Kidney Function and Risk Factors in Patients with Metastatic Castration-Resistant Prostate Cancer (mCRPC) Undergoing 177Lutetium-PSMA Radioligand Therapy: a Prospective Observational Study - KiRi-Trial

NCT ID: NCT06720532

Last Updated: 2024-12-06

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

RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-08-05

Study Completion Date

2031-08-01

Brief Summary

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The goal of this observational study is to determine the impact of 177Lutetium-Prostate Specific Membrane Antigen (PSMA) Radioligand Therapy (177Lu-PSMA-RLT) on kidney function over time. The main question it aims to answer is:

What is the absolute decline in estimated glomerular filtration rate (eGFR) in patients undergoing 177Lu-PSMA-RLT after 12 and 24 months?

Patients treated with 177Lu-PSMA-RLT will have their kidney function monitored before, during, and after therapy using routine markers like creatinine and cystatin C. Additional biomarkers and urine proteomics will be collected to identify early detection markers and risk factors for chronic kidney disease (CKD). Follow-up examinations will be conducted at regular intervals up to 5 years. The study also aims to correlate clinical risk factors and patient-reported outcomes with kidney insufficiency to assess the impact of therapy and identify vulnerable patient groups.

Detailed Description

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Patients with mCRPC treated at Klinikum rechts der Isar who are newly receiving therapy with 177Lu-PSMA-RLT will be included. To ensure data quality, standard operating procedures (SOPs) will be implemented for both technical measurements and data collection. Data entered into the registry will undergo double data verification against predefined rules for range and consistency with other data fields. This ensures the accuracy and reliability of the collected data. A detailed data dictionary will be maintained, describing each variable used in the registry, including its source, coding information (e.g., TNM staging system), and normal ranges if relevant. Patient reported outcomes (PROM) of cancer related symptoms and quality of life will be collected using standardized questionnaires.

Based on the power calculation, a total of 100 patients will be included in the study. These patients will be followed up for a period of up to 5 years to ensure comprehensive data collection and analysis.

Conditions

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Kidney Disease Radiation Nephropathy Metastatic Castrate Resistant Prostate Cancer (mCRPC)

Keywords

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mCRPC 177Lutetium 177Lu-PSMA radioligand therapy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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mCRPC Patients with 177Lutetium-PSMA RLT

Patients diagnosed with metastatic castration-resistant prostate carcinoma (mCRPC) undergoing initial treatment with 177Lutetium-PSMA radioligand therapy at the Klinikum rechts der Isar.

characterization of renal function.

Intervention Type DIAGNOSTIC_TEST

Blood and urine sample collection

Handgrip strength test

Intervention Type DIAGNOSTIC_TEST

Assess the peak isometric strength of the hand and forearm muscles, as well as their susceptibility to fatigue.

Questionaires

Intervention Type DIAGNOSTIC_TEST

The questionnaires evaluate quality of life, psychological distress, fear of progression, frailty, pain, decision regret and treatment expectations.

Interventions

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characterization of renal function.

Blood and urine sample collection

Intervention Type DIAGNOSTIC_TEST

Handgrip strength test

Assess the peak isometric strength of the hand and forearm muscles, as well as their susceptibility to fatigue.

Intervention Type DIAGNOSTIC_TEST

Questionaires

The questionnaires evaluate quality of life, psychological distress, fear of progression, frailty, pain, decision regret and treatment expectations.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Patients with mCRPC starting 177Lu-PSMA RLT at the Klinikum rechts der Isar at the time of therapy initiation (1st cycle).

Exclusion Criteria

* Missing or incomplete informed consent.
* age below 18 years
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Hannah Schaefer

OTHER

Sponsor Role lead

Responsible Party

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Hannah Schaefer

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Klinikum rechts der Isar, München, Bavaria 81675

Munich, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Hannah Schäfer/ Christoph Schmaderer

Role: CONTACT

Phone: +49 - 89 4140 8383

Email: [email protected]

Facility Contacts

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Hannah/Christoph Schäfer/Schmaderer

Role: primary

Other Identifiers

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2023-402-S-KK

Identifier Type: -

Identifier Source: org_study_id