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Metastatic Progressive Castration-resistant Prostate CancerCTC-EMTNCT02025413

Isolation of Circulating Tumor Cells Using a Novel EMT-Based Capture Method

A study testing Mesenchymal-marker based ferrofluid (N-cadherin or O-cadherin based) in people with Metastatic Progressive Castration-resistant Prostate Cancer and Metastatic Progressive Breast Cancer, run by Duke University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The primary objective of the preliminary lead-in study is to determine whether circulating tumor cells in patients with metastatic progressive castration-resistant prostate cancer or metastatic progressive breast cancer can be captured using a novel mesenchymal-marker based ferrofluid (N-cadherin or O-cadherin based). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Mesenchymal-marker based ferrofluid (N-cadherin or O-cadherin based)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
46 participants
Where
1 siteUnited States
Study dates
Nov 2011to Dec 2015
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Prostate cancer patients will be eligible for inclusion in this study only if all of the following criteria apply:
  • Histologically confirmed diagnosis of adenocarcinoma of the prostate. Small cell or neuroendocrine tumors of the prostate are also permitted.
  • Clinical or radiographic evidence of metastatic disease.
  • Castrate levels of testosterone (<50 ng/dl)
  • Evidence of disease progression on or following most recent therapy as evidenced clinically by the treating physician or by either of the following:
  • Two consecutive PSA levels greater than the PSA nadir achieved on ADT, separated by greater than one week
Show all 15Show fewer
  • Radiographic evidence of disease progression as defined by new bone scan lesions or growth of soft tissue/visceral metastases >1 cm in diameter (2 cm for lymph nodes).
  • Age > 18 years.
  • Ability to understand and the willingness to sign a written informed consent document.
  • Breast cancer patients will be eligible for inclusion in this study only if all of the following inclusion criteria apply:
  • Histologically confirmed diagnosis of invasive breast cancer.
  • Clinical or radiographic evidence of metastatic disease.
  • Evidence of disease progression on the current or following the most recent therapy, determined either clinically by the treating physician or by radiographic evidence as defined by new bone scan lesions or soft tissue/visceral metastases >1 cm in diameter (2 cm for lymph nodes).
  • Age > 18 years.
  • Ability to understand and the willingness to sign a written informed consent document.

Who cannot join

  • A patient will not be eligible for inclusion in this study if any of the following criteria apply:
  • History of intercurrent or past medical or psychiatric illness that would make participation in a blood drawing protocol difficult or not feasible at the discretion of the principal investigator or co-investigator(s).
  • Treatment with an anthracycline or mitoxantrone within 1 week of CTC collection

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Duke University Medical Center

    Durham, North Carolina, 27710

Other trials in United States

About this study

The primary objective of the preliminary lead-in study is to determine whether circulating tumor cells in patients with metastatic progressive castration-resistant prostate cancer or metastatic progressive breast cancer can be captured using a novel mesenchymal-marker based ferrofluid (N-cadherin or O-cadherin based).

The primary objective of each comparative cohort (second stage, prostate cancer) is to compare the non-detection rate of circulating tumor cells between the standard and novel methods.

Being tested
Mesenchymal-marker based ferrofluid (N-cadherin or O-cadherin based)

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Mesenchymal-marker based ferrofluid (N-cadherin or O-cadherin based)Device

Study groups in NCT02025413
Study groupRoleWhat they receive
Metastatic progressive castration-resistant prostate cancerOtherMesenchymal-marker based ferrofluid (N-cadherin or O-cadherin based)
Receives: Device: Mesenchymal-marker based ferrofluid (N-cadherin or O-cadherin based)
Metastatic progressive breast cancerOtherMesenchymal-marker based ferrofluid (N-cadherin or O-cadherin based)
Receives: Device: Mesenchymal-marker based ferrofluid (N-cadherin or O-cadherin based)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Feasibility as measured by successfully detecting at least one CTC in at least 2 out of 10 subjects, comparing the non-detection rate over time.

    Measured: The change in non-detection rate will be measured by comparing samples from Screening, Cycle 3, and Progression (up to 3 years)

Secondary outcomes (4)
  1. Comparison of the proportion of patients with no detectable CTCs between capture methods over time

    Measured: Change will be measured by comparing samples at Screening, Cycle 3, Progression (up to 3 years)

  2. Changes in CTCs (using each method) over time during systemic therapy

    Measured: Screening, Cycle 3, Progression (up to 3 years)

  3. Change in correlation of CTC enumeration using each method with baseline clinical and pathologic disease characteristics (for example, clinical stage, site of metastatic disease, Gleason sum for CRPC, PSA for CRPC, previous therapies)

    Measured: Screening, Cycle 3, Progression (up to 3 years)

  4. Median number of CTCs detected by each method over time

    Measured: Changes will be measured from screening, cycle 3 and progression (up to 3 years)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Jan 2014 (estimated)
  2. Study startNov 2011
  3. Primary completionDec 2015
  4. Study completionDec 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Device feasibility
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
46 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02025413
Sponsor's protocol ID
Pro00032772
Acronym
CTC-EMT
Status last verified
Dec 2018
First submitted
19 Dec 2013
Last updated
20 Dec 2018
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A study testing Mesenchymal-marker based ferrofluid (N-cadherin or O-cadherin based) in people with Metastatic Progressive Castration-resistant Prostate Cancer and Metastatic Progressive Breast Cancer, run by Duke University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 15 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 20 Dec 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Feasibility as measured by successfully detecting at least one CTC in at least 2 out of 10 subjects, comparing the non-detection rate over time. (time frame: The change in non-detection rate will be measured by comparing samples from Screening, Cycle 3, and Progression (up to 3 years)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Dec 2018.

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