check_circleStudy Completed

Prostate Cancer, Castration resistant

Multi-academic center study of Xofigo patients

Trial purpose

The study will be conducted from a real-world perspective to describe treatment sequences involving radium-223 and chemotherapy in patients with metastatic castrate resistant prostate cancer (mCRPC) and assess overall survival (OS) associated with treatment sequences involving radium-223 and chemotherapy. While clinical trials of radium-223 has demonstrated a survival benefit in the treatment of mCRPC, both pre and post- docetaxel, study lacked exposure to second generation androgens and hence could not assess outcomes pre or post abiraterone or enzalutamide.
The specific objective of this study is to describe and compare the clinical outcomes between treatment sequences for patients with mCRPC where 1) radium-223 is used (alone or in combination with abiraterone or enzalutamide) prior to chemotherapy versus 2) radium-223 used after chemotherapy in the treatment of mCRPC. The secondary objectives are to describe the safety patterns of docetaxel use among mCRPC patients who received chemotherapy post radium-223.

Key Participants Requirements

Sex

Male

Age

18 - N/A
  • - Received at least one dose of radium-223 after mCRPC diagnosis
    - Received at least one prescription or dose of chemotherapy for treatment of mCRPC

  • - No documented visceral metastasis at initiation of radium-223

Trial summary

Enrollment Goal
150
Trial Dates
December 2018 - October 2019
Phase
N/A
Could I Receive a placebo
No
Products
Xofigo (Radium-223 dichloride, BAY88-8223)
Accepts Healthy Volunteer
No

Where to participate

StatusInstitutionLocation
Completed
Bayer USWhippany, 07981, United States

Primary Outcome

  • Overall survival
    Survival will be measured from initiation of first line therapy after mCRPC diagnosis until the date of death (from any cause).
    date_rangeTime Frame:
    Up to 30 months
  • Time to symtomatic skeletal event(SSE)
    Measured as the time from initiation of first-line therapy after mCRPC diagnosis until first SSE; for the exploratory analysis, measured as the time from initiation of radium-223 until first SSE. SSE will be identified based on the ALSYMPCA trial definition: first use of external-beam radiation therapy (EBRT) to relieve skeletal symptoms, new symptomatic pathologic vertebral or non-vertebral bone fractures, spinal cord compression, or tumor-related orthopedic surgical intervention
    date_rangeTime Frame:
    Up to 30 months
  • Reasons for treatment discontinuation
    data for treatment discontinuation for each mCRPC therapy will be collected
    date_rangeTime Frame:
    Up to 30 months

Secondary Outcome

  • Laboratory-based outcomes collected by questionnaire
    Data will be collected as available from initiation of docetaxel until 3 months following last dose of docetaxel
    date_rangeTime Frame:
    Up to 30 months
  • Treatments received
    measured as Yes/No
    date_rangeTime Frame:
    Up to 30 months
  • Number of hospitalizations
    along with the discharge diagnosis, as recorded in medical charts or discharge summaries
    date_rangeTime Frame:
    Up to 30 months
  • PSA PFS
    defined as death or an increase above PSA nadir by ≥25% and ≥2 ng/mL (PCWG 2008 definition for Prostate specific antigen(PSA) Progression-free survival(PFS))
    date_rangeTime Frame:
    Up to 30 months
  • Non-laboratory based clinically relevant safety outcomes
    documented in medical records
    date_rangeTime Frame:
    Up to 30 months
  • hospital length of stay
    date_rangeTime Frame:
    Up to 30 months

Trial design

A Retrospective, Longitudinal Multi-Center Study of Radium-223 in Patients with Metastatic Castration-Resistant Prostate Cancer
Trial Type
Observational
Intervention Type
Drug
Trial Purpose
N/A
Allocation
N/A
Blinding
N/A
Assignment
N/A
Trial Arms
N/A