- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00967954
Study of Blood and Tissue Samples From Patients Receiving Androgen Deprivation for Newly Diagnosed Prostate Cancer
A Study of Changes in the Prostate Following Androgen Deprivation to Investigate Therapy Response and Resistance in Clinical Prostate Cancer
RATIONALE: Studying samples of blood and tissue from patients with cancer in the laboratory may help doctors learn more about changes that occur in DNA and identify biomarkers related to cancer. It may also help doctors predict how patients will respond to treatment.
PURPOSE: This research study is looking at blood and tissue samples from patients with prostate cancer receiving androgen deprivation therapy.
Studieoversigt
Status
Betingelser
Intervention / Behandling
- Genetisk: genekspressionsanalyse
- Andet: laboratoriebiomarkøranalyse
- Procedure: diffusionsvægtet magnetisk resonansbilleddannelse
- Genetisk: DNA-analyse
- Genetisk: RNA-analyse
- Genetisk: komparativ genomisk hybridisering
- Procedure: magnetisk resonansspektroskopisk billeddannelse
- Medicin: antiandrogen terapi
- Medicin: frigørende hormonagonistbehandling
Detaljeret beskrivelse
OBJECTIVES:
- To identify the molecular and pathophysiological changes which occur during the early stages of androgen deprivation (AD) and during emerging castration-resistant prostate cancer.
- To test functional imaging as a non-invasive tool to measure treatment response and validate this using biological endpoints.
- To develop clinical models to predict how tumors will respond to AD and identify new targets once AD fails.
OUTLINE:
- Group A: Patients likely to receive androgen deprivation (AD) as first-line therapy undergo blood and prostate biopsy sample collection before and after treatment on days 0 and 14 or 90. Patients receive an androgen receptor inhibitor followed by maintenance with a gonadotropin-releasing hormone analogue beginning on day 0. Patients also undergo diffusion-weighted MRI, MR spectroscopic imagining, quantitative T1W mapping, and T1W perfusion sequence.
- Group B: Patients already receiving AD undergo blood and prostate biopsy sample collection within 4 weeks of diagnosis of castration-resistant prostate cancer and before initiating any second-line therapy.
Blood and tissue samples are assessed via DNA and RNA genetic analysis, gene expression studies, and comparative genomic hybridization to identify novel markers of androgen response and resistance.
Peer Reviewed and Funded or Endorsed by Cancer Research UK.
Undersøgelsestype
Tilmelding (Forventet)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
England
-
Cambridge, England, Det Forenede Kongerige, CB2 0RE
- Rekruttering
- Cancer Research UK at Cambridge Research Institute
-
Kontakt:
- Vincent Gnanapragasam, MD
- Telefonnummer: 44-1223-348-363
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
DISEASE CHARACTERISTICS:
Meets 1 of the following criteria:
- High clinical suspicion of prostate cancer, based on an abnormal digital rectal examination and PSA (> 20 ng/mL)
Newly diagnosed, castration-resistant prostate cancer
- Clinical stage ≥ T2c disease
- Significant tumor volume on initial diagnostic biopsy (> 50% of cores)
- Likely to receive androgen deprivation therapy for prostate cancer
PATIENT CHARACTERISTICS:
- No contraindication to transrectal needle biopsy
- No contraindication to MRI or prostate needle biopsy
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
|---|
|
Identification of molecular and pathophysiological changes
|
|
Functional imaging as a non-invasive tool to measure treatment response
|
|
Development of clinical models to predict tumor response
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Vincent Gnanapragasam, MD, Cancer Research UK
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Forventet)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- CDR0000639017
- CRUK-CHIRRP
- EU-20920
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med genekspressionsanalyse
-
Centre Médico-Chirurgical de Réadaptation des Massues...RekrutteringIdiopatisk skolioseFrankrig
-
Pusan National University HospitalAfsluttet
-
Liao Jian AnRekrutteringHoved- og halskræftTaiwan
-
Nantes University HospitalIkke rekrutterer endnuRettsmedicinsk Tandlægevidenskab | Bidanalyse
-
Fondation LenvalTrukket tilbage
-
Daniel MarotiWayne State UniversityRekrutteringSomatisk symptomlidelse | Funktionel somatisk lidelse | Funktionelle somatiske syndromerSverige
-
Kessler FoundationIkke rekrutterer endnuADHD | Ordblindhed | Indlæringsvanskeligheder
-
Kessler FoundationRekrutteringAutismespektrumforstyrrelseForenede Stater
-
Fondazione Policlinico Universitario Agostino Gemelli...Ikke rekrutterer endnu
-
IRCCS Eugenio MedeaAfsluttetAutismespektrumforstyrrelse | Tidlig indsatsItalien