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Trial Title: Prostate Cancer Screening: a Pilot Study

NCT ID: NCT06238661

Condition: Prostate Cancer

Conditions: Official terms:
Prostatic Neoplasms

Conditions: Keywords:
Prostate Cancer
PSA
Risk Calculator
Magnetic Resonance Imaging
Prostate biopsy

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Screening

Masking: None (Open Label)

Intervention:

Intervention type: Diagnostic Test
Intervention name: Urology visit with Risk Calculator and MRI
Description: Patients with PSA ≥3 ng/ml will undergo urology visit with risk calculator and MRI assessment of the prostate
Arm group label: Subjects with PSA ≥ 3 ng/ml

Summary: Prostate Cancer (PCa) is the second most frequently diagnosed tumour and the third most lethal among men in Europe. The lack of precise tools and examinations to precisely diagnose PCa has caused overtreatment of indolent and low-aggressive PCa, while in some other cases, with aggressive disease, diagnosis and treatment are dangerously delayed because cancer could be potentially missed. The present trial aims to study a new pathway to early diagnose PCa with Magnetic Resonance Imaging (MRI) to identify men who will not need treatment and those who will benefit from radical treatment, thus improving disease control and quality of life.

Detailed description: Men aged 55-65 years with neither previous biopsy nor prostate diseases will be invited in the screening protocol and will perform an initial PSA test. Those cases with PSA ≥ 3 ng/ml will be invited to undergo a urologic examination with computed risk assessment and an MRI, which is a non-invasive test with high positive and negative predictive value in identifying clinically significant prostate cancer. Then, only men with medium-high risk of harbouring clinically significant prostate cancer will be invited to undergo a prostate biopsy to indentify cancer presence and its aggressiveness.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - age between 55-65 years; - asymptomatic or paucisymptomatic from a urological point of view; - no previous prostate biopsy; - living in the ASL TO5 (Piedmont, Italy); - signed written informed consent. Exclusion Criteria: - positive oncologic anamnesis for prostate cancer; - previous biopsy or prostate surgery; - previous radiotherapy of the pelvis; - any contraindication to MRI examination; - claustrophobic or uncollaborative subjects.

Gender: Male

Gender based: Yes

Minimum age: 55 Years

Maximum age: 65 Years

Healthy volunteers: No

Locations:

Facility:
Name: Fondazione del Piemonte per l'Oncologia

Address:
City: Candiolo
Zip: 10060
Country: Italy

Contact:
Last name: Daniele Regge, MD

Phone: +390119933021
Email: daniele.regge@ircc.it

Start date: May 1, 2024

Completion date: July 1, 2025

Lead sponsor:
Agency: Fondazione del Piemonte per l'Oncologia
Agency class: Other

Collaborator:
Agency: San Luigi Gonzaga Hospital
Agency class: Other

Collaborator:
Agency: Epidemiology and Screening Unit - CPO, Turin, Italy
Agency class: Other

Source: Fondazione del Piemonte per l'Oncologia

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06238661

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