Hypoxia-driven Prostate Cancer Genomics (HYPROGEN) (HYPROGEN)
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ClinicalTrials.gov Identifier: NCT05702619 |
Recruitment Status :
Recruiting
First Posted : January 27, 2023
Last Update Posted : January 27, 2023
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Tracking Information | |||||||||
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First Submitted Date | November 3, 2022 | ||||||||
First Posted Date | January 27, 2023 | ||||||||
Last Update Posted Date | January 27, 2023 | ||||||||
Actual Study Start Date | October 3, 2021 | ||||||||
Estimated Primary Completion Date | June 30, 2023 (Final data collection date for primary outcome measure) | ||||||||
Current Primary Outcome Measures |
Primary outcome measure [ Time Frame: 24 months ] To document the differential genomic aberrations and gene expressional alterations in hormone-naïve primary prostate cancers and paired skeletal metastases with respect to the presence or abscence of tissue hypoxia in the tumour samples.
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Original Primary Outcome Measures | Same as current | ||||||||
Change History | No Changes Posted | ||||||||
Current Secondary Outcome Measures |
Secondary outcome measure [ Time Frame: 24 months ] To determine extent of CTCs DNA in treatment naive metastatic prostate cancer in the presence or absence of hypoxia
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Original Secondary Outcome Measures | Same as current | ||||||||
Current Other Pre-specified Outcome Measures | Not Provided | ||||||||
Original Other Pre-specified Outcome Measures | Not Provided | ||||||||
Descriptive Information | |||||||||
Brief Title | Hypoxia-driven Prostate Cancer Genomics (HYPROGEN) | ||||||||
Official Title | Hypoxia-driven Prostate Cancer Genomics (HYPROGEN) - Illuminating the Genomic Landscape of Hypoxia-driven Early Metastatic Prostate Cancer | ||||||||
Brief Summary | Due to the rapid growth, tumour demand for oxygen is often higher than what can be delivered by the newly forming blood vessels. Tumour adaption to this imbalanced oxygen supply and demand (hypoxia) is associated with poor prognosis and genetic changes (genomic instability) that allow it to become more resistant to chemo- and radiotherapy. Patients with hypoxic tumours therefore die earlier. Limited information is available on hypoxia in newly diagnosed prostate cancer, especially to what degree hypoxia in the prostate tumour is associated with the presence of metastases to bones. The Hyprogen trial is a prospective, non-randomised, exploratory biopsy and imaging biomarker study recruiting 60 patients with prostate cancer to better establish the role of hypoxia in prostate cancer cells evolution and early metastatic spread. | ||||||||
Detailed Description | Arm 1 of this study will aim to determine the association between hypoxia in the primary tumour with the presence of skeletal metastases and aim to determine if hypoxia is also present in the metastatic sites themselves. Arm 2 will aim to determine the genetic changes associated with hypoxia in cancers that have not spread outside the prostate. Hypoxia presence will be determined by using a hypoxia identifying stain (by giving a patient a tablet of the stain to take orally) and by identifying genomic alterations that are associated with hypoxia. After taking the tablet of the hypoxia marker (Pimonidazole) patients in Arm 1 will receive both a biopsy of the prostate and of one or two of the bone metastases. The presence or not as well as the degree of hypoxia in both sites will be assessed. Patients in Arm 2 will receive pimonidazole prior to a planned radical prostatectomy and the heterogeneity of hypoxia related genetic change throughout the prostate will assessed. Arm 2 patients will undergo MRI hypoxia imaging to validate the detection of pimonidazole marked hypoxic regions with a non-invasive imaging method. | ||||||||
Study Type | Observational | ||||||||
Study Design | Observational Model: Cohort Time Perspective: Prospective |
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Target Follow-Up Duration | Not Provided | ||||||||
Biospecimen | Retention: Samples With DNA Description: Collection of bone samples and prostate biopsy samples and multi-omic analysis including genomics
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Sampling Method | Non-Probability Sample | ||||||||
Study Population | Arm 1 - De novo, treatment-naïve metastatic prostate cancer Arm 2 - De novo, treatment- naïve localised prostate cancer planned for radical prostatectomy | ||||||||
Condition |
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Intervention |
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Study Groups/Cohorts |
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Publications * | Not Provided | ||||||||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | |||||||||
Recruitment Status | Recruiting | ||||||||
Estimated Enrollment |
60 | ||||||||
Original Estimated Enrollment | Same as current | ||||||||
Estimated Study Completion Date | June 30, 2023 | ||||||||
Estimated Primary Completion Date | June 30, 2023 (Final data collection date for primary outcome measure) | ||||||||
Eligibility Criteria | ARM 1 Inclusion Criteria:
Exclusion Criteria:
ARM 2 Inclusion Criteria:
Exclusion criteria:
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Sex/Gender |
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Ages | 18 Years and older (Adult, Older Adult) | ||||||||
Accepts Healthy Volunteers | No | ||||||||
Contacts |
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Listed Location Countries | United Kingdom | ||||||||
Removed Location Countries | |||||||||
Administrative Information | |||||||||
NCT Number | NCT05702619 | ||||||||
Other Study ID Numbers | CFTSp155 | ||||||||
Has Data Monitoring Committee | Not Provided | ||||||||
U.S. FDA-regulated Product |
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IPD Sharing Statement | Not Provided | ||||||||
Current Responsible Party | The Christie NHS Foundation Trust | ||||||||
Original Responsible Party | Same as current | ||||||||
Current Study Sponsor | The Christie NHS Foundation Trust | ||||||||
Original Study Sponsor | Same as current | ||||||||
Collaborators | Prostate Cancer UK | ||||||||
Investigators | Not Provided | ||||||||
PRS Account | The Christie NHS Foundation Trust | ||||||||
Verification Date | January 2023 |