Several drugs are available for metastatic castration resistant prostate cancer such as chemotherapy (docetaxel, cabazitaxel) and novel hormonal agents (abiraterone, enzalutamide), in France. The oncologist has to choose between those two type of treatment, without any biological predictor of efficacy for his patient. It is always difficult to choose knowing that 30 to 50% of patients won't benefit from the treatment chosen. It shows why resistant mechanisms to treatment need to be elucidated. MicroRNA (miR) are short RNA, implicated in messenger ribonucleic acid (mRNA) regulation. Evidence is emerging that miR is implicated in prostate cancer response to treatment. It would be interesting to determine if a miR profile can predict treatment response to chemotherapy and/or to novel hormonal agents.
Several drugs are available for metastatic castration resistant prostate cancer such as chemotherapy (docetaxel, cabazitaxel) and novel hormonal agents (abiraterone, enzalutamide), in France. The oncologist has to choose between those two type of treatment, without any biological predictor of efficacy for his patient. It is always difficult to choose knowing that 30 to 50% of patients won't benefit from the treatment chosen. It shows why resistant mechanisms to treatment need to be elucidated. MicroRNA (miR) are short RNA, implicated in messenger ribonucleic acid (mRNA) regulation. Evidence is emerging that miR is implicated in prostate cancer response to treatment. It would be interesting to determine if a miR profile can predict treatment response to chemotherapy and/or to novel hormonal agents.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
OTHER
Masking
QUADRUPLE
Enrollment
33
one blood sample is done before beginning a first treatment line for a metastatic castration resistant prostate cancer
University Hospital of Tours
Tours, France
miRNA and chemotherapy
miRNA expression profile predicting resistance to chemotherapy
Time frame: 30 months
miRNA and novel hormonal agent (NHA)
miRNA expression profile predicting resistance to novel hormonal agents
Time frame: 30 months
miRNA and progression free survival (PFS)
correlation between miRNA profile and progression free survival
Time frame: 30 months
miRNA and overall survival (OS)
correlation between miRNA profile and overall survival
Time frame: 30 months
miRNA in tissue sample
comparison between miRNA expression in serum and in tumoral tissue
Time frame: 30 months
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