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NCT02485691 · OUTCOME

Radiographic Progression-Free Survival (rPFS) in Participants With Presence and Absence of Biomarker

Cabazitaxel Versus the Switch to Alternative AR-targeted Agent (Enzalutamide or Abiraterone) in Metastatic Castration-resistant Prostate Cancer (mCRPC) Patients Previously Treated With Docetaxel and Who Rapidly Failed a Prior AR-targeted Agent · Source last updated 2022-05-27

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEDIAN
Unit
months
Interval / dispersion
Full Range
Time frame
From randomization until tumor progression or bone lesion progression, death due to any cause, or data cut-off date whichever comes first (maximum duration: up to 141 weeks)

What was measured

Circulating tumor cell (CTC) counts were considered as biomarker in a liquid biopsy. rPFS in participants with presence and absence of subtypes of CTC biomarker i.e. chromosomal instability (CIN) and neuroendocrine (NE) was reported in this outcome measure. rPFS was defined as: time (in months) from randomization to the first occurrence of any one of following: radiological tumor progressions (RECIST1.1), progression of bone lesions (PCWG2 criteria) or death due to any cause. Progression (RECIST1.1): at least a 20% increase in sum of diameters of target lesions, unequivocal progression of existing non-target lesions. Progression of bone lesions (PCWG2 criteria): first bone scan with \>= 2 new lesions compared to Baseline observed \<12 weeks from randomization and confirmed by a second bone scan performed \>=6 weeks later; first bone scan with \>=2 new lesions compared to Baseline observed \>=12 weeks from randomization and new lesions were verified on next bone scan \>= 6 weeks later.

Analysis population: Analysis was performed on subset of participants analyzed according to the treatment group allocated by randomization with evaluable samples.

Groups in this outcome

Cabazitaxel

Participants received Cabazitaxel 25 mg/m\^2 IV infusion for over 1 hour on Day 1 of each 3 week treatment cycle in combination with Prednisone 10 mg orally once daily and primary prophylactic G-CSF as per investigator decision, until radiographic disease progression, unacceptable toxicity, or participant's refusal of further study treatment (median duration = 22 weeks).

Abiraterone Acetate or Enzalutamide

Participants received either abiraterone acetate 1000 mg orally once daily from Day 1 to Day 21 of each 3 week treatment cycle in combination with prednisone 5 mg orally twice daily; or enzalutamide 160 mg orally once daily continuously from Day 1 to Day 21 of each 3 week treatment cycle, until radiographic disease progression, unacceptable toxicity, or participant's refusal of further study treatment (median duration = 12.5 weeks)

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Cabazitaxel109
Abiraterone Acetate or Enzalutamide106

Reported measurements

Presence of CIN

Analysis denominator · Participants

GroupSource count
Cabazitaxel27
Abiraterone Acetate or Enzalutamide27
Values in months · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Cabazitaxel4.2Not reported2.111.2Not reported
Abiraterone Acetate or Enzalutamide4.2Not reported0.0321.0Not reported
Absence of CIN

Analysis denominator · Participants

GroupSource count
Cabazitaxel82
Abiraterone Acetate or Enzalutamide79
Values in months · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Cabazitaxel8.5Not reported0.0333.1Not reported
Abiraterone Acetate or Enzalutamide3.4Not reported0.0328.0Not reported
Presence of NE

Analysis denominator · Participants

GroupSource count
Cabazitaxel7
Abiraterone Acetate or Enzalutamide14
Values in months · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Cabazitaxel3.0Not reported2.611.2Not reported
Abiraterone Acetate or Enzalutamide3.9Not reported0.0321.0Not reported
Absence of NE

Analysis denominator · Participants

GroupSource count
Cabazitaxel102
Abiraterone Acetate or Enzalutamide92
Values in months · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Cabazitaxel8.2Not reported0.0333.1Not reported
Abiraterone Acetate or Enzalutamide3.5Not reported0.0328.0Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        2.1
        upper Limit
        11.2
        value
        4.2
      2. group Id
        OG001
        lower Limit
        0.03
        upper Limit
        21.0
        value
        4.2
    denoms
    1. counts
      1. group Id
        OG000
        value
        27
      2. group Id
        OG001
        value
        27
      units
      Participants
    title
    Presence of CIN
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.03
        upper Limit
        33.1
        value
        8.5
      2. group Id
        OG001
        lower Limit
        0.03
        upper Limit
        28.0
        value
        3.4
    denoms
    1. counts
      1. group Id
        OG000
        value
        82
      2. group Id
        OG001
        value
        79
      units
      Participants
    title
    Absence of CIN
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        2.6
        upper Limit
        11.2
        value
        3.0
      2. group Id
        OG001
        lower Limit
        0.03
        upper Limit
        21.0
        value
        3.9
    denoms
    1. counts
      1. group Id
        OG000
        value
        7
      2. group Id
        OG001
        value
        14
      units
      Participants
    title
    Presence of NE
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.03
        upper Limit
        33.1
        value
        8.2
      2. group Id
        OG001
        lower Limit
        0.03
        upper Limit
        28.0
        value
        3.5
    denoms
    1. counts
      1. group Id
        OG000
        value
        102
      2. group Id
        OG001
        value
        92
      units
      Participants
    title
    Absence of NE
denoms
  1. counts
    1. group Id
      OG000
      value
      109
    2. group Id
      OG001
      value
      106
    units
    Participants
description
Circulating tumor cell (CTC) counts were considered as biomarker in a liquid biopsy. rPFS in participants with presence and absence of subtypes of CTC biomarker i.e. chromosomal instability (CIN) and neuroendocrine (NE) was reported in this outcome measure. rPFS was defined as: time (in months) from randomization to the first occurrence of any one of following: radiological tumor progressions (RECIST1.1), progression of bone lesions (PCWG2 criteria) or death due to any cause. Progression (RECIST1.1): at least a 20% increase in sum of diameters of target lesions, unequivocal progression of existing non-target lesions. Progression of bone lesions (PCWG2 criteria): first bone scan with \>= 2 new lesions compared to Baseline observed \<12 weeks from randomization and confirmed by a second bone scan performed \>=6 weeks later; first bone scan with \>=2 new lesions compared to Baseline observed \>=12 weeks from randomization and new lesions were verified on next bone scan \>= 6 weeks later.
dispersion Type
Full Range
groups
  1. description
    Participants received Cabazitaxel 25 mg/m\^2 IV infusion for over 1 hour on Day 1 of each 3 week treatment cycle in combination with Prednisone 10 mg orally once daily and primary prophylactic G-CSF as per investigator decision, until radiographic disease progression, unacceptable toxicity, or participant's refusal of further study treatment (median duration = 22 weeks).
    id
    OG000
    title
    Cabazitaxel
  2. description
    Participants received either abiraterone acetate 1000 mg orally once daily from Day 1 to Day 21 of each 3 week treatment cycle in combination with prednisone 5 mg orally twice daily; or enzalutamide 160 mg orally once daily continuously from Day 1 to Day 21 of each 3 week treatment cycle, until radiographic disease progression, unacceptable toxicity, or participant's refusal of further study treatment (median duration = 12.5 weeks)
    id
    OG001
    title
    Abiraterone Acetate or Enzalutamide
param Type
MEDIAN
population Description
Analysis was performed on subset of participants analyzed according to the treatment group allocated by randomization with evaluable samples.
reporting Status
POSTED
time Frame
From randomization until tumor progression or bone lesion progression, death due to any cause, or data cut-off date whichever comes first (maximum duration: up to 141 weeks)
title
Radiographic Progression-Free Survival (rPFS) in Participants With Presence and Absence of Biomarker
type
SECONDARY
unit Of Measure
months

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