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CompletedNCT02788409Updated May 8, 2019

Incidence of Second Primary Malignancies in Castration-Resistant Prostate Cancer: An Observational Retrospective Cohort Study in the US

An observational study in Prostatic Neoplasms, sponsored by Bayer. Completed at 1 site in United States. Open to male participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2019-05-08.

Sponsored by Bayer · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
2,234
Ages
65 Years and older
Sex
Male
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Study summary

This 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.

Read the detailed description

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.

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Conditions studied

  • Prostatic Neoplasms

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03

In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.

This study's enrollment of 2,234 is above the median of 200 across 1,181 observational studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Bayer is the lead sponsor of 1,643 studies on the registry; 57 are open to participants now.

Of its 209 completed or terminated interventional studies of FDA-regulated products, 129 (62%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
65 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

The cohort will include men who are enrolled in both Medicare Parts A and B for at least 1 year before the cohort entry date, have a primary site code of prostate cancer in SEER data, have surgical castration or androgen deprivation therapy after prostate cancer diagnosis, have evidence that prostate cancer was resistant to the castration as indicated by starting a second-line systemic therapy, and have an cohort entry date of 01 January 2006 or later on which they are aged 65 years or older. All eligible subjects will be selected; there will be no sampling. (The probability of selecting each eligible patient is equal to 1)

Inclusion criteria

  • Enrolled in both Medicare Parts A and B for at least 1 year before the cohort entry date (minimum lookback period for comorbidities and treatments)
  • Primary site code of prostate cancer (International Classification of Diseases for Oncology, Third Edition [ICD-O-3] topography code C61.9) in SEER data
  • Surgical castration or androgen deprivation therapy after prostate cancer diagnosis; androgen deprivation therapy will be indicated by the use of any of the following drugs: abarelix, bicalutamide, buserelin, cyproterone, degarelix, diethylstilbestrol, estramustine, flutamide, gonadorelin, goserelin, histrelin, leuprolide, medroxyprogesterone, megestrol, nafarelin, nilutamide, polyestradiol, triptorelin
  • Evidence that prostate cancer was resistant to surgical castration or androgen deprivation therapy ("castration-resistant prostate cancer"), as indicated by starting one of the following second-line systemic therapies (cohort entry date): abiraterone, cabazitaxel, docetaxel, enzalutamide, mitoxantrone, or sipuleucel-T
  • Cohort entry date 01 January 2006 or later
  • Age 65 years or older in the US on the cohort entry date

Exclusion criteria

Exclusion Criteria:

  • Enrollment in an HMO (Health Maintenance Organization) in the year before the cohort entry date
  • Diagnosis of any cancer other than prostate cancer or nonmelanoma skin cancer on or before the cohort entry date
  • Any diagnostic code for metastases other than bone metastases or lymph node metastases on or before the cohort entry date
  • Any claim for treatment with Xofigo on or before the cohort entry date.
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
2,234 participants (actual)
Patient registry
No

Groups and cohorts

  • Medicare CRPC

    Men in the US older than 65 years old having CRPC

    Other: Not applicable for study

Interventions

  • OtherNot applicable for study

    Provide external perspective on background second primary cancer incidence rates for REASSURE study.

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What researchers measure

Primary outcomes

  1. Incidence rate of second primary malignancy

    Time frame: Retrospective analysis between 1-Jan-2000 and 31-Dec-2013

  2. Incidence rates of skeletal-related events

    Time frame: Retrospective analysis between 1-Jan-2000 and 31-Dec-2013

Secondary outcomes

  1. Proportion with a history of bone metastasis at cohort entry

    Time frame: Retrospective analysis between 1-Jan-2000 and 31-Dec-2013

  2. Proportion who met the definition of castration based solely on Part D data

    Time frame: Retrospective analysis between 1-Jan-2000 and 31-Dec-2013

  3. Overall survival

    Time frame: Retrospective analysis between 1-Jan-2000 and 31-Dec-2013

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Study locations

1 site
  • Waltham, Massachusetts, United States
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References and documents

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02788409
Lead sponsor
Bayer
Collaborators
RTI Health Solutions
Responsible party
Sponsor
First posted
Jun 2, 2016
Start date
May 15, 2016
Primary completion
May 9, 2018
Completion
May 9, 2018
Last update
May 8, 2019

Study contacts

Bayer Study Director
study director · Bayer

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2019. You cannot join it, but the record below documents what was studied.

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