Multiparametric Ultrasound for the Diagnosis of Clinically Significant Prostate Cancer

NCT ID: NCT06024772

Last Updated: 2025-12-22

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

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-03-15

Study Completion Date

2027-02-28

Brief Summary

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This phase III trial compares the use of contrast-enhanced multiparametric ultrasound (mp-US) to multiparametric magnetic resonance imaging (mp-MRI) for the diagnosis of clinically significant prostate cancer (PCa). A mp-US is a procedure in which a probe that sends out high-energy sound waves is inserted into the rectum. The sound waves are bounced off internal tissues or organs and make echoes. The echoes form a picture of body tissue called a sonogram. Perflutren lipid michrosphere (Definity) is a contrast agent that uses microbubbles to enhance ultrasound images of the prostate. Doctors hope to learn if the Definity-enhanced mp-US imaging technique can accurately direct targeted biopsy for the detection of clinically significant prostate cancer when compared to standard of care mp-MRI.

Detailed Description

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PRIMARY OBJECTIVE:

I. To demonstrate non-inferiority between the detection rate of clinically significant PCa with 3-dimensional (3D) mp-US + systematic biopsy compared to the detection rate of mp-MRI + systematic biopsy.

II. To compare the positive yield of targeted biopsy cores based on mp-US + systematic biopsy with targeted biopsy based on mp-MRI + systematic biopsy, for detection of clinically significant PCa.

SECONDARY OBJECTIVES:

I. To demonstrate non-inferiority of a biopsy approach utilizing targeted biopsy cores based on mp-US compared with targeted biopsy based on mp-MRI, for detection of clinically significant PCa.

II. To construct an optimal logistic regression model to predict the presence of clinically significant PCa based on the mp-US elements as well as the prostate specific antigen (PSA), PSA velocity and any other biological variables (e.g., age).

OUTLINE:

Patients undergo mp-MRI, receive Definity intravenously (IV), and undergo transrectal mp-US and prostate biopsies on study.

Conditions

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Prostate Carcinoma

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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Diagnostic (mp-MRI, Definity, mp-US, prostate biopsies)

Patients undergo mp-MRI, receive Definity IV, and undergo transrectal mp-US and prostate biopsies on study.

Group Type EXPERIMENTAL

ultiparametric Magnetic Resonance Imaging

Intervention Type PROCEDURE

Undergo mp-MRI

Perflutren lipid microsphere

Intervention Type DRUG

Given IV

Transrectal Ultrasound

Intervention Type PROCEDURE

Undergo transrectal mp-US

Biopsy of Prostate

Intervention Type PROCEDURE

Undergo prostate biopsies

Interventions

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ultiparametric Magnetic Resonance Imaging

Undergo mp-MRI

Intervention Type PROCEDURE

Perflutren lipid microsphere

Given IV

Intervention Type DRUG

Transrectal Ultrasound

Undergo transrectal mp-US

Intervention Type PROCEDURE

Biopsy of Prostate

Undergo prostate biopsies

Intervention Type PROCEDURE

Other Intervention Names

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MP-MRI mpMRI Multi-parametric MRI Multiparametric MRI Definity endorectal ultrasound ERUS TRUS Prostate Biopsy Prostatic Biopsy

Eligibility Criteria

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Inclusion Criteria

* Subject must be scheduled for a prostate biopsy, based on an elevated PSA (\> 3.0ng/ml) per most recent National Comprehensive Cancer Network (NCCN) guidelines, elevated PSA velocity (\> 0.75ng/ml/year), or abnormal digital rectal examination
* Subject must be able and willing to give written informed consent for a contrast enhanced ultrasound study of the prostate including the additional study biopsies
* Subject must be a male at least 18 years of age when informed consent is obtained

Exclusion Criteria

* Participant in a clinical trial involving an investigational drug within the past 30 days
* Patients with known or suspected hypersensitivity to perflutren, polyethylene glycol (PEG), or any other component of Definity
* Previous treatment for prostate cancer, including hormone therapy
* Clinically unstable, severely ill, or moribund as per treating physician
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Amsterdam UMC, location VUmc

OTHER

Sponsor Role collaborator

Eindhoven University of Technology

OTHER

Sponsor Role collaborator

Eigen

OTHER

Sponsor Role collaborator

GE Healthcare

INDUSTRY

Sponsor Role collaborator

Thomas Jefferson University

OTHER

Sponsor Role lead

Responsible Party

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Flemming Forsberg

Professor - Radiology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sidney Kimmel Cancer Center at Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

Amsterdam Medical Center

Amsterdam-Zuidoost, , Netherlands

Site Status

Countries

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United States Netherlands

Central Contacts

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Flemming Forsberg, PhD

Role: CONTACT

Phone: 215-955-4870

Email: [email protected]

Facility Contacts

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Flemming Forsberg, PhD

Role: primary

Harrie Beerlage, MD

Role: primary

Other Identifiers

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JT 20767

Identifier Type: OTHER

Identifier Source: secondary_id

iRISID-2022-1191

Identifier Type: -

Identifier Source: org_study_id