Status:

COMPLETED

Extended Systematic Versus Mri-Assisted pRostate Transperineal Biopsy

Lead Sponsor:

Chinese University of Hong Kong

Conditions:

Prostate Cancer

Eligibility:

MALE

18+ years

Phase:

NA

Brief Summary

This is a randomized controlled trial to evaluate the detection of clinically significant prostate cancer (csPCa) by MRI-targeted approach (MRI-arm) versus 24-core transperineal (TP) systematic biopsy...

Detailed Description

The current study is a randomized controlled trial using a superiority design with the subjects randomized in 1:1 manner to either MRI-arm or TP-arm. In the MRI-arm, multiparametric MRI is performed f...

Eligibility Criteria

Inclusion

  • Men ≥18 years of age
  • Clinical suspicion of prostate cancer and indicated for prostate biopsy
  • Serum Prostate-specific antigen (PSA) 4-20 ng/mL
  • Digital rectal examination ≤ cT2 (organ confined cancer)
  • Able to provide written informed consent

Exclusion

  • Prior prostate biopsy
  • Past or current history of prostate cancer
  • MRI prostate performed within past 5 years
  • Contraindicated to undergo MRI scan (e.g. pacemaker in-situ, claustrophobia, estimated glomerular filtration rate \< 50ml/min in serum renal function test within 3 months)
  • Contraindicated to transperineal prostate biopsy: active urinary tract infection, fail insertion of transrectal ultrasound probe into rectum (abdominal perineal resection, anal stenosis), fail to be placed in lithotomy position, uncorrectable coagulopathy, antiplatelet or anticoagulant which cannot be stopped (keep aspirin before and after biopsy is permitted)

Key Trial Info

Start Date :

May 27 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 24 2024

Estimated Enrollment :

403 Patients enrolled

Trial Details

Trial ID

NCT04685928

Start Date

May 27 2021

End Date

September 24 2024

Last Update

May 6 2025

Active Locations (8)

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Page 1 of 2 (8 locations)

1

Kwong Wah Hospital

Hong Kong, Hong Kong

2

North District Hospital

Hong Kong, Hong Kong

3

Pamela Youde Nethersole Eastern Hospital

Hong Kong, Hong Kong

4

Prince of Wales Hospital

Hong Kong, Hong Kong