Clinical Evaluation of the 'ExoDx Prostate IntelliScore' (EPI)
- Conditions
- Cancer of Prostate
- Interventions
- Diagnostic Test: ExoDx Prostate Intelliscore
- Registration Number
- NCT03031418
- Lead Sponsor
- Exosome Diagnostics, Inc.
- Brief Summary
The purpose of this research study is investigate a new and validated urine test which predicts the likelihood of high grade prostate cancer on an initial prostate biopsy The current protocol has two objectives; one is to further assess and evaluate the performance of the urine test in men already scheduled for initial prostate needle biopsy (cohort (group) 1) and two, to evaluate how the results of the urine test influences the decision process for determining whether to perform a prostate biopsy (cohort (group) 2).
- Detailed Description
Primary Objective(s)
* Confirm performance of the ExoDx Prostate (IntelliScore) (EPI) utilizing a designated collection vessel for men presenting for their initial prostate biopsy with an elevated Prostate-specific antigen (2-10 ng/mL).
* Evaluate impact of the confirmed ExoDx Prostate (IntelliScore) on the decision to perform an initial prostate biopsy for men presenting with an elevated Prostate-specific antigen (2-10 ng/mL).
Secondary and Exploratory Objectives
* Assess physician satisfaction with the ExoIntelliScore Prostate report including test result presentation, graphics and interpretation.
* Assess patient satisfaction for ease of understanding test results and role on decision process to have a biopsy.
* Determine the medical economic impact of the ExoIntelliScore Prostate in the prostate biopsy decision process.
* Correlation of the ExoIntelliScore Prostate score with the actual biopsy result.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Male
- Target Recruitment
- 532
- 50 years of age
- Clinical suspicion for prostate cancer
- Elevated Prostate-specific antigen between: 2.0 - 10 ng/ mL
- No clinical history of a prior negative biopsy
- History of prior prostate biopsy.
- Use of medications or hormones that are known to affect serum Prostate-specific antigen levels within 3-6 months of study enrollment.
- Clinical symptoms of urinary tract infection (including prostatitis) at the time of enrollment.
- History of prostate cancer.
- History of invasive treatments for benign prostatic hypertrophy (Benign Prostatic Hyperplasia) or lower urinary track symptoms within 6 months of study enrollment.
- No known hepatitis (all types) and/or HIV documented in patient's medical record.
- Patients with history of concurrent renal/bladder tumors.
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Cohort 2 ExoDx Prostate Intelliscore Enroll up to 500 patients to evaluate how the results of the urine test influences the decision process for determining whether to perform a prostate biopsy. The treating physician will collect a urine sample for testing and 2 weeks later discuss whether to perform a prostate biopsy with the subject knowing the results of the urine test and comparing them to the overall consensus report from Cohort 1 as well as other clinical factors the treating physician would otherwise use to determine whether they should have a prostate biopsy.
- Primary Outcome Measures
Name Time Method Confirm performance of the ExoDx Prostate IntelliScore 6 months Confirm performance of the ExoDx Prostate IntelliScore utilizing a designated collection vessel for men presenting for their initial prostate biopsy with an elevated prostate-specific antigen (2-10 ng/mL).
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (18)
Johns Hopkins University
🇺🇸Baltimore, Maryland, United States
Southeastern Urology Associates
🇺🇸Macon, Georgia, United States
Premier Urology Group
🇺🇸Edison, New Jersey, United States
Five Valley Urology
🇺🇸Missoula, Montana, United States
Delaware Valley Urology
🇺🇸Voorhees, New Jersey, United States
Walter Reed National Military Medical CPDR
🇺🇸Bethesda, Maryland, United States
21st Century Oncology
🇺🇸Fort Myers, Florida, United States
Columbia University Medical Center
🇺🇸New York, New York, United States
Comprehensive Urology
🇺🇸Royal Oak, Michigan, United States
NYU Urology Associates
🇺🇸New York, New York, United States
Urologic Research and Consulting LLC
🇺🇸Englewood, New Jersey, United States
Icahn School of Medicine at Mount Sinai
🇺🇸New York, New York, United States
Manhattan Medical Research
🇺🇸New York, New York, United States
Associated Urologists of North Carolina
🇺🇸Raleigh, North Carolina, United States
Carolina Urologic Research Center
🇺🇸Myrtle Beach, South Carolina, United States
UT Health Science Center
🇺🇸San Antonio, Texas, United States
Urology of Virginia
🇺🇸Virginia Beach, Virginia, United States
Mount Sinai Medical Center of Florida
🇺🇸Miami, Florida, United States