Trial Outcomes & Findings for PReclude Infection EVEnts With No Prophylaxis Transperineal Biopsy 2 (NCT NCT04815876)

NCT ID: NCT04815876

Last Updated: 2026-08-24

Results Overview

TRUS-BxQ is a validated biopsy questionnaire that measures adverse events that have occurred due to infection. Patient questionnaire consists of Yes/No questions about infection complications and duration of infection.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1040 participants

Primary outcome timeframe

up to 7- 10 days post-biopsy

Results posted on

2026-08-24

Participant Flow

Participant milestones

Participant milestones
Measure
Transrectal
Patients will receive a transrectal MRI-guided prostate biopsy.
Transperineal
Patients will receive a transperineal MRI-guided prostate biopsy.
Overall Study
STARTED
514
526
Overall Study
COMPLETED
477
486
Overall Study
NOT COMPLETED
37
40

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

PReclude Infection EVEnts With No Prophylaxis Transperineal Biopsy 2

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Transrectal
n=514 Participants
Patients will receive a transrectal MRI-guided prostate biopsy.
Transperineal
n=526 Participants
Patients will receive a transperineal MRI-guided prostate biopsy.
Total
n=1040 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=1541 Participants
0 Participants
n=1121 Participants
0 Participants
n=2662 Participants
Age, Categorical
Between 18 and 65 years
125 Participants
n=1541 Participants
136 Participants
n=1121 Participants
261 Participants
n=2662 Participants
Age, Categorical
>=65 years
389 Participants
n=1541 Participants
390 Participants
n=1121 Participants
779 Participants
n=2662 Participants
Sex: Female, Male
Female
0 Participants
n=1541 Participants
0 Participants
n=1121 Participants
0 Participants
n=2662 Participants
Sex: Female, Male
Male
514 Participants
n=1541 Participants
526 Participants
n=1121 Participants
1040 Participants
n=2662 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
23 Participants
n=1541 Participants
19 Participants
n=1121 Participants
42 Participants
n=2662 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
411 Participants
n=1541 Participants
429 Participants
n=1121 Participants
840 Participants
n=2662 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
80 Participants
n=1541 Participants
78 Participants
n=1121 Participants
158 Participants
n=2662 Participants
Race (NIH/OMB)
American Indian or Alaska Native
3 Participants
n=1541 Participants
1 Participants
n=1121 Participants
4 Participants
n=2662 Participants
Race (NIH/OMB)
Asian
18 Participants
n=1541 Participants
21 Participants
n=1121 Participants
39 Participants
n=2662 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=1541 Participants
1 Participants
n=1121 Participants
1 Participants
n=2662 Participants
Race (NIH/OMB)
Black or African American
69 Participants
n=1541 Participants
76 Participants
n=1121 Participants
145 Participants
n=2662 Participants
Race (NIH/OMB)
White
348 Participants
n=1541 Participants
337 Participants
n=1121 Participants
685 Participants
n=2662 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=1541 Participants
0 Participants
n=1121 Participants
0 Participants
n=2662 Participants
Race (NIH/OMB)
Unknown or Not Reported
76 Participants
n=1541 Participants
90 Participants
n=1121 Participants
166 Participants
n=2662 Participants

PRIMARY outcome

Timeframe: up to 7- 10 days post-biopsy

Population: The number of participants analyzed are those that were included in the intent to treat analysis.

TRUS-BxQ is a validated biopsy questionnaire that measures adverse events that have occurred due to infection. Patient questionnaire consists of Yes/No questions about infection complications and duration of infection.

Outcome measures

Outcome measures
Measure
Transrectal
n=477 Participants
Patients will receive a transrectal MRI-guided prostate biopsy.
Transperineal
n=486 Participants
Patients will receive a transperineal MRI-guided prostate biopsy.
Number of Participants With Infection/Adverse Events, as Measured on the TRUS-Bx Questionnaire
infection
2 Participants
0 Participants
Number of Participants With Infection/Adverse Events, as Measured on the TRUS-Bx Questionnaire
no infection
475 Participants
486 Participants

SECONDARY outcome

Timeframe: Immediately following biopsy, 7 days post-biopsy

Population: Participants are those that were included in the intent- to -treat analysis.

Pain and discomfort will be scored on a 0-10 Likert scale. 0 indicates no pain/discomfort and high scores indicate greater pain/discomfort.

Outcome measures

Outcome measures
Measure
Transrectal
n=477 Participants
Patients will receive a transrectal MRI-guided prostate biopsy.
Transperineal
n=486 Participants
Patients will receive a transperineal MRI-guided prostate biopsy.
Change in Patient-reported Pain and Discomfort, as Measured on a 0-10 Likert Scale
Immediate post - biopsy Pain
3.2 score on a scale
Standard Deviation 2.4
3.8 score on a scale
Standard Deviation 2.6
Change in Patient-reported Pain and Discomfort, as Measured on a 0-10 Likert Scale
Immediate post- biopsy Discomfort
3.9 score on a scale
Standard Deviation 2.6
4.2 score on a scale
Standard Deviation 2.6
Change in Patient-reported Pain and Discomfort, as Measured on a 0-10 Likert Scale
7-Day Discomfort
1.7 score on a scale
Standard Deviation 2.3
1.9 score on a scale
Standard Deviation 2.3
Change in Patient-reported Pain and Discomfort, as Measured on a 0-10 Likert Scale
7-day Pain
33 score on a scale
Standard Deviation 8.3
64 score on a scale
Standard Deviation 16

SECONDARY outcome

Timeframe: Immediately following biopsy

Population: Participants that were included are those from the intent- to -treat analysis. There was no 7-day anxiety data collected.

Anxiety will be scored on a 0-10 Likert scale. 0 indicates no anxiety and high scores indicate greater anxiety.

Outcome measures

Outcome measures
Measure
Transrectal
n=477 Participants
Patients will receive a transrectal MRI-guided prostate biopsy.
Transperineal
n=486 Participants
Patients will receive a transperineal MRI-guided prostate biopsy.
Change in Patient-reported Anxiety, as Measured on a 0-10 Likert Scale
3.4 score on a scale
Standard Deviation 2.9
3.8 score on a scale
Standard Deviation 2.9

SECONDARY outcome

Timeframe: 7 days post-biopsy

Population: Participants are from those included in the intent- to- treat analysis

Gleason Grade Group is a prostate cancer grading system released by the International Society of Urological Pathology (ISUP). Grade Group 1 indicates Low/Very Low Risk, Grade Group 2 indicates Intermediate (Favorable) Risk, Grade Group 3 indicates Intermediate (Unfavorable) Risk, and Grade Groups 4 and 5 indicate High/Very High Risk. Prostate cancer grade will be categorized into insignificant (Gleason Grade Group 1) and clinically significant (Grade Group ≥ 2).

Outcome measures

Outcome measures
Measure
Transrectal
n=477 Participants
Patients will receive a transrectal MRI-guided prostate biopsy.
Transperineal
n=486 Participants
Patients will receive a transperineal MRI-guided prostate biopsy.
Number of Participants With Detection of Clinically Significant Disease as Measured by Gleason Grade Group ≥ 2
GGG 1 (Low-Grade) Cancer Detection
175 participants
132 participants
Number of Participants With Detection of Clinically Significant Disease as Measured by Gleason Grade Group ≥ 2
GGG ≥2 (Clinically Significant) Cancer Detection
171 participants
209 participants

SECONDARY outcome

Timeframe: up to 7-10 days post-biopsy

Population: Participants are from those included in the intent- to -treat analysis.

TRUS-BxQ is a validated biopsy questionnaire that measures adverse events that have occurred, such as hospital re-admissions, aborted procedures due to discomfort, hematuria, urinary retention, hematospermia, and/or hematochezia. Patient questionnaire consists of Yes/No questions about general complications and duration of adverse events.

Outcome measures

Outcome measures
Measure
Transrectal
n=477 Participants
Patients will receive a transrectal MRI-guided prostate biopsy.
Transperineal
n=486 Participants
Patients will receive a transperineal MRI-guided prostate biopsy.
Number of Adverse Events, as Measured on TRUS-BxQ
Bleeding Requiring Intervention (7- day post biopsy)
0 count of adverse events
0 count of adverse events
Number of Adverse Events, as Measured on TRUS-BxQ
Urinary Retention Requiring Intervention ( 7- day post biopsy)
2 count of adverse events
1 count of adverse events

Adverse Events

Transrectal

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Transperineal

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Transrectal
n=514 participants at risk
Patients will receive a transrectal MRI-guided prostate biopsy.
Transperineal
n=526 participants at risk
Patients will receive a transperineal MRI-guided prostate biopsy.
Renal and urinary disorders
Bleeding or urinary Retention that required intervention
0.39%
2/514 • Number of events 2 • From the date of Biopsy until 10 days post biopsy
0.19%
1/526 • Number of events 1 • From the date of Biopsy until 10 days post biopsy
Infections and infestations
Infection that required intervention
0.39%
2/514 • Number of events 2 • From the date of Biopsy until 10 days post biopsy
0.00%
0/526 • From the date of Biopsy until 10 days post biopsy

Additional Information

Jim C. Hu

Weill Cornell Medicine

Phone: (646) 962-6363

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place