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CompletedNCT02963675SMARCOSUpdated Feb 12, 2018

Incidence of Second Primary Malignancies in Prostate Cancer Patients With Bone Metastases - an Observational Retrospective Cohort Study in Sweden

An observational study in Prostatic Neoplasms, sponsored by Bayer. Completed at 1 site in Sweden. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-02-12.

Sponsored by Bayer · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
15,953
Ages
18 Years and older
Sex
Male
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Study summary

This study is conducted to obtain information about prostate cancer patients with bone metastases before the end of 2013. The incidence of second primary malignancies and overall survival in patients with castration resistant prostate cancer are of particular interest. Information from this study will serve as a historical reference for the REASSURE study (Background incidence study)

Read the detailed description

Prostate cancer (PC) is the most common non-cutaneous malignancy in men. Once it becomes metastatic, it poses a serious threat to the patients' quality of life and survival. The most common site of metastases is the skeletal system: Among castration-resistant prostate cancer patients bone metastases are involved in over 90% of metastatic cases.

The development of new treatments has led to improved quality of life and prolonged lifetime among castration-resistant prostate cancer patients with metastases (mCRPC). A recent randomized clinical trial indicated significant improvement in survival and quality of life among patients with bone metastases treated with alpha emitter radium-223 as compared with placebo. To further evaluate the safety profile of Radium-223 in patients with castration resistant prostate cancer with bone metastases, Radium-223 alpha Emitter Agent in non-intervention Safety Study in mCRPC popUlation for long-teRm Evaluation (the REASSURE study), an international prospective observational single-arm cohort study was implemented as a post-marking requirement requested by the U.S. Food and Drug Administration (FDA) and European Medicines Agency (EMA).

In the case that new treatments improve the length and quality of life substantially, it can be challenging to obtain an appropriate comparison group in the post-authorization phase. This study is conducted to obtain information about prostate cancer patients with bone metastases before the end of 2013. The incidence of second primary malignancies and overall survival are of particular interest. Information from this study will serve as a historical reference for the REASSURE study

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Conditions studied

  • Prostatic Neoplasms

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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 15,953 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
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with PC diagnosis in 1.1.1998 - 31.12.2013 and with bone metastases diagnosis or bone-directed treatments in 1.1.1998 - 31.12.2013 will be initially included into the large study population. From this initial population, the main analyses will concentrate on the following two populations:

  • Prostate cancer patients with bone metastases (mPC), and
  • Castration-resistant prostate cancer patients with bone metastases (mCRPC)

Eligibility criteria

Inclusion Criteria:mPC population; if the following criteria are fulfilled:

A.) PC diagnosis in 1.1.1998 - 31.12.2011 B.) Bone metastases diagnosis in 1.1.1999 - 31.12.2011 mCRPC population; if the following criteria are fulfilled:

  1. PC diagnosis in 1.1.1998 - 31.12.2011
  2. Bone metastases diagnosis in 1.1.2007 - 31.12.2011
  3. One of the following in 1.1.2006 - 31.12.2011 and before or at the same time with bone metastases diagnosis:

    1. Discontinuation of the initial chemical castration (androgen deprivation therapy, ADT), change of the agent or modality of ADT, or start of treatment for advanced PC after the primary ADT (including chemotherapy or mitoxantrone)
    2. Surgical castration and initiation of ADT treatment, chemotherapy or mitoxantrone afterwards
    3. Treatment with medication specific to either castration-resistant PC or mCRPC (cabazitaxel, enzalutamide or abiraterone).
    4. In a sensitivity analysis, also those who have had at least 6 months since the initiation of castration treatment before cohort entry date (bone metastases diagnosis) are included in the mCRPC population.

Exclusion Criteria:

  • First PC diagnosis later than 2 months after the diagnosis of bone metastases, or
  • Permanent residence not in Sweden or patient otherwise not contributing to the registers at least a year before the diagnosis of bone metastases (patient counted not contributing also if database existence less than a year before cohort entry), or
  • Use of any radiopharmaceuticals for bone metastases (ATC code): Samarium (V10BX02), strontium (V10BX01), rhenium (V10BX03) or radium (V10XX03).
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
15,953 participants (actual)
Patient registry
No

Groups and cohorts

  • Group 1

    Prostate cancer patients with bone metastases (mPC)

  • Group 2

    Castration-resistant prostate cancer patients with bone metastases (mCRPC)

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What researchers measure

Primary outcomes

  1. Incidences of Second primary malignancies that are characterized by the following ICD-10 codes: C00-C76, C81-C96, D00-D09, D37-D48.

    Time frame: Up to 15 years

Secondary outcomes

  1. Incidences of any site-specific second primary malignancies

    Site-specific ICD-10 code groups from the range of all neoplasm codes C00 - D48

    Time frame: Up to 15 years for mPC patients and up to 7 years for mCRPC patients

  2. Overall survival

    Time frame: Up to 15 years for mPC patients and up to 7 years for mCRPC patients

  3. Pathologic fracture

    ICD-10 codes: M49.5, M84.4, M90.7

    Time frame: Up to 15 years for mPC patients and up to 7 years for mCRPC patients

  4. Spinal cord compression

    ICD-10 codes: M43.9, M48.5, G95.2, G95.8

    Time frame: Up to 15 years for mPC patients and up to 7 years for mCRPC patients

  5. Surgery to bone

    Based on the Nordic Medico-Statistical Committee (NOMESCO) classification of surgical procedure codes (NCSP codes)

    Time frame: Up to 15 years for mPC patients and up to 7 years for mCRPC patients

  6. Radiation to bone

    Based on NCSP codes

    Time frame: Up to 15 years for mPC patients and up to 7 years for mCRPC patients

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Study locations

1 site
  • Multiple Locations, Sweden
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 12, 2018, 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
NCT02963675
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Nov 15, 2016
Start date
Nov 15, 2016
Primary completion
Mar 31, 2017
Completion
Mar 31, 2017
Last update
Feb 12, 2018

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 Feb 2018. You cannot join it, but the record below documents what was studied.

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