Real-World Study of Enzalutamide and Abiraterone Acetate (With Prednisone) Tolerability
REAAcT
A Multicenter, Two-arm, Prospective, Observational Study to Characterize the Tolerability of Treatment With Enzalutamide or Abiraterone Acetate (With Prednisone) for Metastatic Castration-Resistant Prostate Cancer (mCRPC)
2 other identifiers
observational
108
1 country
20
Brief Summary
The purpose of this study is to characterize the tolerability profiles of enzalutamide and abiraterone acetate (with prednisone) -with specific focus on central nervous system (CNS) tolerability-and quality of life (QoL) after approximately 2 months of participants starting treatment with one of these agents for metastatic castration-resistant prostate cancer (mCRPC).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Dec 2015
20 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 1, 2015
CompletedFirst Submitted
Initial submission to the registry
January 21, 2016
CompletedFirst Posted
Study publicly available on registry
January 26, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2017
CompletedFebruary 3, 2025
January 1, 2025
1.1 years
January 21, 2016
January 31, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (6)
Change From Baseline in Cogstate Tests at Month 2
The Cogstate computerized cognitive test battery will be used as the assessment tool in this study. Overall, Cogstate measures a range of cognitive functions (example, psychomotor and memory function) using a number of different tests (example, choice reaction time, one-back memory). This battery of tests was chosen because it has been shown to be sensitive to very small cognitive changes and has been tested in cancer participants after chemotherapy.
Baseline and Month 2
Change From Baseline in European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 at Month 2
The EORTC QLQ-C30 is a questionnaire developed to assess the quality of Life (QoL) of cancer participants. The QLQ-C30 incorporates 9 multi-item scales: 5 functional scales (physical, role, cognitive, emotional, and social); 3 symptom scales (fatigue, pain, and nausea and vomiting); and a global health and QoL scale.
Baseline and Month 2
Change From Baseline in Functional Assessment of Chronic Illness Therapy Fatigue subscale (FACIT-Fatigue) at Month 2
The FACIT Measurement System is a collection of health-related QoL questionnaires targeted to the management of chronic illness. The fatigue subscale (FACIT-Fatigue) is a validated, 13-item questionnaire that assesses fatigue in people being treated for a chronic illness.
Baseline and Month 2
Change From Baseline in Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog) at Month 2
The FACT-Cog is a validated, 37-item, subjective neuropsychological instrument designed to evaluate cancer participants perceived cognitive deterioration on their quality of life.
Baseline and Month 2
Participant or Caregiver Observational Questionnaire (Survey)
If a participant has a regular caregiver, the participating physician will ask the caregiver to complete an optional observational, sponsor-developed questionnaire (survey) pertaining to his/her perception of the participants tolerability of treatment and QoL.
Baseline
Participant or Caregiver Observational Questionnaire (Survey)
If a participant has a regular caregiver, the participating physician will ask the caregiver to complete an optional observational, sponsor-developed questionnaire (survey) pertaining to his/her perception of the participants tolerability of treatment and QoL.
Month 2
Secondary Outcomes (1)
Number of Participants with Adverse Events (AEs) and Serious AEs
Screening up to follow-up (Approximately 2 Months)
Study Arms (2)
Enzalutamide Group
Participants who are receiving enzalutamide in a clinical practice setting will be observed for tolerability and quality of life.
Abiraterone Acetate plus Prednisone group
Participants who are receiving abiraterone acetate in combination with prednisone in a clinical practice setting will be observed for tolerability and quality of life.
Interventions
Participants who are receiving enzalutamide or abiraterone acetate in combination with prednisone in a clinical practice setting will be observed for tolerability and quality of life.
Eligibility Criteria
Participants who have a confirmed metastatic adenocarcinoma of the prostate will receive either enzalutamide or abiraterone acetate with prednisone for the treatment at the discretion of their treatment physician and in accordance with clinical practice.
You may qualify if:
- Male 18 years of age or older
- Have confirmed metastatic adenocarcinoma of the prostate
- Are starting treatment with enzalutamide or abiraterone acetate (with prednisone) for metastatic castration-resistant prostate cancer (mCRPC) at the full recommended dose per each drug's respective prescribing information (PI)
- Have an Eastern Cooperative Oncology Group Performance Status score of 0 or 1
- Sign written informed consent
You may not qualify if:
- Have a pre-existing central nervous system (CNS) condition (including, but not limited to, history of stroke or dementia) that, in the participating physician's judgment, would preclude participation in the study
- Have known mental illness including, but not limited to, major depressive disorder, general anxiety disorder, or bipolar disorder that, in the participating physician's opinion, could significantly confound the patient-reported outcome (PRO) assessments
- Have a history of or ongoing seizure disorder
- Have severe hepatic impairment (Child-Pugh Class C)
- Have an active infection (example, human immunodeficiency virus \[HIV\], viral hepatitis) or other medical condition that would contraindicate the use of prednisone/prednisolone (systemic glucocorticoid)
- Have known alcohol or other substance abuse disorder
- Are routinely taking medication-including, but not limited to, over-the-counter medications, supplements, medical marijuana or prescription pain medication-that is known to cause mental confusion or sedation or are using any of the medications
- Are routinely taking systemic glucocorticoids (example, prednisone, prednisolone, dexamethasone) at a dosage higher than the equivalent of prednisone 10 milligram (mg) daily
- Are currently using or have previously used chemotherapy for any cancer including mCRPC
- Are concurrently using any first-generation androgen-receptor blocker (example, bicalutamide, flutamide, nilutamide) for mCRPC
- Have previously taken enzalutamide or abiraterone acetate with prednisone
- Are not capable of completing tests using a computerized system or completing a participant survey
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (20)
Unknown Facility
Homewood, Alabama, United States
Unknown Facility
La Mesa, California, United States
Unknown Facility
Wheat Ridge, Colorado, United States
Unknown Facility
Daytona Beach, Florida, United States
Unknown Facility
Indianapolis, Indiana, United States
Unknown Facility
Jeffersonville, Indiana, United States
Unknown Facility
Saint Clair Shores, Michigan, United States
Unknown Facility
Englewood, New Jersey, United States
Unknown Facility
Lawrenceville, New Jersey, United States
Unknown Facility
Morristown, New Jersey, United States
Unknown Facility
Poughkeepsie, New York, United States
Unknown Facility
Syracuse, New York, United States
Unknown Facility
Middleburg Heights, Ohio, United States
Unknown Facility
Springfield, Oregon, United States
Unknown Facility
Bala-Cynwyd, Pennsylvania, United States
Unknown Facility
Lancaster, Pennsylvania, United States
Unknown Facility
Charleston, South Carolina, United States
Unknown Facility
Myrtle Beach, South Carolina, United States
Unknown Facility
San Antonio, Texas, United States
Unknown Facility
Virginia Beach, Virginia, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Janssen Scientific Affairs, LLC Clinical Trial
Janssen Scientific Affairs, LLC
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 21, 2016
First Posted
January 26, 2016
Study Start
December 1, 2015
Primary Completion
January 1, 2017
Study Completion
January 1, 2017
Last Updated
February 3, 2025
Record last verified: 2025-01