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Prevalence of HRR-related Genes Mutations and Prognosis in Metastatic Castration Resistant Prostate Cancer (mCRPC) Patients in Real World Setting

Completed
Conditions
Prostatic Neoplasms
Registration Number
NCT04425200
Lead Sponsor
AstraZeneca
Brief Summary

The purpose of this study is to investigate the prevalence of tissue homologous recombination repair (HRR)-related gene mutations (positive/negative/Variant of uncertain significance (VUS)), clinical outcome such as prostate-specific antigen-progression free survival (PSA-PFS), overall survivals (OS) and treatment pattern in mCRPC patients.

\<Methods\> Study design: multi-center, prospective cohort study

Data Source(s):

In this study, 155 patients (expected recruitment patients: maximum 205 patients) will be enrolled from approximately 20\~30 sites in Japan. Study Population: mCRPC patients who diagnosed between 2014 and 2018. Exposure(s): N.A Outcome(s): Prevalence of tissue HRR-related gene mutations, clinical outcomes such as Over survival and PSA-PFS, Treatment pattern

Sample Size Estimations:

The target population is 155 patients based on the prevalence of HRR-related genes (BRCA1, BRCA2 and ATM) which is reported in previous global study (PROfound study).

Statistical Analysis:

This study is not intended to verify specific hypotheses, and the results are evaluated descriptively. There is no plan of interim analyses before the final analysis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
205
Inclusion Criteria
  • Age > 20, Japanese men at the time of informed consent.
  • Patients who provided informed consent. If the patient has died, opt-out will be applicable.
  • Patients who are diagnosed as mCRPC between January 1st in 2014 and December 31st in 2018.
  • Patients who have a FFPE tumor sample (primary or metastatic) with Formalin Neutral Buffer Solution.
  • Patients which the investigator judges to secure the enough amount of tumor samples for future laboratory test.
Exclusion Criteria
  • Patients who have failed HRR-related gene mutation testing with the myChoice HRD plus in screening period.
  • Patients who have an only FFPE primary tumor sample (primary or metastatic) with unbuffered formalin including acidic formalin.
  • Patients who have taken an investigational medical product for prostate cancer from Jan 1st , 2014 to Dec 31st 2020.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Prevalence of tissue HRR-related gene mutationsBaseline

Calculate number and prevalence of each HRR-related gene mutation status (Positive/Negative/VUS), respectively. Prevalence will be accompanied by 95% Clopper-Pearson confidence intervals.

Secondary Outcome Measures
NameTimeMethod
Proportion of each treatment patternFrom index date(diagnosed as mCRPC) patients to December 31 2020

The number (%) of patients by treatment pattern in 1st line treatment, 2nd line, and 3rd line treatment after diagnosed as mCRPC, respectively, will be calculated.

Trial Locations

Locations (26)

National Hospital Organization Kure Medical Center

🇯🇵

Kure, Hiroshima, Japan

Hakodate Goryoukaku Hospital

🇯🇵

Hakodate, Hokkaido, Japan

Kanazawa University Hospital

🇯🇵

Kanazawa, Ishikawa, Japan

Kagawa University Hospital

🇯🇵

Miki, Kagawa, Japan

Chiba University Hospital

🇯🇵

Chiba, Japan

Nagoya City University Hospital

🇯🇵

Nagoya, Aichi, Japan

Nagoya University Hospital

🇯🇵

Nagoya, Aichi, Japan

Hirosaki University Hospital

🇯🇵

Hirosaki, Aomori, Japan

Jikei University Kashiwa Hospital

🇯🇵

Kashiwa, Chiba, Japan

Tottori University Hospital

🇯🇵

Yonago, Tottori, Japan

Yamaguchi University Hospital

🇯🇵

Ube, Yamaguchi, Japan

Ehime University Hospital

🇯🇵

Toon, Ehime, Japan

Hokkaido University Hospital

🇯🇵

Sapporo, Hokkaido, Japan

Sapporo Medical University Hospital

🇯🇵

Sapporo, Hokkaido, Japan

Yokohama City University Hospital

🇯🇵

Yokohama, Kanagawa, Japan

Kobe City Medical Center General Hospital

🇯🇵

Kobe, Hyogo, Japan

Kobe University Hospital

🇯🇵

Kobe, Hyogo, Japan

University of Tsukuba Hospital

🇯🇵

Tsukuba, Ibaraki, Japan

Saitama Medical Center

🇯🇵

Kawagoe, Saitama, Japan

Gifu University Hospital

🇯🇵

Gifu, Japan

Yokohama City University Medical Center

🇯🇵

Yokohama, Kanagawa, Japan

Nara Medical University Hospital

🇯🇵

Kashihara, Nara, Japan

Kindai University Hospital

🇯🇵

Osakasayama, Osaka, Japan

University of Miyazaki Hospital

🇯🇵

Miyazaki, Japan

Kyoto Prefectural University of Medicine

🇯🇵

Kyoto, Japan

Okayama University Hospital

🇯🇵

Okayama, Japan

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