Trial Outcomes & Findings for A Prospective, Randomized Trial Comparing Office-based MR-guided Prostate Biopsy Approaches (NCT NCT03632655)

NCT ID: NCT03632655

Last Updated: 2024-05-31

Results Overview

Detection of clinically significant disease Typical Gleason Scores range from 6-10. The higher the Gleason Score, the more likely that the cancer will grow and spread quickly. * Scores of 6 or less describe cancer cells that look similar to normal cells and suggest that the cancer is likely to grow slowly. * A score of 7 suggests and intermediate risk for aggressive cancer. Scoring a 7 means that the primary score (largest section of the tumor) scored a 3 or 4. Tumors with a primary score of 3 and a secondary score of 4 have a fairly good outlook, whereas cancers with a primary Gleason Score of 4 and a secondary score of 3, are more likely to grow and spread. * Scores of 8 or higher describe cancers that are likely to spread more rapidly, these cancers are often referred to as poorly differentiated or high grade.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

38 participants

Primary outcome timeframe

7 days post-biopsy

Results posted on

2024-05-31

Participant Flow

Participant milestones

Participant milestones
Measure
Transrectal Ultrasound Guided Biopsy (TRUS)
Patients will receive a transrectal guided prostate biopsy prostate biopsy: Men will be randomized to receiving either TPM or TRUS targeted biopsy
Transperineal Prostate Biopsy
Patients will receive a transperineal prostate biopsy prostate biopsy: Men will be randomized to receiving either TPM or TRUS targeted biopsy
Overall Study
STARTED
22
16
Overall Study
COMPLETED
0
0
Overall Study
NOT COMPLETED
22
16

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Prospective, Randomized Trial Comparing Office-based MR-guided Prostate Biopsy Approaches

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Transrectal Ultrasound Guided Biopsy (TRUS)
n=22 Participants
Patients will receive a transrectal guided prostate biopsy prostate biopsy: Men will be randomized to receiving either TPM or TRUS targeted biopsy
Transperineal Prostate Biopsy
n=16 Participants
Patients will receive a transperineal prostate biopsy prostate biopsy: Men will be randomized to receiving either TPM or TRUS targeted biopsy
Total
n=38 Participants
Total of all reporting groups
Age, Continuous
63 years
n=5 Participants
69 years
n=7 Participants
64 years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
22 Participants
n=5 Participants
16 Participants
n=7 Participants
38 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
9 Participants
n=7 Participants
21 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
10 Participants
n=5 Participants
6 Participants
n=7 Participants
16 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
10 Participants
n=5 Participants
4 Participants
n=7 Participants
14 Participants
n=5 Participants
Region of Enrollment
United States
22 participants
n=5 Participants
16 participants
n=7 Participants
38 participants
n=5 Participants

PRIMARY outcome

Timeframe: 7 days post-biopsy

Population: The data was not collected due to the trial being terminated.

Detection of clinically significant disease Typical Gleason Scores range from 6-10. The higher the Gleason Score, the more likely that the cancer will grow and spread quickly. * Scores of 6 or less describe cancer cells that look similar to normal cells and suggest that the cancer is likely to grow slowly. * A score of 7 suggests and intermediate risk for aggressive cancer. Scoring a 7 means that the primary score (largest section of the tumor) scored a 3 or 4. Tumors with a primary score of 3 and a secondary score of 4 have a fairly good outlook, whereas cancers with a primary Gleason Score of 4 and a secondary score of 3, are more likely to grow and spread. * Scores of 8 or higher describe cancers that are likely to spread more rapidly, these cancers are often referred to as poorly differentiated or high grade.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: At time of local anesthesia administration, initiation of biopsy, immediately following biopsy, 7 days post-biopsy, 3 months post-biopsy

Population: The data was not collected due to the trial being terminated.

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

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: baseline, 7 days post-biopsy, 30 days post-biopsy

Population: The data was not collected due to the trial being terminated.

IPSS scores range from 1 to 35, with 1-7 indicating mild symptoms, 8-19 indicating moderate symptoms, 20-35 indicating severe symptoms.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: baseline, 7 days post-biopsy, 30 days post-biopsy

Population: The data was not collected due to the trial being terminated.

IIEF-5 scores range from 1 to 25, with 1-7 indicating severe erectile dysfunction, 8-11 indicating moderate erectile dysfunction, 12-16 indicating mild-moderate erectile dysfunction, 17-21 indicating mild erectile dysfunction, and 22-25 indicating no erectile dysfunction.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: baseline, 7 days post-biopsy, 30 days post-biopsy

Population: The data was not collected due to the trial being terminated.

EPIC-CP comprises of 10 questions about the patient within the last four weeks. Questions 1,7,8,9 are each graded on a scale from 0-4 for a total of 12 points. Higher scores indicate worse quality of life with regards to urinary and sexual function. Questions 2-4 grade Urinary Incontinence Symptoms on a scale from 0-4 (max 12 points). Higher scores indicate worse urinary incontinence symptoms. Questions 5a-c grade Urinary Irritation/Obstructive Symptoms on a scale from 0-4 (max 12 poitns). Higher scores indicate worse urinary irritation/obstructive symptoms. Questions 6a-c grade Bowel Symptoms on a scale from 0-4 (max 12 points). Higher scores indicate worse bowel symptoms. Questions 10a-c grade Vitality/Hormonal Symptoms on a scale from 0-4 (max 12 points). Higher scores indicate worse vitality/hormonal symptoms. All scores are summed (max 60 points) to calculate the Overall Prostate Cancer QOL score. Higher score indicates worse patient-reported QOL.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: initiation of biopsy, immediately following biopsy, 7 days post-biopsy, 30 days post-biopsy

Population: The data was not collected due to the trial being terminated.

Adverse events that have occurred, such as hospital re-admissions, aborted procedures due to discomfort, hematuria, urinary retention, hematospermia, hematochezia, and/or infection.

Outcome measures

Outcome data not reported

Adverse Events

Transrectal Ultrasound Guided Biopsy (TRUS)

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

Transperineal Prostate Biopsy

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jim C. Hu

Weill Cornell Medicine

Phone: (646) 962-9600

Results disclosure agreements

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