AzTrials
AzTrials

Prostate CancerPRO-IMPACTNCT02080689

Prospective Clinical Utility Study to Assess the Impact of Decipher on Treatment Decisions After Surgery

A study testing Decipher in people with Prostate Cancer, run by GenomeDx Biosciences Corp at 19 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The influence of Decipher test on urologist and patient treatment plan choices immediately post RP and at the time of PSA rise or BCR Read more about this study

Who is it for?
Any age, men only
Conditions the study is for
Prostate Cancer
What is being tested?
Decipher
Could I receive a placebo?
No, everyone receives an active treatment
How many people
286 participants
Where
19 sitesUnited States
Study dates
May 2014to 1 Feb 2017
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • Men only
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Pathological T3 stage of disease (i.e., EPE or SVI), or
  • Positive surgical margins, or
  • Detectable PSA, defined as PSA detectable and rising on 2 or more subsequent determinations

Who cannot join

  • For adjuvant setting patients: Metastatic Disease (M+) prior to surgery
  • For salvage setting patients: Metastatic Disease at PSA rise
  • Failure of PSA to nadir after surgery
  • Received any neo-adjuvant prostate cancer treatment before radical prostatectomy
  • Received any adjuvant chemotherapy
  • Required patient clinical data is not available for evaluation of eligibility criteria
Show all 9Show fewer
  • For adjuvant setting patients, any treatment received after surgery
  • For salvage setting patients, lack of documented treatment or management recommendation on file
  • Tissue specimen is inadequate for sampling and analysis

Trial locations and contacts

19 sites in 1 country.

19 sites in 1 country

United States19 sites
  • Alaska Urology Institute Alaska Clinical Research Center

    Anchorage, Alaska, 99503

  • University of Colorado, Denver Medical Campus

    Aurora, Colorado, 80045

  • Brigham and Women's Hospital

    Boston, Massachusetts, 02115

  • University of Vermont Medical Center

    Burlington, Vermont, 05401

  • UT Southwestern Medical Center

    Dallas, Texas, 753910-9110

  • The Urology Center of Colorado

    Denver, Colorado, 80211

  • Carolina Urology Partners

    Gastonia, North Carolina, 28054

  • Spectrum Health Medical Group

    Grand Rapids, Michigan, 49546

  • Urological Research Network

    Hialeah, Florida, 33016

  • Lakeland Regional Health Systems

    Lakeland, Florida, 33805

  • Lancaster Urology

    Lancaster, Pennsylvania, 17604

  • Cedars-Sinai Medical Center

    Los Angeles, California, 90048

  • University of Miami Miller School of Medicine

    Miami, Florida, 33101

  • Thomas Jefferson University

    Philadelphia, Pennsylvania, 19107

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania, 19111

  • Virginia Urology

    Richmond, Virginia, 23235

  • Huntsman Cancer Hospital

    Salt Lake City, Utah, 84112

  • University of Washington

    Seattle, Washington

  • Delaware Valley Urology, LLC

    Voorhees Township, New Jersey, 08043

Other trials in United States

About this study

Official title: PROspective Study of the IMPACT of Decipher™ Prostate Cancer Classifier on Physician and Patient Treatment Consideration and Decisions Following Radical Prostatectomy [PRO-IMPACT]

The influence of Decipher test on urologist and patient treatment plan choices immediately post RP and at the time of PSA rise or BCR

Read the detailed description

This prospectively decision impact study will evaluate physicians and patient treatment plan choices before and after reviewing Decipher results for eligible patient cases. The clinical utility of Decipher will be evaluated for patients meeting the inclusion criteria at two time-points post-RP:

  1. In the adjuvant setting: within 12 months after surgery (in the absence of detectable PSA rise of BCR)
  2. In the salvage setting: post-RP with evidence of PSA rise or BCR (defined as PSA detectable and rising on 2 or more subsequent determinations)

A total of 150 patient cases, in each arm, will be prospectively selected from clinical sites. The study as a whole will enroll 300 patient cases.

As a condition of participation in the study, each clinical site must agree to provide a minimum of 10 patient cases.

Conditions
Prostate Cancer
Being tested
Decipher
Medical subject headings
Prostatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DecipherOther

Study groups in NCT02080689
Study groupRoleWhat they receive
Salvage settingOtherThe clinical utility of Decipher will be evaluated for patients meeting the inclusion criteria in the salvage setting: post-RP with evidence of PSA rise or BCR (defined as PSA detectable and rising on 2 or more subsequent determinations)
Receives: Other: Decipher
Adjuvant settingOtherThe clinical utility of Decipher will be evaluated for patients in the adjuvant setting: within 12 months after surgery (in the absence of detectable PSA rise of BCR)
Receives: Other: Decipher

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of participants for which the Decipher test changes the urologist's and patient's treatment plan choices

    Measured: 3 months

Secondary outcomes (9)
  1. Measure the number of participants for which treatment was Increased or decreased in the intensity.

    This outcome will compare recommended treatment pre-Decipher to recommended treatment post-Decipher

    Measured: 3 months

  2. The number of different treatment plans most influenced by Decipher as a measure of clinical utility

    Measured: 12 months

  3. Comparison of type of treatment plans between high risk and low risk patients

    How many treatment plans are similar for those considered at high versus low risk by Decipher test

    Measured: 6 months

  4. Account for the number of specific treatment assignments that correlated with a change in treatment recommendation

    Measured: 12 months

  5. Frequency of follow visits as a measure of reproducibility

    The extent to which the Decipher test results influence urologist recommendations on frequency of follow-up for patients

    Measured: 12 months

  6. Measure the urologist's and patient's Level of confidence in their selected treatment plan through the use of a share decision making tool

    Measured: 3 months

  7. Assess the number of physicians that assigned the same treatment treatment recommendations for patient of the same pathological profile as a measure of concordance

    Measured: 12 months

  8. A measure of the patient's quality of life (QOL) as a measure of Decipher's clinical utility for patients

    The extent to which the Decipher test results affect patient comfort level with treatment decisions as based on QOL and treatment regret tools

    Measured: 12 months

  9. Evaluate number of participants which show coherence to treatment decisions

    For how many cases was the original selected treatment for a patient actually executed upon

    Measured: 12 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Mar 2014 (estimated)
  2. Study startMay 2014
  3. Primary completion1 Feb 2017
  4. Study completion1 Feb 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Diagnosis
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
286 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02080689
Sponsor's protocol ID
CU 004
Acronym
PRO-IMPACT
Status last verified
Feb 2017
First submitted
18 Feb 2014
Last updated
27 Feb 2017
Results posted
No
Data monitoring committee
No

Publications

  • Nguyen PL, Gu X, Lipsitz SR, Choueiri TK, Choi WW, Lei Y, Hoffman KE, Hu JC. Cost implications of the rapid adoption of newer technologies for treating prostate cancer. J Clin Oncol. 2011 Apr 20;29(12):1517-24. doi: 10.1200/JCO.2010.31.1217. Epub 2011 Mar 14.

    PubMed 21402604
  • Swanson GP, Basler JW. Prognostic factors for failure after prostatectomy. J Cancer. 2010 Dec 7;2:1-19.

    PubMed 21197260
  • Silberstein JL, Vickers AJ, Power NE, Fine SW, Scardino PT, Eastham JA, Laudone VP. Reverse stage shift at a tertiary care center: escalating risk in men undergoing radical prostatectomy. Cancer. 2011 Nov 1;117(21):4855-60. doi: 10.1002/cncr.26132. Epub 2011 Apr 11.

    PubMed 21484780
  • Thompson IM, Tangen CM, Paradelo J, Lucia MS, Miller G, Troyer D, Messing E, Forman J, Chin J, Swanson G, Canby-Hagino E, Crawford ED. Adjuvant radiotherapy for pathological T3N0M0 prostate cancer significantly reduces risk of metastases and improves survival: long-term followup of a randomized clinical trial. J Urol. 2009 Mar;181(3):956-62. doi: 10.1016/j.juro.2008.11.032. Epub 2009 Jan 23.

    PubMed 19167731
  • Bolla M, van Poppel H, Tombal B, Vekemans K, Da Pozzo L, de Reijke TM, Verbaeys A, Bosset JF, van Velthoven R, Colombel M, van de Beek C, Verhagen P, van den Bergh A, Sternberg C, Gasser T, van Tienhoven G, Scalliet P, Haustermans K, Collette L; European Organisation for Research and Treatment of Cancer, Radiation Oncology and Genito-Urinary Groups. Postoperative radiotherapy after radical prostatectomy for high-risk prostate cancer: long-term results of a randomised controlled trial (EORTC trial 22911). Lancet. 2012 Dec 8;380(9858):2018-27. doi: 10.1016/S0140-6736(12)61253-7. Epub 2012 Oct 19.

    PubMed 23084481
  • Wiegel T, Bottke D, Steiner U, Siegmann A, Golz R, Storkel S, Willich N, Semjonow A, Souchon R, Stockle M, Rube C, Weissbach L, Althaus P, Rebmann U, Kalble T, Feldmann HJ, Wirth M, Hinke A, Hinkelbein W, Miller K. Phase III postoperative adjuvant radiotherapy after radical prostatectomy compared with radical prostatectomy alone in pT3 prostate cancer with postoperative undetectable prostate-specific antigen: ARO 96-02/AUO AP 09/95. J Clin Oncol. 2009 Jun 20;27(18):2924-30. doi: 10.1200/JCO.2008.18.9563. Epub 2009 May 11.

    PubMed 19433689
  • Zelefsky MJ, Eastham JA, Cronin AM, Fuks Z, Zhang Z, Yamada Y, Vickers A, Scardino PT. Metastasis after radical prostatectomy or external beam radiotherapy for patients with clinically localized prostate cancer: a comparison of clinical cohorts adjusted for case mix. J Clin Oncol. 2010 Mar 20;28(9):1508-13. doi: 10.1200/JCO.2009.22.2265. Epub 2010 Feb 16.

    PubMed 20159826
  • Thompson IM Jr, Tangen CM, Paradelo J, Lucia MS, Miller G, Troyer D, Messing E, Forman J, Chin J, Swanson G, Canby-Hagino E, Crawford ED. Adjuvant radiotherapy for pathologically advanced prostate cancer: a randomized clinical trial. JAMA. 2006 Nov 15;296(19):2329-35. doi: 10.1001/jama.296.19.2329.

    PubMed 17105795
  • Hoffman KE, Nguyen PL, Chen MH, Chen RC, Choueiri TK, Hu JC, Kuban DA, D'Amico AV. Recommendations for post-prostatectomy radiation therapy in the United States before and after the presentation of randomized trials. J Urol. 2011 Jan;185(1):116-20. doi: 10.1016/j.juro.2010.08.086. Epub 2010 Nov 12.

    PubMed 21074194
  • Moinpour CM, Hayden KA, Unger JM, Thompson IM Jr, Redman MW, Canby-Hagino ED, Higgins BA, Sullivan JW, Lemmon D, Breslin S, Crawford ED, Southwest Oncology Group. Health-related quality of life results in pathologic stage C prostate cancer from a Southwest Oncology Group trial comparing radical prostatectomy alone with radical prostatectomy plus radiation therapy. J Clin Oncol. 2008 Jan 1;26(1):112-20. doi: 10.1200/JCO.2006.10.4505.

    PubMed 18165645
  • Erho N, Crisan A, Vergara IA, Mitra AP, Ghadessi M, Buerki C, Bergstralh EJ, Kollmeyer T, Fink S, Haddad Z, Zimmermann B, Sierocinski T, Ballman KV, Triche TJ, Black PC, Karnes RJ, Klee G, Davicioni E, Jenkins RB. Discovery and validation of a prostate cancer genomic classifier that predicts early metastasis following radical prostatectomy. PLoS One. 2013 Jun 24;8(6):e66855. doi: 10.1371/journal.pone.0066855. Print 2013.

    PubMed 23826159
  • Karnes RJ, Bergstralh EJ, Davicioni E, Ghadessi M, Buerki C, Mitra AP, Crisan A, Erho N, Vergara IA, Lam LL, Carlson R, Thompson DJ, Haddad Z, Zimmermann B, Sierocinski T, Triche TJ, Kollmeyer T, Ballman KV, Black PC, Klee GG, Jenkins RB. Validation of a genomic classifier that predicts metastasis following radical prostatectomy in an at risk patient population. J Urol. 2013 Dec;190(6):2047-53. doi: 10.1016/j.juro.2013.06.017. Epub 2013 Jun 11.

    PubMed 23770138
  • Badani K, Thompson DJ, Buerki C, Davicioni E, Garrison J, Ghadessi M, Mitra AP, Wood PJ, Hornberger J. Impact of a genomic classifier of metastatic risk on postoperative treatment recommendations for prostate cancer patients: a report from the DECIDE study group. Oncotarget. 2013 Apr;4(4):600-9. doi: 10.18632/oncotarget.918.

    PubMed 23592338

Questions about this trial

What is this clinical trial studying?

A study testing Decipher in people with Prostate Cancer, run by GenomeDx Biosciences Corp at 19 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Feb 2017. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 19 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of participants for which the Decipher test changes the urologist's and patient's treatment plan choices (time frame: 3 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02080689, which also lists 13 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Feb 2017.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in