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Prostatic NeoplasmsZENSHINNCT04425200

Prevalence of HRR-related Genes Mutations and Prognosis in Metastatic Castration Resistant Prostate Cancer (mCRPC) Patients in Real World Setting

An observational study of Prostatic Neoplasms, run by AstraZeneca at 26 sites in Japan.

Completed

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

Official record
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Trial summary

The purpose of this study is to investigate the prevalence of tissue homologous recombination repair (HRR)-related gene mutations (positive/negative/Variant of uncertain significance (VUS)), clinical outcome such as prostate-specific antigen-progression free survival (PSA-PFS), overall survivals (OS) and treatment… Read more about this study

Who is it for?
Any age, men only
Conditions the study is for
Prostatic Neoplasms
How many people
205 participants
Where
26 sitesJapan
Study dates
29 Jul 2020to 18 Dec 2020
Phase
Observational
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

Study population: The target population is mCRPC patients who diagnosed between 2014 and 2018 and be confirmed to be succeeded HRR-related gene mutation analysis with archived primary or metastatic tumor sample. As median of expected overall survival of mCRPC is 2.5 to 3 years from diagnosis, follow up period is enough to measure outcomes including survival. The baseline period is set to calculate overall survival and to detect clinical outcome at least half. The patients will be enrolled consecutively to this study.

Who may be able to join

  • Age > 20, Japanese men at the time of informed consent.
  • Patients who provided informed consent. If the patient has died, opt-out will be applicable.
  • Patients who are diagnosed as mCRPC between January 1st in 2014 and December 31st in 2018.
  • Patients who have a FFPE tumor sample (primary or metastatic) with Formalin Neutral Buffer Solution.
  • Patients which the investigator judges to secure the enough amount of tumor samples for future laboratory test.

Who cannot join

  • Patients who have failed HRR-related gene mutation testing with the myChoice HRD plus in screening period.
  • Patients who have an only FFPE primary tumor sample (primary or metastatic) with unbuffered formalin including acidic formalin.
  • Patients who have taken an investigational medical product for prostate cancer from Jan 1st , 2014 to Dec 31st 2020.

Trial locations and contacts

26 sites in 1 country.

26 sites in 1 country

Japan26 sites
  • Chiba University Hospital

    Chiba

  • Gifu University Hospital

    Gifu

  • Hakodate Goryoukaku Hospital

    Hakodate, Hokkaido

  • Kagawa University Hospital

    Hiragi, Kagawa-ken

  • Hirosaki University Hospital

    Hirosaki, Aomori

  • Kanazawa University Hospital

    Kanazawa, Ishikawa-ken

  • Nara Medical University Hospital

    Kashihara, Nara

  • Jikei University Kashiwa Hospital

    Kashiwa, Chiba

  • Saitama Medical Center

    Kawagoe, Saitama

  • Kobe City Medical Center General Hospital

    Kobe, Hyōgo

  • Kobe University Hospital

    Kobe, Hyōgo

  • National Hospital Organization Kure Medical Center

    Kure, Hiroshima

  • Kyoto Prefectural University of Medicine

    Kyoto

  • University of Miyazaki Hospital

    Miyazaki

  • Nagoya City University Hospital

    Nagoya, Aichi-ken

  • Nagoya University Hospital

    Nagoya, Aichi-ken

  • Okayama University Hospital

    Okayama

  • Hokkaido University Hospital

    Sapporo, Hokkaido

  • Sapporo Medical University Hospital

    Sapporo, Hokkaido

  • Kindai University Hospital

    Sayama, Osaka

  • Ehime University Hospital

    Tōon, Ehime

  • University of Tsukuba Hospital

    Tsukuba, Ibaraki

  • Yamaguchi University Hospital

    Ube, Yamaguchi

  • Yokohama City University Hospital

    Yokohama, Kanagawa

  • Yokohama City University Medical Center

    Yokohama, Kanagawa

  • Tottori University Hospital

    Yonago, Tottori

Other trials in Japan

About this study

The purpose of this study is to investigate the prevalence of tissue homologous recombination repair (HRR)-related gene mutations (positive/negative/Variant of uncertain significance (VUS)), clinical outcome such as prostate-specific antigen-progression free survival (PSA-PFS), overall survivals (OS) and treatment pattern in mCRPC patients.

<Methods> Study design: multi-center, prospective cohort study

Read more

Data Source(s):

In this study, 155 patients (expected recruitment patients: maximum 205 patients) will be enrolled from approximately 20~30 sites in Japan. Study Population: mCRPC patients who diagnosed between 2014 and 2018. Exposure(s): N.A Outcome(s): Prevalence of tissue HRR-related gene mutations, clinical outcomes such as Over survival and PSA-PFS, Treatment pattern

Sample Size Estimations:

The target population is 155 patients based on the prevalence of HRR-related genes (BRCA1, BRCA2 and ATM) which is reported in previous global study (PROfound study).

Statistical Analysis:

This study is not intended to verify specific hypotheses, and the results are evaluated descriptively. There is no plan of interim analyses before the final analysis.

Keywords
metastatic castration resistant prostate cancer, BRCA1, BRCA2, ATM, Homologous recombination repair
Medical subject headings
Prostatic Neoplasms, Fanconi Anemia, Complementation Group D1, Hereditary Sensory and Autonomic Neuropathies

What is being measured

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

  1. Prevalence of tissue HRR-related gene mutations

    Calculate number and prevalence of each HRR-related gene mutation status (Positive/Negative/VUS), respectively. Prevalence will be accompanied by 95% Clopper-Pearson confidence intervals.

    Measured: Baseline

Secondary outcomes (1)
  1. Proportion of each treatment pattern

    The number (%) of patients by treatment pattern in 1st line treatment, 2nd line, and 3rd line treatment after diagnosed as mCRPC, respectively, will be calculated.

    Measured: From index date(diagnosed as mCRPC) patients to December 31 2020

Timeline

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

  1. First posted11 Jun 2020
  2. Study start29 Jul 2020
  3. Primary completion18 Dec 2020
  4. Study completion18 Dec 2020

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
205 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04425200
Sponsor's protocol ID
D081LR00002
Acronym
ZENSHIN
Status last verified
Nov 2021
First submitted
21 May 2020
Last updated
7 Dec 2021
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials/studies via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.

Questions about this trial

What is this clinical trial studying?

An observational study of Prostatic Neoplasms, run by AstraZeneca at 26 sites in Japan.

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 5 inclusion and 3 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 7 Dec 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 26 sites in Japan. 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?

Prevalence of tissue HRR-related gene mutations (time frame: Baseline). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 7 Dec 2021.

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