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Impact of Apalutamide in Metastatic Hormone Sensitive Prostate Cancer Patients (ADAPT-P)

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ClinicalTrials.gov Identifier: NCT06019676
Recruitment Status : Recruiting
First Posted : August 31, 2023
Last Update Posted : October 12, 2023
Sponsor:
Collaborator:
Janssen, LP
Information provided by (Responsible Party):
Royal Marsden NHS Foundation Trust

Tracking Information
First Submitted Date August 17, 2023
First Posted Date August 31, 2023
Last Update Posted Date October 12, 2023
Actual Study Start Date September 26, 2023
Estimated Primary Completion Date April 1, 2027   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures
 (submitted: August 25, 2023)
Undetectable PSA rate (defined as PSA <0.2ng/ml by end of year 1 and year 2) in mHSPC patients receiving apalutamide [ Time Frame: August 2023 - April 2027 ]
Original Primary Outcome Measures Same as current
Change History
Current Secondary Outcome Measures
 (submitted: August 25, 2023)
  • The impact of apalutamide on fatigue, assessed using patient-reported Brief Fatigue Inventory questionnaire [ Time Frame: August 2023 - April 2027 ]
  • The impact of apalutamide on cognitive function, using patient-reported FACT-Cog questionnaire [ Time Frame: August 2023 - April 2027 ]
  • The impact of apalutamide on health-related quality of life, using patient-reported EQ-5D-5L questionnaire [ Time Frame: August 2023 - April 2027 ]
Original Secondary Outcome Measures Same as current
Current Other Pre-specified Outcome Measures
 (submitted: August 25, 2023)
Health care professional experience on the use of apalutamide, assessed using Health Care Professional Questionnaire [ Time Frame: August 2023 - April 2027 ]
Original Other Pre-specified Outcome Measures Same as current
 
Descriptive Information
Brief Title Impact of Apalutamide in Metastatic Hormone Sensitive Prostate Cancer Patients
Official Title Impact of Apalutamide in Metastatic Hormone Sensitive Prostate Cancer Patients, a Multicentre Prospective Observational Study
Brief Summary

The ADAPT study is an observational study of apalutamide, which can be given to patients with hormone sensitive metastatic prostate cancer as standard of care. The clinical decision for patients to have apalutamide as part of their management plan will be decided by the clinician. The patient will only be approached about the ADAPT study if they decide they want to have apalutamide as part of their management.

The aims of the ADAPT study include documenting the biochemical effectiveness, as determined by the Prostate-Specific Antigen (PSA) and impact of apaluatmide on health related quality of life. The blood test for PSA is regularly monitored as standard of care.

Additionally, the impact of apalutamide on fatigue, cognitive function, patients reported outcomes, health related quality of life will be evaluated using patient questionnaires answered at defined timepoints. The questionnaires will be sent either electronically or via post at week 12, 24, 36, 48, 72 and 104 weeks after commencement of apalutamide.

Currently, the majority of data regarding tolerability and biochemical response to apalutamide has been from large phase III trials, where there are strict eligibility criteria. Real-world data as from the ADAPT study can provide valuable complementary data to randomised controlled trials, which can be used to address the 'generalizability' limitations of randomised control trials and can provide evidence on the external validity of their findings. This information can advance knowledge of patterns of care, treatment effectiveness and side-effects and inform clinical practice to improve outcomes.

Detailed Description Not Provided
Study Type Observational
Study Design Observational Model: Cohort
Time Perspective: Prospective
Target Follow-Up Duration Not Provided
Biospecimen Not Provided
Sampling Method Non-Probability Sample
Study Population Males 18 years of age or older, with metastatic hormone sensitive prostate cancer
Condition Metastatic Hormone-Sensitive Prostate Cancer (mHSPC)
Intervention Not Provided
Study Groups/Cohorts Patients with mHSPC and treatment decision for apalutamide by clinician
Publications * Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status Recruiting
Estimated Enrollment
 (submitted: August 25, 2023)
170
Original Estimated Enrollment Same as current
Estimated Study Completion Date April 1, 2027
Estimated Primary Completion Date April 1, 2027   (Final data collection date for primary outcome measure)
Eligibility Criteria

Inclusion Criteria:

  • Male 18 years of age or older
  • Histologically confirmed diagnosis of adenocarcinoma of the prostate with both:
  • Metastatic hormone sensitive prostate cancer
  • Treatment decision for apalutamide by clinician

Exclusion Criteria:

  • Non-metastatic prostate cancer
  • Prior chemotherapy / abiraterone / apalutamide / darolutamide / enzalutamide for prostate cancer
  • Unable to complete patient reported outcome questionnaires
Sex/Gender
Sexes Eligible for Study: Male
Ages 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers No
Contacts
Contact: Greta Bucinskaite +442031865157 greta.bucinskaite@rmh.nsh.uk
Contact: Kelly Jones +442031865157 kelly.jones@rmh.nhs.uk
Listed Location Countries United Kingdom
Removed Location Countries  
 
Administrative Information
NCT Number NCT06019676
Other Study ID Numbers CCR5793
Has Data Monitoring Committee Not Provided
U.S. FDA-regulated Product
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Product Manufactured in and Exported from the U.S.: No
IPD Sharing Statement Not Provided
Current Responsible Party Royal Marsden NHS Foundation Trust
Original Responsible Party Same as current
Current Study Sponsor Royal Marsden NHS Foundation Trust
Original Study Sponsor Same as current
Collaborators Janssen, LP
Investigators
Principal Investigator: Julia Murray, Dr. The Royal Marsden Hospital, NHS Foundation Trust
PRS Account Royal Marsden NHS Foundation Trust
Verification Date October 2023