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Active, not recruitingNCT01464216FuncProstUpdated Jun 21, 2022

MRI for Assessment of Hypoxia-Induced Prostate Cancer Aggressiveness

An observational study in Prostatic Neoplasms, Genital Neoplasms, Male and Prostatic Diseases, sponsored by Oslo University Hospital. Active, not recruiting at 1 site in Norway. Open to male participants. Per ClinicalTrials.gov, last updated 2022-06-21.

Sponsored by Oslo University Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
120
Sex
Male
01

Study summary

The purpose of the study is to combine and correlate data from morphological and functional MRI, molecular signatures of tumor hypoxia, the presence of micrometastases and tumor hypoxia with the goal being predicting of prostate cancer aggressiveness.

Read the detailed description

A prospective study including 180 consecutive patients with PCa referred to Oslo University Hospital, Radiumhospitalet, for surgical treatment. In vivo functional MRI examination will be performed within a few days prior to robot-assisted radical prostatectomy (RALP). For a subgroup of patients FACBC PET will also be acquired prior to prostatectomy. A subgroup of intermediate and high-risk patients (D'Amico risk classification) will prior to surgery receive an intravenous infusion of the hypoxia-marker pimonidazole (Hypoxyprobe™-1)*. During surgery, bone marrow aspiration and blood collection will be performed for assessment of disseminated and circulating tumor cells. High-risk patients will undergo intraoperative lymph node dissection. Tumor tissue for molecular analyses will be sampled from prostate specimen prior to fixation. Prostate specimen and regional lymph nodes will be histopathologically examined for T- and N-classification, Gleason grade, presence of micrometastasis and areas of hypoxia. Histological and molecular findings will be correlated to MRI and PET findings and clinical data. Patients will be longitudinally followed to assess long-time clinical outcome (recurrence, metastatic disease, death).

*From 2013 oral administration is used.

02

Conditions studied

  • Prostatic Neoplasms
  • Genital Neoplasms, Male
  • Prostatic Diseases

Keywords

  • Functional Magnetic Resonance Imaging
  • Prostate cancer
  • FACBC PET
  • Hypoxia imaging
03

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Prostate cancer patients referred for surgical treatment.

Inclusion criteria

  • Patients suitable for surgery with confirmed prostate cancer, Gleason grade ≥ 3
  • Patient has received no prior treatment for prostate cancer.
  • Patient has adequate renal function: Estimated creatinine clearance ≥ 60 ml/minute.
  • Patient must sign written informed consent according to the protocol approved by the Regional Ethics Committee.

Exclusion criteria

Exclusion Criteria:

  • Patient with contraindication to MR or MR contrast media according to clinical practice.
  • Patients who want to withdraw for any reason during the study.
  • Patients previously undergone pelvic surgery or radiation therapy
04

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
120 participants (actual)
Biospecimen retention
Samples with dna
05

What researchers measure

Primary outcomes

  1. Death

    Time frame: 2030

06

Study locations

1 site
  • Oslo University Hospital
    Oslo, 0310, Norway
07

Registry details

Key details

Study ID
NCT01464216
Lead sponsor
Oslo University Hospital
Collaborators
Radboud University Medical Center
Responsible party
Therese Seierstad (Head of Research, Department of Radiology and Nuclear Medicine, Oslo University Hospital) — Principal investigator
First posted
Nov 3, 2011
Start date
Oct 2011
Primary completion
Dec 2022 (estimated)
Completion
Dec 2030 (estimated)
Last update
Jun 21, 2022

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2022. You cannot join it, but the record below documents what was studied.

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