Biomarker-driven treatment for metastatic prostate cancer
Official title: ProBio: An Outcome-adaptive and Randomized Multi-arm Biomarker Driven Study in Patients With Metastatic Prostate Cancer
Run by Karolinska Institutet · NCT03903835 · Data updated 2026-11-12
This study is testing if personalized treatments based on specific genetic markers can help people with advanced prostate cancer feel better compared to standard care.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 750 (estimated) |
| Sponsor | Karolinska Institutet Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 32 sites (Aalst and 31 other locations) |
| Status | Recruiting |
| Started | February 1, 2019 |
| Main results expected | December 2026 |
| Study ends | December 2026 |
| Registry record updated | April 9, 2025 |
| Trial ID | NCT03903835 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are men with histologically confirmed prostate adenocarcinoma who are initiating systemic therapy for metastatic disease.
✕Probably not a fit
Patients with other malignancies within the past five years or recent serious cardiovascular events may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
ProBio is an international, multi-arm, open-label trial designed to evaluate treatments for patients with metastatic prostate cancer based on specific biomarker signatures. Patients will be randomized into control or experimental arms, with the control group receiving standard care while the experimental group receives treatments tailored to their biomarker profiles identified through liquid biopsies or tissue samples. The trial focuses on both metastatic hormone-sensitive and castration-resistant prostate cancer, utilizing a gene panel to determine the most effective treatment options. This approach aims to personalize therapy and improve outcomes for patients with advanced prostate cancer.
Why it matters
Potential benefit: If successful, this study could lead to more effective, personalized treatment options for patients with metastatic prostate cancer.
How similar studies have gone: Other studies have shown promise with biomarker-driven approaches in cancer treatment, suggesting potential for success in this novel application.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Man with histologically confirmed prostate adenocarcinoma, initiating systemic therapy for metastatic disease, encompassing newly diagnosed (i.e. de novo) hormone sensitive prostate cancer (mHSPC) or first-line castration resistant prostate cancer (mCRPC) * Distant metastatic disease documented by positive bone scan or metastatic lesions on CT or MRI * Adequate health as assessed by the investigator to receive all available treatments in the trial * ECOG/WHO (Eastern Cooperative Oncology Group/ World Health Organization) performance score 0-2 * Adequate organ and bone marrow function * Albumin greater than or equal to 28 g/L * Able to understand the patient information and sign written informed consent Exclusion Criteria: * Other malignancies within 5 years except non-melanoma skin cancer * Within 6 months of randomization: myocardial infarction, unstable angina, angioplasty, bypass surgery, stroke, TIA (transient ischemic attack), or congestive heart failure NYHA (New York Heart Association) class III or IV * Uncontrolled hypertension * Uncontrolled hypotension * Received systemic therapy (with the exception of standard ADT) prior to study inclusion, for the CRPC indication * Any severe acute or chronic medical condition that places the patient at increased risk of serious toxicity or interferes with the interpretation of study results * Unable to comply with study procedures * Current participation in another clinical trial that will be in conflict with the present study, administration of an investigational therapeutic or invasive surgical procedure within 28 days prior to study enrolment * Patients who are unlikely to comply with the protocol * Any condition or situation which, in the opinion of the investigator, would put the subject at risk, may confound study results, or interfere with the subjects participation in this study. * Any medical condition that would make use of the study treatments contraindicated, according to the SmPC, e.g. significant heart or liver disease.
Where it's running
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OLV Ziekenhuis Aalst
Aalst, Belgium Recruiting -
GZA Sint-Augustinus
Antwerp, Belgium Recruiting -
AZ Sint-Jan AV
Bruges, Belgium Recruiting -
AZ Sint-Lucas
Bruges, Belgium Recruiting -
Ziekenhuis Oost-Limburg
Genk, Belgium Recruiting -
University Hospital Ghent
Ghent, Belgium Recruiting
Show 26 more locations
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Jessa ziekenhuis
Hasselt, Belgium Recruiting -
AZ Groeninge
Kortrijk, Belgium Recruiting -
University Hospital Luik
Liège, Belgium Recruiting -
AZ Damiaan
Ostend, Belgium Recruiting -
Vitaz
Sint-Niklaas, Belgium Recruiting -
Kreftsenter Kristiansand
Kristiansand, Norway Recruiting -
Akershus Universitetssykehus
Lørenskog, Norway Recruiting -
Stavanger Universitetssjukehus
Stavanger, Norway Recruiting -
Falu lasarett
Falun, Region Dalarna, Sweden Recruiting -
Södra Alvsborgs sjukhus
Borås, Sweden Recruiting -
Länssjukhuset Ryhov - Onkologiska kliniken
Jönköping, Sweden Recruiting -
Länssjukhuset
Kalmar, Sweden Recruiting -
Centralsjukhuset Region Värmland
Karlstad, Sweden Recruiting -
Universitetssjukhuset Örebro
Örebro, Sweden Recruiting -
Karolinska University Hospital
Stockholm, Sweden Recruiting -
Capio St.Görans Hospital
Stockholm, Sweden Recruiting -
Länssjukhuset Sundsvall Härnösand
Sundsvall, Sweden Recruiting -
Norrlands Universitetssjukhus
Umeå, Sweden Recruiting -
Akademiska sjukhuset
Uppsala, Sweden Recruiting -
Hallands sjukhus Varberg
Varberg, Sweden Recruiting -
Centrallasarettet Onkologkliniken
Vaxjo, Sweden Recruiting -
St. Claraspital
Basel, Switzerland Recruiting -
Universitätsspital Basel
Basel, Switzerland Recruiting -
AZ Jan Palfijn Ziekenhuis
Ghent, Belgium Not yet recruiting -
Ålesund Sjukehus
Ålesund, Norway Not yet recruiting -
Universitetssykehuset Nord-Norge Tromsö
Tromsø, Norway Not yet recruiting
Study contacts
- Principal investigator: Henrik Grönberg, Professor — Karolinska Institutet
- Study coordinator: Berit Larsson, MSc
- Email: berit.larsson@ki.se
- Phone: +46 8 52482576
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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GI-102 with Pasritamig for metastatic prostate cancer
This trial tests GI-102 together with Pasritamig to see if it is safe and may help men whose metastatic castration-resistant prostate cancer has progressed after prior hormonal therapy.
-
Saruparib plus physician’s ARPI choice vs placebo in men with metastatic hormone-sensitive prostate cancer previously treated with docetaxel or Lu-PSMA
This study tests whether adding saruparib to a physician’s choice of ARPI helps men with metastatic hormone-sensitive prostate cancer who have already had docetaxel or Lu-PSMA therapy and no progression, compared with placebo plus ARPI.
-
PSMA-targeted therapy with hormone suppression for low-volume metastatic prostate cancer
This phase II trial tests leuprolide acetate alone versus with 177Lu-PSMA-617 (with or without abiraterone acetate and prednisone) in men with hormone-sensitive, low-volume metastatic prostate cancer.
-
Exploring Terbium-161 PSMA Therapy for Advanced Prostate Cancer
This phase 1 study tests 161Tb-PSMA-I&T to see if it is safe and how it behaves in Taiwanese men with metastatic castration-resistant prostate cancer.
-
REGN15505 Alone or With Cemiplimab or REGN4336 in Advanced Prostate Cancer and Kidney Cancer
This trial tests REGN15505 by itself or with cemiplimab or REGN4336 to see if it helps adults with metastatic castration-resistant prostate cancer or clear cell renal cell carcinoma.
-
Oral INR731 alone or with androgen receptor blockers for metastatic castration-resistant prostate cancer
This tests whether oral INR731 by itself or with androgen receptor pathway inhibitors is safe, tolerable, and shows early anti‑tumor activity in adults with metastatic castration‑resistant prostate cancer.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.