MR-target Biopsy vs. TRUS-biopsy in Men With Suspicious Prostate Cancer

NCT ID: NCT04320147

Last Updated: 2020-03-25

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

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-03-23

Study Completion Date

2023-04-01

Brief Summary

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This paired cohort blinded trial aims to assess the detection rate of clinically significant cancer of MRI-targeted biopsy compared to standard 12-core TRUS biopsy in men referred with clinical suspicion of prostate cancer who have had no prior prostate biopsy. The investigators hypothesize that additional MRI-targeted biopsy will detect more clinically significant cancers than standard TRUS biopsy.

Main objective: To compare MR-target vs. standard 12-cores TRUS-biopsy for the diagnosis of clinically significant prostate cancer.

Detailed Description

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Before prostate biopsy, all patients be preceded by mpMRI. The mpMRI is read by an experienced radiologist according to the PI-RADS version 2 scoring system. PI-RADS scoring system is used to assign a degree of doubt prostate cancer. Depending on the PI-RADS score, MR targeted biopsy is determined.

1. MR-targeted biopsy using Artemis device fusion of MRI and ultrasound images would be performed. MR targeted biopsy would be performed by radiologist.
2. Next conventional ultrasound-guided 12-core systematic biopsy would be performed by urologist. This portion will be performed without information of the MRI report.

Conditions

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Prostate Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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MRI tartget biopsy

1. MR-targeted biopsy using Artemis device fusion of MRI and ultrasound images would be performed. MR targeted biopsy would be performed by radiologist.
2. Next conventional ultrasound-guided 12-core systematic biopsy would be performed by urologist. This portion will be performed without information of the MRI report.

Group Type EXPERIMENTAL

Artemia

Intervention Type DEVICE

Before prostate biopsy, all patients be preceded by mpMRI.MR-targeted biopsy using Artemis device fusion of MRI and ultrasound images would be performed. MR targeted biopsy would be performed by radiologist.

Interventions

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Artemia

Before prostate biopsy, all patients be preceded by mpMRI.MR-targeted biopsy using Artemis device fusion of MRI and ultrasound images would be performed. MR targeted biopsy would be performed by radiologist.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* 1\. Men undergoing a first-time prostate biopsy to rule out cancer
* 2\. Serum PSA ≥3ng/mL, ≤20ng/mL
* 3\. Age≥50 years, ≤80 years
* 4\. Clinical stage ≤T2c
* 5\. Patients must be able to provide written informed consent.

Exclusion Criteria

* 1\. Patients has any prior needle biopsy of the prostate
* 2\. Patients has a prior history of prostate cancer
* 3\. Patients has a prior history of pelvic radiation therapy or androgen deprivation therapy
* 4\. Patients has a prior history of BPH operation
* 5\. Patient with uncorrectable coagulopathies
* 6\. Unable to tolerate a TRUS guided biopsy.
* 7\. Patients had 5-alpha reductase inhibitor in the past six months.
* 8\. The patient has had a urinary tract infection or acute prostatitis in the last three months.
* 9\. Any contraindication to MRI (severe claustrophobia, pacemaker, MRI-incompatible prosthesis, eGFR ≤50mls/min)
Minimum Eligible Age

50 Years

Maximum Eligible Age

80 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Bumjin Lim

UNKNOWN

Sponsor Role collaborator

Dalsan Yoo

UNKNOWN

Sponsor Role collaborator

Hyung Keun Park

UNKNOWN

Sponsor Role collaborator

Jun Hyuk Hong

UNKNOWN

Sponsor Role collaborator

Hanjong Ahn

UNKNOWN

Sponsor Role collaborator

Choung-Soo Kim

UNKNOWN

Sponsor Role collaborator

Kye Jin Park

UNKNOWN

Sponsor Role collaborator

Mi-Hyun Kim

UNKNOWN

Sponsor Role collaborator

Jeong Kon Kim

UNKNOWN

Sponsor Role collaborator

Asan Medical Center

OTHER

Sponsor Role lead

Responsible Party

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In Gab Jeong

Professor, Department of Urology, Asan Medical Center

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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In Gab Jeong, MD, PhD

Role: STUDY_CHAIR

Asan Medical Center

Locations

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Asan Medical Center

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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In Gab Jeong, MD, PhD

Role: CONTACT

82-2-3010-5892

Facility Contacts

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In Gab Jeong, MD

Role: primary

82-2-3010-5892

Other Identifiers

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MRphI_AMC01

Identifier Type: -

Identifier Source: org_study_id

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