Testing radical prostatectomy in men with oligometastatic prostate cancer that has spread to the bone

ISRCTN ISRCTN15704862
DOI https://doi.org/10.1186/ISRCTN15704862
Protocol serial number N/A
Sponsor University of Oxford (UK)
Funder Prostate Cancer Foundation
Submission date
20/01/2016
Registration date
05/02/2016
Last edited
11/01/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

https://www.cancerresearchuk.org/about-cancer/find-a-clinical-trial/a-trial-looking-at-surgery-for-men-with-prostate-cancer-that-has-spread-to

Contact information

Dr Prasanna Sooriakumaran
Scientific

Nuffield Department of Surgical Sciences
University of Oxford
Old Road Campus Research Building
Old Road
Headington
Oxford
OX3 7DQ
United Kingdom

Study information

Primary study designInterventional
Study designInterventional multi-centre randomised controlled trial
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleTesting Radical prostatectomy in men with prostate cancer and oligoMetastases to the bone (TRoMbone): a randomised controlled feasibility trial
Study acronymTRoMbone
Study objectivesIt is feasible to randomise men with oligometastatic prostate cancer between treatment-as-usual and treatment-as-usual plus radical prostatectomy.
Ethics approval(s)Oxford Research Ethics Committee, 14/09/2016, ref: 16/SC/0376
Health condition(s) or problem(s) studiedNewly diagnosed oligometastatic prostate cancer (1-3 skeletal lesions; no visceral lesions)
InterventionCurrent interventions as of 11/05/2017:
1. Radical prostatectomy (including extended pelvic lymphadenectomy) plus standard care
2. Standard care
The total duration of follow-up is 3 months in both arms and then they revert to standard NHS follow-up care

Previous interventions:
1. Radical prostatectomy (including extended pelvic lymphadenectomy) plus treatment-as-usual (androgen deprivation therapy)
2. Treatment-as-usual (androgen deprivation therapy)
The total duration of follow-up is 6 months in both arms and then they revert to standard NHS follow-up care.
Intervention typeProcedure/Surgery
Primary outcome measure(s)

Current secondary outcome measures as of 18/10/2017:
Feasibility to randomise, measured at 3 months

Previous primary outcome measures:
Feasibility to randomise, measured at 6 months

Key secondary outcome measure(s)

Current primary outcome measures as of 18/10/2017:
1. Quality of life, measured by the EQ5D5L questionnaire at baseline and 3 months
2. Time to castrate resistance, assessed by PSA measurements at 3 months and then ongoing as routine NHS follow-up care schedules

Previous secondary outcome measures:
1. Quality of life, measured by the EQ5D5L questionnaire at baseline, 6 weeks, 3 months and 6 months
2. Time to castrate resistance, assessed by PSA measurements at 6 weeks, 3 months, 6 months, and then ongoing as routine NHS follow-up care schedules

Completion date03/08/2018

Eligibility

Participant type(s)Patient
Age groupMixed
SexMale
Target sample size at registration50
Key inclusion criteriaMen under 75 years old with locally resectable, oligometastatic prostate cancer, and fit for radical prostatectomy
Key exclusion criteriaCurrent exclusion criteria as of 18/10/2017:
1. Contraindications to radical prostatectomy
2. Visceral metastases
3. Prior radiotherapy to the abdomen/pelvis or to skeletal metastases
4. Any systemic therapy of prostate cancer (including standard care) for 12 or more months
5. Participation in another prostate cancer clinical trial

Previous exclusion criteria:
1. Contraindications to radical prostatectomy
2. Visceral metastases
3. Prior radiotherapy to the abdomen/pelvis or to skeletal metastases
4. Any systemic therapy of prostate cancer (including treatment-as-usual) for 3 or more months
5. Participation in another prostate cancer clinical trial
Date of first enrolment19/05/2017
Date of final enrolment18/04/2018

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centres

Oxford University Hospitals
OX3 7LE
United Kingdom
University College London Hospitals
W1G 8PH
United Kingdom
Royal Surrey County Hospital
GU2 7XX
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
IPD sharing planThe datasets generated during and/or analysed during the current study will be stored in a repository and not made available as they will form the basis for a further large randomized controlled trial.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
HRA research summary 28/06/2023 No No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes
Protocol file version V3.0 30/10/2017 30/11/2017 No No

Additional files

ISRCTN15704862_PROTOCOL_V3.0_30Oct2017.pdf
Uploaded 30/11/2017

Editorial Notes

11/01/2023: Cancer Research UK plain English summary link added to plain English summary field.
05/02/2019: The overall end date has been changed from 20/11/2018 to 03/08/2018.
03/05/2018: The recruitment end date has been changed from 20/08/2018 to 18/04/2018.
30/11/2017: Uploaded protocol Version 3.0 30 Oct 2017 (not peer reviewed).
18/10/2017: The overall trial dates have been updated from 01/01/2016-01/04/2017 to 20/02/2017-20/11/2018. The recruitment start date has been updated from 20/02/2017-20/02/2018 to 19/05/2017-20/08/2018. The intention to publish date has been updated from 01/04/2018 to 20/11/2018.
26/07/2017: Ethics approval details added.
08/06/2017: Cancer Help UK lay summary link added to plain English summary field
06/06/2017: Internal review
11/05/2017: The following changes were made to the trial record:
1. The recruitment start date was changed from 01/07/2016 to 20/02/2017.
2. The recruitment end date was changed from 31/12/2016 to 20/02/2018.