PRostate Cancer Plasma Integrative Multi-modal Evaluation

NCT ID: NCT06981377

Last Updated: 2025-05-20

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

800 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-05-07

Study Completion Date

2027-01-31

Brief Summary

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The study aims to develop PRIME (PRostate cancer plasma Integrative Multi-modal Evaluation) liquid biopsy test and to implement its use to query prospectively collected samples in advanced prostate cancer (PCa) clinical trials and/or clinical settings. In order to maximise the utility of liquid biopsies for advanced PCa, PRIME is focused on the development of novel computational and sequencing approaches that integrate multiple information from plasma circulating elements: i) cell free DNA (cfDNA) gene mutation data with accurate quantitation of cfDNA structural genomic changes, ii) cfDNA genomic profiling with cfDNA methylation status, and iii) the information provided by extracellular vesicles (EVs) and EV-associated cargo (including DNA, RNA and proteins).

Detailed Description

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Conditions

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Metastatic Prostate Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Metastatic Castration Resistant Prostate Cancer (mCRPC) patients

This group includes mCRPC patients treated with serial lines of treatment.

For each line of treatment, blood samples are collected:

1. Before starting the treatment;
2. After 12 weeks;
3. At the end of the treatment/progression.

Analysis of cell free DNA, and extracellular vesicles (EVs) and EV-associated molecular components (including RNA, DNA, proteins)

Intervention Type DIAGNOSTIC_TEST

Plasma and buffy coat samples are shipped from the recruiting clinical sites to the lab of Professor Francesca Demichelis at the University of Trento (UniTN).

At UniTN, samples are stored in dedicated freezers with restricted access and subsequently used as follows:

* the plasma is used for the isolation of cell free DNA and extracellular vesicles (EVs);
* the buffy coat is used for the extraction of genomic DNA.

Nucleic acids sequencing library preparations and all downstream omics analyses are performed by Prof. Demichelis team.

Metastatic Hormon Sensitive Prostate Cancer (mHSPC) patients

This group includes mHSPC patients treated with hormone therapy.

In the hormone sensitive setting, blood samples are collected:

1. Before starting the treatment;
2. After 12 weeks;
3. Every six months until progression to the castration resistant status.

Analysis of cell free DNA, and extracellular vesicles (EVs) and EV-associated molecular components (including RNA, DNA, proteins)

Intervention Type DIAGNOSTIC_TEST

Plasma and buffy coat samples are shipped from the recruiting clinical sites to the lab of Professor Francesca Demichelis at the University of Trento (UniTN).

At UniTN, samples are stored in dedicated freezers with restricted access and subsequently used as follows:

* the plasma is used for the isolation of cell free DNA and extracellular vesicles (EVs);
* the buffy coat is used for the extraction of genomic DNA.

Nucleic acids sequencing library preparations and all downstream omics analyses are performed by Prof. Demichelis team.

Interventions

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Analysis of cell free DNA, and extracellular vesicles (EVs) and EV-associated molecular components (including RNA, DNA, proteins)

Plasma and buffy coat samples are shipped from the recruiting clinical sites to the lab of Professor Francesca Demichelis at the University of Trento (UniTN).

At UniTN, samples are stored in dedicated freezers with restricted access and subsequently used as follows:

* the plasma is used for the isolation of cell free DNA and extracellular vesicles (EVs);
* the buffy coat is used for the extraction of genomic DNA.

Nucleic acids sequencing library preparations and all downstream omics analyses are performed by Prof. Demichelis team.

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of prostate cancer
* Eligible for prostate cancer pharmacological treatment
* Given consent to study participation

Exclusion Criteria

\- Histological diagnosis other than prostate cancer
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Università degli Studi di Trento

OTHER

Sponsor Role collaborator

Santa Chiara Hospital

OTHER

Sponsor Role lead

Responsible Party

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Orazio Caffo

Director, Medical Oncology Unit

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Istituto Romagnolo per lo Studio dei Tumori

Meldola, Forlì-Cesena, Italy

Site Status RECRUITING

Azienda Ospedaliera San Luigi

Orbassano, Torino, Italy

Site Status RECRUITING

Istituto Oncologico Veneto

Padua, , Italy

Site Status RECRUITING

Santa Chiara Hospital

Trento, , Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Orazio Caffo

Role: CONTACT

+39 0461902121

Facility Contacts

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Ugo De Giorgi, MD, PhD

Role: primary

00390543739123

Consuelo Buttigliero, MD, PhD

Role: primary

+390116705492

Umberto Basso, MD

Role: primary

+39-049-8215953

Orazio Caffo, MD

Role: primary

+39 046190212

References

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Mugoni V, Ciani Y, Quaini O, Tomasini S, Notarangelo M, Vannuccini F, Marinelli A, Leonardi E, Pontalti S, Martinelli A, Rossetto D, Pesce I, Mansy SS, Barbareschi M, Ferro A, Caffo O, Attard G, Di Vizio D, D'Agostino VG, Nardella C, Demichelis F. Integrating extracellular vesicle and circulating cell-free DNA analysis using a single plasma aliquot improves the detection of HER2 positivity in breast cancer patients. J Extracell Biol. 2023 Sep;2(9):e108. doi: 10.1002/jex2.108. Epub 2023 Sep 25.

Reference Type BACKGROUND
PMID: 38046436 (View on PubMed)

Orlando F, Romanel A, Trujillo B, Sigouros M, Wetterskog D, Quaini O, Leone G, Xiang JZ, Wingate A, Tagawa S, Jayaram A, Linch M; PEACE Consortium; Jamal-Hanjani M, Swanton C, Rubin MA, Wyatt AW, Beltran H, Attard G, Demichelis F. Allele-informed copy number evaluation of plasma DNA samples from metastatic prostate cancer patients: the PCF_SELECT consortium assay. NAR Cancer. 2022 May 27;4(2):zcac016. doi: 10.1093/narcan/zcac016. eCollection 2022 Jun.

Reference Type BACKGROUND
PMID: 35664542 (View on PubMed)

Conteduca V, Scarpi E, Wetterskog D, Brighi N, Ferroni F, Rossi A, Romanel A, Gurioli G, Bleve S, Gianni C, Schepisi G, Lolli C, Cortesi P, Matteucci F, Barone D, Paganelli G, Demichelis F, Beltran H, Attard G, De Giorgi U. Plasma tumor DNA is associated with increased risk of venous thromboembolism in metastatic castration-resistant cancer patients. Int J Cancer. 2022 Apr 1;150(7):1166-1173. doi: 10.1002/ijc.33834. Epub 2021 Oct 13.

Reference Type BACKGROUND
PMID: 34605002 (View on PubMed)

Conteduca V, Wetterskog D, Scarpi E, Romanel A, Gurioli G, Jayaram A, Lolli C, Tandefelt DG, Schepisi G, Casadei C, Wingate A, Matteucci F, Paganelli G, Gonzalez-Billalabeitia E, Demichelis F, De Giorgi U, Attard G. Plasma tumour DNA as an early indicator of treatment response in metastatic castration-resistant prostate cancer. Br J Cancer. 2020 Sep;123(6):982-987. doi: 10.1038/s41416-020-0969-5. Epub 2020 Jul 16.

Reference Type BACKGROUND
PMID: 32669676 (View on PubMed)

Wu A, Cremaschi P, Wetterskog D, Conteduca V, Franceschini GM, Kleftogiannis D, Jayaram A, Sandhu S, Wong SQ, Benelli M, Salvi S, Gurioli G, Feber A, Pereira MB, Wingate AM, Gonzalez-Billalebeitia E, De Giorgi U, Demichelis F, Lise S, Attard G. Genome-wide plasma DNA methylation features of metastatic prostate cancer. J Clin Invest. 2020 Apr 1;130(4):1991-2000. doi: 10.1172/JCI130887.

Reference Type BACKGROUND
PMID: 32149736 (View on PubMed)

Beltran H, Romanel A, Conteduca V, Casiraghi N, Sigouros M, Franceschini GM, Orlando F, Fedrizzi T, Ku SY, Dann E, Alonso A, Mosquera JM, Sboner A, Xiang J, Elemento O, Nanus DM, Tagawa ST, Benelli M, Demichelis F. Circulating tumor DNA profile recognizes transformation to castration-resistant neuroendocrine prostate cancer. J Clin Invest. 2020 Apr 1;130(4):1653-1668. doi: 10.1172/JCI131041.

Reference Type BACKGROUND
PMID: 32091413 (View on PubMed)

Prandi D, Demichelis F. Ploidy- and Purity-Adjusted Allele-Specific DNA Analysis Using CLONETv2. Curr Protoc Bioinformatics. 2019 Sep;67(1):e81. doi: 10.1002/cpbi.81.

Reference Type BACKGROUND
PMID: 31524989 (View on PubMed)

Vagner T, Spinelli C, Minciacchi VR, Balaj L, Zandian M, Conley A, Zijlstra A, Freeman MR, Demichelis F, De S, Posadas EM, Tanaka H, Di Vizio D. Large extracellular vesicles carry most of the tumour DNA circulating in prostate cancer patient plasma. J Extracell Vesicles. 2018 Aug 7;7(1):1505403. doi: 10.1080/20013078.2018.1505403. eCollection 2018.

Reference Type BACKGROUND
PMID: 30108686 (View on PubMed)

Romanel A, Gasi Tandefelt D, Conteduca V, Jayaram A, Casiraghi N, Wetterskog D, Salvi S, Amadori D, Zafeiriou Z, Rescigno P, Bianchini D, Gurioli G, Casadio V, Carreira S, Goodall J, Wingate A, Ferraldeschi R, Tunariu N, Flohr P, De Giorgi U, de Bono JS, Demichelis F, Attard G. Plasma AR and abiraterone-resistant prostate cancer. Sci Transl Med. 2015 Nov 4;7(312):312re10. doi: 10.1126/scitranslmed.aac9511.

Reference Type BACKGROUND
PMID: 26537258 (View on PubMed)

Carreira S, Romanel A, Goodall J, Grist E, Ferraldeschi R, Miranda S, Prandi D, Lorente D, Frenel JS, Pezaro C, Omlin A, Rodrigues DN, Flohr P, Tunariu N, S de Bono J, Demichelis F, Attard G. Tumor clone dynamics in lethal prostate cancer. Sci Transl Med. 2014 Sep 17;6(254):254ra125. doi: 10.1126/scitranslmed.3009448.

Reference Type BACKGROUND
PMID: 25232177 (View on PubMed)

Prandi D, Baca SC, Romanel A, Barbieri CE, Mosquera JM, Fontugne J, Beltran H, Sboner A, Garraway LA, Rubin MA, Demichelis F. Unraveling the clonal hierarchy of somatic genomic aberrations. Genome Biol. 2014 Aug 26;15(8):439. doi: 10.1186/s13059-014-0439-6.

Reference Type BACKGROUND
PMID: 25160065 (View on PubMed)

Franceschini GM, Quaini O, Mizuno K, Orlando F, Ciani Y, Ku SY, Sigouros M, Rothmann E, Alonso A, Benelli M, Nardella C, Auh J, Freeman D, Hanratty B, Adil M, Elemento O, Tagawa ST, Feng FY, Caffo O, Buttigliero C, Basso U, Nelson PS, Corey E, Haffner MC, Attard G, Aparicio A, Demichelis F, Beltran H. Noninvasive Detection of Neuroendocrine Prostate Cancer through Targeted Cell-free DNA Methylation. Cancer Discov. 2024 Mar 1;14(3):424-445. doi: 10.1158/2159-8290.CD-23-0754.

Reference Type RESULT
PMID: 38197680 (View on PubMed)

Other Identifiers

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PRIME - AA Trento

Identifier Type: -

Identifier Source: org_study_id

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