Prostatic Neoplasms Clinical Trial
Official title:
Measurement of Circulating Tumor Cells in Prostate Cancer
Can tumor cells and tumor DNA be sampled from blood samples from prostate cancer patients? Is it possible to understand the causal relationship between the occurrence of the tumor cells and the tumor DNA in the blood by reviewing the patient's medical records, including information about investigations, analytical reports or diagnoses? Can gene defects that may be useful in predicting the best treatment be detected by sequencing individual tumor cells or plasma from blood samples?
Prostate cancer is the most common form of cancer in men and the second most deadly. Today's
diagnostic methods and treatments are therefore obviously not adequate. In this study we will
evaluate a new diagnostic sampling and analysis method for prostate cancer, not try new
treatments. The test sampling involves the rare tumor cells and tumor DNA found in the blood,
and sequencing their DNA to determine which, if any, defective genes they contain that may
explain the disease. There is currently no universally accepted diagnostic test of either
tumor cells or tumor DNA in blood. We have access to new technology that one of us (CE)
developed at the Karolinska Institute, which by all accounts can give access to the rare
tumor cells in the blood so that we can sequence their DNA. In this study we want to try to
see if it is possible in practical healthcare to apply the new technology for prostate cancer
patients and if there are signs that it works equally well in the healthcare environment as
in the laboratory.
Impact: If the sampling of tumor cells and tumor DNA from blood samples works within the
healthcare system processes, it will be possible to understand the causal relationships
behind their occurrence, and their gene defects, we can design follow-up studies that would
take us closer to clinical use of the new technology to predict which treatment would be most
effective and which treatment would produce the least side effects.
Ethical considerations: The risks of blood sampling are limited and known and can be managed
within the healthcare system. Data is handled safely. The potential future benefit of a new
cancer cell- and DNA-test is great.
The study is a collaboration between Region Sörmland, Karolinska Institutet and iCellate
Medical AB. The data collection is expected to be completed in 2020 and the analyses in 2021.
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