UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000039866
Receipt number R000045464
Scientific Title The effect of frailty on safety and oncological outcomes between the radical prostatectomy and radiation therapy in patients with localized prostate cancer (FRART-PC study)
Date of disclosure of the study information 2020/03/19
Last modified on 2022/12/06 12:21:51

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Basic information

Public title

The effect of frailty on safety and oncological outcomes between the radical prostatectomy and radiation therapy in patients with localized prostate cancer (FRART-PC study)

Acronym

The effect of frailty on safety and oncological outcomes between the radical prostatectomy and radiation therapy in patients with localized prostate cancer (FRART-PC study)

Scientific Title

The effect of frailty on safety and oncological outcomes between the radical prostatectomy and radiation therapy in patients with localized prostate cancer (FRART-PC study)

Scientific Title:Acronym

The effect of frailty on safety and oncological outcomes between the radical prostatectomy and radiation therapy in patients with localized prostate cancer (FRART-PC study)

Region

Japan


Condition

Condition

localized prostate cancer

Classification by specialty

Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To assess the effect of frailty on safety and oncological outcomes between the radical prostatectomy and radiation therapy in patients with localized prostate cancer

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Primary outcomes: The difference of frailty between radical prostatectomy and radiation therapy in patients with localized prostate cancer.

Key secondary outcomes

Secondary outcomes: The effect of frailty on safety and oncological outcomes between the radical prostatectomy and radiation therapy in patients with localized prostate cancer


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

100 years-old >

Gender

Male

Key inclusion criteria

Localized prostate cancer (PC) patients who underwent robotic-radical prostatectomy (RARP)/open prostatectomy or radiatuon therapy

Key exclusion criteria

Metastatic disease, no definitive therapy

Target sample size

400


Research contact person

Name of lead principal investigator

1st name Shingo
Middle name
Last name Hatakeyama

Organization

Dept. of Urology, Hirosaki University Graduate School of Medicine

Division name

Urology

Zip code

036-8562

Address

Hirosaki

TEL

0172395091

Email

shingorilla2@gmail.com


Public contact

Name of contact person

1st name Shingo
Middle name
Last name Hatakeyama

Organization

Dept. of Urology, Hirosaki University Graduate School of Medicine

Division name

Urology

Zip code

036-8562

Address

Hirosaki

TEL

0172395091

Homepage URL


Email

shingorilla2@gmail.com


Sponsor or person

Institute

Dept. of Urology, Hirosaki University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Dept. of Urology, Hirosaki University Graduate School of Medicine

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Dept. of Urology, Hirosaki University Graduate School of Medicine

Address

Hirosaki

Tel

+81172395091

Email

rinri@hirosaki-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2020 Year 03 Month 19 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/32684512/

Publication of results

Unpublished


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/32684512/

Number of participants that the trial has enrolled

479

Results

The G8 score and comorbidities have a significant effect on surgical contraindication in patients with localized CaP.

Results date posted

2022 Year 12 Month 06 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

To determine how frailty and comorbidities affect surgical contraindication in patients with localized prostate cancer (CaP).

Participant flow

We evaluated the effects of frailty in 479 patients with localized CaP who were treated with robot-assisted radical prostatectomy (RARP), or radiotherapy (RT) eligible for surgery (RT-nonfrail), or those with RT ineligible for surgery due to frailty or comorbidity (RT-frail) from February 2017 to April 2020.

Adverse events

none

Outcome measures

We retrospectively compared the geriatric 8 screening (G8) scores between patients with surgical indications (RARP and RT-nonfrail groups) and those with surgical contraindications (RT-frail group). The effect of G8 score in the RT-frail groups was investigated using multivariate logistic regression analysis. We developed and validated a nomogram for surgical contraindication in patients with localized CaP.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 01 Month 06 Day

Date of IRB

2017 Year 01 Month 06 Day

Anticipated trial start date

2017 Year 01 Month 07 Day

Last follow-up date

2022 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a part of our prospective observational study (UMIN000025057). We planned to assess the intra-group difference of frailty among the patients with prostate cancer (PC), renal cell carcinoma (RCC), and urothelial carcinoma (UC) after the development of the CGA tool.
In the UC cohort, we planned to evaluate 1) the intra-group difference of frailty among the different stages and treatments, the effect of frailty on safety and oncological outcomes 2) between the radical cystectomy and trimodal therapy in patients with MIBC (FRART-UC study), 3) between the neobladder and non-neobladder in patients with MIBC (FRAUD study), 4) in patients with upper tract urothelial carcinoma (FRAUT study), 5) metastatic urothelial carcinoma who underwent systemic chemotherapy and/or immunotherapy (FRAM-UC study), and 6) the association of baseline frailty and quality of life (FRAQ-UC study).
In the PC cohort, we planned to evaluate 1) the inter-group difference of frailty among the different stages and treatments (FRAPC study), the effect of frailty on safety and oncological outcomes 2) between the radical prostatectomy and radiation therapy in patients with localized prostate cancer (FRART-PC study), 3) among the patients with metastatic PC (FRAM-PC study), 4) the association of baseline frailty and quality of life (FRAQ-PC study), and 5) the association of baseline frailty and postoperative pain (FRAP study).
In the RCC cohort, we planned to evaluate 1) the inter-group difference of frailty among the different stages and treatments, the effect of frailty on safety and oncological outcomes 2) in the patients with radical or partial nephrectomy (FRARN study), 2) between in the mRCC patients with molecular targeted therapy and/or immunotherapy(FRARMT study), and 4) the association of baseline frailty and quality of life (FRAQ-RCC). Also, we planned to estimate the gap between chronological and biological age using frailty (FRAGE-GAP study).


Management information

Registered date

2020 Year 03 Month 18 Day

Last modified on

2022 Year 12 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000045464


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name