Prostate Neoplasm Clinical Trial
Official title:
Diagnostic Efficiency With Magnetic Resonance Imaging-targeted Biopsy Compared to Standard Transperineal Ultrasound-guided Biopsy in Biopsy-naïve Suspicious Prostate Cancer Patients: A Randomized Controlled Trial
This randomized controlled trial aims to assess the detection rate of clinically significant and clinically insignificant cancer of mpMRI-targeted biopsy compared to transperineal standard biopsy in men with clinical suspicion of prostate cancer who had no prior prostate biopsy.
Status | Recruiting |
Enrollment | 400 |
Est. completion date | December 2019 |
Est. primary completion date | October 2019 |
Accepts healthy volunteers | No |
Gender | Male |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: 1. Men more than 18 years old with clinical suspicion of prostate cancer; 2. Serum PSA = 20 ng/ml within the previous 3 months; 3. Suspected stage = T2 on rectal examination (organ-confined prostate cancer) within the previous 3 months; 4. No evidence of PSA increase by noncancerous factors, such as catheterization, bladder stones, or urinary tract infection including bacterial prostatitis; 5. mpMRI PI-RADS V2 score 4 or 5; 6. Able to provide written informed consent. Exclusion Criteria: 1. Prior prostate biopsy or prostate surgery; 2. Prior treatment for prostate cancer; 3. Contraindication to MRI (e.g. claustrophobia, pacemaker, estimated glomerular filtration rate = 50mls/min); 4. Contraindication to prostate biopsy. |
Country | Name | City | State |
---|---|---|---|
China | Department of Urology, Drum Tower Hospital, Medical School of Nanjing University, Institute of Urology, Nanjing University | Nanjing | Jiangsu |
Lead Sponsor | Collaborator |
---|---|
The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Detection rates of clinically significant PCa | Clinically significant prostate cancer is considered as: biopsy Gleason score =3+4 or maximum cancer core length =5 mm. | 30 days post biopsy | |
Secondary | Detection rates of clinically insignificant PCa | Clinically insignificant prostate cancer is considered as: biopsy Gleason score <3+4 and maximum cancer core length <5 mm. | 30 days post biopsy | |
Secondary | Biopsy-related adverse events | 30 days post biopsy | ||
Secondary | Proportion of men undergoing radical prostatectomy who have Gleason grade upgrading | Comparing the Gleason grades (from 1-5, the bigger the worse) between biopsy and final pathology, Gleason grade is upgrading when the Gleason grade of final pathology is bigger than that of biopsy. | 90 days post-biopsy |
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