ReIMAGINE Prostate Cancer Risk
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|ClinicalTrials.gov Identifier: NCT04060589|
Recruitment Status : Active, not recruiting
First Posted : August 19, 2019
Last Update Posted : April 11, 2022
ReIMAGINE Prostate Cancer Risk is a multi-centre, prospective, observational, longitudinal cohort study of men referred to secondary care with a suspicion of prostate cancer. The aim of the study is to develop a robust baseline risk stratification system for men at risk of prostate cancer.
Men whose serum Prostate Specific Antigen (PSA) level is 20ng/ml or less, whose multi-parametric magnetic resonance imaging (mpMRI) scan has been scored as Prostate Imaging Reporting and Data System (PIRADS)/LIKERT score 3, 4 or 5, and who have been advised and accepted the need for a targeted and systematic prostate biopsy will be invited to take part in the study and be asked to donate blood, urine, imaging files and prostate biopsy for biomarker analysis.
|Condition or disease||Intervention/treatment|
|Prostate Cancer||Other: Tissue donation Other: Blood Donation Other: Urine Donation Other: Healthcare data linkage|
ReIMAGINE Prostate Cancer Risk is a multi-centre, prospective, observational, longitudinal cohort study of men referred to secondary care with a suspicion of prostate cancer or men who are undergoing further tests for prostate cancer staging assessment. Men with a serum PSA level of 20ng/ml or less, whose mpMRI scan has been scored as PIRADS/LIKERT score 3, 4 or 5, and who have been advised and accepted the need for a targeted and systematic prostate biopsy will be invited to enrol.
Men will be recruited across a number of high-volume National Health Service (NHS) centres which already have an mpMRI based diagnostic pathway. All eligible patients referred to secondary care with a suspicion on prostate cancer will be considered for screening. Potential participants will be identified at the point of referral or routine urology cancer clinics. Patients will be approached by the ReIMAGINE study team and consented. The initial discussion may be over the telephone Once the consent form is signed, patients will be asked to donate blood, urine and three additional samples of prostate tissue (taken at the time of their biopsy) for biomarker and Deoxyribonucleic acid (DNA) analysis.
Imaging files from the MRI scan will also be collected and stored on the study data warehouse. Small sections of tissue will be cut from the standard of care blocks (post NHS reporting) and then returned back to the hospital.
After collection of the cross-sectional biological samples within ReIMAGINE, men will revert to NHS standard of care, attending a routine outpatient appointment to obtain the results from their biopsy. We will collect healthcare information on study participants during the study and three years after their prostate biopsy. Further funding will be explored for life-long collection of this data.
The ReIMAGINE team aim to recruit 1,000 men with a PIRADs/LIKERT score 3, 4 or 5 who are undergoing an MRI-directed prostate biopsy. Of these 1,000 biopsies, we anticipate that 60% will have any cancer detected on histology (3+3 or greater) giving approximately 400 cases of clinically significant cancer (Gleason 7 or more).
|Study Type :||Observational|
|Estimated Enrollment :||1000 participants|
|Official Title:||A Prospective Cohort Study in Men With a Suspicion of Prostate Cancer Who Are Referred Onto an MRI-based Diagnostic Pathway With Donation of Tissue, Blood and Urine for Biomarker Analyses (ReIMAGINE Prostate Cancer Risk)|
|Actual Study Start Date :||September 3, 2019|
|Estimated Primary Completion Date :||May 31, 2023|
|Estimated Study Completion Date :||May 31, 2023|
This is a cohort study where participating men will be asked to donate blood, urine, tissue in addition to access to standard of care tissue and medical data (including imaging files). Men will also consent to longer term healthcare data linkage.
Other: Tissue donation
Biopsies will be performed as part of standard of care, additional cores will be performed for research. Access to standard of care prostate biopsy tissue will also be requested after standard of care reporting is complete.
Other: Blood Donation
Phlebotomy will be performed prior to tissue collection following trust standard operating procedures or drawn when cannula already in situ in preparation for the prostate biopsy.
Other: Urine Donation
Urine will be collected prior to prostate biopsy
Other: Healthcare data linkage
Men will consent to healthcare data linkage via national databases.
- Presence of clinically significant prostate cancer confirmed on biopsy, defined as any Gleason pattern 7 or greater [ Time Frame: 6 weeks ]Proportion of men with significant prostate cancer categorised as gleason pattern 7 or greater
- Time to metastases in men with prostate cancer [ Time Frame: 3 years ]Development of secondary cancers or cancer recurrence
- Time to prostate cancer related death [ Time Frame: 3 years ]Time to prostate cancer related death in men diagnosed with prostate cancer
- Time to new prostate cancer in men without cancer at baseline [ Time Frame: 3 years ]Presence of newly diagnosed prostate cancer in men who were cancer free at baseline
- Time to cancer progression in men identified with prostate cancer at baseline [ Time Frame: 3 years ]Time to cancer progression in men identified with prostate cancer at baseline
- Time to prostate cancer specific death in all men [ Time Frame: 3 years ]Time to prostate cancer specific death in all men
- Time to all-cause death in all men [ Time Frame: 3 years ]Time to all-cause death in all men
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04060589
|University College London Hospital|
|London, United Kingdom, NW1 2PG|
|Royal Free Hospital|
|London, United Kingdom, NW3 2QG|
|Charing Cross Hospital|
|London, United Kingdom, W6 8RF|
|Principal Investigator:||Hashim U Ahmed, FRCS||Imperial College London|