NCT04034095

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.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
979

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Jul 2019

Longer than P75 for all trials

Geographic Reach
1 country

77 active sites

Status
completed

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

July 8, 2019

Completed
8 days until next milestone

First Submitted

Initial submission to the registry

July 16, 2019

Completed
10 days until next milestone

First Posted

Study publicly available on registry

July 26, 2019

Completed
5.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 13, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 13, 2024

Completed
Last Updated

December 15, 2025

Status Verified

December 1, 2025

Enrollment Period

5.1 years

First QC Date

July 16, 2019

Last Update Submit

December 12, 2025

Conditions

Outcome Measures

Primary Outcomes (13)

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

    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.

    1 year

  • PSA Progression-free Survival (PSA-PFS)

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

    Up to 5 years

  • Percentage of Participants with PSA-PFS

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

    2 years

  • Progression-free Survival (PFS)

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

    Up to 5 years

  • Percentage of Participants with PFS

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

    3 years

  • Overall Survival (OS)

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

    Up to 5 years

  • Percentage of Participants with Overall Survival (OS)

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

    3 years

  • Cancer Specific Survival (CSS)

    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.

    Up to 5 years

  • Percentage of Participants with CSS

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

    3 years

  • Time to Symptomatic Skeletal Event (TTSSE)

    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.

    Up to 5 years

  • Patient Health Questionnaire-9 (PHQ-9) Score

    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).

    Up to 5 years

  • Functional Assessment of Cancer Therapy for Prostate Cancer (FACT-P) Questionnaire Score

    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.

    Up to 5 years

  • Montreal Cognitive Assessment (MoCA) Score

    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.

    Up to 5 years

Study Arms (2)

Cohort 1: ADT alone/ ADT + Bicalutamide

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.

Drug: Androgen-deprivation Therapy (ADT)Drug: Bicalutamide

Cohort 2: ADT + AAP/Docetaxel/Enzalutamide/Apalutamide

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.

Drug: Androgen-deprivation Therapy (ADT)Drug: AbirateroneDrug: PrednisoloneDrug: DocetaxelDrug: EnzalutamideDrug: Apalutamide

Interventions

Participants enrolled in this study will continue to receive ADT (example- Leuprorelin, Goserelin and Degarelix) alone or in combination with other therapies in routine clinical practice as directed by their treating physician. No intervention will be administered as a part of this study.

Cohort 1: ADT alone/ ADT + BicalutamideCohort 2: ADT + AAP/Docetaxel/Enzalutamide/Apalutamide

Participants enrolled in this study will continue to receive bicalutamide along with ADT in routine clinical practice as directed by their treating physician. No intervention will be administered as a part of this study.

Cohort 1: ADT alone/ ADT + Bicalutamide

Participants enrolled in this study will continue to receive abiraterone in combination with prednisolone along with ADT in routine clinical practice as directed by their treating physician. No intervention will be administered as a part of this study.

Cohort 2: ADT + AAP/Docetaxel/Enzalutamide/Apalutamide

Participants enrolled in this study will continue to receive prednisolone in combination with abiraterone along with ADT in routine clinical practice as directed by their treating physician. No intervention will be administered as a part of this study.

Cohort 2: ADT + AAP/Docetaxel/Enzalutamide/Apalutamide

Participants enrolled in this study will continue to receive docetaxel along with ADT in routine clinical practice as directed by their treating physician. No intervention will be administered as a part of this study.

Cohort 2: ADT + AAP/Docetaxel/Enzalutamide/Apalutamide

Participants enrolled in this study will continue to receive enzalutamide along with ADT in routine clinical practice as directed by their treating physician. No intervention will be administered as a part of this study.

Cohort 2: ADT + AAP/Docetaxel/Enzalutamide/Apalutamide

Participants enrolled in this study will continue to receive apalutamide along with ADT in routine clinical practice as directed by their treating physician. No intervention will be administered as a part of this study.

Cohort 2: ADT + AAP/Docetaxel/Enzalutamide/Apalutamide

Eligibility Criteria

Age20 Years+
Sexmale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Participants with high-risk metastatic hormone-naive prostate cancer (mHNPC) in Japan receiving androgen-deprivation therapy (ADT) containing treatment under routine clinical practice will be observed throughout their course of treatment, during which data on prostate cancer (PC) treatment, radiographic/clinical progression, and outcomes (including death) will be collected. The main source of data collection will be medical records of each participating participant.

You may qualify if:

  • 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)

You may not qualify if:

  • \- has any other active malignancies

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (77)

Akita University Hospital

Akita, 010-8543, Japan

Location

Juntendo University Hospital

Bunkyō City, 113 8431, Japan

Location

Tokyo Medical and Dental University Hospital

Bunkyō City, 113 8519, Japan

Location

Chiba University Hospital

Chiba, 260 8677, Japan

Location

Chiba Cancer Center

Chiba, 260-8717, Japan

Location

University of Yamanashi Hospital

Chūō, 409-3898, Japan

Location

Hospital of the University of Occupational and Enviromental Health

Fukuoka, 807-8555, Japan

Location

Kyushu University Hospital

Fukuoka, 812 8582, Japan

Location

Fukushima Medical University Hospital

Fukushima, 960 1295, Japan

Location

Gifu University Hospital

Gifu, 501-1194, Japan

Location

Harasanshin Hospital

Hakata-Ku, 812-0033, Japan

Location

Hamamatsu University Hospital

Hamamatsu, 431-3192, Japan

Location

Saitama Medical University International Medical Center

Hidaka, 350-1298, Japan

Location

Hirosaki University Hospital

Hirosaki, 036-8563, Japan

Location

Hiroshima University Hospital

Hiroshima, 734 8551, Japan

Location

Tokyo Dental College Ichikawa General Hospital

Ichikawa, 272-8513, Japan

Location

Tokyo Medical University Ibaraki Medical Center

Inashiki, 300 0395, Japan

Location

Teikyo University Hospital

Itabashi Ku, 173 8606, Japan

Location

Kanazawa Medical University Hospital

Kahoku-District, 920-0293, Japan

Location

University Hospital Kyoto Prefectural University of Medicine

Kamigyo, 602-8566, Japan

Location

St Marianna University Hospital

Kanagawa, 216 8511, Japan

Location

Kanazawa University Hospital

Kanazawa, 920 8641, Japan

Location

Nara Medical University Hospital

Kashihara, 634-8522, Japan

Location

Kimitsu Chuo Hospital

Kisarazu-shi, 292-8535, Japan

Location

Kagawa University Hospital

Kita Gun, 761 0793, Japan

Location

Kobe University Hospital

Kobe, 650 0017, Japan

Location

Kobe City Medical Center General Hospital

Kobe, 650 0047, Japan

Location

Kochi Medical School Hospital

Kochi, 783-8505, Japan

Location

Dokkyo Medical University Saitama Medical Center

Koshigaya, 343-8555, Japan

Location

National Hospital Organization Shikoku Cancer Center

Matsuyama, 791-0280, Japan

Location

Kitasato University Hospital

Minamiku, 252-0375, Japan

Location

University of Miyazaki Hospital

Miyazaki, 889-1692, Japan

Location

Iwate Medical University Hospital

Morioka, 020-8505, Japan

Location

Aichi Medical University Hospital

Nagakute, 480-1195, Japan

Location

Nagasaki University Hospital

Nagasaki, 852-8501, Japan

Location

Nagoya City University Hospital

Nagoya, 467 8602, Japan

Location

University of the Ryukyus Hospital

Nakagami Gun, 903-0215, Japan

Location

Tokyo Metropolitan Police Hospital

Nakano, 1648541, Japan

Location

Miyagi Cancer Center

Natori-shi, 981-1293, Japan

Location

Niigata University Medical And Dental Hospital

Niigata, 951 8520, Japan

Location

Okayama University Hospital

Okayama, 700 8558, Japan

Location

Osaka International Cancer Institute

Osaka, 541 8567, Japan

Location

Kindai University Hospital

Osaka Sayama Shi, 589 8511, Japan

Location

Gunma Prefectural Cancer Center

Ōta-ku, 373 8550, Japan

Location

Shiga University of Medical Science Hospital

Ōtsu, 520-2121, Japan

Location

Japan Community Health Care Organization Saitama Medical Center

Saitama, 350-8550, Japan

Location

Sapporo Medical University Hospital

Sapporo, 060-8543, Japan

Location

Hokkaido University Hospital

Sapporo, 060-8648, Japan

Location

Tohoku University Hospital

Sendai, 980 8574, Japan

Location

Tohoku Medical And Pharmaceutical University Hospital

Sendai, 981-8558, Japan

Location

Jichi Medical University Hospital

Shimotsuke, 329-0498, Japan

Location

Showa University Hospital

Shinagawa City, 142 8666, Japan

Location

Japan Community Health care Organization Tokyo Shinjuku Medical Center

Shinjuku-ku, Japan

Location

Chutoen General Medical Center

Shizuoka, 436-0040, Japan

Location

Osaka University Hospital

Suita-shi, 565-0871, Japan

Location

Osaka Medical and Pharmaceutical University Hospital

Takatsuki, 569-8686, Japan

Location

Tokushima University Hospital

Tokushima, 770-8503, Japan

Location

The Jikei University Hospital

Tokyo, 105 8471, Japan

Location

Toranomon Hospital

Tokyo, 105-8470, Japan

Location

Nippon Medical School Hospital

Tokyo, 113 8603, Japan

Location

The Cancer Institute Hospital of JFCR

Tokyo, 135 8550, Japan

Location

Tokyo Medical University Hospital

Tokyo, 160-0023, Japan

Location

Ehime University Hospital

Toon-shi, 791-0295, Japan

Location

Toyama University Hospital

Toyama, 930-0194, Japan

Location

Fujita Health University Hospital

Toyoake, 470-1192, Japan

Location

Mie University Hospital

Tsu, 514 8507, Japan

Location

University of Tsukuba Hospital

Tsukuba, 305 8576, Japan

Location

Yamaguchi University Hospital

Ube, 755-8505, Japan

Location

Wakayama Medical University Hospital

Wakayama, 641 8510, Japan

Location

Yamagata University Hospital

Yamagata, 990-9585, Japan

Location

Yokohama Rosai Hospital

Yokohama, 222-0036, Japan

Location

Yokohama City University Medical Center

Yokohama, 232 0024, Japan

Location

Yokohama City University Hospital

Yokohama, 236 0004, Japan

Location

Yokosuka Kyosai Hospital

Yokosuka, 238 8558, Japan

Location

Tottori University Hospital

Yonago, 683-8504, Japan

Location

University of Fukui Hospital

Yoshida, 910-1193, Japan

Location

Oita University Hospital

Yufu, 879-5593, Japan

Location

MeSH Terms

Conditions

Prostatic Neoplasms

Interventions

Androgen AntagonistsbicalutamideabirateronePrednisoloneDocetaxelenzalutamideapalutamide

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Hormone AntagonistsHormones, Hormone Substitutes, and Hormone AntagonistsPhysiological Effects of DrugsPharmacologic ActionsChemical Actions and UsesPregnadienetriolsPregnadienesPregnanesSteroidsFused-Ring CompoundsPolycyclic CompoundsTaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenes

Study Officials

  • Janssen Pharmaceutical K.K., Japan Clinical Trial

    Janssen Pharmaceutical K.K.

    STUDY DIRECTOR

Study Design

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

Study Record Dates

First Submitted

July 16, 2019

First Posted

July 26, 2019

Study Start

July 8, 2019

Primary Completion

August 13, 2024

Study Completion

August 13, 2024

Last Updated

December 15, 2025

Record last verified: 2025-12

Data Sharing

IPD Sharing
Will not share

Locations