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Prostatic NeoplasmsGURCNCT03501173

A Study of Participants With Advanced Prostate Cancer in Canada

An observational study of Prostatic Neoplasms, run by Janssen Inc. at 22 sites in Canada.

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 purpose of this study is to document the course of advanced prostate cancer in Canada in terms of disease progression, real-world treatment, and patient management. Read more about this study

Who is it for?
Ages 21 years and older, men only
Conditions the study is for
Prostatic Neoplasms
How many people
374 participants
Where
22 sitesCanada
Study dates
12 Apr 2018to 14 Jul 2023
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 21 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Study population: Participant having advanced prostate cancer (metastatic castrate-sensitive prostate cancer [mCSPC] or metastatic castrate-resistant prostate cancer [mCRPC] or nonmetastatic castrate-resistant prostate cancer [nmCRPC]) or mCRPC (treatment-experienced in the nmCRPC or mCSPC setting) will be enrolled in this study.

Who may be able to join

  • Participant must have a confirmed diagnosis of adenocarcinoma of the prostate
  • Participant must have prostate cancer, as follows: a) nonmetastatic castrate-resistant prostate cancer (nmCRPC): nmCRPC diagnosis at any time; documented castration resistance per Prostate Cancer Working Group 3 criteria23 (elevated prostate specific antigen [PSA] despite testosterone less than (<) 50 nanograms per deciliter [ng/dL] [<1.7 nano moles per liter {nmol/L}]); Negative for metastases on conventional imaging (computerized tomography, Magnetic resonance imaging, bone scans); Prostate specific antigen doubling time (PSADT) less than equal to (<=) 12 months within the last 6 months or beginning treatment with approved next-generation ARAT for treatment of nmCRPC; b) Metastatic castrate-sensitive prostate cancer (mCSPC): new mCSPC diagnosis in the past 6 months (can be de novo or primary progressive recurrent following local radical therapy); documented metastatic prostate cancer; no more than 12 months of androgen deprivation therapy (ADT) in any setting; no more than 6 months of systemic treatment for mCSPC (example, approved next generation androgen receptor targeted therapy or chemotherapy]); c) Metastatic castrate-resistant prostate cancer (mCRPC): mCRPC diagnosis at any time; documented metastatic prostate cancer; documented castration resistance per Prostate Cancer Working Group 2 criteria (elevated prostate specific antigen [PSA] despite testosterone less than [<]50 nanogram per deciliter [ng/dL] [<1.7 nmol/L]); the first treatment for mCRPC was started in the past 6 months or is scheduled to begin; d) mCRPC (treatment-experienced in the nmCRPC or mCSPC setting): mCRPC diagnosis at any time; documented metastatic prostate cancer; documented castration resistance per Prostate Cancer Working Group 2 criteria (elevated PSA despite testosterone <50 ng/dL [<1.7 nmol/L]); the first treatment for mCRPC clinical state was started in the past 6 months or is scheduled to begin; disease progression occurred while receiving active treatment (androgen receptor-axis therapy [ARAT] or chemotherapy) in the prior nmCRPC or mCSPC clinical state
  • Participant must have a life expectancy of more than 6 months
  • Participant must sign (and/or their legally acceptable representative, if applicable) a participation agreement/informed consent form (ICF) allowing data collection and source data verification in accordance with local requirements and/or sponsor policy

Who cannot join

  • At the time of screening, patient is currently enrolled in other Janssen sponsored clinical study (any indication) or an interventional clinical trial investigating a non Health Canada approved drug and/or procedure for the treatment and/or monitoring of prostate cancer (Janssen or non-Janssen company sponsored)
  • Participant is currently enrolled in any observational study sponsored or managed by a Janssen company

Trial locations and contacts

22 sites in 1 country.

22 sites in 1 country

Canada22 sites
  • Abbotsford Regional Hospital and Cancer Centre BC Cancer Agency

    Abbotsford British Columbia, British Columbia, V2S 0C2

  • G. Kenneth Jansz Medicine

    Burlington, Ontario, L7N 3V2

  • Tom Baker Cancer Center

    Calgary, Alberta, T2N 4N2

  • Prostate Cancer Centre

    Calgary, Alberta, T2V 1P9

  • University of Alberta

    Edmonton, Alberta, T6G 1Z2

  • Urology South Shore Research

    Greenfield Park, Quebec, J4V 2H3

  • Queen Elizabeth II - Health Sciences Centre

    Halifax, Nova Scotia, B3H 2Y9

  • Research St. Joseph's - Hamilton

    Hamilton, Ontario, L8N 4A6

  • Hamilton Health Sciences Corporation

    Hamilton, Ontario, L8V 5C2

  • British Columbia Cancer Agency(BCCA)-Sindi Ahluwalia Hawkins Centre for the Southern Interior(CSI)

    Kelowna, British Columbia, V1Y 5L3

  • Lawson Health Research Institute

    London, Ontario, N6A 5W9

  • Credit Valley Hospital

    Mississauga, Ontario, L5M 2V8

  • CHUM - Centre hospitalier universitaire de Montreal

    Montreal, Quebec, H2X 0A9

  • Jewish General Hospital

    Montreal, Quebec, H3T 1E2

  • The Ottawa Hospital Cancer Centre

    Ottawa, Ontario, K1H 8L6

  • CHU de Québec Université Laval

    Québec, Quebec, G1R 2J6

  • Scarborough Health Network

    Toronto, Ontario, M1VOE3

  • Princess Margaret Hospital

    Toronto, Ontario, M5G 2M9

  • Vancouver General Hospital / Vancouver Prostate Centre

    Vancouver, British Columbia, V5Z 1M9

  • BC Cancer Agency - Vancouver BC

    Vancouver, British Columbia, V5Z 4E6

  • British Columbia Cancer Agency - Vancouver Island Centre

    Victoria, British Columbia, V8R 6V5

  • Cancer Care Manitoba

    Winnipeg, Manitoba, R3E 0V9

Other trials in Canada

About this study

Official title: A Multicentre Cohort Study of Patients With Advanced Prostate Cancer in Canada

The purpose of this study is to document the course of advanced prostate cancer in Canada in terms of disease progression, real-world treatment, and patient management.

Being tested
Standard of Care
Medical subject headings
Prostatic Neoplasms

What participants receive

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

  • Standard of CareOther

    Participants will not receive any intervention in this study. Participants will receive standard of care therapy.

Study groups in NCT03501173
Study groupRoleWhat they receive
Metastatic Castrate-Sensitive Prostate Cancer (mCSPC)Participants will be defined as having mCSPC if there is a new mCSPC diagnosis in the past 6 months, documented metastatic prostate cancer, no more than 12 months of androgen deprivation therapy (ADT) in any setting and no more than 6 months of systemic treatment for mCSPC (example, next generation androgen receptor targeted therapy or chemotherapy).
Receives: Other: Standard of Care
Metastatic Castrate-Resistant Prostate Cancer (mCRPC)Participants will be defined as having mCRPC if there is mCRPC diagnosis at any time, documented metastatic prostate cancer, documented castration resistance per Prostate Cancer Working Group 2 criteria (elevated prostate specific antigen [PSA] despite testosterone less than [<]50 nanogram per deciliter [ng/dL] [<1.7 nano moles per liter{nmol/L}]), the first treatment for mCRPC was started in the past 6 months or is scheduled to begin.
Receives: Other: Standard of Care
NonMetastatic Castrate-Resistant Prostate Cancer (nmCRPC)Participants will be defined as having nmCRPC if there is nmCRPC diagnosis at any time, documented non-metastatic prostate cancer, documented castration resistance per Prostate Cancer Working Group 3 criteria (elevated PSA despite testosterone <50 ng/dL [<1.7 nmol/L]). nmCRPC, defined as a prostate specific antigen doubling time (PSADT) of less than or equal to 12 months, or beginning next generation ARAT for nmCRPC.
Receives: Other: Standard of Care
mCRPC (Treatment-experienced in the nmCRPC or mCSPC Setting)Participants will be defined as having mCRPC (treatment-experienced in the nmCRPC or mCSPC setting) if there is nmCRPC diagnosis at any time, documented non-metastatic prostate cancer, documented metastatic prostate cancer, documented castration resistance per Prostate Cancer Working Group 2 criteria (elevated PSA despite testosterone <50 ng/dL [<1.7nmol/L]), the first treatment for mCRPC clinical state was started in the past 6months or is scheduled to begin, disease progression occurred while receiving active treatment (ARAT or chemotherapy) in the prior nmCRPC or mCSPC clinical state.

What is being measured

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

  1. Time to Prostate Specific Antigen (PSA) Progression

    Time to PSA progression is defined as the time interval from the date of start of study enrollment to the date of first evidence of PSA progression. In participants whose PSA level has decreased, PSA progression is defined as at least a 25 percent (%) increase from nadir (lowest value including the most recent value prior to study enrollment) and an increase in the absolute value of 2 nanogram per milliliter (ng/mL) or greater, confirmed by a subsequent measurement at least 3 weeks after the increase. In participants whose PSA level has not decreased, PSA progression is defined as at least a 25% increase from the most recent value prior to study enrollment and an increase in the absolute value of 2 ng/mL or greater after 12 weeks.

    Measured: Approximately up to 5 years

  2. Time to Radiographic Evidence of Disease Progression

    Time to radiographic evidence of disease progression is defined as the time interval from the date of start of study treatment to the date of first appearance of 2 or more new bone lesions on bone scan or enlargement of a soft tissue lesion using the Response Evaluation Criteria in Solid Tumors (RECIST).

    Measured: Approximately up to 5 years

  3. Time to Skeletal-Related Events

    Time to skeletal-related events is defined as the time interval from the date of start of study treatment to the date of first skeletal-related event.

    Measured: Approximately up to 5 years

  4. Time to Death

    Time to death is defined as the time interval from the date of start of study enrollment to death.

    Measured: Approximately up to 5 years

  5. Number of Participants with Different Primary Causes of Death

    The number of participants with different primary causes of death will be reported.

    Measured: Approximately up to 5 years

  6. Time to Progression from mCSPC to mCRPC in Participants with mCSPC

    In participants with mCSPC, time to progression from mCSPC to mCRPC is defined as the time interval which is either calculated from date when mCSPC was first documented or from the date of start of study treatment, if participant receives treatment for mCSPC to the progression to mCRPC.

    Measured: Approximately up to 5 years

  7. Time from Biochemical Recurrence (BCR) to Nonmetastatic Castrate-Resistant Prostate Cancer (nmCRPC) and nmCRPC to mCRPC

    In participants with mCRPC, time from BCR to nmCRPC and nmCRPC to mCRPC will be analyzed retrospectively. BCR is defined as PSA greater than (>)0.2 nanogram per milliliter (ng/mL) after radical prostatectomy and PSA >2 ng/mL above the nadir (lowest value including the most recent value prior to study enrollment) after radical radiotherapy.

    Measured: Approximately up to 5 years

  8. Number of Participants with PSA Testing from BCR to nmCRPC and nmCRPC to mCRPC, in Participants with mCRPC

    In participants with mCRPC, number of participants having PSA testing from BCR to nmCRPC and nmCRPC to mCRPC will be reported.

    Measured: Approximately up to 5 years

  9. Number of Participants with Frequency of Imaging from Time of BCR to nmCRPC and nmCRPC to mCRPC

    In participants with non metastatic castrateresistant prostate cancer (nmCRPC), number of participants having imaging from BCR to nmCRPC and mCRPC to nmCRPC will be reported.

    Measured: Approximately up to 5 years

  10. PSA Level at Start of Androgen Deprivation Therapy (ADT) in Participants with mCRPC

    In participants with mCRPC, PSA level at start of ADT will be reported.

    Measured: Approximately up to 5 years

  11. PSA Doubling Time (PSADT) at the Detection of Castration Resistance in Participants with mCRPC

    In participants with mCRPC, PSADT at the detection of castration resistance will be reported. PSADT is the length of time it takes for a PSA to double based on an exponential growth pattern.

    Measured: Approximately up to 5 years

  12. Time from nmCRPC to High-Risk (HR) nmCRPC

    Time from nmCRPC to HR nmCRPC is defined as prostate specific antigen doubling time (PSADT) less than or equal to (<=) 10 months.

    Measured: Approximately up to 5 years

  13. Time from ADT Initiation to nmCRPC

    Time from ADT initiation to nmCRPC will be reported.

    Measured: Approximately up to 5 years

  14. Median Absolute prostate specific antigen (PSA) at onset of HR-nmCRPC

    Median absolute PSA at onset of HR-nmCRPC will be reported.

    Measured: Approximately up to 5 years

  15. Time to Initiation of Subsequent Prostate Cancer Treatment

    Time to initiation of subsequent prostate cancer treatment is defined as the time interval from the date of start of study treatment to the date of start of subsequent prostate cancer treatment.

    Measured: Approximately up to 5 years

  16. Duration of Each Therapy

    Duration for each therapy will be reported for all participants.

    Measured: Approximately up to 5 years

  17. Percentage of Participants Receiving Chemotherapy, Other Drug Treatments, or no Drug Treatment

    Percentage of participants receiving chemotherapy, other drug treatments, or no drug treatment, will be reported for all participants.

    Measured: Approximately up to 5 years

  18. Time to Treatment Initiation

    Time to treatment initiation, will be reported for all participants.

    Measured: Approximately up to 5 years

  19. Time to Dose Modification

    Time to dose modification, will be reported for all participants.

    Measured: Approximately up to 5 years

  20. Number of Participants who Switch the Treatment

    Number of participants who switch the treatment, will be reported.

    Measured: Approximately up to 5 years

  21. Number of Participants who Discontinued the Treatment

    Number of participants who discontinued the treatment, will be reported.

    Measured: Approximately up to 5 years

  22. Most Common Sequences for Lines of Therapy in Participants with mCRPC

    In participants with mCRPC, most common sequences for lines of therapy will be reported.

    Measured: Approximately up to 5 years

  23. Number of Participants Retreated with Docetaxel in Participants with mCRPC

    In participants with mCRPC, number of participants having retreatment with docetaxel will be reported.

    Measured: Approximately up to 5 years

  24. Percentage of Participant with Radiographic Imaging Modality

    Percentage of participants with radiographic imaging modality which includes bone scan, magnetic resonance imaging, ultrasound, X-ray will be reported.

    Measured: Approximately up to 5 years

  25. Number of Days Hospitalized for Prostate Cancer or Treatment of Prostate Cancer

    Number of days for which participant was hospitalized for prostate cancer or treatment of prostate cancer, will be reported for all participants.

    Measured: Approximately up to 5 years

  26. Number of Visits to Emergency Department for Prostate Cancer or Treatment of Prostate Cancer

    Number of visits to emergency department for prostate cancer or treatment of prostate cancer, will be reported for all participants.

    Measured: Approximately up to 5 years

  27. Number of Outpatient Visits to Specialists Involved in Management of Prostate Cancer

    Number of outpatient visits to specialists (urologist, medical oncologist, uro-oncologist, radiation oncologist) involved in management of prostate cancer, will be reported for all participants.

    Measured: Approximately up to 5 years

  28. Dates of Genomic or Genetic Testing

    Dates of genomic or genetic testing (including dopa-responsive dystonia [DRD]/ homologous recombination repair [HRR]/ breast cancer gene-1 [BRCA1]/ BRCA2/ataxia-telangiesctasia mutated [ATM]/partner and localizer of the BRCA2 gene [PALB2]/ androgen receptor [AR]) will be reported.

    Measured: Approximately up to 5 years

  29. Types of Genomic or Genetic Testing

    Types of genomic or genetic testing (including DRD/HRR/ BRCA1/ BRCA2/ATM /PALB2/AR) will be reported.

    Measured: Approximately up to 5 years

  30. Charlson Comorbidity Index Score

    Charlson Comorbidity Index score will be summarized descriptively. The Charlson Comorbidity Index is a 19-item measure assessing comorbid conditions. The total possible score on the Charlson Comorbidity Index ranges from 0 to 37. If a condition is not present, the score for that condition is zero. The higher scores indicate greater comorbidity.

    Measured: Approximately up to 5 years

Timeline

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

  1. First posted18 Apr 2018
  2. Study start12 Apr 2018
  3. Primary completion14 Jul 2023
  4. Study completion14 Jul 2023

Resources

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
374 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03501173
Sponsor's protocol ID
CR108454
Other IDs
212082PCR4049
Acronym
GURC
Status last verified
Jul 2023
First submitted
28 Mar 2018
Last updated
25 Jul 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

An observational study of Prostatic Neoplasms, run by Janssen Inc. at 22 sites in Canada.

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 4 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: finished, as of the sponsor's last update on 25 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in Canada. 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?

Time to Prostate Specific Antigen (PSA) Progression (time frame: Approximately up to 5 years). The study lists 30 primary outcomes in all. 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 25 Jul 2023.

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