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Trial Title: Automatic Detection in MRI of Prostate Cancer: DAICAP

NCT ID: NCT05513820

Condition: Detection and Characterization of Prostate Cancer Based on Artificial Intelligence

Conditions: Official terms:
Prostatic Neoplasms

Conditions: Keywords:
Prostate Cancer
PI-RADS
PSA
Artificial Intelligence
Multiparametric Magnetic Resonance Imaging

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Other

Summary: Prostate cancer is the most common cancer in France and the 3rd most common cancer death in humans. The introduction of pre-biopsy MRI has considerably improved the quality of prostate cancer (PCa) diagnosis by increasing the detection of clinically significant PCa , and by reducing the number of unnecessary biopsies.However the diagnostic performance of Prostate MRI is highly dependent on reader experience that limits the population based delivery of high quality multiparametricMRI (mpMRI) driven PCa diagnosis. The main objective of this study is the development and the test of diagnostic accuracy of an AI algorithm for the detection of cancerous prostatic lesions from mpMRI images. The secondary objective is the development and the test of diagnostic accuracy of an AI algorithm to predict tumor aggressiveness from mpMRI images.

Detailed description: This is a study combining : 1. Firstly a sub-study with a multicentric retrospective sample of 700 patients from the databases of AP-HP, CHU de Lyon and CHU de Lille for training and validation of algorithms. The historical depth may be up to 96 months (8 years) 2. A second sub-study with a multicentric prospective sample of 550 patients (test-set) associating AP-HP (CHU Pitié, Tenon, Bicêtre, Necker), CHU Lille, CHU Lyon, CHU Bordeaux and CHU Strasbourg to test the performance of algorithms Data will be collected retrospectively (training phase - validation of the algorithm) and prospectively (testing phase of the algorithm) from the medical records of each of the centres for patients corresponding to the inclusion and exclusion criteria mentioned above. Methodology : 1. Retrospective phase mpMRI images chained to histological (prostate biopsy data), biological (PSA) and demographic (age) data will be used for supervised learning during the training and validation phases. Thus, the aggressiveness scores will rely on a matching between mpMRI images and the results of targeted biopsies in addition to standard biopsies 2. Prospective phase For the performance measurement, a test set of 550 prospectively collected images will be used, of which 150 will be from the same centers, and 400 from 3 other clinical centers (CHU Strasbourg, APHP Bicêtre and Necker-HEGP and CHU Bordeaux). The algorithms developed in the retrospective phase will be applied by Inria to the prospective data, without knowledge of the PI-RADS score or the aggressiveness. The performance of each algorithm will then be evaluated, under the responsibility of an independent unit,by its sensitivity and specificity with their IC95%. The main analysis will be conducted by patient (presence of at least one lesion with a PI-RADS score ≥3; presence of at least one lesion considered aggressive (defined by the presence of a histological Gleason score grade 4 up to 6 months after the mpMRI). Secondary analyses will be conducted by lesion and by prostate lobe.

Criteria for eligibility:

Study pop:
Patients with clinical suspicion of prostate cancer

Sampling method: Non-Probability Sample
Criteria:
Retrospective substudy Inclusion Criteria: - Patients with clinical suspicion of prostate cancer (increased PSA and/or abnormality on digital rectal examination) who underwent a diagnostic workup including mpMRI and prostate biopsies according to national recommendations: in case of normal mpMRI (PI-RADS < 3) 12 systematic samples; in case of pathological mpMRI (PI-RADS ≥3) 12 systematic samples associated with targeted samples (n= 2 to 4) by cognitive fusion, or image fusion software. Exclusion Criteria: - Patients with histologically proven prostate cancer and/or treatment for prostate cancer prior to the diagnostic workup Prospective substudy Inclusion Criteria: - Patients with clinical suspicion of prostate cancer (increased PSA level and/or abnormality on digital rectal examination) who should receive a diagnostic workup including mpMRI and prostate biopsies according to national recommendations: in case of normal mpMRI (PI-RADS < 3) 12 systematic samples; in case of pathological mpMRI (PI-RADS ≥3) 12 systematic samples associated with targeted samples (n= 2 to 4) by cognitive fusion, or image fusion software. Exclusion Criteria: - Patients with already histologically proven cancer, patients who have received treatment for prostate cancer, patients who cannot benefit from prostate biopsies, or patients with a contraindication to performing mpMRI.

Gender: Male

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: La Pitié Salpétrière Hospital

Address:
City: Paris
Zip: 75013
Country: France

Status: Recruiting

Contact:
Last name: Sofia ZEMOURI

Phone: 33 1 42 16 75 75
Email: sofia.zemouri@aphp.fr

Start date: June 21, 2022

Completion date: December 2024

Lead sponsor:
Agency: Assistance Publique - Hôpitaux de Paris
Agency class: Other

Collaborator:
Agency: University Hospital, Strasbourg, France
Agency class: Other

Collaborator:
Agency: University Hospital, Bordeaux
Agency class: Other

Collaborator:
Agency: University Hospital, Lille
Agency class: Other

Collaborator:
Agency: The Civil Hospitals, Lyon
Agency class: Other

Collaborator:
Agency: Institut National de Recherche en Informatique et en Automatique
Agency class: Other

Collaborator:
Agency: INCEPTO
Agency class: Other

Source: Assistance Publique - Hôpitaux de Paris

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05513820

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