RecruitingPhase 3NCT03903835

ProBio: A Biomarker Driven Study in Patients With Metastatic Prostate Cancer

ProBio: An Outcome-adaptive and Randomized Multi-arm Biomarker Driven Study in Patients With Metastatic Prostate Cancer


Sponsor

Karolinska Institutet

Enrollment

750 participants

Start Date

Feb 1, 2019

Study Type

INTERVENTIONAL

Conditions

Summary

ProBio is an international, outcome-adaptive, multi-arm, open-label, multiple assignment randomized biomarker driven platform trial in patients with metastatic prostate cancer. Patients will be randomized to control or experimental treatment arms. Patients in the control arm will receive standard of care following national guidelines. Patients in the experimental arm will be randomized to treatments based on a biomarker signature inferred from diagnostic tissue or liquid biopsy profiling. The predefined biomarker signatures are tumor properties or mutations in genes/pathways with previously demonstrated clinical validity (e.g. prognostic value or association with treatment response). The biomarker signatures are identified using a hybridisation capture gene panel specifically designed for prostate cancer.


Eligibility

Sex: MALEMin Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study uses blood biomarkers to guide treatment decisions for men with metastatic prostate cancer — cancer that has spread beyond the prostate — aiming to better match treatments to each patient's individual cancer biology. **You may be eligible if...** - You are a man with confirmed prostate cancer that has spread to distant sites (bones or other organs) - You are starting treatment for either hormone-sensitive or castration-resistant metastatic prostate cancer - You are in good enough health to receive available treatments (ECOG 0-2) - You have adequate blood, liver, and kidney function **You may NOT be eligible if...** - You have had another cancer in the past 5 years (some exceptions apply) - You do not have confirmed distant metastatic disease on imaging Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

DRUGEnzalutamide Oral Capsule

Detailed conditions for the use of the study treatments including dose and dosages are described in accordance with the marketing authorization in the SmPC (Summary of Product Characteristics).

DRUGAbiraterone Oral Tablet

Detailed conditions for the use of the study treatment including dose and dosages are described in accordance with the marketing authorisation in the SmPC.

DRUGCarboplatin

Carboplatin will be administered every 3rd week with an AUC (area under curve) = 5 with a dose calculated according to the Carboplatin AUC Dose calculation (Calvert formula):Dose (mg) = TargetAUC (mg/ml x min) x \[GFR ml/min + 25\].

DRUGCabazitaxel 60 mg Solution for Injection

Detailed conditions for the use of the study treatment including dose and dosages are described in accordance with the marketing authorisation in the SmPC.

DRUGDocetaxel Injectable Solution

Detailed conditions for the use of the study treatment including dose and dosages are described in accordance with the marketing authorisation in the SmPC.

DRUGRadium Chloride Ra-223

Detailed conditions for the use of the study treatment including dose and dosages are described in accordance with the marketing authorisation in the SmPC.

DRUGNiraparib plus Abiraterone acetate plus Prednisone

Niraparib and Abiraterone acetate will be provided by Janssen and will be provided either as a fixed dose combination or as single agents. Detailed use of the study treatment including dose and dosages are described in the Investigator's brochures and SmPC.

DRUGCapivasertib plus Docetaxel

Capivasertib is provided by AstraZeneca and will be given in combination with Docetaxel. All subjects will be given up to ten 21-day docetaxel cycles. All subjects will receive Capivasertib, which will be administered as tablets taken twice a day orally, on a 4 days on/3 days off continuous schedule, commencing cycle one, day 2, until disease progression.

DRUGApalutamide

Detailed conditions for the use of the study treatments including dose and dosages are described in accordance with the marketing authorization in the SmPC (Summary of Product Characteristics).

DRUGDarolutamide

Detailed conditions for the use of the study treatments including dose and dosages are described in accordance with the marketing authorization in the SmPC (Summary of Product Characteristics).


Locations(32)

OLV Ziekenhuis Aalst

Aalst, Belgium

GZA Sint-Augustinus

Antwerp, Belgium

AZ Sint-Jan AV

Bruges, Belgium

AZ Sint-Lucas

Bruges, Belgium

Ziekenhuis Oost-Limburg

Genk, Belgium

University Hospital Ghent

Ghent, Belgium

AZ Jan Palfijn Ziekenhuis

Ghent, Belgium

Jessa ziekenhuis

Hasselt, Belgium

AZ Groeninge

Kortrijk, Belgium

University Hospital Luik

Liège, Belgium

AZ Damiaan

Ostend, Belgium

VITAZ

Sint-Niklaas, Belgium

Ålesund Sjukehus

Ålesund, Norway

Kreftsenter Kristiansand

Kristiansand, Norway

Akershus Universitetssykehus

Lørenskog, Norway

Stavanger Universitetssjukehus

Stavanger, Norway

Universitetssykehuset Nord-Norge Tromsö

Tromsø, Norway

Falu lasarett

Falun, Region Dalarna, Sweden

Södra Alvsborgs sjukhus

Borås, Sweden

Länssjukhuset Ryhov - Onkologiska kliniken

Jönköping, Sweden

Länssjukhuset

Kalmar, Sweden

Centralsjukhuset Region Värmland

Karlstad, Sweden

Universitetssjukhuset Örebro

Örebro, Sweden

Karolinska University Hospital

Stockholm, Sweden

Capio St.Görans Hospital

Stockholm, Sweden

Länssjukhuset Sundsvall Härnösand

Sundsvall, Sweden

Norrlands Universitetssjukhus

Umeå, Sweden

Akademiska sjukhuset

Uppsala, Sweden

Hallands sjukhus Varberg

Varberg, Sweden

Centrallasarettet Onkologkliniken

Vaxjo, Sweden

St. Claraspital

Basel, Switzerland

Universitätsspital Basel

Basel, Switzerland

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT03903835


Related Trials