence of 177Lu-PSMA-617 use on or after 01 January 2021.
Evidence of treatment with ≥1 ARPI, before 177Lu-PSMA-617.
Evidence of treatment with ≥1 taxane, before or after 177Lu-PSMA-617.
Diagnosis of mCRPC prior to or on the index date. The index date is the date of the last treatment administration of the latest of an ARPI, taxane, and 177Lu-PSMA-617.
Age ≥18 years at index.

Exclusion criteria:

• None.

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

Number of groups / cohorts

Cohorts and Interventions

Group / Cohort
Overall mCRPC Cohort Adult patients with a diagnosis of mCRPC and evidence of prior treatment with ≥1 ARPI, ≥1 taxane, and 177Lu-PSMA-617 in PRECISION.
mCRPC Progression Subgroup A subgroup of the Overall mCRPC Cohort. Patients with evidence of progression on or after 177Lu-PSMA-617 treatment.
≥1 Subsequent Systemic Therapy Subgroup A subgroup of the Overall mCRPC Cohort. Patients who initiate ≥1 post-index systemic therapy.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of Patients by Number of Lines of Therapy (LOTs) Between mCRPC Diagnosis and Index Date Time Frame: Baseline	The index date is the date of the last treatment administration of the latest of an ARPI, taxane, and 177Lu-PSMA-617.	Baseline
Number of Patients by Number and Type of Prior Therapies Indicated for Advanced Prostate Cancer (PC) Time Frame: Baseline	Number of patients by number and type of prior ARPI, taxane, 177Lu-PSMA-617, and other therapies indicated for advanced PC.	Baseline
Number of Patients by Number of Prostate-specific Membrane Antigen (PSMA) Scans Time Frame: Baseline up to approximately 5 years		Baseline up to approximately 5 years
Number of Patients by Timing of PSMA Scans Time Frame: Baseline up to approximately 5 years	Timing of scans is categorized as pre-mCRPC diagnosis, post-mCRPC diagnosis but pre-index date, and post-index date. The index date is the date of the last treatment administration of the latest of an ARPI, taxane, and 177Lu-PSMA-617.	Baseline up to approximately 5 years
Number of Patients by Number of Post-index LOTs Time Frame: Up to approximately 5 years		Up to approximately 5 years
Number of Patients by Type of Therapy at Each Post-index LOT Time Frame: Up to approximately 5 years		Up to approximately 5 years
Time From Index Date to Next Therapy Initiation Time Frame: Up to approximately 5 years	The index date is the date of the last treatment administration of the latest of an ARPI, taxane, and 177Lu-PSMA-617.	Up to approximately 5 years

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Age Time Frame: Baseline		Baseline
Number of Patients by Patient Characteristics Time Frame: Baseline	Patient characteristics include race, geographical region, insurance status, marital status, type of treatment center, comorbidities, Gleason score, disease stage at diagnosis, and prostate-specific antigen (PSA) level.	Baseline
Progression-free Survival (PFS) From Index Date Time Frame: Up to approximately 5 years	Time from the applicable index date until progression or death from any cause. The index date is the date of the last treatment administration of the latest of an ARPI, taxane, and 177Lu-PSMA-617.	Up to approximately 5 years
PFS From Initiation of First Post-index Therapy, in Patients With ≥1 Post-index Therapy Time Frame: Up to approximately 5 years	Time from the initiation of first post-index therapy until progression or death from any cause.	Up to approximately 5 years
Overall Survival (OS) From Index Date Time Frame: Up to approximately 5 years	Time from the applicable index date until death from any cause. The index date is the date of the last treatment administration of the latest of an ARPI, taxane, and 177Lu-PSMA-617.	Up to approximately 5 years
OS From Initiation of First Post-index Therapy, in Those With ≥1 Post-index Therapy Time Frame: Up to approximately 5 years	Time from initiation of first post-index therapy until death from any cause.	Up to approximately 5 years
Among Patients With ≥1 Post-index Therapy, Number of Patients With a Reduction in PSA Level Time Frame: Up to approximately 5 years	Reduction in PSA level categorized as follows: ≥50% (PSA50) reduction in PSA level ≥80% (PSA80) reduction in PSA level ≥90% (PSA90) reduction in PSA level	Up to approximately 5 years
Among Patients With ≥1 Post-index Therapy, Number of Patients With PSA <0.2 ng/mL on First Post-index Therapy Time Frame: Up to approximately 5 years		Up to approximately 5 years

Collaborators and Investigators

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

Sponsor

Novartis Pharmaceuticals

Investigators

Study Director: Novartis Pharmaceuticals, Novartis Pharmaceuticals

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)

June 30, 2026

Primary Completion (Estimated)

November 30, 2026

Study Completion (Estimated)

November 30, 2026

Study Registration Dates

First Submitted

June 24, 2026

First Submitted That Met QC Criteria