Status: Finalised
First registered on:
27/05/2016
Last updated on:
30/10/2019
1. Study identification
EU PAS Register NumberEUPAS13602
Official titleIncidence of Second Primary Malignancies in Patients With Castration-Resistant Prostate Cancer: An Observational Retrospective Cohort Study in the US
Study title acronym
Study typeObservational study
Brief description of the studyThis study is conducted to estimate population-based incidence rates of second primary malignancies among patients with CRPC similar to those treated with Xofigo. These rates will provide context for second primary malignancy incidence rates from the REASSURE study.
Furthermore this study aims to provide further information about the documentation of bone metastases in Medicare data and the extent of use of only oral androgen deprivation drugs among patients with Medicare Part D coverage, as well as to estimate overall survival of the study population.
Xofigo (radium-223 dichloride) is an alpha-emitting pharmaceutical, which was approved for the treatment of patients with castration-resistant prostate cancer (CRPC), symptomatic bone metastases, and no known visceral metastatic disease. The long-term safety profile of Xofigo is evaluated in the prospective REASSURE study, which estimates the incidence rates of second primary malignancies in patients with CRPC receiving Xofigo.
To provide context on that, this retrospective study is conducted to estimate background rates of second primary malignancies among patients with CRPC similar to those who are treated with Xofigo.
Was this study requested by a regulator?No
Is the study required by a Risk Management Plan (RMP)?
Not applicable
Regulatory procedure number (RMP Category 1 and 2 studies only)
Other study registration identification numbers and URLs as applicable
2. Research centres and Investigator details
Coordinating study entity
Centre to which the investigator belongsRTI-HS
Department/Research groupPharmacoepidemiology & Risk Management
Organisation/affiliationRTI Health Solutions
Details of (Primary) lead investigator
Title Dr
Last name Kaye
First name James
Is this study being carried out with the collaboration of a research network?
No
Other centres where this study is being conducted
Not applicable (single centre)
Countries in which this study is being conducted
National study
United States
3. Study timelines: initial administrative steps, progress reports and final report
PlannedActual
Date when funding contract was signed04/11/2015
Start date of data collection15/06/201620/05/2016
Start date of data analysis
Date of interim report, if expected
Date of final study report28/07/201705/07/2017
4. Sources of funding
Please provide estimates of the percentage of funding by source for this study
Names(s)Approximate % funding
Pharmaceutical companiesBayer AG100
Charities
Government body
Research councils
EU funding scheme
5. Contact details for enquiries
Scientific Enquiries
Title Dr
Last name Kaye
First name James
Address line 1307 Waverly Oaks Rd.
Address line 2Suite 101
Address line 3
CityWaltham
Postcode
CountryUnited States
Phone number (incl. country code)17814341763
Alternative phone number
Fax number (incl. country code)
Public Enquiries
Title Dr
Last name Bayer AG
First name Bayer Clinical Trials Contact
Address line 1Muellerstrasse 178
Address line 2
Address line 3
CityBerlin
Postcode13353
CountryGermany
Phone number (incl. country code)49-30300139005
Alternative phone number
Fax number (incl. country code)
6. Study drug(s) information
Not applicable (disease/epidemiology study)
7. Medical conditions to be studied
Medical condition(s)Yes
Prostate cancer
8. Population under study
Age
Adults (65 - 74 years)
Adults (75 years and over)
Sex
Male
9. Number of subjects
Estimated total number of subjects15750
10. Source of data
Is this study being carried out with an established data source?Yes
Data sources not registered with ENCePP
US SEER (Surveillance, Epidemiology, and End Results), United States
Sources of data
Administrative database, e.g. claims database
11. Scope of the study
What is the scope of the study?
Background incidence study
Primary scope : Background incidence study
12. Main objective(s)
What is the main objective of the study?
Incidence of second primary malignancies in patients with castration resistent prostate cancer
Are there primary outcomes?Yes
Estimation of the collective incidence rate of all second primary malignancies (other than nonmelanoma skin cancer) among men with CRPC (Castration-Resistant Prostate Cancer) &
Estimation of the individual incidence rates of selected second primary malignancies
Are there secondary outcomes?Yes
Estimation of the proportion of men with CRPC who have a diagnostic code for bone metastases in their Medicare claims before development of CRPC
Estimation of the proportion of men with CRPC who received bone-directed therapies before development of CRPC
Estimation of the proportion of men with CRPC + Medicare Part D coverage who received only oral androgen deprivation therapy
Overall survival
13. Study design
What is the design of the study?
Cohort study
14. Follow-up of patients
Will patients be followed up?Yes
Please describe duration of follow up
The study is entirely retrospective, there is no real-time patient follow-up. Follow-up time for analysis starts at the date on which the patient is identified as having CRPC. Follow-up of each patient will continue until the earliest occurrence of one of the following: death; discontinuation of Medicare coverage or enrollment in a HMO; claim of Xofigo use; end of study period
15. Data analysis plan
Please provide a brief summary of the analysis method
Characteristics of study subjects will be described.
The incidence of second primary malignancies will be calculated. Overall survival will be described.
16. ENCePP seal
Are you requesting the ENCePP seal for this study?
No
17. Full protocol
18. Study Results
Please list the 5 most relevant publications using data from your study
ReferenceLink to web-publication
Kaye JA, Saltus CW, Calingaert B, Harris DH, Hunter S, Zong J, Brobert GP, Soriano-Gabarro M, Andrews EB. Incidence of second primary malignancies (SPM) in men with castration-resistant prostate cancer (CRPC) in SEER-Medicare database. J Clin Oncol 2017;35 (suppl; abstr e13080).http://abstracts.asco.org/199/AbstView_199_189280.html
Kawai AT, Martinez D, Saltus CW, Vassilev Z, Soriano-Gabarró M, Kaye JA. Incidence of Skeletal-Related Events in Patients With Castration-Resistant Prostate Cancer: An Observational Retrospective Cohort Study in the US. (epub). Prostate Cancer 2019 Julhttps://www.hindawi.com/journals/pc/2019/5971615/
Saltus CW, Vassilev ZP, Zong J, Calingaert B, Andrews EB, Soriano-Gabarró M, et al. Incidence of second primary malignancies in patients with castration-resistant prostate cancer: An observational retrospective cohort study in the United States. Prostate Cancer. 2019 Feb 11. [Epub ahead of print.]https://www.hindawi.com/journals/pc/2019/4387415/
19. Other relevant documents
Conflict(s) of interest of
investigator(s)Not submitted
Composition of Steering Group and
ObserversNot submitted
Other documents
DescriptionDocumentLatest version
Signed Code of
Conduct Checklist
Not submitted
Signed Code of Conduct Declaration
Not submitted
Signed Checklist for Study
Protocols
Not submitted
