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Biological Investigations in Active Surveillance (BIAS) IGAR 2008 I 19 in Prostate Cancer Using High Field MRI (3 Tesla), PET, and Biomarkers

Phase 1
Completed
Conditions
Prostate Cancer
Registration Number
NCT00676286
Lead Sponsor
AHS Cancer Control Alberta
Brief Summary

This study will use high field MRI (3 Tesla), PET and biomarker to follow prostate cancers and determine if these tests can detect cancers that become aggressive.

Detailed Description

This study may lead to the identification of additional investigations that can monitor for signs of disease progression in active surveillance protocols. This can directly benefit patients by providing them with greater confidence that their disease is being accurately monitored. In addition, this study may be beneficial to the general management of prostate cancers by adding to our knowledge of these investigations characterizing prostate cancers.

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
26
Inclusion Criteria
  • Histologically proven adenocarcinoma of the prostate
  • Registration must occur within 16 weeks of last biopsy
  • History and physical exam (including DRE) within 8 weeks prior to registration
  • Patients must have indolent prostate cancer including all of the following: Low risk prostate cancer, less or equal to 50 % of core biopsies involved with disease, and less or equal to three biopsies involved with disease
  • Patients must have a minimum of six biopsies (sextant) at registration
  • PSA test within 8 weeks registration
  • Creatinine level below 100 umol/L within 8 weeks of registration
  • Patients must have no contraindications to MRI scans
  • No history of previous malignancies except non-melanoma skin tumors or other malignancies with a greater than 5 year life expectancy
  • Patients must be reliable for follow up
Exclusion Criteria
  • Patient does not have histologically-proven adenocarcinoma of the prostate
  • Last biopsy greater than 16 weeks prior to registration
  • History and physical exam (including DRE) greater that 8 weeks prior to registration
  • Patient does not have indolent disease
  • Patient has less than six sextant biopsies at registration
  • PSA test done greater than 8 weeks from registration
  • Creatinine level greater than 100 umol/L within 8 weeks of registration
  • Contraindications to MRI scans
  • History of previous malignancies other than non-melanoma skin tumors or other malignancies with a greater than 5 year life expectancy
  • Patients that are not reliable for follow up

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Primary objective to determine if we can accrue patients to this study in a timely manner.2 years
Secondary Outcome Measures
NameTimeMethod
Incidence of patients developing progressive prostate cancer warranting definitive treatment in an active surveillance protocolpatients followe for 5 years from baseline
The natural history of prostate cancer with these investigationspatients followed for 5 years from baseline
Optimal imaging parameters to characterize prostate cancerspatients followed for 5 years from baseline
The sensitivity and specificity of these investigation in detecting prostate cancerpatients followed for 5 years from baseline
feasibility of detecting gene arrangements in prostate biopsiespatients followed for 5 years from baseline
Patient compliancePatients followed for 5 years from baseline
The sensitivity and specificity of these investigations in differentiating indolent prostate cancer from aggressive diseasepatients followed for 5 years from baseline
The sensitivity and specificity of these investigations in detecting high grade disease, extracapsular disease and extraprostatic disease and disease progressionpatients followed for 5 years from baseline

Trial Locations

Locations (1)

Cross Cancer Institute

🇨🇦

Edmonton, Alberta, Canada

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