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Prostate Cancer Antigen 3 (PCA3) and functional Magnetic Resonance Imaging (MRI) in prostate cancer diagnosis
ISRCTN ISRCTN31825442
ClinicalTrials.gov identifier
Public title Prostate Cancer Antigen 3 (PCA3) and functional Magnetic Resonance Imaging (MRI) in prostate cancer diagnosis
Scientific title Prostate Cancer Antigen 3 (PCA3) and functional Magnetic Resonance Imaging (MRI) in prostate cancer diagnosis: A prospective multicentre study
Acronym N/A
Serial number at source INTURO0110
Study hypothesis By combining PCA3 testing and functional MRI imaging it is possible to improve sensitivity and specificity of current diagnostic tools in the management of patients at risk for prostate cancer.
Lay summary
Ethics approval The ethics committee of the National Cancer Institute (Istituto Nazionale Tumori [INT]) - G Pascale Foundation (Fondazione G. Pascale) approved on the 29th of September 2009 (ref: DSC/2287)
Study design Prospective multicentre observational study
Countries of recruitment Italy
Disease/condition/study domain Prostate cancer
Participants - inclusion criteria 1. Age >45 yrs
2. Able to comply with the protocol procedures
3. Able to understand and give consent to the protocol procedures
4. Indication for prostate biopsy or re-biopsy based on clinical parameters and prostate-specific antigen (PSA) values
Participants - exclusion criteria 1. PSA > 10 ng/ml
2. Therapy with finasteride or dutasteride in the previous 6 months
3. Unable to follow the protocol procedures and to give informed consent
4. Recent history of drug or alcohol abuse
Anticipated start date 01/11/2009
Anticipated end date 30/10/2011
Status of trial Completed
Patient information material
Target number of participants 1000
Interventions Visit 0 (baseline): screening for inclusion/exclusion criteria; informed consent; demographic data collection
Visit 1 (within the 1st week): functional MRI
Visit 2 (after 1 week): urine sample collection for PCA 3 assessment (Progensa PCA3™, Gen-probe Inc.); Prostate biopsy
Visit 3 (at 1 month): registration of complications; discussion of biopsy outcome (if negative, follow up; if positive, clinical staging and treatment)
Visit 4 (at 4 months): re-biopsy if indicated
Primary outcome measure(s) 1. To estimate the diagnostic accuracy in terms of sensibility, sensitivity and predictive values of PCA3
2. To assess the diagnostic accuracy of morphologic and spectroscopic MRI in relation to PCA3 and biopsy outcomes
Secondary outcome measure(s) 1. To determine the best PCA3 cut-off score in terms of sensitivity and specificity
2. To correlate PCA3 to other known parameters (PSA, Gleason score, tumour stage)
3. To estimate the advantages of a new diagnostic algorithm in comparison with current standards on the basis of clinical and socio-economical parameters
Sources of funding National Cancer Institute (Istituto Nazionale Tumori [INT]) - G Pascale Foundation (Fondazione G. Pascale) (Italy)
Trial website
Publications
Contact name Dr  Sisto  Perdona
  Address UOC Urologia
INT Fondazione "G. Pascale"
Via M. Semmola
  City/town Napoli
  Zip/Postcode 80100
  Country Italy
Sponsor National Cancer Institute (Istituto Nazionale Tumori [INT]) - G Pascale Foundation (Fondazione G. Pascale) (Italy)
  Address Via M Semmola
  City/town Napoli
  Zip/Postcode 80100
  Country Italy
  Sponsor website: http://www.fondazionepascale.it
Date applied 18/02/2010
Last edited 10/03/2010
Date ISRCTN assigned 10/03/2010
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