Metastatic Castration-Resistant Prostate Cancer
Conditions
Keywords
Prostate cancer metastatic, Prostate cancer, Bone fractures, Overall survival
Brief summary
In this observational study researchers want to gather more information about bone fractures and survival in castration-resistant prostate cancer (CRPC) patients treated with radium-223 in routine clinical practice in Sweden. The goal is to estimate the proportion of new cases (incidence) of symptomatic bone fractures and to estimate the proportion of death occurred in years of observation time per person (person years). Radium-223 (Ra-223) is an alpha particle-emitting radioactive agent approved for the treatment of men with metastatic castration-resistant prostate cancer (mCRPC).
Interventions
Follow the physician's prescription in routine clinical practice. This study does not involve prescription of the drugs.
Docetaxel, cabazitaxel, enzalutamide, abiraterone and others standard of care following the physician's prescription in routine clinical practice.
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed adenocarcinoma of the prostate, i.e., the patient is registered in the NPCR (histology other than adenocarcinomas are not registered in the NPCR). * Start of Ra-223 treatment for mCRPC as an n-th line of treatment, where n goes from 1 to 4. * ECOG performance status of 0-2 at treatment initiation. We will assume that patients starting any of the systemic therapies under study have a performance status of 0-2.
Exclusion criteria
* Prior use of Ra-223 * Patients that have participated in a Ra-223 RCT
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Bone fractures requiring admission to a hospital or treated in an outpatient setting, as recorded or captured in the PCBaSe | Retrospectively analysis from November 2013 to December 2018 | PCBaSe: Prostate Cancer data Base Sweden |
Secondary
| Measure | Time frame |
|---|---|
| Death due to all causes | Retrospectively analysis from November 2013 to December 2018 |
| Death due to prostate cancer | Retrospectively analysis from November 2013 to December 2018 |
Countries
Sweden