Study Comparing MRI/Ultrasound Fusion-guided Prostate Biopsy Versus Systematic Transrectal Ultrasound-guided Biopsy

NCT ID: NCT02450266

Last Updated: 2015-05-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

586 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-02-28

Study Completion Date

2018-02-28

Brief Summary

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Patients will be submitted to a multiparametric MRI examination of the prostate. Subsequently, all participants will be randomized (1:1) into both study arms. In study arm A patients will be submitted to the gold-standard which comprises systematic transrectal ultrasound-guided prostate biopsy. In study arm B patients will be submitted to targeted prostate biopsy based on the multiparametric MRI findings.

Detailed Description

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In men with previously negative prostate biopsy and persistent elevated prostate-specific antigen (PSA) value, it is unclear which biopsy strategy offers the highest detection rate for significant prostate cancer. The hypothesis of this study is that targeted MRI/ultrasound fusion-guided biopsy improves the detection rates of significant prostate cancers compared with systematic transrectal ultrasound-guided prostate biopsy.

Men with at least one previously negative transrectal ultrasound-guided biopsy and persistently elevated PSA values (\> 3 ng/ml) or PSA velocity \>0.75 ng/ml/p.a. will be submitted to a multiparametric MRI examination of the prostate. Subsequently, all participants will be randomized (1:1) into both study arms. In study arm A patients will be submitted to the gold-standard which comprises systematic transrectal ultrasound--guided prostate biopsy. In study arm B patients will be submitted to targeted prostate biopsy based on the multiparametric MRI findings. Targeted biopsies will be performed using MRI/ultrasound fusion-guided.

Conditions

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Prostate Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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A: Transrectal ultrasound-guided biopsy

Patients of arm A receive a systematic transrectal ultrasound-guided prostate biopsy (12-18 biopsy cores depending on individual prostate volume)

Group Type ACTIVE_COMPARATOR

Systematic transrectal ultrasound-guided prostate biopsy

Intervention Type DEVICE

12-18 systematic biopsy cores

B: MRI/ultrasound fusion-guided biopsy

Patients of arm B receive a targeted MRI/ultrasound fusion-guided prostate biopsy. From each prostate lesion defined in the diagnostic multiparametric MRI two targeted biopsy cores will be taken.

Group Type EXPERIMENTAL

MRI/ultrasound fusion-guided prostate biopsy

Intervention Type DEVICE

2 targeted biopsy cores from each prostate lesion

Interventions

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Systematic transrectal ultrasound-guided prostate biopsy

12-18 systematic biopsy cores

Intervention Type DEVICE

MRI/ultrasound fusion-guided prostate biopsy

2 targeted biopsy cores from each prostate lesion

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* At least one negative transrectal ultrasound-guided prostate biopsy
* PSA \> 3.0 ng/ml or PSA velocity \>0.75 ng/ml/p.a.

Exclusion Criteria

* Known prostate cancer
* PSA \>50 ng/ml
* Previous MRI-targeted prostate biopsy
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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German Cancer Research Center

OTHER

Sponsor Role collaborator

Heinrich-Heine University, Duesseldorf

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christian Arsov, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Urology, University Hospital Düsseldorf

Locations

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Department of Urology, Charité-Universitätsmedizin

Berlin, , Germany

Site Status RECRUITING

Department of Urology, University Hospital Düsseldorf

Düsseldorf, , Germany

Site Status RECRUITING

Department of Urology, University Hospital Jena

Jena, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Christian Arsov, MD

Role: CONTACT

+49 211 8108607

Facility Contacts

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Kurt Miller, MD

Role: primary

+49 30 8445 2575

Christian Arsov, MD

Role: primary

+49 211 8108607

Marc O Grimm, MD

Role: primary

+49 3641-935206

Other Identifiers

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004

Identifier Type: -

Identifier Source: org_study_id

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