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Spots Global Cancer Trial Database for Investigation of Radium-223 Dichloride (Xofigo), a Treatment That Gives Off Radiation That Helps Kill Cancer Cells, Compared to a Treatment That Inactivates Hormones (New Antihormonal Therapy, NAH) in Patients With Prostate Cancer That Has Spread to the Bone Getting Worse on or After Earlier NAH

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Trial Identification

Brief Title: Investigation of Radium-223 Dichloride (Xofigo), a Treatment That Gives Off Radiation That Helps Kill Cancer Cells, Compared to a Treatment That Inactivates Hormones (New Antihormonal Therapy, NAH) in Patients With Prostate Cancer That Has Spread to the Bone Getting Worse on or After Earlier NAH

Official Title: A Phase 4, Randomized, Open-label, Multicenter Efficacy and Safety Study of Standard Dose of Radium-223 Dichloride vs. Standard Doses of Novel Anti-hormonal Therapy (NAH) in Patients With Bone Dominant Metastatic Castration Resistant Prostate Cancer (mCRPC) Progressing on/After One Line of NAH

Study ID: NCT04597125

Study Description

Brief Summary: Researchers in this study want to compare how well drug radium-223 dichloride (Xofigo) and new (novel) anti-hormonal (NAH) therapy work in participants with prostate gland cancer which has spread to the bone and progressed on or after one line of NAH therapy. Meanwhile researchers want to compare the safety of radium-223 dichloride and NAH therapy. Radium-223 dichloride is known as a radioactive drug that is taken up by bones after it is injected into the body. It works by giving off a type of radioactivity that travels a very short distance and kills the tumor cells that have spread to the bone without major effects to the healthy cells. It has been approved in many countries for the treatment of patients with prostate cancer which has spread to the bone. The NAH drugs used in this study will be either abiraterone acetate (Zytiga) (plus prednisone/prednisolone) or enzalutamide (Xtandi). Both of them are standard approved medications which are used in the treatment of advanced prostate cancer. Participants in this study will receive either Radium-223 dichloride or a NAH therapy. Radium-223 dichloride will be given as an infusion into one of the veins on Day 1 of each 4-week cycle for a total of up to 6 cycles. Oral NAH therapy will be given per the standard approved dose once daily until the disease has progressed. Participants will visit the hospital or clinic every 2 weeks for the first 6 cycles, and only on the first day of each cycle from cycle 7 and onwards. Observation for each participant will last for about 2 years in total. Blood and urine samples will be collected from the participants and participants will be asked to complete questionnaires about the well-being and the pain.

Detailed Description:

Keywords

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: MALE

Healthy Volunteers: No

Locations

Specialist Services Medical Group, Castle Hill, New South Wales, Australia

Gosford Hospital, Gosford, New South Wales, Australia

North West Cancer Centre, North Tamworth, New South Wales, Australia

Prince of Wales Hospital NSW, Randwick, New South Wales, Australia

Northern Cancer Institute, St Leonards, New South Wales, Australia

Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia

Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia

The Wesley Hospital, Auchenflower, Queensland, Australia

Icon Cancer Care, Brisbane, Queensland, Australia

Tasman Health Care, Southport, Queensland, Australia

The Tweed Hospital, Tugun, Queensland, Australia

Royal Adelaide Hospital, Adelaide, South Australia, Australia

Calvary North Adelaide Hospital, North Adelaide, South Australia, Australia

Nepean Hospital, Penrith, , Australia

Kepler UniversitÀtsklinikum Campus III, Linz, Oberösterreich, Austria

Klinik Ottakring - Wilhelminenspital, Wien, , Austria

Fakultni nemocnice u sv. Anny, Brno, , Czechia

Nemocnice Chomutov, o.z., Chomutov, , Czechia

Krajska Nemocnice Liberec, Liberec, , Czechia

Fakultni Nemocnice Olomouc, Olomouc, , Czechia

Fakultni Thomayerova Nemocnice, Prague, , Czechia

Urocentrum Praha, s.r.o., Praha 2, , Czechia

Vseobecna fakultni nemocnice v Praze, Praha 2, , Czechia

FakultnĂ­ nemocnice Bulovka, Praha 8, , Czechia

Docrates Klinikka, Helsinki, , Finland

Kuopion yliopistollinen sairaala, Kuopio, , Finland

Oulun yliopistollinen sairaala, Oulu, , Finland

SeinÀjoen keskussairaala, SeinÀjoki, , Finland

Tampereen yliopistollinen sairaala, keskussairaala, Tampere, , Finland

Hopital Jean Minjoz, Besancon, , France

HÎpital Saint André - Bordeaux, Bordeaux, , France

Institut Bergonié - Unicancer Nouvelle Aquitaine, Bordeaux, , France

HĂŽpital Morvan - Brest, Brest, , France

Centre de Lutte Contre le Cancer François Baclesse, Caen Cedex 5, , France

HĂŽpital Henri Mondor, Creteil, , France

Centre Georges Francois Leclerc Dijon, Dijon, , France

Centre Hospitalier Universitaire - Grenoble, Grenoble, , France

Clinique Sainte Marguerite - HyĂšres, Hyeres, , France

Centre Oscar Lambret - Lille, Lille Cedex, , France

Centre LĂ©on BĂ©rard, Lyon, , France

Institut Paoli-Calmettes - Marseille, Marseille, , France

Institut du Cancer de Montpellier - Val d'Aurelle, Montpellier Cedex, , France

Centre Antoine Lacassagne, Nice Cedex 2, , France

Institut de Cancérologie Jean Godinot, Reims, , France

Centre EugĂšne Marquis - Rennes Cedex, Rennes, , France

CHU STRASBOURG - HĂŽpital de Hautepierre, Strasbourg, , France

Institut Claudius Regaud - iUCT Oncopole, Toulouse Cedex 9, , France

HĂŽpital Bretonneau, Tours, , France

Institut de Cancérologie de Lorraine - Alexis Vautrin, Vandoeuvre-les-Nancy, , France

Institut Gustave Roussy - DĂ©partement de MĂ©decine Oncologique, Villejuif Cedex, , France

UniversitĂ€tsklinikum MĂŒnster (UKM), MĂŒnster, Nordrhein-Westfalen, Germany

UniversitÀtsmedizin der Johannes Gutenberg UniversitÀt Mainz, Mainz, Rheinland-Pfalz, Germany

UniversitÀtsklinikum Carl Gustav Carus Dresden, Dresden, Sachsen, Germany

Urologische Gemeinschaftspraxis Bremen, Bremen, , Germany

UniversitÀtsmedizin Göttingen - HÀmatologie und medizin. Onkologie, Göttingen, , Germany

Hong Kong Integrated Oncology Centre (HKIOC), Central, , Hong Kong

Pamela Youde Nethersole Eastern Hospital, Chai Wan, , Hong Kong

Hong Kong Sanatorium & Hospital, Hong Kong, , Hong Kong

Queen Mary Hospital, Hong Kong, , Hong Kong

Prince of Wales Hospital, Shatin, , Hong Kong

Tuen Mun Hospital, TBC, , Hong Kong

Magyar Honvedseg Egeszsegugyi Kozpont, Budapest, , Hungary

Semmelweis University, Budapest, , Hungary

Debreceni Egyetem Klinikai Kozpont, Debrecen, , Hungary

Tolna Varmegyei Balassa Janos Korhaz, Szekszard, , Hungary

Jasz-Nagykun-Szolnok Varmegyei Hetenyi Geza Korhaz, Szolnok, , Hungary

Rambam Health Corporation, Haifa, , Israel

Lady Davis Carmel Medical Center, Haifa, , Israel

Edith Wolfson Medical Center, Holon, , Israel

Hadassah Hebrew University Hospital Ein Kerem, Jerusalem, , Israel

Clalit Health Services Rabin Medical Center-Beilinson Campus, Petah Tikva, , Israel

Tel-Aviv Sourasky Medical Center, Tel Aviv, , Israel

A.O.R.N. Antonio Cardarelli, Napoli, Campania, Italy

A.O.U. di Ferrara, Ferrara, Emilia-Romagna, Italy

A.O.U. di Modena - Policlinico, Modena, Emilia-Romagna, Italy

A.O.U. di Parma, Parma, Emilia-Romagna, Italy

AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Emilia-Romagna, Italy

IRCCS Centro di Riferimento Oncologico (CRO), Pordenone, Friuli-Venezia Giulia, Italy

Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Lazio, Italy

E.O. Ospedali Galliera, Genova, Liguria, Italy

IRCCS Istituto Europeo di Oncologia s.r.l. (IEO), Milano, Lombardia, Italy

A.O. Nazionale SS Antonio e Biagio e Cesare Arrigo - Oncologia, Alessandria, Piemonte, Italy

A.O.U. Pisana, Pisa, Toscana, Italy

APSS Trento, Trento, Trentino-Alto Adige, Italy

A.O. Santa Maria Terni, Terni, Umbria, Italy

Istituto Oncologico Veneto IRCCS (IOV), Padova, Veneto, Italy

National Cancer Center, Goyang-si, Gyeonggido, Korea, Republic of

Seoul National University Bundang Hospital, Seongnam-si, Gyeonggido, Korea, Republic of

Seoul National University Hospital, Seoul, Seoul Teugbyeolsi, Korea, Republic of

Seoul St. Mary's Hospital, Seoul, , Korea, Republic of

Asan Medical Center, Seoul, , Korea, Republic of

The Hospital of Lithuanian University of Health SciencesLUHS, Kaunas, , Lithuania

PI Klaipedos University Hospital, Klaipeda, , Lithuania

National Cancer Institute, Vilnius, , Lithuania

Vilnius University Hospital Santaros Klinikos, Vilnius, , Lithuania

Centrum Onkologii im. Prof. Franciszka Lukaszczyka, Bydgoszcz, , Poland

Swietokrzyskie Centrum Onkologii, Kielce, , Poland

Szpital Wojewodzki im. Mikolaja Kopernika w Koszalinie - Oddzial Dzienny Chemioterapii, Koszalin, , Poland

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie, Krakow, , Poland

Scanmed SA ZOZ Gastromed, Lublin, , Poland

Szpital Grochowski im. dr.med. Rafala Masztaka, Warszawa, , Poland

Uniwersytecki Szpital Kliniczny UM we Wroclawiu, Wroclaw, , Poland

Chelyabinsk Regional Oncology Dispensary, Chelyabinsk, , Russian Federation

Russian Oncological Scientific Center n.a. N.N. Blokhin RAMS, Moscow, , Russian Federation

National Medical Research Radiology Center, Obninsk, , Russian Federation

Clinical Oncological Dispensary of Omsk Region, Omsk, , Russian Federation

Samara Regional Clinical Oncology Dispensary, Samara, , Russian Federation

Tomsk National Research Medical Center of RAS, Tomsk, , Russian Federation

Singapore General Hospital, Singapore, , Singapore

National Cancer Center Singapore, Singapore, , Singapore

Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain

Hospital Universitario Puerta del Mar, Cadiz, AndalucĂ­a, Spain

Hospital Central de Asturias, Oviedo, Asturias, Spain

Hospital Universitari Germans Trias i Pujol, Badalona (Barcelona), Barcelona, Spain

Hospital Universitari Son Espases, Palma de Mallorca, Illes Baleares, Spain

Hospital Universitario Clinica Puerta de Hierro, Majadahonda, Madrid, Spain

Centro Oncológico de Galicia, A Coruña, , Spain

Hospital de la Santa Creu i Sant Pau | Gynecology Department, Barcelona, , Spain

Ciutat Sanitaria i Universitaria de la Vall d'Hebron, Barcelona, , Spain

Consorcio Hospitalario Provincial de CastellĂłn, CastellĂłn, , Spain

I.C.O Girona, Girona, , Spain

Complejo Hospitalario de Jaén, Jaén, , Spain

Hospital Lucus AugustĂ­, Lugo, , Spain

Hospital Universitario Ramon y Cajal | Departamento de Medicina Interna, Madrid, , Spain

Hospital Universitario 12 de Octubre, Madrid, , Spain

Hospital Universitario Virgen de la Victoria | Cardiology Department, MĂĄlaga, , Spain

Instituto Valenciano de OncologĂ­a, Valencia, , Spain

Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung City, Kaohsiung, Taiwan

Taichung Veterans General Hospital, Taichung, , Taiwan

National Cheng Kung University Hospital, Tainan, , Taiwan

Taipei Veterans General Hospital, Taipei, , Taiwan

Chang Gung Memorial Hospital at Linkou, Taoyuan, , Taiwan

Baskent Universitesi Seyhan Hastanesi, Adana, , Turkey

Hacettepe Universitesi Tip Fakultesi, Ankara, , Turkey

Ankara Yildirim Beyazit Universitesi Tip FakĂŒltesi, Ankara, , Turkey

Ankara Universitesi Tip Fakultesi Hastanesi, Ankara, , Turkey

Trakya Univ. Tip Fak., Edirne, , Turkey

Gaziantep Universitesi Tip Fakultesi, Gaziantep, , Turkey

Koc Universitesi Tip Fakultesi - Radyoloji, Istanbul, , Turkey

Istanbul Universitesi Istanbul Tip Fakultesi, Istanbul, , Turkey

Istanbul Egitim ve Arastirma Hastanesi, Istanbul, , Turkey

Istanbul Universitesi Cerrahpasa-Cerrahpasa Tip Fakultesi, Istanbul, , Turkey

TC Saglik Bakanligi Goztepe ProfDr Suleyman Yalcin Sehir Has, Istanbul, , Turkey

Medipol Universitesi Tip Fakultesi, Istanbul, , Turkey

Marmara Uni. Tip Fakultesi Pendik Egitim ve Aras. Hastanesi, Istanbul, , Turkey

Izmir Tepecik Egitim ve Arastirma Hastanesi, Izmir, , Turkey

Ege Universitesi Tip Fakultesi, Izmir, , Turkey

Dokuz Eylul Universitesi Tip Fakultesi, Izmir, , Turkey

Izmir Ekonomi Universitesi Medikal Point Hastanesi, Izmir, , Turkey

Erciyes Universitesi Tip Fakultesi, Kayseri, , Turkey

Mersin Universitesi Tip Fakultesi, Mersin, , Turkey

Ondokuz Mayis Uni Tip Fakultesi, Samsun, , Turkey

Royal Berkshire Hospital, Reading, Berkshire, United Kingdom

Royal Preston Hospital, Preston, Lancashire, United Kingdom

Royal Surrey County Hospital, Guildford, Surrey, United Kingdom

Beatson West of Scotland Cancer Centre, Glasgow, , United Kingdom

Royal Free Hospital, London, , United Kingdom

Contact Details

Useful links and downloads for this trial

Clinicaltrials.gov

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