- ICH GCP
- Реестр клинических исследований США
- Клиническое испытание NCT07717268
Fractionated Stereotactic Radiotherapy Plus Second-generation Antiandrogen for Oligometastatic Castration-resistant Prostate Cancer Patients. (OLIGORESIST)
Radioterapia estereotáctica Fraccionada más antiandrógeno de Segunda generación Para Pacientes oligometastásicos Con cáncer de próstata Resistente a la castración. Estudio español Fase II, Prospectivo, multicéntrico.
The objectives of the study are to analyze the results obtained in survival, safety and quality of life after the combination of SBRT plus second-generation antiandrogen in patients diagnosed with metastatic castration-resistant prostate cancer in oligometastasis (≤5).
Hence, the investigators evaluate the results of the combination of two widely used treatments in prostate cancer: SBRT plus the 'standard of care' for patients with mCRPC, second-generation antiandrogens (abiraterone and enzalutamide).
Primary objective: Determine the PRFS measured from the time of initiation of second-generation antiandrogen to the time of radiological progression by choline PET/CT or 68Ga-PSMA PET/CT, in patients with mCRPC treated with the combination of second-generation antiandrogen plus SBRT.
Secondary objectives:
- Overall survival (time from initiation of second-generation antiandrogen to exitus) in patients with mCRPC treated with the combination of second-generation antiandrogen plus SBRT.
- Quality of life of these patients using the European Organization for Research and Treatment of Cancer (EORTC) quality of life scale, EORTC QLQ-C30, validated for oncology patients.
- Acute and chronic toxicity according to the "Common Terminology Criteria for Adverse Events" (CTCAEv5.0) scale.
This is a phase II, multicenter, prospective, single group study in patients with castrate-resistant prostate cancer (CRPC).
Patients will be recruited at the participant sites, after study approval and hospital authorization.
51 patients will be included in the study. Eligible patients will require:
- Choline PET/CT or 68Ga-PSMA PET/CT, dated no more than 8 weeks prior to inclusion.
- Clinical history, physical examination and functional evaluation scale (ECOG).
- Geriatric assessment scale for patients > 75 years (modified G8 scale)
- Toxicity scale assessment (CTCAEv5.0)
- Baseline quality of life questionnaire (EORTC QLQ-C30) (47)
- Blood tests with complete blood count, coagulation, liver function, renal function, ions, alkaline phosphatase, PSA and total and free testosterone, dated no more than 4 weeks prior inclusion.
- Inclusion/exclusion criteria assessment
- Second generation antiandrogen prescription, chosen by the responsible physician according to clinical practice, in each case.
Each patient will be included in the study once the second generation antiandrogen is initiated (which will be maintained until radiological progression, suspension due to poor tolerance and/or exitus). SBRT will be performed at least 2 weeks after initiating treatment with second generation antiandrogen, without exceeding 8 weeks from the start of treatment, and follow-up will continue up to a maximum of 36 months after completion of SBRT and/or exitus.
Recruitment time is estimated at 36 months and a total follow-up time of 36 months. The total duration of the trial is therefore expected to be 6 years, to allow complete follow-up of the last patients included.
Обзор исследования
Статус
Вмешательство/лечение
Тип исследования
Регистрация (Оцененный)
Фаза
- Фаза 2
Контакты и местонахождение
Контакты исследования
- Имя: Pablo Raña Diez, PhD
- Номер телефона: +34 696633409
- Электронная почта: investigacion@seor.es
Учебное резервное копирование контактов
- Имя: Cristina Gutierrez Povedano, PhD
- Номер телефона: +34 675039150
- Электронная почта: cristina.gutierrez.povedano@navarra.es
Места учебы
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Aragon
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Zaragoza, Aragon, Испания, 50009
- Активный, не рекрутирующий
- Hospital Universitario Miguel Servet
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Barcelona
-
Barcelona, Barcelona, Испания, 08036
- Рекрутинг
- Hospital Clinic de Barcelona
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Контакт:
- Joel Mases, MD
- Электронная почта: mases@clinic.cat
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Главный следователь:
- Joel Mases i Rosinés, MD
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Младший исследователь:
- Elías Gomís, MD
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Младший исследователь:
- Sara Moreno, MD
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Младший исследователь:
- Gerard Meca, MD
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L'Hospitalet de Llobregat, Barcelona, Испания, 08908
- Рекрутинг
- Instituto Catalán de Oncología Hospitalet
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Контакт:
- Anna Maria Boladeras, MD
- Электронная почта: aboladeras@iconcologia.net
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Главный следователь:
- Ana María Boladeras Inglada, MD
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Basque Country
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Bilbao, Basque Country, Испания, 48013
- Активный, не рекрутирующий
- Hospital Universitario Basurto
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Castille and León
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Salamanca, Castille and León, Испания, 37007
- Активный, не рекрутирующий
- Hospital Universitario De Salamanca
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Valladolid, Castille and León, Испания, 47003
- Рекрутинг
- Hospital Clínico Universitario de Valladolid
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Контакт:
- Patricia Diezhandino Garcia, MD
- Номер телефона: +34 983 420 003
- Электронная почта: pdiezhandino@saludcastillayleon.es
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Главный следователь:
- Patricia Diezhandino Garcia, MD
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Catalonia
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Barcelona, Catalonia, Испания, 08041
- Рекрутинг
- Hospital de La Santa Creu i Sant Pau
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Контакт:
- Gemma Sancho Pardo, MD
- Номер телефона: +34 935537756
- Электронная почта: gsancho@santpau.cat
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Контакт:
- Saudy Peláez Bonilla, Study coordinator
- Номер телефона: 776 +34 935537760
- Электронная почта: SPelaez@santpau.cat
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Младший исследователь:
- Arantxa Mera Errasti, MD
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Главный следователь:
- Gemma Sancho Pardo, MD
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Младший исследователь:
- Laura Montezuma Niño, MD
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Младший исследователь:
- Ana Maria Soto Cambres, MD
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Terrassa, Catalonia, Испания, 08227
- Активный, не рекрутирующий
- Consorci Sanitari de Terrassa
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Galicia
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Santiago de Compostela, Galicia, Испания, 15706
- Активный, не рекрутирующий
- Complexo Hospitalario Universitario De Santiago
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Madrid
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Madrid, Madrid, Испания, 28040
- Рекрутинг
- Hospital Clinico San Carlos
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Контакт:
- Noelia Sanmamed, MD
- Номер телефона: +34 985 10 80 00
- Электронная почта: noelia.sanmamed@salud.madrid.org
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Главный следователь:
- Noelia Sanmamed Salgado, MD
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Младший исследователь:
- Manuel Gonzalo Vázquez Masedo, MD
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Младший исследователь:
- Miren Gaztañaga Boronat, MD
-
Младший исследователь:
- Maria Nieves Cabrera Martin, MD
-
Младший исследователь:
- Natalia Vidal Cassinello, MD
-
Младший исследователь:
- Anxela Doval Gonzalez, MD
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Младший исследователь:
- Javier Puente Vazquez, MD
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Младший исследователь:
- Ignacio Moreno, MD
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Madrid, Madrid, Испания, 28034
- Активный, не рекрутирующий
- Hospital Ramon y Cajal
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Navarre
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Pamplona, Navarre, Испания, 31008
- Рекрутинг
- Hospital Universitario de Navarra (HUN)
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Главный следователь:
- Marta Barrado Los Arcos, MD
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Контакт:
- Marta Barrado Los Arcos, MD
- Номер телефона: +34 848 42 84 82
- Электронная почта: marta.barrado.losarcos@navarra.es
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Младший исследователь:
- Amaya Sola Galarza, MD
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Младший исследователь:
- Elena Villafranca Iturre, MD
-
Младший исследователь:
- Ignacio Visus Fernandez de Manzanos, MD
-
Младший исследователь:
- Nuria Bultó Boque, MD
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Младший исследователь:
- Xabier Gurutzeaga Peleato, MD
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Principality of Asturias
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Oviedo, Principality of Asturias, Испания, 33011
- Активный, не рекрутирующий
- Hospital Universitario Central de Asturias
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Valencia
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Valencia, Valencia, Испания, 46026
- Активный, не рекрутирующий
- Hospital Universitario y Politécnico de La Fe
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Vizcaya
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Barakaldo, Vizcaya, Испания, 48903
- Активный, не рекрутирующий
- Hospital De Cruces
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Критерии участия
Критерии приемлемости
Возраст, подходящий для обучения
- Ребенок
- Взрослый
- Пожилой взрослый
Принимает здоровых добровольцев
Описание
Inclusion Criteria:
- Patients with histologically prostate adenocarcinoma, confirmed with a biopsy.
- Testosterone in biochemical castration ranges (testosterone <50 ng/ml or 1.7 nmol/L) and documented progression: biochemical according to Phoenix criteria or distant by radiological confirmation (PSMA PET/CT or Choline PET/CT)
- Biochemistry progression confirmed according to Phoenix criteria, with testosterone in castration levels (testosterone <50 ng/ml or 1.7 nmol/L).
- Radiological confirmation (with choline-PET/CT or 68Ga-PSMA-PET/CT) of ≤5 node or bone metastasis, non-visceral, eligible to receive SBRT treatment (< 3 cm major diameter in bone metastases, < 5 cm in lymph node metastases). In the case of very close metastases, a limit of up to 5 treatment fields with SBRT is allowed, instead of 5 metastases.
- Patients candidate to receive treatment with abiraterone or enzalutamide as per clinical routine, and treatment selection and prescription assigned by responsible physician before the inclusion in the study. or or who has started treatment no more than 14 days prior to signing, as first-line treatment after a diagnosis of oligoresistance.
- Patients must provide written informed consent.
- Life expectancy > 3 months.
Exclusion Criteria:
- Patients with prostate carcinoma with histology other than adenocarcinoma.
- No previous biopsy.
- > 5 metastasis, not approachables in 5 treatment fields
- Patients with visceral metastasis and or metastasis non elegible to receive SBRT.
- Patients with Testosterone above castration levels
- Patients with prior treatment with docetaxel as first-line CRPC treatment (previous docetaxel treatment is permitted when administered as hormone-sensitive metastatic prostate cancer treatment.
Учебный план
Как устроено исследование?
Детали дизайна
- Основная цель: Уход
- Распределение: Н/Д
- Интервенционная модель: Одногрупповое задание
- Маскировка: Нет (открытая этикетка)
Оружие и интервенции
Группа участников / Армия |
Вмешательство/лечение |
|---|---|
|
Другой: Second generation antiandrogen plus SBRT
Each patient will be included in the study once the second generation antiandrogen is initiated (which will be maintained until radiological progression, suspension due to poor tolerance and/or exitus).
SBRT will be performed at least 2 weeks after initiating treatment with second generation antiandrogen, without exceeding 8 weeks from the start of treatment, and follow-up will continue up to a maximum of 36 months after completion of SBRT and/or exitus
|
Each patient will be included in the study once the second generation antiandrogen is initiated (which will be maintained until radiological progression, suspension due to poor tolerance and/or exitus)
Each patient will be included in the study once the second generation antiandrogen is initiated (which will be maintained until radiological progression, suspension due to poor tolerance and/or exitus)
Другие имена:
SBRT will be performed at least 2 weeks after initiating treatment with second generation antiandrogen, without exceeding 8 weeks from the start of treatment, and follow-up will continue up to a maximum of 36 months after completion of SBRT and/or exitus
|
Что измеряет исследование?
Первичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Determine the PRFS
Временное ограничение: From the start of the study (the day it begins) or up to 14 days before the start of the study (corresponding to the start of treatment with second-generation antiandrogens) until the time of radiological progression during follow-up, it can be up to 36.
|
Determine the PRFS measured from the time of initiation of second-generation antiandrogen to the time of radiological progression by choline PET/CT or 68Ga-PSMA PET/CT, in patients with mCRPC treated with the combination of second-generation antiandrogen
|
From the start of the study (the day it begins) or up to 14 days before the start of the study (corresponding to the start of treatment with second-generation antiandrogens) until the time of radiological progression during follow-up, it can be up to 36.
|
Вторичные показатели результатов
Мера результата |
Мера Описание |
Временное ограничение |
|---|---|---|
|
Overall survival
Временное ограничение: From the start of second-generation antiandrogen therapy (at baseline or up to 14 days prior) to the date of death from any cause, assessed up to 36 months.
|
Overall survival (time from initiation of second-generation antiandrogen to exitus) in patients with mCRPC treated with the combination of second-generation antiandrogen plus SBRT.
|
From the start of second-generation antiandrogen therapy (at baseline or up to 14 days prior) to the date of death from any cause, assessed up to 36 months.
|
|
Quality of life by EORTC scale
Временное ограничение: from recruitment to the end of patient follow-up (up to 36 months)
|
QoL using the European Organization for Research and Treatment of Cancer (EORTC) quality of life scale, EORTC QLQ-C30, validated for oncology patients. The scale converts all scores to a standardized range from 0 (minimum) to 100 (maximum). A high score indicates a better outcome (high quality of life and good health). |
from recruitment to the end of patient follow-up (up to 36 months)
|
|
Acute and chronic toxicity
Временное ограничение: from recruitment to the end of patient follow-up (up to 36 months)
|
Acute and chronic toxicity according to the "Common Terminology Criteria for Adverse Events" (CTCAEv5.0)
scale
|
from recruitment to the end of patient follow-up (up to 36 months)
|
Соавторы и исследователи
Спонсор
Соавторы
Следователи
- Главный следователь: Marta Barrado Los Arcos, MD, Hospital of Navarra
Публикации и полезные ссылки
Общие публикации
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Даты записи исследования
Изучение основных дат
Начало исследования (Действительный)
Первичное завершение (Оцененный)
Завершение исследования (Оцененный)
Даты регистрации исследования
Первый отправленный
Впервые представлено, что соответствует критериям контроля качества
Первый опубликованный (Действительный)
Обновления учебных записей
Последнее опубликованное обновление (Действительный)
Последнее отправленное обновление, отвечающее критериям контроля качества
Последняя проверка
Дополнительная информация
Термины, связанные с этим исследованием
Ключевые слова
Дополнительные соответствующие термины MeSH
- Урогенитальные заболевания
- Генитальные заболевания
- Генитальные новообразования, мужчины
- Урогенитальные новообразования
- Новообразования по локализации
- Новообразования
- Заболевания половых органов, мужчины
- Заболевания предстательной железы
- Мужские мочеполовые заболевания
- Новообразования предстательной железы
- Новообразования предстательной железы, резистентные к кастрации
- Полициклические соединения
- Стероиды
- Соединения слитого кольца
- Androstenes
- Андростаны
- Абиратерона ацетат
- энзалутамид
Другие идентификационные номера исследования
- IRA-RAD-2022-001
- 2023-505024-62 (Номер EudraCT)
Информация о лекарствах и устройствах, исследовательские документы
Изучает лекарственный продукт, регулируемый FDA США.
Изучает продукт устройства, регулируемый Управлением по санитарному надзору за качеством пищевых продуктов и медикаментов США.
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