Study to Detect Changes in Urinary and Gut Microbiome During Androgen Deprivation Therapy and Radiation Therapy in Patients With Prostate Cancer
Status
RECRUITING
Phase
Age
≥ 18 Years
Enrollments
30Conditions
Stage I Prostate Cancer AJCC v7, Stage II Prostate Cancer AJCC v7, Stage IIA Prostate Cancer AJCC v7, Stage IIB Prostate Cancer AJCC v7, Stage III Prostate Cancer AJCC v7, Stage IV Prostate Cancer AJCC v7Summary
This study collects urine and stool samples to determine the ability to identify changes in the microbiome (bacteria, fungi, and viruses that live in the gut and urine) of patients with prostate cancer during androgen deprivation therapy and radiation therapy. Radiation therapy has the potential to harm the genitourinary area or the bowel, causing a feeling of urgency or increased inflammation in the area. The radiation therapy is designed to not irradiate the bowel and bladder areas, but there is still some radiation exposure. The gut microbiome has been associated with differences in inflammation as well as producing molecules that influence healing. The purpose of this study is to see whether the microbiome may contribute to the healing of the organs exposed to radiation. Information learned from this study may help researchers discover a new risk factor that could be manipulated to improve the quality of life in patients with prostate cancer.
Detailed Description
PRIMARY OBJECTIVE:
I. To determine the feasibility of identifying changes in urine and gut microbiomes during androgen deprivation therapy and radiation therapy for prostate cancer.
SECONDARY OBJECTIVE:
I. To explore associations between baseline microbiomes and urinary or gastrointestinal radiation toxicity by Common Terminology Criteria for Adverse Events (CTCAE) and Patient Reported Outcomes (PRO).
OUTLINE:
Patients undergo collection of stool and urine samples within 2 weeks before hormone therapy or radiation therapy, after hormone therapy but before start of radiation therapy, and after completion of radiation therapy. Patients also complete a series of questionnaires prior to starting radiation therapy, mid-way through radiation therapy, and after completion of radiation therapy (within 1-3 weeks, at 3 months, and then every 6 months until 3 years from radiation completion). Patients’ medical records are also reviewed.
Locations
1 location Found with status Recruiting
Status
- RECRUITING
Contact Person
- Tanya B. Dorff
- 626-256-4673
Principal Investigator
- Tanya B Dorff
Eligibility Criteria
Inclusion Criteria:
* Pathologically confirmed prostate cancer, with a plan to receive radiation therapy for either definitive (cohort A) or salvage (cohort B) therapy. Patients without planned androgen deprivation therapy (ADT) will be accrued to cohort C
* Cohort A will be restricted to Gleason grade group 3 or higher (4+3 or 8-10) so that androgen deprivation will be indicated
* Cohort B will not be restricted by Gleason grade but will require rising prostate-specific antigen (PSA) and a plan for ADT with salvage radiation
* Cohort C will be prostate cancer patients in whom definitive or salvage radiation is planned without ADT
* Patients must be age 18 or older
* Willing to provide urine and stool samples at specified time points
Exclusion Criteria:
* Men with inflammatory bowel disease or pre-existing cystitis will be excluded
Study Plan
Observational (biospecimen collection, questionnaire)
Patients undergo collection of stool and urine samples within 2 weeks before hormone therapy or radiation therapy, after hormone therapy but before start of radiation therapy, and after completion of radiation therapy. Patients also complete a series of questionnaires prior to starting radiation therapy, mid-way through radiation therapy, and after completion of radiation therapy (within 1-3 weeks, at 3 months, and then every 6 months until 3 years from radiation completion). Patients' medical records are also reviewed.
PROCEDURE:
Biospecimen CollectionDescription:
Undergo collection of stool and urineOTHER:
Electronic Health Record ReviewDescription:
Medical records are reviewedOTHER:
Quality-of-Life AssessmentDescription:
Complete quality of life questionnairesOTHER:
Questionnaire AdministrationDescription:
Complete questionnaires
Outcome Measures
Primary Outcome Measures
Feasibility of detecting and categorizing urinary and gut microbiota
Secondary Outcome Measures
Detectability of changes
Detectability of associations between microbial populations and toxicity
Timeline
Last Updated
April 1, 2024Start Date
March 1, 2021Today
January 16, 2025Completion Date ( Estimated )
July 29, 2025
Sponsors of this trial
Lead Sponsor
City of Hope Medical CenterCollaborating Sponsors
National Cancer Institute (NCI)
RECRUITING 
21 - 64 Years