Prognostic Value of the Levels of Circulating Tumor Cells (CTCs) in Peripheral Blood in Patients With Prostate Cancer at High Risk (Clinical Stages IIB-III) Treated Radically With Radiotherapy and Hormone Therapy.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 68
- 试验地点
- 3
- 主要终点
- Number of Participants With Circulating Tumor Cells in the Peripheral Blood
研究概览
简要总结
The detection and quantification of Circulating tumor cells CTCs in peripheral blood of patients with prostate adenocarcinoma may be useful at least for:
Getting a correct stratification of patients with high-risk prostate cancer (PCa).
Set the prognosis at baseline. Evaluate the response to different treatments (predictive value and monitoring).
Establish individualized therapies.
详细描述
Prospective analysis of biologic samples from peripheral blood of 65 patients with localized high-risk PCa (NCCN 2011) treated with RTC-3D-IMRT combined with AD.
Following the sign of the informed consent of the patient, the blood samples will be analyzed for CTCs using an immunomagnetic method based on the CellSearch system (Veridex), in 4 periods of time:
- prior to any treatment;
- following AD and prior to RT; and
- following the end of RT (1-3 months afterwards).
- six to twelve months following the end of RT in those patients with 0 CTCs in the first determination and positive CTCs in the second or third determination
Comparison between the expression of CTCs in peripheral blood before and following AD and RT will be performed. The quantification of the CTCs obtained in these phases of treatment will be correlated with the treatment results in terms of biochemical failure according to Phoenix definition, distant metastasis rate and overall survival to identify a significant prognostic relationship and to determine the potential effect of the treatment in the number of CTCs Our working group will include 65 patients because the amount is based on routine clinical activity can be safely enrolled in the project development time by the participating centers.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Male
- 接受健康志愿者
- 否
入选标准
- •Patients aged > 18 with capacity to give informed consent.
- •Patients with histologically confirmed prostate cancer.
- •Patients with a high risk factor: PSA> 20 ng / ml, Gleason 8-10 and / or stage T3a-b, N0M0 (NCCN 2011, stage IIB-III AJCC classification 2010). Staging by: Histology-Gleason score-, PSA, TR, ECO TR, CT, MRI.
- •Patients who accept radical treatment with radiotherapy.
- •Patients who give written informed consent to participate in the study
排除标准
- •Any patient diagnosed with prostate cancer, which does not meet the prerequisites.
- •Any patients with another malignancy diagnosed in the past 5 years (except basal cell or squamous cell carcinoma of skin).
- •Any patient who has prostate biopsy performed 7 days prior to study entry.
- •Patients who have received prior treatment with hormonal therapy, chemotherapy or radiotherapy.
- •Patients with PSA> 100 ng / ml.
- •Any situation or condition of the patient which in the opinion of the investigator, advised against participation in the study.
结局指标
主要结局
Number of Participants With Circulating Tumor Cells in the Peripheral Blood
时间窗: 9 - 12 months post-radiotherapy in cases with positivation after basal visit
(Initially a cutoff point of \> 1 or more circulating cells per 7.5 mL of blood will be taken as the reference baseline).
次要结局
- Overall Survival(4 years)
- Metastasis-free Survival(4 years)
- Cause Specific Survival(4 years)
- Biochemical Failure-free Survival;(4 years)