Advanced Prostate CancerPRORADIUMNCT02925702
PRORADIUM: Prospective Multi-centre Study of Prognostic Factors in mCRPC Patients Treated With Radium-223.
An observational study of Advanced Prostate Cancer and Castration Resistant, run by Centro Nacional de Investigaciones Oncologicas CARLOS III at 63 sites in Spain.
Trial summary
PRORADIUM is a prospective multicentre observational study in metastatic Castration-Resistant Prostate Cancer (mCRPC), designed to explore prognostic biomarkers in patients undergoing treatment with radium-223. Read more about this study
- Who is it for?
- Ages 18 to 99 years, men only
- Conditions the study is for
- Advanced Prostate Cancer, Castration Resistant, Radium 223
- What is being tested?
- Radium 223 55mBq/Kg every 4 weeks intravenously
- Type of treatment
- Injection or infusion
- How many people
- 161 participants
- Where
- 63 sitesSpain
- Study dates
- Feb 2016to Sep 2020
- Phase
- Observational
- 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 to 99 years
- Men only
- No healthy volunteers
- Adult, Older adult
Study population: metastatic Castration-Resistant Prostate Cancer
Who may be able to join
- Male age ≥ 18 years
- Histologically confirmed adenocarcinome of the prostate
- ECOG Performance Status ≤ 2
- Castration resistance must be documented with surgical or medical castration with serum testosterone < 50 ng/mL (< 2.0 nM).
- Men diagnosed with at least one metastatic lesion on CT or bone scan.
- Documented biochemical and/or radiographic progression to previous treatment according to PCWG2 criteria.
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- Patients who are candidates for standard of care treatment with Radium-223 55mBq/Kg very 4 weeks intravenously
- Availability of formalin-fixed paraffin-embedded blocks from the prostate biopsy and/or radical prostatectomy.
- Acceptable hematological, hepatic and renal functions.
Who cannot join
- Previous cancer diagnosis, except those patients who had a localized malignant tumour and who are five years cancer-free or those diagnosed with skin cancers (of non-melanoma type) or excised in situ carcinomas.
- Any condition or reason that, in the opinion of the Investigator, interferes with the ability of the patient to participate in the trial, which places the patient at undue risk, or complicates the interpretation of safety data
Trial locations and contacts
63 sites in 1 country.
63 sites in 1 country
Spain63 sites
Fundacion Centro Oncologico de Galicia
A Coruña, 15009
Fundación Hospital de Alcorcón
Alcorcón, Madrid, 28922
Hospital Nuestra Señora de Sonsoles
Ávila, 05004
Hospital del Mar
Barcelona, 08003
Hospital Universitario Vall D'Hebron
Barcelona, 08035
Nuclear Medicine Coordination PROCURE-PRORADIUM
Barcelona
Hospital de Burgos
Burgos, 09006
Hospital San Pedro de Alcántara
Cáceres, 10003
Hospital Puerta del Mar
Cadiz, 11009
Hospital de Ciudad Real
Ciudad Real, 13005
Hospital Universitario Reina Sofia
Córdoba, 14004
Hospital Onkologikoa, Instituto Oncológico de Kutxa
Donostia / San Sebastian, Guipúzcoa, 20014
Hospital Universitario de Elche
Elche, Alicante, 03203
Hospital Arquitecto Marcide
Ferrol, A Coruña, 15405
Instituto Catalán de Oncología de Girona-ICO Girona
Girona, 17007
Hospital Universitario Virgen de las Nieves
Granada, 18014
Hospital Universitario de Guadalajara
Guadalajara, 19002
Complejo Hospitalario de Jaén
Jaén, 23007
Hospital de Especialidades de Jerez de la Frontera
Jerez de la Frontera, Cádiz, 11407
ICO L'Hospitalet
L'Hospitalet de Llobregat, Barcelona, 08907
Hospital Universitario de Gran Canaria Doctor Negrín
Las Palmas, Las Palmas de Gran Canaria, 35010
Hospital San Pedro de La Rioja
Logroño, La Rioja, 26006
Hospital Lucus Augusti
Lugo, 27003
Hospital Universitario Gregorio Maranon
Madrid, 28007
CNIO-Centro Nacional de Investigaciones Oncológicas
Madrid, 28029
Coordination PROCURE-Centro Nacional de Investigaciones Oncologicas
Madrid, 28029
Hospital Universitario Clinico San Carlos
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario La Paz
Madrid, 28041
Centro Integral Oncologico Clara Campal
Madrid, 28050
Anatomical Pathology PROCURE
Málaga, 29010
Hospital Regional Universitario Virgen de la Victoria
Málaga, 29010
Hospital Virgen de la Victoria
Málaga, 29010
Hospital Althaia Manresa
Manresa, Barcelona, 08243
Hospital Costa del Sol
Marbella, Málaga, 29603
Hospital de Mataró
Mataró, Barcelona, 08304
Hospital Morales Messeguer
Murcia, 30008
Complejo Hospitalario Universitario de Ourense
Ourense, 32005
Hospital Central de Asturias
Oviedo, Principality of Asturias, 33011
Hospital San Llatzer
Palma de Mallorca, Balearic Islands, 07198
Hospital Son Espases
Palma de Mallorca, 07120
Clínica Universitaria de Navarra
Pamplona, Navarre, 31008
Complejo Hospitalario de Navarra
Pamplona, Navarre, 31008
Complejo Hospitalario de Pontevedra
Pontevedra, 36002
Hospital Universitario Quirón
Pozuelo de Alarcón, Madrid, 28223
Hospital Parc Taulí
Sabadell, Barcelona, 08208
Hospital Clínico de Salamanca
Salamanca, 37007
Hospital Universitario de Canarias
San Cristóbal de La Laguna, Tenerife, 38320
Hospital Infanta Sofía
San Sebastián de los Reyes, Madrid, 28702
Hospital Moisès Broggi
Sant Joan Despí, Barcelona, 08907
Hospital Marqués de Valdecilla
Santander, Cantabria, 39008
Hospital Universitario de Santiago
Santiago de Compostela, A Coruña, 15706
Hospital Universitario Virgen del Rocío
Seville, 41013
Hospital Universxitario Nuestra Señora de Valme
Seville, 41014
Consorci Sanitari de Terrassa
Terrassa, Barcelona, 08227
Hospital Virgen de la Salud-Complejo Hospitalario de Toledo
Toledo, 45071
Fundación Instituto Valenciano de Oncología
Valencia, 46009
Hospital Clínico Universitario de Valencia
Valencia, 46010
Hospital Arnau Vilanova
Valencia, 46015
Hospital Universitario La Fe
Valencia, 46026
Complejo Hospitalario Universitario de Vigo
Vigo, Pontevedra, 36200
Hospital Lluis Alcanyis
Xátiva, Valencia, 46800
Hospital Clínico Lozano Blesa
Zaragoza, 50009
About this study
Official title: Prospective Multi-centre Study of Prognostic Factors in Metastatic Castration-Resitant Prostate Cancer Patients Treated With Radium-223.
PRORADIUM is a prospective multicentre observational study in metastatic Castration-Resistant Prostate Cancer (mCRPC), designed to explore prognostic biomarkers in patients undergoing treatment with radium-223.
Read the detailed description
This study is a prospective biomarker study of patients with mCRPC undergoing treatment with radium-223 as standard of care treatment. The participants will undergo serial pre- and post-therapy blood collection for biomarker analysis as part of the primary objective of the study.
- Conditions
- Advanced Prostate Cancer, Castration Resistant, Radium 223
- Being tested
- Radium 223 55mBq/Kg every 4 weeks intravenously
- Keywords
- metastatic Castration Resistant Prostate Cancer, Radium-223, Biomarkers
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Radium 223 55mBq/Kg every 4 weeks intravenouslyDrug
Also called radium-223 dichloride, Xofigo®
Radium-223 55kBq/kg infusion IV every 4 weeks
| Study group | Role | What they receive |
|---|---|---|
| Radium-223 | Radium-223 55 mBq/Kg every 4 weeks IV Receives: Drug: Radium 223 55mBq/Kg every 4 weeks intravenously |
What is being measured
The primary outcome is the main question the study is designed to answer.
To validate the prognostic value for overall survival of serum bone metabolism markers descibed by Primo N Lara et al (JNCI 2014) in mCRPC patients treated with Radium-223
Measured: Initially 48 months, currently 60 months
Secondary outcomes (7)
To analyze the prognostic value for biochemical and/or radiological progression-free survival of serum bone metabolism markers described by Primo N Lara et al in mCRPC patients treated with Radium-223
Measured: Initially 48 months, currently 60 months
To assess the prognostic value of alkaline phosphatase before- and after 3 cycles of treatment in these patients
Measured: Initially 48 months, currently 60 months
To analyze the prognostic value of "Bone Scan Index" in mCRPC patients treated with Radium-223
Measured: Initially 48 months, currently 60 months
To assess the prognostic value for overall survival of androgen receptor splicing variant 7 (AR-V7) and/or AR amplification in mCRPC patients treated with Radium-223
Measured: Initially 48 months, currently 60 months
To validate the prognostic value of the gene-expression signature from peripheral blood described by Olmos et al (Lancet Oncol 2012) on overall survival of mCRPC patients
Measured: Initially 48 months, currently 60 months
To correlate the presence of somatic and/or germinal mutations with the outcomes of these patients
Measured: Initially 48 months, currently 60 months
Exploratory aims include: Validate the prognostic value of classical nomograms designed to assess the outcomes of mCRPC patients and analyze the prognostic value of the gene-expression signature described by Olmos et al on progression-free survival.
Measured: Initially 48 months, currently 60 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Oct 2016 (estimated)
- Study startFeb 2016
- Primary completionJan 2019
- Study completionSep 2020 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Advanced Prostate CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 161 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Centro Nacional de Investigaciones Oncologicas CARLOS III
- Sponsor type
- University, hospital or other
- Collaborators
- Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud
- Responsible party
- Sponsor
- Investigators
- David Olmos, MD, Study chair, CNIO-Centro Nacionald e Investigaciones OncológicasElena Castro, MD, Study chair, CNIO-Centro Nacionald e Investigaciones OncológicasRafael Morales, MD, Study chair, Hospital Vall d'HebronMaria Isabel Saez, MD, Study chair, Hospital Universitario Virgen de la Victoria
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02925702
- Sponsor's protocol ID
- IBIMA-CNIO-CP-03-2015
- Other IDs
- CNI-RAD-2016-01
- Acronym
- PRORADIUM
- Status last verified
- Feb 2019
- First submitted
- 29 Sep 2016
- Last updated
- 27 Jan 2020
- Results posted
- No
- Data monitoring committee
- No
Publications
Romero-Laorden N, Lorente D, de Velasco G, Lozano R, Herrera B, Puente J, Lopez PP, Medina A, Almagro E, Gonzalez-Billalabeitia E, Villla-Guzman JC, Gonzalez-Del-Alba A, Borrega P, Lainez N, Fernandez-Freire A, Hernandez A, Rodriguez-Vida A, Chirivella I, Fernandez-Parra E, Lopez-Campos F, Isabel Pacheco M, Morales-Barrera R, Fernandez O, Villatoro R, Luque R, Hernando S, Castellano DC, Castro E, Olmos D. Prospective Assessment of Bone Metabolism Biomarkers and Survival in Metastatic Castration-resistant Prostate Cancer Patients Treated with Radium-223: The PRORADIUM Study. Eur Urol Oncol. 2024 Jun;7(3):447-455. doi: 10.1016/j.euo.2023.09.015. Epub 2023 Oct 12.
PubMed 37838555
Study at a glance
From the registry record, last updated by the sponsor on 27 Jan 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prospective Multi-centre Study of Prognostic Factors in Metastatic Castration-Resitant Prostate Cancer Patients Treated With Radium-223.
- ClinicalTrials.gov ID
- NCT02925702
- Acronym / sponsor ID
- PRORADIUM / IBIMA-CNIO-CP-03-2015
- Conditions
- Advanced Prostate Cancer, Castration Resistant, Radium 223
- Keywords
- metastatic Castration Resistant Prostate Cancer, Radium-223, Biomarkers
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 161 participants (estimated)
- Lead sponsor
- Centro Nacional de Investigaciones Oncologicas CARLOS IIIUniversity, hospital or other
- Collaborators
- Fundación Pública Andaluza para la Investigación de Málaga en Biomedicina y Salud
- Study start
- Feb 2016
- Primary completion
- Jan 2019 (actual)
- Study completion
- Sep 2020 (estimated)
- First posted
- 6 Oct 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
PRORADIUM is a prospective multicentre observational study in metastatic Castration-Resistant Prostate Cancer (mCRPC), designed to explore prognostic biomarkers in patients undergoing treatment with radium-223.
Detailed description
This study is a prospective biomarker study of patients with mCRPC undergoing treatment with radium-223 as standard of care treatment. The participants will undergo serial pre- and post-therapy blood collection for biomarker analysis as part of the primary objective of the study.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Radium-223 | – | Drug: Radium 223 55mBq/Kg every 4 weeks intravenouslyRadium-223 55 mBq/Kg every 4 weeks IV |
Who may qualify
- Ages
- 18 to 99 years
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- metastatic Castration-Resistant Prostate Cancer
Key inclusion criteria (9 listed)
- Male age ≥ 18 years
- Histologically confirmed adenocarcinome of the prostate
- ECOG Performance Status ≤ 2
- Castration resistance must be documented with surgical or medical castration with serum testosterone < 50 ng/mL (< 2.0 nM).
- Men diagnosed with at least one metastatic lesion on CT or bone scan.
Key exclusion criteria (2 listed)
- Previous cancer diagnosis, except those patients who had a localized malignant tumour and who are five years cancer-free or those diagnosed with skin cancers (of non-melanoma type) or excised in situ carcinomas.
- Any condition or reason that, in the opinion of the Investigator, interferes with the ability of the patient to participate in the trial, which places the patient at undue risk, or complicates the interpretation of safety data
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Radium 223 55mBq/Kg every 4 weeks intravenouslyAlso: radium-223 dichloride, Xofigo®Radium-223 55kBq/kg infusion IV every 4 weeks | Drug | Radium-223 |
Primary outcome
To validate the prognostic value for overall survival of serum bone metabolism markers descibed by Primo N Lara et al (JNCI 2014) in mCRPC patients treated with Radium-223
Time frame: Initially 48 months, currently 60 months
7 secondary outcomes
To analyze the prognostic value for biochemical and/or radiological progression-free survival of serum bone metabolism markers described by Primo N Lara et al in mCRPC patients treated with Radium-223
Time frame: Initially 48 months, currently 60 months
To assess the prognostic value of alkaline phosphatase before- and after 3 cycles of treatment in these patients
Time frame: Initially 48 months, currently 60 months
To analyze the prognostic value of "Bone Scan Index" in mCRPC patients treated with Radium-223
Time frame: Initially 48 months, currently 60 months
To assess the prognostic value for overall survival of androgen receptor splicing variant 7 (AR-V7) and/or AR amplification in mCRPC patients treated with Radium-223
Time frame: Initially 48 months, currently 60 months
To validate the prognostic value of the gene-expression signature from peripheral blood described by Olmos et al (Lancet Oncol 2012) on overall survival of mCRPC patients
Time frame: Initially 48 months, currently 60 months
To correlate the presence of somatic and/or germinal mutations with the outcomes of these patients
Time frame: Initially 48 months, currently 60 months
Exploratory aims include: Validate the prognostic value of classical nomograms designed to assess the outcomes of mCRPC patients and analyze the prognostic value of the gene-expression signature described by Olmos et al on progression-free survival.
Time frame: Initially 48 months, currently 60 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Jan 2020.
- Derived from this study: PubMed 37838555Romero-Laorden N, Lorente D, de Velasco G, Lozano R, Herrera B, Puente J, Lopez PP, Medina A, Almagro E, Gonzalez-Billalabeitia E, Villla-Guzman JC, Gonzalez-Del-Alba A, Borrega P, Lainez N, Fernandez-Freire A, Hernandez A, Rodriguez-Vida A, Chirivella I, Fernandez-Parra E, Lopez-Campos F, Isabel Pacheco M, Morales-Barrera R, Fernandez O, Villatoro R, Luque R, Hernando S, Castellano DC, Castro E, Olmos D. Prospective Assessment of Bone Metabolism Biomarkers and Survival in Metastatic Castration-resistant Prostate Cancer Patients Treated with Radium-223: The PRORADIUM Study. Eur Urol Oncol. 2024 Jun;7(3):447-455. doi: 10.1016/j.euo.2023.09.015. Epub 2023 Oct 12.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
David Olmos, MD study chair
CNIO-Centro Nacionald e Investigaciones Oncológicas
Elena Castro, MD study chair
CNIO-Centro Nacionald e Investigaciones Oncológicas
Rafael Morales, MD study chair
Hospital Vall d'Hebron
63 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Advanced Prostate Cancer and Castration Resistant, run by Centro Nacional de Investigaciones Oncologicas CARLOS III at 63 sites in Spain.
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 9 inclusion and 2 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: status not confirmed, as of the sponsor's last update on 27 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 63 sites in Spain. 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?
Results are not available in the source record.
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?
To validate the prognostic value for overall survival of serum bone metabolism markers descibed by Primo N Lara et al (JNCI 2014) in mCRPC patients treated with Radium-223 (time frame: Initially 48 months, currently 60 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02925702, which also lists 1 linked publication.
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 27 Jan 2020.