Prostate Cancer Clinical Trial
Official title:
A Prospective Cohort Study in Men With a Suspicion of Prostate Cancer Who Are Referred Onto an MRI-based Diagnostic Pathway With Donation of Tissue, Blood and Urine for Biomarker Analyses (ReIMAGINE Prostate Cancer Risk)
| Verified date | March 2023 |
| Source | University College, London |
| Contact | n/a |
| Is FDA regulated | No |
| Health authority | |
| Study type | Observational |
ReIMAGINE Prostate Cancer Risk is a multi-centre, prospective, observational, longitudinal cohort study of men referred to secondary care with a suspicion of prostate cancer. The aim of the study is to develop a robust baseline risk stratification system for men at risk of prostate cancer. Men whose serum Prostate Specific Antigen (PSA) level is 20ng/ml or less, whose multi-parametric magnetic resonance imaging (mpMRI) scan has been scored as Prostate Imaging Reporting and Data System (PIRADS)/LIKERT score 3, 4 or 5, and who have been advised and accepted the need for a targeted and systematic prostate biopsy will be invited to take part in the study and be asked to donate blood, urine, imaging files and prostate biopsy for biomarker analysis.
| Status | Active, not recruiting |
| Enrollment | 1000 |
| Est. completion date | May 31, 2025 |
| Est. primary completion date | May 31, 2025 |
| Accepts healthy volunteers | No |
| Gender | Male |
| Age group | 18 Years to 90 Years |
| Eligibility | Inclusion Criteria: - Any man with PSA 20 or less (value recorded <90 days before study entry) - Men who have undergone a prostate MRI as a standard NHS diagnostic work-up - MRI lesion conforming to Likert/PIRADS 3, 4 or 5 - Radiological stage T3b or less - Clinical or radiological stage N0 and M0 - No anti-androgen exposure in the preceding 6 months (5-alpha reductase inhibitors permitted) - No prior treatment for prostate cancer (chemical, biological, ablative, surgical, radiotherapy) - Previous trans urethral resection of the prostate (TURP) is permitted - Willing and able to provide written informed consent. Exclusion Criteria: - Men unable to donate tissue, blood or urine. - Previous prostate cancer treatment - Previous prostate biopsy <12 months from date of the mpMRI scan used to assess study eligibility (scoring PIRADS/Likert 3, 4 or 5) |
| Country | Name | City | State |
|---|---|---|---|
| United Kingdom | Charing Cross Hospital | London | |
| United Kingdom | Royal Free Hospital | London | |
| United Kingdom | University College London Hospital | London |
| Lead Sponsor | Collaborator |
|---|---|
| University College, London | Cancer Research UK, Imperial College London, King's College London, Medical Research Council |
United Kingdom,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Presence of clinically significant prostate cancer confirmed on biopsy, defined as any Gleason pattern 7 or greater | Proportion of men with significant prostate cancer categorised as gleason pattern 7 or greater | 6 weeks | |
| Primary | Time to metastases in men with prostate cancer | Development of secondary cancers or cancer recurrence | 3 years | |
| Primary | Time to prostate cancer related death | Time to prostate cancer related death in men diagnosed with prostate cancer | 3 years | |
| Secondary | Time to new prostate cancer in men without cancer at baseline | Presence of newly diagnosed prostate cancer in men who were cancer free at baseline | 3 years | |
| Secondary | Time to cancer progression in men identified with prostate cancer at baseline | Time to cancer progression in men identified with prostate cancer at baseline | 3 years | |
| Secondary | Time to prostate cancer specific death in all men | Time to prostate cancer specific death in all men | 3 years | |
| Secondary | Time to all-cause death in all men | Time to all-cause death in all men | 3 years |
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