Personalized Prostate Cancer Screening Among Men With High Risk Genetic Predisposition- a Prospective Cohort Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- BRCA1 Syndrome
- Sponsor
- Rabin Medical Center
- Enrollment
- 200
- Locations
- 2
- Primary Endpoint
- Prevalence, stage and pathology of screen-detected prostate cancer in BRCA1/BRCA2 founder mutation carriers and Lynch mutation carriers
- Last Updated
- 8 years ago
Overview
Brief Summary
This will be a prospective diagnostic trial of screening for prostate cancer among men with genetic predisposition.
Detailed Description
This will be a prospective diagnostic trial of screening for prostate cancer among men with genetic predisposition. The target population is males (40-70 year old) carrying a BRCA1 and/or BRCA2 germ line mutation. They will be identified via our Genetic counseling unit. All men after signing an informed consent will undergo the following tests: PSA, free to total PSA, MRI of prostate and prostate biopsy. The primary endpoint will be to estimate the prevalence, stage and grade of prostate cancer in this population. Additionally, the study aims to estimate the impact of these germ line mutations on benign prostatic hyperplasia. Furthermore, this study aims to create a bio-bank of tissue, urine and serum of this unique cohort for future investigations. Finally, this study will identify an inception cohort for future interventional studies of primary and secondary prevention.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Male carrier of mutation in BRCA 1\\2 or germ-line mutations in the MMR genes (MLH1, MSH2 , MSH6 or PMS2).
- •WHO performance status 0-2 (Appendix 2)
- •Absence of any psychological, familial, sociological or geographical situation potentially hampering compliance with the study protocol and follow-up schedule.
- •Individuals that cannot undergo the MRI exam due to high creatinine level or claustrophobic will be disc loud from the MRI part.
- •Informed written consent must be sought according to ICH/EU GCP, before subject registration.
Exclusion Criteria
- •Previous cancer with a terminal prognosis of less than five years.
- •Previous prostate cancer
Outcomes
Primary Outcomes
Prevalence, stage and pathology of screen-detected prostate cancer in BRCA1/BRCA2 founder mutation carriers and Lynch mutation carriers
Time Frame: within 2 years
Secondary Outcomes
- Accuracy of different screening tests (PSA, free to total PSA, prostate MRI) in detecting prostate cancer among men with genetic predispositions.(within 2 years)