Sbrt±sTad for Unfavorable iNtermediate rIsk/high-risk prostate cancer (STUNNIN): A Randomized Phase II Study

2024-511886-12-00 Protocol 2020-004195-17 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 29 Apr 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 3 sites · Protocol 2020-004195-17

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 146
Countries 1
Sites 3

Unfavorable intermediate/high risk prostate cancer patients

the primary objective of the study is 3-year bNED survival. If bNED survival is not significantly different between the two experimental arms, the one without AD will be chosen in a future comparison with the standard of care.

Key facts

Sponsor
I.F.O. Istituti Fisioterapici Ospitalieri
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
29 Apr 2024 → ongoing
Decision date (initial)
2024-04-29
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

External identifiers

EU CT number
2024-511886-12-00
EudraCT number
2020-004195-17

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

the primary objective of the study is 3-year bNED survival. If bNED survival is not significantly different between the two experimental arms, the one without AD will be chosen in a future comparison with the standard of care.

Secondary objectives 1

  1. Overall survival (OS) at 3 years - Prostate positive biopsy rates at 2 yrs - Metastases free survival at 3 yrs - Cumulative incidence of either GI/GU toxicity at 3 yrs (CTCAE v4.0) - Nadir PSA at various time points - Quality of Life at various time points (EORTC QLQ-C30 & FACT-P) - Erectile function at various time points (IIF-5) - Urinary Continence at various time points (ICIQ-Sf) - IPSS at various time points - Patient satisfaction with treatment at 3 yrs (FACIT-TS-G)

Conditions and MedDRA coding

Unfavorable intermediate/high risk prostate cancer patients

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. Histologically proven prostate adenocarcinoma - IR or HR in the NCCN definition - N0M0 at staging with choline or (preferably) PSMA PET-CT; - ECOG performance status between 0 and 2;

Exclusion criteria 1

  1. T3b disease according to the 8th AJCC classification; - PSA>20 ng/ml at any time point - Gleason Score of 9 or 10 (Grade Grouping V) - Previous local treatment of the prostate with surgery (radical prostatectomy or cryotherapy) - Previous radiotherapy to the pelvis - Previous chemotherapy for malignancy in past 5 years - Impossibility to implant fiducials for tracking purposes - Impossibility to undergo MRI of the prostate - Contraindication to short term AD - Prostate volume >90cc

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. The primary objective of the study is 3-yr bNED survival.

Secondary endpoints 1

  1. Overall survival

Investigational products

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

Test 1

Bicalutamide

SCP135589 · ATC

Active substance
Bicalutamide
Substance synonyms
ICI-176334, (+/-)-4'-CYANO-ALPHA,ALPHA,ALPHA-TRIFLUORO-3-((P-FLUOROPHENYL)SULFONYL)-2-METHYL-M-LACTOTOLUIDIDE
Route of administration
BUCCAL USE
Max daily dose
50.00 g gram(s)
Max total dose
50.00 g gram(s)
Max treatment duration
6 Month(s)
Authorisation status
Authorised
ATC code
L02BB03 — BICALUTAMIDE
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

I.F.O. Istituti Fisioterapici Ospitalieri

Sponsor organisation
I.F.O. Istituti Fisioterapici Ospitalieri
Address
Via Elio Chianesi N 53
City
Rome
Postcode
00144
Country
Italy

Scientific contact point

Organisation
I.F.O. Istituti Fisioterapici Ospitalieri
Contact name
Dott. Massimo Zeuli

Public contact point

Organisation
I.F.O. Istituti Fisioterapici Ospitalieri
Contact name
Dott. Massimo Zeuli

Locations

1 EU/EEA country · 3 investigational sites

By country

CountryMS statusPlanned subjectsSites
Italy Ongoing, recruiting 146 3
Rest of world 0

Investigational sites

Italy

3 sites · Ongoing, recruiting
San Raffaele Hospital
Radiotherapy Unit, Via Olgettina 58, 20132, Milan
I.F.O. Istituti Fisioterapici Ospitalieri
Radiotherapy Unit, Via Elio Chianesi N 53, 00144, Rome
Azienda Unita Locale Socio Sanitaria N. 1 Dolomiti
Department of Radiation Oncology, Via Feltre 57, 32100, Belluno

Country notifications

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

Country Trial startTrial end Recruitment startRecruitment end Early termination
Italy 2024-04-29 2024-04-29

Results and documents

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

Documents 9 files

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

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024_511886_12_00 v2 19Jun2024 CLEAN 2
Protocol (for publication) D1_Protocol 2024_511886_12_00 v2_1 05092024 TC 2.1
Protocol (for publication) D1_Protocol 2024_511886_12_00 v2_105092024 CLEAN 2.1
Protocol (for publication) Prot SBRT per unfav IR HR 15012021 TC vs 1_2 2
Recruitment arrangements (for publication) recruitment arrangements 1
Subject information and informed consent form (for publication) CI_vers_ultima 2
Summary of Product Characteristics (SmPC) (for publication) RCP CASODEX 1
Synopsis of the protocol (for publication) D1_Protocol synopsis ITA 2024_51_1886_1200 CLEAN 2
Synopsis of the protocol (for publication) Sinossi STUNNIN_1906620 1

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-02-15 Italy Acceptable
2024-03-28
2024-04-29
2 SUBSTANTIAL MODIFICATION SM-2 2024-07-17 Italy Acceptable
2024-09-23
2024-10-25