NCT03290508

Brief Summary

This is a long-term prospective registry study to determine whether Prolaris testing in patients with favorable intermediate risk prostate cancer influences physician management decisions toward conservative treatment in patients with Prolaris low-risk scores without negatively impacting patient oncologic outcomes, thereby sparing low-risk patients from unnecessary treatments and associated side-effects.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
524

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Sep 2017

Longer than P75 for all trials

Geographic Reach
1 country

34 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 14, 2017

Completed
5 days until next milestone

First Submitted

Initial submission to the registry

September 19, 2017

Completed
6 days until next milestone

First Posted

Study publicly available on registry

September 25, 2017

Completed
4.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 14, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 14, 2022

Completed
Last Updated

June 23, 2022

Status Verified

June 1, 2022

Enrollment Period

4.3 years

First QC Date

September 19, 2017

Last Update Submit

June 17, 2022

Conditions

Keywords

ProlarisProstate CancerCell Cycle Progression Test

Outcome Measures

Primary Outcomes (3)

  • Low Prolaris Score, on Active Surveillance

    Proportion of patients with low Prolaris scores who are initially treated with active surveillance

    3 years

  • Low Prolaris Score, Definitive Treatment Following Active Surveillance

    Proportion of patients with low Prolaris scores and initially treated with active surveillance who proceed to definitive treatment at 3 year follow-up

    3 years

  • Low Prolaris Score, Disease Progression Following Delayed Definitive Treatment

    Proportion of patients with low Prolaris scores and initially treated with active surveillance and later proceed to definitive treatment who develop disease progression at 5 years subsequent to the start of definitive treatment.

    8 years

Secondary Outcomes (5)

  • Low Prolaris Score, Time to Definitive Treatment following Active Surveillance

    8 years

  • No Prolaris Score, on Active Surveillance

    3 years

  • No Prolaris Score, Definitive Treatment Following Active Surveillance

    3 years

  • No Prolaris Score, Time to Definitive Treatment Following Active Surveillance

    8 years

  • No Prolaris Score, Disease Progression Following Delayed Definitive Treatment

    8 years

Study Arms (2)

Prolaris Testing

Recently diagnosed treatment-naïve patients with early stage localized prostate cancer who undergo Prolaris testing

Diagnostic Test: Prolaris Testing

No Prolaris Testing

Patients with newly diagnosed favorable intermediate-risk localized prostate cancer who DO NOT undergo Prolaris testing

Interventions

Prolaris TestingDIAGNOSTIC_TEST

Recently diagnosed treatment-naïve patients with early stage localized prostate cancer who undergo Prolaris testing

Also known as: RNA expression signature of cell cycle progression genes
Prolaris Testing

Eligibility Criteria

Age65 Years+
Sexmale
Healthy VolunteersNo
Age GroupsOlder Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Newly diagnosed (≤ 6 months), treatment-naïve patients with favorable intermediate-risk localized prostate cancer whose initial treatment has not been decided and who are being seen at Medicare Certification and Training Registry (CTR) practices in the United States.

You may qualify if:

  • Patients who have undergone CCP testing and patients who have not undergone CCP testing will be considered for enrollment in the study.
  • Willing to provide written informed consent.
  • Males ≥65 years old.
  • Newly diagnosed (≤6 months), treatment-naïve patient with histologically proven localized adenocarcinoma of prostate whose initial treatment has not been decided.
  • Candidate for and considering AS and yet would be eligible for definitive therapy.
  • Favorable intermediate-risk disease, defined by the NCCN as follows:
  • predominant Gleason grade 3; AND
  • percentage of positive cores \<50%; AND
  • no more than 1 of the following NCCN intermediate-risk factors:
  • Gleason grade 7
  • T2b-T2c
  • PSA 10-20 ng/mL
  • Estimated life expectancy ≥10 years.
  • Can be monitored for disease progression according to standard of care (e.g., current NCCN guidelines).

You may not qualify if:

  • \. Clinical evidence of metastasis or lymph node involvement.
  • \. Received pelvic radiation prior to biopsy.
  • \. Received androgen deprivation therapy (ADT) prior to biopsy; however, 5 alpha-reductase inhibitors (5-ARIs) are permitted.
  • \. Participation in interventional clinical trials.
  • \. Patient is considering watchful waiting.
  • \. Has a known history of hypogonadism.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (34)

Urology Centers of Alabama

Homewood, Alabama, 35209, United States

Location

East Valley Urology Center

Mesa, Arizona, 85206, United States

Location

University of Arkansas for Medical Sciences

Little Rock, Arkansas, 72205, United States

Location

Arkansas Urology

Little Rock, Arkansas, 72211, United States

Location

Pacific Urology

Concord, California, 94520, United States

Location

VA Long Beach Healthcare

Long Beach, California, 90822, United States

Location

UCI Medical Center

Orange, California, 92866, United States

Location

Ssg Md Apc

San Jose, California, 95124, United States

Location

Advanced Urology Institute

Daytona Beach, Florida, 32114, United States

Location

Urology Group of Florida

Delray Beach, Florida, 33484, United States

Location

Pinellas Urology

St. Petersburg, Florida, 33710, United States

Location

21st Century Oncology

Sunrise, Florida, 33351, United States

Location

Meridian Clinical Research

Savannah, Georgia, 31405, United States

Location

North Idaho Urology

Coeur d'Alene, Idaho, 83814, United States

Location

URO Partners

Westchester, Illinois, 60154, United States

Location

Wichita Urology

Wichita, Kansas, 67226, United States

Location

Regional Urology

Shreveport, Louisiana, 71106, United States

Location

Tufts Medical Center

Boston, Massachusetts, 02111, United States

Location

University of Michigan, Department of Urologic Oncology

Ann Arbor, Michigan, 48109, United States

Location

Comprehensive Urology

Royal Oak, Michigan, 48073, United States

Location

Michigan Institute of Urology

Troy, Michigan, 48084, United States

Location

UroLogic

Tupelo, Mississippi, 38801, United States

Location

Premier Urology Group, LLC

Cranford, New Jersey, 07016, United States

Location

Premier Urology

Cranford, New Jersey, 07016, United States

Location

Urologic Research and Consulting LLC

Englewood, New Jersey, 07631, United States

Location

Stony Brook University

Stony Brook, New York, 11794, United States

Location

A.M.P. Radiation Oncology

Syracuse, New York, 13210, United States

Location

Associated Urologists of North Carolina

Raleigh, North Carolina, 27612, United States

Location

Lehigh Valley Health Network

Allentown, Pennsylvania, 18103, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Carolina Urology Partners

West Columbia, South Carolina, 29163, United States

Location

Urology Associates

Nashville, Tennessee, 37209, United States

Location

Rio Grande Urology

El Paso, Texas, 79912, United States

Location

Seattle Urology Research Center

Burien, Washington, 98166, United States

Location

Biospecimen

Retention: SAMPLES WITH DNA

Formalin-fixed paraffin-embedded (FFPE) tissue from blocks or slides of prostatic adenocarcinoma biopsies

MeSH Terms

Conditions

Prostatic Neoplasms

Condition Hierarchy (Ancestors)

Genital Neoplasms, MaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsGenital Diseases, MaleGenital DiseasesUrogenital DiseasesProstatic DiseasesMale Urogenital Diseases

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
8 Years
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 19, 2017

First Posted

September 25, 2017

Study Start

September 14, 2017

Primary Completion

January 14, 2022

Study Completion

January 14, 2022

Last Updated

June 23, 2022

Record last verified: 2022-06

Data Sharing

IPD Sharing
Will share

Results of Prolaris testing to be shared with patient and patient's provider. Individual participant data will be shared with investigators. Aggregate clinical date will be presented in manuscript form.

Time Frame
Within 1 year of last study out.

Locations