Predicting Prostate Biopsy Results With Biomarkers and mpMRI.
NCT03730324 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 261
Last updated 2023-03-23
Summary
Current standard prostate biopsy techniques, used to definitively diagnose prostate cancer (PC), utilises an ultrasound guided biopsy approach, that offers unsatisfactory specificity and sensitivity for clinical significant PC. This often leads to harmful unnecessary biopsies. To improve the overall detection of clinical significant PC, multiparametric magnetic resonance imaging (mpMRI) has emerged as a new technique that might be useful in selecting the appropriate patient for biopsy. Nevertheless, mpMRI fail to detect cancer in some circumstances and the exact role of mpMRI is undetermined. Currently, the majority of PC is diagnosed either incidentally or by unsystematic screening with prostate specific antigen (PSA). PSA suffers from being an organ specific, but cancer unspecific serum biomarker. PSA testing may neither rule out or confirm the presence of prostate cancer. Newer biomarkers have shown promise in curbing some of this sensitivity and specificity gap, but still needs refinement.
In the present study, the investigators will use mpMRI and a new set of urine and plasma biomarkers in combination, prior to performing standard biopsies in order to develop a prediction model for the biopsy outcome. If proven successful the model would offer excellent risk stratification and possibly mitigating the need for biopsies.
Conditions
Interventions
- DIAGNOSTIC_TEST
-
mpMRI
Study subjects will undergo urine and plasma biomarker testing and mpMRI prior to biopsy
- DIAGNOSTIC_TEST
-
Urine and plasma biomarkes.
Study subjects will undergo urine and plasma biomarker testing prior to standard biopsy
Sponsors & Collaborators
-
Torben Brøchner Pedersen
lead OTHER
Principal Investigators
-
Lars Lund, DMsc · Odense University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-11-05
- Primary Completion
- 2021-07-01
- Completion
- 2022-06-01
Countries
- Denmark
Study Locations
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