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A Registry Study to Observe Clinical Outcomes of Participants With High-risk Metastatic Hormone-naïve Prostate Cancer in Japan

Completed
Conditions
Prostatic Neoplasms
Interventions
Registration Number
NCT04034095
Lead Sponsor
Janssen Pharmaceutical K.K.
Brief Summary

The purpose of this registry study is to longitudinally observe clinical outcomes and patient-reported outcomes (PRO) for participants with high-risk metastatic hormone-naive prostate cancer (mHNPC) in the real-world setting in Japan.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
979
Inclusion Criteria
  • Documented diagnosis of metastatic, hormone-naïve prostate cancer (mHNPC) after 1 May 2019
  • Should have at least 2 of the 3 following high-risk factors: a Gleason score of greater than or equal to (>=) 8, at least 3-bone lesions, or the presence of visceral metastasis
  • Willing to receive androgen-deprivation therapy (ADT) containing regimens for high-risk metastatic, hormone-naïve prostate cancer (mHNPC) in the hospital which have the contract with sponsor for this study, or patient received a regimen containing ADT for high-risk mHNPC
  • Possess Japanese nationality
  • Each patient (or their legally acceptable representative) must sign an informed consent form (ICF) indicating that he understands the purpose of, and procedures required for the study and is willing to participate in the study. For dead cases, the ICF can be waived after approved by Independent Ethics Committee/Institutional Review Board (IEC/IRB)
Exclusion Criteria
  • has any other active malignancies

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Cohort 1: ADT alone/ ADT + BicalutamideAndrogen-deprivation Therapy (ADT)Participants with diagnosis of metastatic hormone-naive prostate cancer (mHNPC) receiving androgen-deprivation therapy (ADT) alone or ADT plus bicalutamide (combined androgen blockade \[CAB\]) under routine clinical practice will be observed.
Cohort 2: ADT + AAP/Docetaxel/Enzalutamide/ApalutamideAndrogen-deprivation Therapy (ADT)Participants with diagnosis of mHNPC receiving ADT plus abiraterone plus prednisolone (AAP) or Docetaxel or Enzalutamide or Apalutamide under routine clinical practice will be observed.
Cohort 2: ADT + AAP/Docetaxel/Enzalutamide/ApalutamideApalutamideParticipants with diagnosis of mHNPC receiving ADT plus abiraterone plus prednisolone (AAP) or Docetaxel or Enzalutamide or Apalutamide under routine clinical practice will be observed.
Cohort 1: ADT alone/ ADT + BicalutamideBicalutamideParticipants with diagnosis of metastatic hormone-naive prostate cancer (mHNPC) receiving androgen-deprivation therapy (ADT) alone or ADT plus bicalutamide (combined androgen blockade \[CAB\]) under routine clinical practice will be observed.
Cohort 2: ADT + AAP/Docetaxel/Enzalutamide/ApalutamideAbirateroneParticipants with diagnosis of mHNPC receiving ADT plus abiraterone plus prednisolone (AAP) or Docetaxel or Enzalutamide or Apalutamide under routine clinical practice will be observed.
Cohort 2: ADT + AAP/Docetaxel/Enzalutamide/ApalutamidePrednisoloneParticipants with diagnosis of mHNPC receiving ADT plus abiraterone plus prednisolone (AAP) or Docetaxel or Enzalutamide or Apalutamide under routine clinical practice will be observed.
Cohort 2: ADT + AAP/Docetaxel/Enzalutamide/ApalutamideDocetaxelParticipants with diagnosis of mHNPC receiving ADT plus abiraterone plus prednisolone (AAP) or Docetaxel or Enzalutamide or Apalutamide under routine clinical practice will be observed.
Cohort 2: ADT + AAP/Docetaxel/Enzalutamide/ApalutamideEnzalutamideParticipants with diagnosis of mHNPC receiving ADT plus abiraterone plus prednisolone (AAP) or Docetaxel or Enzalutamide or Apalutamide under routine clinical practice will be observed.
Primary Outcome Measures
NameTimeMethod
PSA Progression-free Survival (PSA-PFS)Up to 5 years

The PSA-PFS is defined as the duration from registration to either PSA progression or death, whichever occurs first.

Montreal Cognitive Assessment (MoCA) ScoreUp to 5 years

The MoCA is a rapid screening instrument for mild cognitive dysfunction. It assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. The total possible score is 30 points; a score of 26 or above is considered normal.

Percentage of Participants who Achieve Prostate-specific Antigen (PSA) <=0.2 ng/mL Within a Year from Registration1 year

Percentage of participants who achieve prostate-specific antigen (PSA) less than or equal to (\<=)0.2 nanogram per milliliter (ng/mL) within a year from registration will be reported.

Functional Assessment of Cancer Therapy for Prostate Cancer (FACT-P) Questionnaire ScoreUp to 5 years

The FACT-P consists of the FACT-General (FACT-G) and a PC-specific subscale. The FACT-G (Version 4) contains a 27-item questionnaire and is composed of 4 dimensions of health-related quality of life (HRQoL): physical well-being, social/family well-being, emotional well-being, and functional well-being. The PC-specific subscale is composed of 12 items, which span the dimensions of sexual function, bowel/bladder function, and pain. Each item for FACT-G subscale and PC-specific subscale is rated on a 0 to 4 Likert type scale. Higher scores represent better QoL.

Percentage of Participants with PSA-PFS2 years

Percentage of participants with PSA-PFS at 2 years from registration will be reported.

Progression-free Survival (PFS)Up to 5 years

The PFS is defined as the duration from registration to either radiographic progression, clinical progression or death, whichever occurs first.

Percentage of Participants with PFS3 years

Percentage of participants with PFS at 3 years from registration will be reported.

Overall Survival (OS)Up to 5 years

The OS is defined as the duration from registration to any death.

Percentage of Participants with Overall Survival (OS)3 years

Percentage of participants with OS at 3 years from registration will be reported.

Cancer Specific Survival (CSS)Up to 5 years

The CSS is defined as the duration from registration to prostate cancer (PC)-related death. The PC-related death will be determined by each physician's discretion.

Percentage of Participants with CSS3 years

Percentage of participants with CSS at 3 years from registration will be reported.

Patient Health Questionnaire-9 (PHQ-9) ScoreUp to 5 years

The PHQ-9 is a multipurpose self-reported inventory used for screening, diagnosing, and measuring the severity of mental status or depression of the patient. It contains 2 weeks recall of information and scores each of the 9 Diagnostic and Statistical Manual of Mental Disorders (4th edition; DSM-IV) criteria as "0" (not at all) to "3" (nearly every day).

Time to Symptomatic Skeletal Event (TTSSE)Up to 5 years

The TTSSE is defined as the duration from registration to any first symptomatic skeletal event (SSE). The SSE is defined as 1 of the following: symptomatic pathological fracture, spinal cord compression, palliative radiation to bone and surgery to bone.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (77)

Akita University Hospital

🇯🇵

Akita, Japan

Juntendo University Hospital

🇯🇵

Bunkyo Ku, Japan

Tokyo Medical and Dental University Hospital

🇯🇵

Bunkyo Ku, Japan

Chiba University Hospital

🇯🇵

Chiba, Japan

Chiba Cancer Center

🇯🇵

Chiba, Japan

University of Yamanashi Hospital

🇯🇵

Chuo, Japan

Kyushu University Hospital

🇯🇵

Fukuoka, Japan

Fukushima Medical University Hospital

🇯🇵

Fukushima, Japan

Gifu University Hospital

🇯🇵

Gifu, Japan

Harasanshin Hospital

🇯🇵

Hakata-Ku, Japan

Hamamatsu University Hospital

🇯🇵

Hamamatsu, Japan

Saitama Medical University International Medical Center

🇯🇵

Hidaka, Japan

Hirosaki University Hospital

🇯🇵

Hirosaki, Japan

Hiroshima University Hospital

🇯🇵

Hiroshima shi, Japan

Hospital of the University of Occupational and Enviromental Health

🇯🇵

Hukuoka, Japan

Tokyo Dental College Ichikawa General Hospital

🇯🇵

Ichikawa, Japan

Tokyo Medical University Ibaraki Medical Center

🇯🇵

Inashiki, Japan

Teikyo University Hospital

🇯🇵

Itabashi Ku, Japan

Kanazawa Medical University Hospital

🇯🇵

Kahoku-District, Japan

University Hospital Kyoto Prefectural University of Medicine

🇯🇵

Kamigyo, Japan

St Marianna University Hospital

🇯🇵

Kanagawa, Japan

Kanazawa University Hospital

🇯🇵

Kanazawa, Japan

Nara Medical University Hospital

🇯🇵

Kashihara, Japan

Kimitsu Chuo Hospital

🇯🇵

Kisarazu-shi, Japan

Kagawa University Hospital

🇯🇵

Kita Gun, Japan

Kobe City Medical Center General Hospital

🇯🇵

Kobe City, Japan

Kobe University Hospital

🇯🇵

Kobe, Japan

Kochi Medical School Hospital

🇯🇵

Kochi, Japan

Dokkyo Medical University Saitama Medical Center

🇯🇵

Koshigaya, Japan

National Hospital Organization Shikoku Cancer Center

🇯🇵

Matsuyama-Shi, Japan

Kitasato University Hospital

🇯🇵

Minami-Ku, Japan

University of Miyazaki Hospital

🇯🇵

Miyazaki, Japan

Iwate Medical University Hospital

🇯🇵

Morioka, Japan

Aichi Medical University Hospital

🇯🇵

Nagakute, Japan

Nagasaki University Hospital

🇯🇵

Nagasaki-shi, Japan

Nagoya City University Hospital

🇯🇵

Nagoya, Japan

University of the Ryukyus Hospital

🇯🇵

Nakagami gun, Japan

Tokyo Metropolitan Police Hospital

🇯🇵

Nakano-ku, Japan

Miyagi Cancer Center

🇯🇵

Natori-shi, Japan

Niigata University Medical And Dental Hospital

🇯🇵

Niigata, Japan

Okayama University Hospital

🇯🇵

Okayama, Japan

Osaka International Cancer Institute

🇯🇵

Osaka City, Japan

Kindai University Hospital

🇯🇵

Osaka Sayama shi, Japan

Gunma Prefectural Cancer Center

🇯🇵

Ota, Japan

Shiga University of Medical Science Hospital

🇯🇵

Otsu, Japan

Sapporo Medical University Hospital

🇯🇵

Sapporo, Japan

Tohoku University Hospital

🇯🇵

Sendai shi, Japan

Tohoku Medical And Pharmaceutical University Hospital

🇯🇵

Sendai, Japan

Jichi Medical University Hospital

🇯🇵

Shimotsuke, Japan

Japan Community Health Care Organization Saitama Medical Center

🇯🇵

Saitama, Japan

Hokkaido University Hospital

🇯🇵

Sapporo-shi, Japan

Showa University Hospital

🇯🇵

Shinagawa, Japan

Japan Community Health care Organization Tokyo Shinjuku Medical Center

🇯🇵

Shinjuku-ku, Japan

Chutoen General Medical Center

🇯🇵

Shizuoka, Japan

Osaka University Hospital

🇯🇵

Suita-shi, Japan

Osaka Medical and Pharmaceutical University Hospital

🇯🇵

Takatsuki, Japan

Tokushima University Hospital

🇯🇵

Tokushima, Japan

The Jikei University Hospital

🇯🇵

Tokyo, Japan

Toranomon Hospital

🇯🇵

Tokyo, Japan

Nippon Medical School Hospital

🇯🇵

Tokyo, Japan

The Cancer Institute Hospital of JFCR

🇯🇵

Tokyo, Japan

Tokyo Medical University Hospital

🇯🇵

Tokyo, Japan

Ehime University Hospital

🇯🇵

Toon-shi, Japan

Toyama University Hospital

🇯🇵

Toyama-shi, Japan

Fujita Health University Hospital

🇯🇵

Toyoake, Japan

University of Tsukuba Hospital

🇯🇵

Tsukuba City, Japan

Mie University Hospital

🇯🇵

Tsu, Japan

Yamaguchi University Hospital

🇯🇵

Ube, Japan

Wakayama Medical University Hospital

🇯🇵

Wakayama, Japan

Yamagata University Hospital

🇯🇵

Yamagata, Japan

Yokohama Rosai Hospital

🇯🇵

Yokohama, Japan

Yokohama City University Medical Center

🇯🇵

Yokohama, Japan

Yokohama City University Hospital

🇯🇵

Yokohama, Japan

Yokosuka Kyosai Hospital

🇯🇵

Yokosuka, Japan

Tottori University Hospital

🇯🇵

Yonago, Japan

University of Fukui Hospital

🇯🇵

Yoshida, Japan

Oita University Hospital

🇯🇵

Yufu, Japan

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