Active Surveillance for Low Risk Prostate Cancer

Sponsor
I.M. Sechenov First Moscow State Medical University (Other)
Overall Status
Recruiting
CT.gov ID
NCT04146077
Collaborator
Moscow Regional Research and Clinical Institute Moniki n.a. M.F. Vladimirskiy (Other), Pirogov Russian National Research Medical University (Other)
100
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84
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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

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    100 participants
    Observational Model:
    Cohort
    Time Perspective:
    Prospective
    Official Title:
    Active Surveillance Methodology for Low Risk Prostate Cancer
    Actual Study Start Date :
    Oct 1, 2019
    Anticipated Primary Completion Date :
    Oct 1, 2024
    Anticipated Study Completion Date :
    Oct 1, 2026

    Outcome Measures

    Primary Outcome Measures

    1. 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

    1. 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

    Ages Eligible for Study:
    50 Years to 75 Years
    Sexes Eligible for Study:
    Male
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • prostate adenocarcinoma verified by at least 12 core biopsy

    • patient must understand the sense of research, agree to participate and sign a form of agreement

    • 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)

    • not more than 33% cores with adenocarcinoma

    Exclusion Criteria:
    • previous treatment of prostate cancer

    • other prostatic malignant neoplasms

    • other oncological diseases

    • treatment with 5-alfa-reductase inhibitors

    • patient's refuse to continue study

    • patient's desire to begin treatment

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    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.
    Responsible Party:
    Dmitry Enikeev, MD, PhD, Deputy director for Research, Institute for Urology and Reproductive Health, I.M. Sechenov First Moscow State Medical University
    ClinicalTrials.gov Identifier:
    NCT04146077
    Other Study ID Numbers:
    • Sechenov-AS-19
    First Posted:
    Oct 31, 2019
    Last Update Posted:
    Jul 22, 2021
    Last Verified:
    Jul 1, 2021
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Dmitry Enikeev, MD, PhD, Deputy director for Research, Institute for Urology and Reproductive Health, I.M. Sechenov First Moscow State Medical University
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jul 22, 2021