Social, Structural, and Lifestyle Drivers of Prostate Cancer Disparities
NCT07690579 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 350
Last updated 2026-07-08
Summary
Prostate Cancer (PC) is the most common non-cutaneous malignancy diagnosed and second leading cause of cancer death among men across the United States. PC among Black men accounts for a higher proportion alike of cancer diagnoses and deaths. In the prostate specific antigen (PSA)-based screening era, mortality rates improved at a similar velocity among Black and White men, but the 2- to 3-fold excess mortality burden borne by Black men has persisted over the past 40 years, the second highest among all major cancers. In recent years mortality is rising among Black men, and at a rapid velocity.
The explanations for this disparity-the extent to which it is attributable to genetics, environmental factors including Structural and Social Determinants of Health (SSDH), or access to care-are multifactorial and have been elucidated to a limited extent. A large meta-analysis recently found that across dozens of studies and cohorts, greater adjustment for clinical and SSDH factors generally resulted in race itself dropping as a significant predictor.
These and other findings suggest that the determinants of disparity be identified at time of, and prior to, cancer diagnosis, and that both genetic and environmental factors contribute to earlier development and progression.
Conditions
- Prostate Cancer
- Prostate Cancer Recurrent
- Prostate Metastases
Interventions
- OTHER
-
Questionnaires
Participants will receive surveys to complete online via a secure system.
- OTHER
-
Medical Record Review
Data will be collected from participants medical charts which includes disease history, pathological findings, and other disease characteristics.
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
University of California, San Francisco
lead OTHER
Principal Investigators
-
Matthew Cooperberg, MD · University of California, San Francisco
Eligibility
- Min Age
- 18 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-03-31
- Primary Completion
- 2028-03-31
- Completion
- 2028-03-31
Countries
- United States
Study Locations
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