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Metastatic Castration-resistant Prostate CancerEXPLORENCT04268628

A Study of Pharmacodynamic and Genetic Parameters of Abira-DES Study Participants (NCT02217566) - Participants With Metastatic Castration-Resistant Prostate Cancer Treated With Abiraterone Acetate Following Unresponsive Treatment With Diethylstilbestrol

An observational study of Metastatic Castration-resistant Prostate Cancer, run by Janssen-Cilag Farmaceutica Ltda. at 1 site in Brazil.

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 purpose of this study is to evaluate the influence of HSD3B1 (1245C) germline variant and potential pharmacodynamic markers on abiraterone activity in participants with metastatic castration-resistant prostate cancer after unresponsive use of diethylstilbestrol. Read more about this study

Who is it for?
Ages 18 years and older, men only
What is being tested?
Serum and plasma samples analysis
How many people
42 participants
Where
1 siteBrazil
Study dates
19 Mar 2020to 16 Nov 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 years and older
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Study population: The population of this study comprised of participants with metastatic castration-resistant prostate cancer with disease progression following the use of diethylstilbestrol (DES) who participated in the Abira-DES study (NCT02217566) in which they were treated with abiraterone acetate.

Who may be able to join

  • Must have a confirmed diagnosis of prostate adenocarcinoma without neuroendocrine or small cell differentiation and was a participant in the Abira-DES study (NCT0221756), which includes: diethylstilbestrol pretreatment for castration-resistant prostate cancer with evidence of disease progression or grade 3/4 toxicity with diethylstilbestrol; metastatic disease confirmed by bone examination or metastatic lesions by computed tomography or magnetic resonance
  • Abiraterone acetate therapy during the Abira-DES study (NCT0221756), and peripheral blood samples have been collected from at least of the three proposed study timepoints
  • Must sign, and/or his/her legally acceptable representatives, where applicable, must sign the ICF allowing the use of clinical data and biological samples in accordance with local requirements. For deceased participants who did not provide consent prior to death, permission to research their information must meet local requirements

Who cannot join

  • Having withdrawn the consent to use the samples collected during their participation in the Abira-DES study (NCT02217566)

Trial locations and contacts

1 site in 1 country.

Brazil1 site
  • Sociedade Beneficiante de Senhoras - Hospital Sirio Libanes

    São Paulo, 01308901

Other trials in Brazil

About this study

Official title: Exploratory Evaluation of Genetic Polymorphism and Pharmacodynamic Parameters in Samples of Abira-DES Study Subjects (NCT02217566) - Subjects With Metastatic Castration-Resistant Prostate Cancer Treated With Abiraterone Acetate Following Unresponsive Treatment With Diethylstilbestrol.

The primary purpose of this study is to evaluate the influence of HSD3B1 (1245C) germline variant and potential pharmacodynamic markers on abiraterone activity in participants with metastatic castration-resistant prostate cancer after unresponsive use of diethylstilbestrol.

Being tested
Serum and plasma samples analysis

What participants receive

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

  • Serum and plasma samples analysisOther

    This is a non-interventional study and no drug will be given as part of this study. Serum and plasma samples will be collected from the participants with metastatic castration-resistant prostate cancer to evaluate genetic polymorphism and pharmacodynamic parameters.

Study groups in NCT04268628
Study groupRoleWhat they receive
Participants with mCRPCParticipants with metastatic castration resistant prostate cancer (mCRPC) will be evaluated for genetic polymorphism and pharmacodynamic parameters from serum and plasma samples collected during the Abira-DES study (NCT02217566). Serum and plasma samples were collected after use of diethylstilbestrol (DES) and subsequent abiraterone acetate therapy. Peripheral blood samples were collected prior to initiation of abiraterone acetate therapy, after 12 weeks of therapy, and at the time of disease progression (evaluated by prostate specific antigen [PSA] response).
Receives: Other: Serum and plasma samples analysis

What is being measured

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

  1. Percentage of Participants with and Without HSD3B1 (1245C) Germline Variant'

    Percentage of participants with and without HSD3B1 (1245C) germline variant will be determined to evaluate the influence of HSD3B1 (1245C) germline variant on the response to abiraterone as a predictive fact.

    Measured: Up to 12 months

Secondary outcomes (10)
  1. Levels of HSD3B1 (1245C) Germ Variant

    Levels of HSD3B1 (1245C) germline variant will be determined to evaluate the response to abiraterone acetate as a predictive factor.

    Measured: Up to 12 months

  2. Levels of Metabolite Delta-(4)-Abiraterone (D4A) During the Abiraterone Acetate During Treatment Phase

    Levels of metabolite D4A during the abiraterone acetate during treatment phase will be evaluated.

    Measured: 12 Weeks

  3. Testosterone Levels in Participants Treated with Abiraterone Acetate

    Testosterone levels of participants treated with abiraterone acetate will be evaluated by the molecular analyses.

    Measured: Up to 12 months

  4. SDHEA Levels in Participants Treated with Abiraterone Acetate

    SDHEA levels of participants treated with abiraterone acetate will be evaluated by the molecular analyses.

    Measured: Up to 12 months

  5. Correlation Between HSD3B1 (1245C) Variant and Testosterone Levels

    Correlation between HSD3B1 (1245C) variant and testosterone levels will be reported. The genotyping of the HSD3B1 (1245 A> C) germline variant will be performed by Sanger sequencing.

    Measured: Up to 12 months

  6. Correlation Between HSD3B1 (1245C) Variant and SDHEA Levels

    Correlation between HSD3B1 (1245C) variant and SDHEA levels will be reported. The genotyping of the HSD3B1 (1245 A> C) germline variant will be performed by Sanger sequencing.

    Measured: Up to 12 months

  7. Correlation Between HSD3B1 (1245C) Variant and Clinical Response

    Correlation between HSD3B1 (1245C) variant and clinical response will be performed by univariate and multivariate analyses.

    Measured: Up to 12 months

  8. Correlation Between D4A Levels with Testosterone Dosage

    Testosterone ultrasensitive dosages will be performed on participant serum samples. Testosterone dosage will be performed by liquid chromatography coupled with tandem mass spectrometry.

    Measured: Up to 12 months

  9. Correlation Between D4A Levels with SDHEA Dosage

    SDHEA ultrasensitive dosages will be performed on participant serum samples. Dosage will be performed by liquid chromatography coupled with tandem mass spectrometry.

    Measured: Up to 12 months

  10. Correlation Between D4A Levels with Clinical Response

    Correlation between D4A levels with clinical response will be performed by univariate and multivariate analyses.

    Measured: Up to 12 months

Timeline

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

  1. First posted13 Feb 2020
  2. Study start19 Mar 2020
  3. Primary completion16 Nov 2020
  4. Study completion16 Nov 2020

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
Other
Time perspective
Retrospective
Enrolment
42 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04268628
Sponsor's protocol ID
CR108736
Other IDs
212082PCR0026
Acronym
EXPLORE
Status last verified
Dec 2021
First submitted
11 Feb 2020
Last updated
3 Jan 2022
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No

Questions about this trial

What is this clinical trial studying?

An observational study of Metastatic Castration-resistant Prostate Cancer, run by Janssen-Cilag Farmaceutica Ltda. at 1 site in Brazil.

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 3 inclusion and 1 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 3 Jan 2022. 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 Brazil. 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?

Percentage of Participants with and Without HSD3B1 (1245C) Germline Variant' (time frame: Up to 12 months). 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 3 Jan 2022.

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