Active Surveillance for Low Risk Prostate Cancer
Study Details
Study Description
Brief Summary
An active surveillance protocol for patients diagnosed low-risk prostate cancer will be held. We plan to use PSA (prostate-specific antigen) testing, DRE (digital rectal examination), TRUS (transrectal ultrasound), MRI (magnetic resonance imaging) and follow-up biopsies to monitor patients and detect cancer progression in time.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Outcome Measures
Primary Outcome Measures
- cancer progression [5 years]
Number of patients who had one of the following signs of cancer progression: new lesion on DRE proved by biopsy, or histological upgrade on follow-up biopsy, or involvement of more than 33% cores on follow-up biopsy
Secondary Outcome Measures
- surgical treatment due to infravesical obstruction by BPH [5 years]
Number of patients who underwent any treatment due to BPH: endoscopic procedures, or simple prostatectomy, or punction cystostomy
Eligibility Criteria
Criteria
Inclusion Criteria:
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prostate adenocarcinoma verified by at least 12 core biopsy
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patient must understand the sense of research, agree to participate and sign a form of agreement
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low oncological risk according to EAU (European Association of Urology) Guidelines: stage T1-T2a, PSA<10 ng/ml, ISUP (International Society of Urological Pathologists score)=1 (Gleason score 3+3=6)
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not more than 33% cores with adenocarcinoma
Exclusion Criteria:
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previous treatment of prostate cancer
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other prostatic malignant neoplasms
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other oncological diseases
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treatment with 5-alfa-reductase inhibitors
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patient's refuse to continue study
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patient's desire to begin treatment
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Institute for Urology and Reproductive Health, Sechenov University. | Moscow | Russian Federation | 119991 |
Sponsors and Collaborators
- I.M. Sechenov First Moscow State Medical University
- Moscow Regional Research and Clinical Institute Moniki n.a. M.F. Vladimirskiy
- Pirogov Russian National Research Medical University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Sechenov-AS-19