UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016934
Receipt number R000019660
Scientific Title Clinical research on [-2] proPSA measurement in a diagnosis of prostate cancer: prostate health index trial.
Date of disclosure of the study information 2015/03/27
Last modified on 2018/06/07 15:13:57

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Basic information

Public title

Clinical research on [-2] proPSA measurement in a diagnosis of prostate cancer: prostate health index trial.

Acronym

Importance of [-2] proPSA measurement in a diagnosis of PROstate cancer: Prostate HEalth index Trial. (PROPHET).

Scientific Title

Clinical research on [-2] proPSA measurement in a diagnosis of prostate cancer: prostate health index trial.

Scientific Title:Acronym

Importance of [-2] proPSA measurement in a diagnosis of PROstate cancer: Prostate HEalth index Trial. (PROPHET).

Region

Japan


Condition

Condition

Prostate cancer

Classification by specialty

Urology Laboratory medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Cancer diagnostic accuracy of [-2]proPSA-related indices, which are secondary markers of prostate specific antigen (PSA) as a standard diagnostic marker of prostate cancer, are compared with free-PSA/total PSA (%f-PSA) as a present secondary marker for cancer diagnosis. In addition, to investigate the correlation between pathological findings (Gleason score, biopsy positive rate) and [-2]proPSA-related indices, the comparison of diagnostic accuracy between [-2]proPSA-related indices and %f-PSA, the comparison of diagnostic accuracy of prostate volume- or transition zone volume-adjusted PSA-related index (PSA density) with that of [-2]proPSA-related indices, diagnostic signifivance of prostate volume-adjusted [-2] proPSA-related indices, and comparison of diagnostic accuracy and cost effectiveness between MRI and [-2]proPSA-related indices.

Basic objectives2

Others

Basic objectives -Others

Cancer diagnostic accuracy of [-2] proPSA-related indices.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Cancer diagnostic accuracy (area under receiver operating characteristic (ROC) curve, sensitivity, specificity, positive predictive value, negative predictive value) of [-2] proPSA-related indices.

Key secondary outcomes

1 ) Comparison of diagnostic accuracy (area under ROC curve, sensitivity, specificity, positive predictive value, negative predictive value) between of [-2] proPSA-related indices and %f-PSA.
2) Correlation of pathological findings (Gleason score, biopsy positive rate) with [-2]proPSA-related indices and %f-PSA.
3) Comparison of diagnostic accuracy (area under ROC curve, sensitivity, specificity, positive predictive value, negative predictive value) between prostate volume-adjusted PSA-related indices (PSAD, PSATZD) and [-2] proPSA-related indices
4) Diagnostic significance of prostate volume -adjusted [-2]proPSA-related indices, compared to that of %f-PSA and PSA density.
5) Comparison of diagnostic accuracy (area under ROC curve, sensitivity, specificity, positive predictive value, negative predictive value) between MRI and [-2]proPSA-related indices
6) Comparison of cost-effectiveness ratio (cost for one cancer diagnosis) introducing [-2] proPSA-related indices and prostate volume-adjusted [-2] proPSA-related indices to cancer diagnostic system (control: diagnostic system using PSA only, PSA+%f-PSA, PSA+MRI and PSA+%f-PSA+MRI ).


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Diagnosis

Type of intervention

Device,equipment Other

Interventions/Control_1

1)All whole-blood samples (5mL for serum and plasma) are immediately stored at 4C after drawing from the patients, centrifuge and separate into serum and plasma samples within 3hr, and then store at -70 degree Celsius after informed consent.
2) Digital rectal examination (DRE) and transrectal ultrasonography (TRUS) are performed, and total prostate volume and transition zone volume are measured after informed consent and taking blood samples and before the prostate biopsy. In addition, optional MRI is performed by physician's judgment.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

50 years-old <=

Age-upper limit

79 years-old >=

Gender

Male

Key inclusion criteria

1) Patients with suspicious findings on prostate cancer in the PSA value >=4.0ng/mL or more than age-specific PSA reference range (50-64years: 0.0-3.0ng/ml, 65-69years: 0.0-3.5ng/ml, >=70years: 0.0-4.0ng/ml) and =<10mg/mL
2) Patients who undergo an initial prostate biopsy within 3 months after informed consent (systematic biopsy: 12 - 20 cores. If required, additional target biopsy is acceptable .)
3) Men at 50 years or older and younger than 80 years.
4) Patients providing written informed consent.

Key exclusion criteria

1) Patients with an apparent urinary tract infection.
2) Patients with an operation history of benign prostate hyperplasia.
3) Patients who are taking steroidal, non-steroidal anti-androgen, 5alpha-reductase inhibitor within 3 months.
4) Any other patients who are regarded as unsuitable for this study by the investigators.

Target sample size

300


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kazuhiro Suzuki

Organization

Gunma University Graduate School of Medicine

Division name

Department of Urology

Zip code


Address

3-39-22, Showa-machi, Maebashi-city, Gunma 371-8511, Japan

TEL

027-220-8301

Email

kazu@gunma-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kazuto Ito

Organization

Gunma University Graduate School of Medicine

Division name

Department of Urology

Zip code


Address

3-39-22, Showa-machi, Maebashi-city, Gunma 371-8511, Japan

TEL

027-220-8301

Homepage URL


Email

kzito@gunma-u.ac.jp


Sponsor or person

Institute

Clinical Research Support Center Kyushu

Institute

Department

Personal name



Funding Source

Organization

Beckman Coulter Japan

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

群馬大学病院(群馬県)、獨協医科大学越谷病院(埼玉県)、JCHO東京新宿メディカルセンター(東京都)、横浜市立大学病院(神奈川県)、横浜市立市民病院(神奈川県)、香川大学病院(香川県)、九州大学病院(福岡県)、長崎大学病院(長崎県)


Other administrative information

Date of disclosure of the study information

2015 Year 03 Month 27 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2015 Year 03 Month 25 Day

Date of IRB


Anticipated trial start date

2015 Year 04 Month 20 Day

Last follow-up date

2017 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 03 Month 27 Day

Last modified on

2018 Year 06 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019660


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name