Fractionated stereotactic radiotherapy plus second-generation antiandrogen for oligometastatic patients with castration-resistant prostate cancer. Phase II Spanish study, prospective, multicenter. (OLIGORESIST)

2023-505024-62-01 Protocol IRA-RAD-2022-001 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 16 May 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 16 sites · Protocol IRA-RAD-2022-001

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 51
Countries 1
Sites 16

Oligometastatic patients with castration-resistant prostate cancer

Determine the PRFS measured from the time of initiation of secondgeneration antiandrogen to the time of radiological progression by choline PET/CT or 68Ga-PSMA PET/CT, in patients with mCRPC treated with the combination of second-generation antiandrogen plus SBRT.

Key facts

Sponsor
Instituto de investigación en Oncología radioterápica FEOR (Fundación Española de Oncología RT)
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Diseases [C] - Neoplasms [C04], Diseases [C] - Male Urogenital Diseases [C12]
Trial duration
16 May 2024 → ongoing
Decision date (initial)
2023-10-09
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
Janssen

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy, Safety, Efficacy

Determine the PRFS measured from the time of initiation of secondgeneration antiandrogen to the time of radiological progression by choline PET/CT or 68Ga-PSMA PET/CT, in patients with mCRPC treated with the combination of second-generation antiandrogen plus SBRT.

Secondary objectives 3

  1. Overall survival (time from initiation of second-generation antiandrogen to exitus) in patients with mCRPC treated with the combination of second-generation antiandrogen plus SBRT.
  2. Quality of life of these patients using the European Organization for Research and Treatment of Cancer (EORTC) quality of life scale, EORTC QLQ-C30, validated for oncology patients.
  3. Acute and chronic toxicity according to the "Common Terminology Criteria for Adverse Events" (CTCAEv5.0) scale.

Conditions and MedDRA coding

Oligometastatic patients with castration-resistant prostate cancer

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2023-505024-62-00 Fractionated stereotactic radiotherapy plus second-generation antiandrogen for oligometastatic patients with castration-resistant prostate cancer. Phase II Spanish study, prospective, multicenter. (OLIGORESIST) Instituto de investigación en Oncología radioterápica FEOR (Fundación Española de Oncología RT)

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Patients with histologically prostate adenocarcinoma, confirmed with a biopsy.
  2. Testosterone in biochemical castration ranges (testosterone <50 ng/ml or 1.7 nmol/L) and documented progression: biochemical according to Phoenix criteria or distant by radiological confirmation (PSMA PET/CT or Choline PET/CT).
  3. Radiological confirmation (with choline-PET/CT or PSMA-PET/CT) of ≤5 node or bone metastasis, non-visceral, eligible to receive SBRT treatment (< 3 cm major diameter in bone metastases, < 5 cm in lymph node metastases). In the case of very close metastases, a limit of up to 5 treatment fields with SBRT is allowed, instead of 5 metastases.
  4. Patients candidate to receive treatment with abiraterone or enzalutamide as per clinical routine, and treatment selection and prescription assigned by responsible physician before the inclusion in the study or or who has started treatment no more than 14 days prior to signing, as first-line treatment after a diagnosis of oligoresistance.
  5. Patients must provide written informed consent.
  6. Life expectancy > 3 months.

Exclusion criteria 6

  1. Patients with prostate carcinoma with histology other than adenocarcinoma.
  2. No previous biopsy.
  3. > 5 metastasis, not approachables in 5 treatment fields
  4. Patients with visceral metastasis and or metastasis non elegible to receive SBRT.
  5. Patients with Testosterone above castration levels.
  6. Patients with prior treatment with docetaxel as first-line CRPC treatment (previous docetaxel treatment is permitted when administered as hormone-sensitive metastatic prostate cancer treatment.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Radiological progression by choline PET/CT or 68Ga-PSMA PET/CT, in patients with mCRPC treated with the combination of second-generation antiandrogen plus SBRT.

Secondary endpoints 3

  1. Overall survival (time from initiation of second-generation antiandrogen to exitus) in patients with mCRPC treated with the combination of second-generation antiandrogen plus SBRT.
  2. Quality of life of these patients using the European Organization for Research and Treatment of Cancer (EORTC) quality QLQ-C30, validated for oncology patients. of life scale, EORTC .
  3. Acute and chronic toxicity according to the "Common Terminology Criteria for Adverse Events" (CTCAEv5.0) scale.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Abiraterona Normon 500 mg comprimidos revestidos por película

PRD10123666 · Product

Active substance
Abiraterone Acetate
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
1000 mg milligram(s)
Max total dose
1000 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
L02BX03 — -
Marketing authorisation
5849047
MA holder
LABORATÓRIOS NORMON, S.A.
MA country
Portugal
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Xtandi - 80 mg film-coated tablets

PRD5512949 · Product

Active substance
Enzalutamide
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL USE
Max daily dose
160 mg milligram(s)
Max total dose
160 mg milligram(s)
Max treatment duration
36 Month(s)
Authorisation status
Authorised
ATC code
L02BB04 — -
Marketing authorisation
EU/1/13/846/003
MA holder
ASTELLAS PHARMA EUROPE B.V.
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Instituto de investigación en Oncología radioterápica FEOR (Fundación Española de Oncología RT)

Sponsor organisation
Instituto de investigación en Oncología radioterápica FEOR (Fundación Española de Oncología RT)
Address
Dr. Esquerdo, 105
City
Madrid
Postcode
28007
Country
Spain

Scientific contact point

Organisation
Instituto de investigación en Oncología radioterápica FEOR (Fundación Española de Oncología RT)
Contact name
Pablo Raña Díez

Public contact point

Organisation
Instituto de investigación en Oncología radioterápica FEOR (Fundación Española de Oncología RT)
Contact name
Pablo Raña Díez

Locations

1 EU/EEA country · 16 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Ongoing, recruiting 51 16
Rest of world 0

Investigational sites

Spain

16 sites · Ongoing, recruiting
Hospital De La Santa Creu I Sant Pau
Radiation Oncology, Carrer De San Quinti 89, 08041, Barcelona
Complexo Hospitalario Universitario De Santiago
Radiation Oncology, Calle Choupana Da S/n, 15706, Santiago De Compostela
Hospital Universitario De Cruces
Radiation Oncology, Cruces Plaza S/n, 48903, Barakaldo
Hospital Universitario Basurto
Radiation Oncology, Montevideo Etorbidea 16-18, 48013, Bilbao
Hospital Universitario De Salamanca
Radiation Oncology, Paseo De San Vicente 58-182, 37007, Salamanca
Hospital Clinic De Barcelona
Radiation Oncology, Calle Villarroel 170, 08036, Barcelona
Hospital Unviersitario Miguel Servet
Radiation Oncology, Paseo De Isabel La Catolica 1-3, 50009, Zaragoza
Hospital Universitario Rey Juan Carlos
Radiation Oncology, Calle Gladiolo S/n, 28933, Mostoles
Hospital Universitario Central De Asturias
Radiation Oncology, Avenida De Roma S/n, 33011, Oviedo
Consorci Sanitari De Terrassa
Radiation Oncology, Carretera Torrebonica Sn, 08227, Terrassa
Hospital Universitario De Navarra
Radiation Oncology, Irunlarrea Kalea 3, 31008, Pamplona
Hospital Clinico San Carlos
Radiation Oncology, Calle De Martin Fierro Sn, 28040, Madrid
Hospital Clinico Universitario De Valladolid
Radiation Oncology, Avenida Ramon Y Cajal 3, 47003, Valladolid
Institut Catala D'oncologia
Radiation Oncology, Avinguda Gran Via De L'hospitalet 199-203, 08908, L'hospitalet De Llobregat
Hospital Universitario Y Politecnico La Fe
Radiation Oncology, Avenida De Fernando Abril Martorell 106, 46026, Valencia
Hospital Universitario Ramón y Cajal
Radiation Oncology, M-607, Km. 9, Madrid

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2024-05-16 2024-05-17

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 15 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Protocolo OLIGORESIST v1 6_18-08-2023 1.6
Protocol (for publication) Protocolo OLIGORESIST v1 6_18-08-2023_highlighted changes v2.0
Protocol (for publication) Protocolo OLIGORESIST v3 23mar2026 3
Protocol (for publication) Protocolo OLIGORESIST v3 23mar2026 cambios resaltados 3
Protocol (for publication) Protocolo OLIGORESIST vFINAL20marzo2023 v2.0
Recruitment arrangements (for publication) informedconsent_patientrecruitmentprocedure_en 1
Subject information and informed consent form (for publication) HIP CI OLIGORESIST v1_1 16sept2022 1
Summary of Product Characteristics (SmPC) (for publication) xtandi-epar-product-information_es 1
Summary of Product Characteristics (SmPC) (for publication) zytiga-epar-product-information_es 1
Synopsis of the protocol (for publication) protocol synopsis OLIGORESIST v2.0
Synopsis of the protocol (for publication) protocol synopsis OLIGORESIST v3 con cambios resaltados ingles 3
Synopsis of the protocol (for publication) protocol synopsis OLIGORESIST v3 ingles 3
Synopsis of the protocol (for publication) resumen protocolo OLIGORESIST 18ago2023 1
Synopsis of the protocol (for publication) resumen protocolo v3 OLIGORESIST con cambios resaltados 1
Synopsis of the protocol (for publication) resumen protocolo v3 OLIGORESIST def espanol 3

Application history

5 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-09-05 Spain Acceptable
2023-10-09
2023-10-09
2 SUBSTANTIAL MODIFICATION SM-1 2024-06-27
3 SUBSTANTIAL MODIFICATION SM-2 2024-09-05 Spain Acceptable 2024-10-03
4 SUBSTANTIAL MODIFICATION SM-3 2025-10-10 Spain Acceptable
2025-12-15
2025-12-18
5 NON SUBSTANTIAL MODIFICATION NSM-1 2026-04-16 Spain Acceptable
2025-12-15
2026-04-16