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CompletedNCT03619980Updated Jan 13, 2025

A Non-Interventional Study to Evaluate Time to Event and Healthcare Resource Utilisation for Prostate Cancer Participants Throughout the Disease Trajectories Until Progression or Death

An observational study in Prostate Cancer, sponsored by Astellas Pharma Europe Ltd.. Completed at 1 site in Sweden. Open to male participants. Per ClinicalTrials.gov, last updated 2025-01-13.

Sponsored by Astellas Pharma Europe Ltd. · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
6,908
Sex
Male
01

Study summary

Primary objective of this study is to describe the time in each prostate cancer stage from non-metastatic Hormone Sensitive Prostate Cancer (m0HSPC), metastatic Hormone Sensitive Prostate Cancer (m1HSPC), non-metastatic Castrate-Resistant Prostate Cancer (m0CRPC), metastatic Castrate-Resistant Prostate Cancer (m1CRPC) to progression or death.

The secondary objectives of this study are to describe co-medication at each disease stage, to describe co-morbidities at each disease stage and to describe the healthcare resource use and costs associated to each disease stage.

This study has been opened and amended (amendment 2; also known as 9785-MA-3631 study) to describe the time in each prostate cancer state from m1HSPC to progression or death. The secondary objective for amendment 2 is to describe co-medication at each disease state, describe co-morbidities at each disease state, and describe PCa treatments in the m1HSPC state. The aim of the second amendment is to provide up to date real world data on the change of the treatment landscape in the m1HSPC population from 1 January 2021 to 30 June 2024.

Read the detailed description

This is a retrospective analysis of Prostate Cancer patients from m0HSPC, m1HSPC, m0CRPC, m1CRPC followed in the Prostate Cancer Database Sweden (PCBaSe) database. The patient population consists of men recorded in Patient-overview Prostate Cancer (PPC) between 1 January 2014 until death or 31 December 2016. Patient history to 2006 was collected by retrospective charted review.

Data will be extracted from PPC for the different Prostate Cancer (PCa) disease stages, from m0HSPC, m1HSPC, m0CRPC, m1CRPC until progression or death. The prostate cancer disease progression from m0HSPC, m1HSPC, m0CRPC, m1CRPC until progression or death has not been recorded in a systematic way. Given the complexity of this disease, the aim of this study is to have a comprehensive understanding about the disease progression in prostate cancer, from m0HSPC, m1HSPC, m0CRPC, m1CRPC until progression or death.

In addition, the following will be collected: co-morbidities, co-medication, health care resource utilization and costs, as well as other health economic variables such as sick leave and early retirement at the different disease stages.

02

Conditions studied

  • Prostate Cancer

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Keywords

  • Prostate Cancer
  • Non interventional
  • Registry
03

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Participants with prostate cancer registered in PPC.

Inclusion criteria

  • All patients registered in PPC.

Exclusion criteria

Exclusion Criteria:

  • None.
04

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
6,908 participants (actual)
Target follow-up
11 Years
Patient registry
Yes

Groups and cohorts

  • Participants with prostate cancer

    This is a retrospective registry based study to collect real world data on participants with different disease stages of prostate cancer in Sweden.

    Other: No intervention

Interventions

  • OtherNo intervention

    Retrospective study to evaluate time to event and healthcare resource utilisation of prostate cancer patients throughout the different disease stages, until progression or death.

05

What researchers measure

Primary outcomes

  1. Time from entry to exit either by progression or death from prostate cancer stage m0HSPC

    M0HSPC as defined by date for start of ADT (Androgen Deprivation Therapy) (bicalutamide or hormone therapy) and no date for metastatic disease.

    Time frame: 11 years

  2. Measure: Time from entry to exit either by progression or death from prostate cancer stage m1HSPC

    M1HSPC as defined by date for start of ADT (bicalutamide or hormone therapy) and date for metastatic disease.

    Time frame: 11 years

  3. Time from entry to exit either by progression or death from prostate cancer stage m0CRPC

    M0CRPC as defined by date for clinical assessment of CRPC (Castration Resistant Prostate Cancer) or PSA (Prostate-Specific Antigen) progression ((while on GnRH (Gonadotropin-Releasing Hormone) analogues)) and no date for metastases.

    Time frame: 11 years

  4. Time from entry to exit either by progression or death from prostate cancer stage m1CRPC

    m1CRPC as defined by date for clinical assessment of CRPC or PSA progression (while on GnRH analogues) and confirmed by date for radiographic progression or initiation of treatment for mCRPC (metastatic castration-resistant prostate cancer).

    Time frame: 11 years

  5. 9785-MA-3631: Time from entry to exit either by progression or death from prostate cancer stage m1HSPC

    M1HSPC as defined by date for start of ADT (bicalutamide or hormone therapy) and date for metastatic disease.

    Time frame: 3.5 years

  6. 9785-MA-3631: Time from entry to exit either by progression or death from prostate cancer stage m1CRPC

    M1CRPC as defined by date for clinical assessment of CRPC or PSA progression (while on GnRH analogues) and confirmed by date for radiographic progression or initiation of treatment for mCRPC (metastatic castration-resistant prostate cancer).

    Time frame: 3.5 years

Secondary outcomes

  1. Co-morbidities at disease stage m0HSPC

    The prevalence of different co-morbidities of interest will be summarized for each disease stage.

    Time frame: 11 years

  2. Co-morbidities at disease stage m1HSPC

    The prevalence of different co-morbidities of interest will be summarized for each disease stage.

    Time frame: 11 years

  3. Co-morbidities at disease stage m0CRPC

    The prevalence of different co-morbidities of interest will be summarized for each disease stage.

    Time frame: 11 years

  4. Co-morbidities at disease stage m1CRPC

    The prevalence of different co-morbidities of interest will be summarized for each disease stage.

    Time frame: 11 years

  5. Co-medications at disease stage m0HSPC as recorded in the registries

    The prevalence of different co-medications of interest will be summarized for each disease stage.

    Time frame: 11 years

  6. Co-medications at disease stage m1HSPC as recorded in the registries

    The prevalence of different co-medications of interest will be summarized for each disease stage.

    Time frame: 11 years

  7. Co-medications at disease stage m0CRPC as recorded in the registries

    The prevalence of different co-medications of interest will be summarized for each disease stage.

    Time frame: 11 years

  8. Co-medications at disease stage m1CRPC as recorded in the registries

    The prevalence of different co-medications of interest will be summarized for each disease stage.

    Time frame: 11 years

  9. Healthcare resource utilization and related costs in disease stage m0HSPC as measured by number of prostate cancer treatment regimens

    Healthcare resource utilization and related costs for each disease stage will be assessed by number of prostate cancer treatment regimens.

    Time frame: 11 years

  10. Healthcare resource utilization and related costs in disease stage m1HSPC as measured by number of prostate cancer treatment regimens

    Healthcare resource utilization and related costs for each disease stage will be assessed by number of prostate cancer treatment regimens.

    Time frame: 11 years

  11. Healthcare resource utilization and related costs in disease stage m0CRPC as measured by number of prostate cancer treatment regimens

    Healthcare resource utilization and related costs for each disease stage will be assessed by number of prostate cancer treatment regimens.

    Time frame: 11 years

  12. Healthcare resource utilization and related costs in disease stage m1CRPC as measured by number of prostate cancer treatment regimens

    Healthcare resource utilization and related costs for each disease stage will be assessed by number of prostate cancer treatment regimens.

    Time frame: 11 years

  13. Healthcare resource utilization and related costs in disease stage m0HSPC as measured by type of prostate cancer treatment regimens

    Healthcare resource utilization and related costs for each disease stage will be assessed by type of prostate cancer treatment regimens.

    Time frame: 11 years

  14. Healthcare resource utilization and related costs in disease stage m1HSPC as measured by type of prostate cancer treatment regimens

    Healthcare resource utilization and related costs for each disease stage will be assessed by type of prostate cancer treatment regimens.

    Time frame: 11 years

  15. Healthcare resource utilization and related costs in disease stage m0CRPC as measured by type of prostate cancer treatment regimens

    Healthcare resource utilization and related costs for each disease stage will be assessed by type of prostate cancer treatment regimens.

    Time frame: 11 years

  16. Healthcare resource utilization and related costs in disease stage m1CRPC as measured by type of prostate cancer treatment regimens

    Healthcare resource utilization and related costs for each disease stage will be assessed by type of prostate cancer treatment regimens.

    Time frame: 11 years

  17. Healthcare resource utilization and related costs in disease stage m0HSPC as measured by hospitalization in-patient

    Healthcare resource utilization and related costs will be assessed by hospitalization in-patient. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10).

    Time frame: 11 years

  18. Healthcare resource utilization and related costs in disease stage m1HSPC as measured by hospitalization in-patient

    Healthcare resource utilization and related costs will be assessed by hospitalization in-patient. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10).

    Time frame: 11 years

  19. Healthcare resource utilization and related costs in disease stage m0CRPC as measured by hospitalization in-patient

    Healthcare resource utilization and related costs will be assessed by hospitalization in-patient. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10).

    Time frame: 11 years

  20. Healthcare resource utilization and related costs in disease stage m1CRPC as measured by hospitalization in-patient

    Healthcare resource utilization and related costs will be assessed by hospitalization in-patient. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10).

    Time frame: 11 years

  21. Healthcare resource utilization and related costs in disease stage m0HSPC as measured by hospitalization frequency

    Healthcare resource utilization and related costs will be assessed by hospitalization frequency. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10).

    Time frame: 11 years

  22. Healthcare resource utilization and related costs in disease stage m1HSPC as measured by hospitalization frequency

    Healthcare resource utilization and related costs will be assessed by hospitalization frequency. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10).

    Time frame: 11 years

  23. Healthcare resource utilization and related costs in disease stage m0CRPC as measured by hospitalization frequency

    Healthcare resource utilization and related costs will be assessed by hospitalization frequency. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10).

    Time frame: 11 years

  24. Healthcare resource utilization and related costs in disease stage m1CRPC as measured by hospitalization frequency

    Healthcare resource utilization and related costs will be assessed by hospitalization frequency. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10).

    Time frame: 11 years

  25. Healthcare resource utilization and related costs in disease stage m0HSPC as measured by hospitalization duration

    Healthcare resource utilization and related costs will be assessed by hospitalization duration. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10).

    Time frame: 11 years

  26. Healthcare resource utilization and related costs in disease stage m1HSPC as measured by hospitalization duration

    Healthcare resource utilization and related costs will be assessed by hospitalization duration. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10).

    Time frame: 11 years

  27. Healthcare resource utilization and related costs in disease stage m0CRPC as measured by hospitalization duration

    Healthcare resource utilization and related costs will be assessed by hospitalization duration. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10).

    Time frame: 11 years

  28. Healthcare resource utilization and related costs in disease stage m1CRPC as measured by hospitalization duration

    Healthcare resource utilization and related costs will be assessed by hospitalization duration. Disease coding is according to International Classification of Diseases 10th Edition (ICD-10).

    Time frame: 11 years

  29. Healthcare resource utilization and related costs in disease stage m0HSPC as measured by type of hospital visits

    Healthcare resource utilization and related costs will be assessed by type of hospital visits.

    Time frame: 11 years

  30. Healthcare resource utilization and related costs in disease stage m1HSPC as measured by type of hospital visits

    Healthcare resource utilization and related costs will be assessed by type of hospital visits.

    Time frame: 11 years

  31. Healthcare resource utilization and related costs in disease stage m0CRPC as measured by type of hospital visits

    Healthcare resource utilization and related costs will be assessed by type of hospital visits.

    Time frame: 11 years

  32. Healthcare resource utilization and related costs in disease stage m1CRPC as measured by type of hospital visits

    Healthcare resource utilization and related costs will be assessed by type of hospital visits.

    Time frame: 11 years

  33. Healthcare resource utilization and related costs in disease stage m0HSPC as measured by frequency of hospital visits

    Healthcare resource utilization and related costs will be assessed by frequency of hospital visits.

    Time frame: 11 years

  34. Healthcare resource utilization and related costs in disease stage m1HSPC as measured by frequency of hospital visits

    Healthcare resource utilization and related costs will be assessed by frequency of hospital visits.

    Time frame: 11 years

  35. Healthcare resource utilization and related costs in disease stage m0CRPC as measured by frequency of hospital visits

    Healthcare resource utilization and related costs will be assessed by frequency of hospital visits.

    Time frame: 11 years

  36. Healthcare resource utilization and related costs in disease stage m1CRPC as measured by frequency of hospital visits

    Healthcare resource utilization and related costs will be assessed by frequency of hospital visits.

    Time frame: 11 years

  37. Healthcare resource utilization and related costs in disease stage m0HSPC as measured by type of imaging examinations

    Healthcare resource utilization and related costs will be assessed by type of imaging examinations.

    Time frame: 11 years

  38. Healthcare resource utilization and related costs in disease stage m1HSPC as measured by type of imaging examinations

    Healthcare resource utilization and related costs will be assessed by type of imaging examinations.

    Time frame: 11 years

  39. Healthcare resource utilization and related costs in disease stage m0CRPC as measured by type of imaging examinations

    Healthcare resource utilization and related costs will be assessed by type of imaging examinations.

    Time frame: 11 years

  40. Healthcare resource utilization and related costs in disease stage m1CRPC as measured by type of imaging examinations

    Healthcare resource utilization and related costs will be assessed by type of imaging examinations.

    Time frame: 11 years

  41. Healthcare resource utilization and related costs in disease stage m0HSPC as measured by frequency of imaging examinations

    Healthcare resource utilization and related costs will be assessed by frequency of imaging examinations.

    Time frame: 11 years

  42. Healthcare resource utilization and related costs in disease stage m1HSPC as measured by frequency of imaging examinations

    Healthcare resource utilization and related costs will be assessed by frequency of imaging examinations.

    Time frame: 11 years

  43. Healthcare resource utilization and related costs in disease stage m0CRPC as measured by frequency of imaging examinations

    Healthcare resource utilization and related costs will be assessed by frequency of imaging examinations.

    Time frame: 11 years

  44. Healthcare resource utilization and related costs in disease stage m1CRPC as measured by frequency of imaging examinations

    Healthcare resource utilization and related costs will be assessed by frequency of imaging examinations.

    Time frame: 11 years

  45. Healthcare resource utilization and related costs in disease stage m0HSPC as measured by type of laboratory tests

    Healthcare resource utilization and related costs will be assessed by type of laboratory tests.

    Time frame: 11 years

  46. Healthcare resource utilization and related costs in disease stage m1HSPC as measured by type of laboratory tests

    Healthcare resource utilization and related costs will be assessed by type of laboratory tests.

    Time frame: 11 years

  47. Healthcare resource utilization and related costs in disease stage m0CRPC as measured by type of laboratory tests

    Healthcare resource utilization and related costs will be assessed by type of laboratory tests.

    Time frame: 11 years

  48. Healthcare resource utilization and related costs in disease stage m1CRPC as measured by type of laboratory tests

    Healthcare resource utilization and related costs will be assessed by type of laboratory tests.

    Time frame: 11 years

  49. Healthcare resource utilization and related costs in disease stage m0HSPC as measured by frequency of laboratory tests

    Healthcare resource utilization and related costs will be assessed by frequency of laboratory tests

    Time frame: 11 years

  50. Healthcare resource utilization and related costs in disease stage m1HSPC as measured by frequency of laboratory tests

    Healthcare resource utilization and related costs will be assessed by frequency of laboratory tests.

    Time frame: 11 years

  51. Healthcare resource utilization and related costs in disease stage m0CRPC as measured by frequency of laboratory tests

    Healthcare resource utilization and related costs will be assessed by frequency of laboratory tests.

    Time frame: 11 years

  52. Healthcare resource utilization and related costs in disease stage m1CRPC as measured by frequency of laboratory tests

    Healthcare resource utilization and related costs will be assessed by frequency of laboratory tests.

    Time frame: 11 years

  53. 9785-MA-3631: Co-morbidities at disease stage m0HSPC

    The prevalence of different co-morbidities of interest will be summarized for each disease stage.

    Time frame: 3.5 years

  54. 9785-MA-3631: Co-morbidities at disease stage m1HSPC

    The prevalence of different co-morbidities of interest will be summarized for each disease stage.

    Time frame: 3.5 years

  55. 9785-MA-3631: Co-morbidities at disease stage m0CRPC

    The prevalence of different co-morbidities of interest will be summarized for each disease stage.

    Time frame: 3.5 years

  56. 9785-MA-3631: Co-morbidities at disease stage m1CRPC

    The prevalence of different co-morbidities of interest will be summarized for each disease stage.

    Time frame: 3.5 years

  57. 9785-MA-3631: Co-medications at disease stage m0HSPC as recorded in the registries

    The prevalence of different co-medications of interest will be summarized for each disease stage.

    Time frame: 3.5 years

  58. 9785-MA-3631: Co-medications at disease stage m1HSPC as recorded in the registries

    The prevalence of different co-medications of interest will be summarized for each disease stage.

    Time frame: 3.5 years

  59. 9785-MA-3631: Co-medications at disease stage m0CRPC as recorded in the registries

    The prevalence of different co-medications of interest will be summarized for each disease stage.

    Time frame: 3.5 years

  60. 9785-MA-3631: Co-medications at disease stage m1CRPC as recorded in the registries

    The prevalence of different co-medications of interest will be summarized for each disease stage.

    Time frame: 3.5 years

  61. 9785-MA-3631: Prostate Cancer (PCa) treatments for the m1HSPC disease state

    PCa treatments collected (using real world data) in the m1HSPC population.

    Time frame: 3.5 years

06

Study locations

1 site
  • Site SE46001
    Uppsala, 753 09, Sweden
07

References and documents

Individual participant data

Plan to share: No — Access to anonymized individual participant level data will not be provided for this trial. Further details on Astellas' data sharing policy can be found at https://www.clinicaltrials.astellas.com/transparency/.

08

Registry details

Key details

Study ID
NCT03619980
Lead sponsor
Astellas Pharma Europe Ltd.
Responsible party
Sponsor
First posted
Aug 8, 2018
Start date
Sep 13, 2018
Primary completion
Dec 10, 2024
Completion
Dec 10, 2024
Last update
Jan 13, 2025

Study contacts

Astellas Pharma Europe Ltd.
study director · Astellas Pharma Europe Ltd.

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
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