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NCT06866041Recruiting

Biological Markers and Advanced Imaging for Prostate Cancer Progression in Active Surveillance

Biological Pathways and Next-Generation Imaging Features Predicting Prostate Cancer Progression in Active Surveillance

Source: ClinicalTrials.gov · Last updated 16 May 2025 · Not updated for over 12 months - ask the site whether it is still open

Brief summary (registry, in English)

This study aims to identify patients with low-risk prostate cancer (ISUP Grade Group 1) eligible for active surveillance who are at higher risk of upgrading to ISUP Grade Group 2 or higher at confirmatory biopsy one year after diagnosis. Patients with low-risk ISUP GG1 tumors will be selected and undergo: * PSMA PET with calculation of SUVmax and PRIMARY-Likert score * Whole Exome Sequencing (WES) analysis on diagnostic prostate biopsies * Immunohistochemistry on diagnostic prostate biopsies * Confirmatory biopsy one year after diagnosis, as recommended by international guidelines This prospective, monocentric, single-arm interventional study will assess the predictive accuracy of a multivariable model integrating next-generation imaging and molecular biomarkers to improve risk stratification in active surveillance patients.

Status (registry)
Recruiting
Study type
Interventional
Enrollment
74 (estimated)
First submitted
4 Mar 2025
Start date
7 May 2025
Primary completion date
7 May 2028
Lead sponsor
Università Vita-Salute San Raffaele
NCT number
NCT06866041

What you commit to

  • Study type: Interventional
  • Planned participants: 74
  • From 7 May 2025 to the primary completion date, 7 May 2028
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Receipt of neoadjuvant or curative-intent therapies

Other

  • Unable to tolerate a PSMA-PET scan
  • Unwillingness to be managed with AS
  • Pacemaker
  • Inability to obtain the FFPE prostate biopsy specimens from the initial biopsy

Who the study is looking for

  • Histologically proven low-risk PCa (PSA ≤10 ng/ml; clinical stage ≤T2a, and biopsy ISUP GG 1)
  • Non-metastatic status at study inclusion (patient enrollment).
  • No prior or concomitant androgen deprivation therapy
  • Ability to understand a written informed consent and willingness to sign it.

Age in the registry: 45 years to 80 years · Sex: Male · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
IRCCS Ospedale San Raffaele
Coordinator of this site? Confirm its status
MilanItalyRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.