Cytoreductive Prostatectomy in Treating Patients With Newly Diagnosed, Metastatic Prostate Cancer

NCT ID: NCT02458716

Last Updated: 2021-04-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-06

Study Completion Date

2020-01-14

Brief Summary

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This phase I trial studies the side effects of cytoreductive prostatectomy in treating patients with newly diagnosed prostate cancer that has spread from the primary site to other places in the body. Cytoreductive prostatectomy is a type of surgery that removes the prostate and as much of the tumor as possible. When combined with hormone therapy, robotic assisted radical prostatectomy (RARP) or conventional open retropubic radical prostatectomy (RRP) may prolong survival in patients with prostate cancer that has spread.

Detailed Description

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PRIMARY OBJECTIVES:

I. To determine the safety and feasibility of cytoreductive prostatectomy (to remove as much of the primary cancer as possible) in men with newly diagnosed clinical T1-3N1M0 or T1-3N0M1a-b prostate cancer (herein, collectively referred to as metastatic prostate cancer).

SECONDARY OBJECTIVES:

I. Time to prostate specific antigen (PSA) nadir and castration resistance following cytoreductive prostatectomy and subsequent standard systemic therapy, androgen deprivation.

OUTLINE:

Patients undergo RARP or conventional open RRP. Immediately following surgery, patients receive standard systemic androgen deprivation therapy.

After completion of study treatment, patients are followed up every 90 days for 3 years.

Conditions

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Metastatic Prostate Carcinoma Metastatic Prostatic Adenocarcinoma Prostate Carcinoma Metastatic to the Bone

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Surgery followed by hormone therapy (ADT)

Patients undergo Robotic Assisted Radical Prostatectomy (RARP) or conventional open retropubic radical prostectomy (RRP). Immediately following surgery, patients receive the standard systemic androgen deprivation therapy.

Group Type EXPERIMENTAL

Robotic Assisted Radical Prostatectomy

Intervention Type PROCEDURE

Undergo RARP

Conventional open retropubic radical prostectomy

Intervention Type PROCEDURE

Undergo conventional open RRP

Laboratory Biomarker Analysis

Intervention Type OTHER

Correlative studies

Quality-of-Life Assessment

Intervention Type OTHER

Ancillary studies

ADT (androgen deprivation therapy) (i.e. leuprolide) plus an androgen receptor inhibitor (i.e. bicalutamide)

Intervention Type DRUG

LHRH agonist or antagonist (i.e. leuprolide) plus an androgen receptor inhibitor (i.e. bicalutamide)

Interventions

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Robotic Assisted Radical Prostatectomy

Undergo RARP

Intervention Type PROCEDURE

Conventional open retropubic radical prostectomy

Undergo conventional open RRP

Intervention Type PROCEDURE

Laboratory Biomarker Analysis

Correlative studies

Intervention Type OTHER

Quality-of-Life Assessment

Ancillary studies

Intervention Type OTHER

ADT (androgen deprivation therapy) (i.e. leuprolide) plus an androgen receptor inhibitor (i.e. bicalutamide)

LHRH agonist or antagonist (i.e. leuprolide) plus an androgen receptor inhibitor (i.e. bicalutamide)

Intervention Type DRUG

Other Intervention Names

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Quality of Life Assessment Hormone therapy

Eligibility Criteria

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Inclusion Criteria

* Histologically proven adenocarcinoma of the prostate
* Evidence of lymph node or bone metastasis by magnetic resonance imaging (MRI)/computed tomography (CT), bone scan, or biopsy (N1Mx or NxM1)
* Give informed consent
* Clinical stage T3 or less (pelvic MRI shows no rectal and ureteral invasion)
* Cleared by the primary medical doctor for surgery
* No prior systemic therapy for metastatic prostate cancer
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

Exclusion Criteria

* Refuses to give informed consent
* Refuses or is unable to have pelvic MRI
* Clinical stage T4 (pelvic MRI shows rectal and/or ureteral invasion)
* Deemed a poor surgical risk per primary medical doctor
* Received prior therapeutic intervention for metastatic prostate cancer
* Known spinal cord compression or brain or liver metastasis
* Deep vein thrombosis (DVT)/pulmonary embolism (PE) in the past 6 months
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Rutgers Cancer Institute of New Jersey

OTHER

Sponsor Role collaborator

Rutgers, The State University of New Jersey

OTHER

Sponsor Role lead

Responsible Party

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Isaac Yi Kim, MD, PhD, MBA

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Isaac Kim

Role: PRINCIPAL_INVESTIGATOR

Rutgers Cancer Institute of New Jersey

Locations

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City of Hope National Medical Center (COH)

Duarte, California, United States

Site Status

University of California, Irvine (UCI)

Orange, California, United States

Site Status

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Site Status

Countries

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United States

Other Identifiers

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NCI-2015-00384

Identifier Type: REGISTRY

Identifier Source: secondary_id

Pro20140001022

Identifier Type: OTHER

Identifier Source: secondary_id

081403

Identifier Type: OTHER

Identifier Source: secondary_id

P30CA072720

Identifier Type: NIH

Identifier Source: secondary_id

View Link

Pro20140001022

Identifier Type: -

Identifier Source: org_study_id

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