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Active, not recruitingNCT01990521Updated Sep 9, 2025

Prostate Screening Study Using MRI in BRCA Carriers

An interventional study of MS3TMRI / TRUS Guided Biopsy and MS3TMRI / TRUS Guided Biopsy in Prostate Cancer, sponsored by Toronto Sunnybrook Regional Cancer Centre. Active, not recruiting at 1 site in Canada. Open to male participants aged 50 Years and older. Per ClinicalTrials.gov, last updated 2025-09-09.

Sponsored by Toronto Sunnybrook Regional Cancer Centre · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Not applicable
Ages
50 Years and older
Sex
Male
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Study summary

Men with a BRCA1 or BRCA2 mutation are at increased risk for early onset, aggressive prostate cancer compared to men in the general population.

Standard of care screening for men with a BRCA mutation includes PSA testing and digital rectal examination (DRE), the same as with men in the general population.

This study is being done to assess whether there is value in using MRI as a screening tool to detect prostate cancer at an earlier stage than may otherwise be detected using standard of care screening (PSA, DRE). It is unclear whether MRI has utility as a screening tool in this specific population at high risk for aggressive disease.

Read the detailed description

To determine the value of using Multispectral 3T MRI (MS3TMRI) for prostate cancer screening in men with a high risk of developing early onset aggressive prostate cancer given known BRCA1 or BRCA2 mutation carrier status, with no prior prostate cancer diagnosis, independent of baseline PSA levels.

  • Determine the prevalence of prostate cancer in BRCA1 and BRCA2 mutation carriers independent of baseline PSA levels.
  • To evaluate the accuracy of tumor targeting based on MRI and ultrasound (US) tumor co-localization. To evaluate the sensitivity, specificity, PPV, NPV, and accuracy of an automated computer aided diagnosis method (CAD) applied to MS3TMRI in the prediction of zonal biopsy results for the presence or absence of a significant cancer.
02

Conditions studied

  • Prostate Cancer

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03

In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.

This study's planned enrollment of 60 is close to the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Toronto Sunnybrook Regional Cancer Centre is the lead sponsor of 5 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
50 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Enrolled in the Male Hereditary Cancer Research Program at Sunnybrook Health Sciences Center.
  • Have positive genetic testing for a pathogenic BRCA1 or BRCA2 mutation.
  • Clinically eligible for and willing to undergo ultrasound biopsy within 4 weeks after the MRI.
  • Be 50 years of age or older.

Exclusion criteria

Exclusion Criteria:

  • Claustrophobia
  • Contraindication to MRI
  • Contraindication to receiving low molecular weight MRI contrast agent
  • Previously diagnosed with prostate cancer
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    MS3TMRI / TRUS Guided Biopsy

    Procedure: MS3TMRI / TRUS Guided Biopsy · Device: MS3TMRI / TRUS Guided Biopsy

Interventions

  • ProcedureMS3TMRI / TRUS Guided Biopsy

    Patients would undergo MS3TMRI and then have a transrectal ultrasound (TRUS) biopsy performed within one month after the MRI. The initial cores would be obtained using TRUS without MRI information (TRUSBx). During the same biopsy session, the MS3TMRI information would be given to the physician performing the biopsy and additional cores specifically targeted to suspicious areas would be performed (MS3TMRI-TRUSBx).

  • DeviceMS3TMRI / TRUS Guided Biopsy

    Multispectral 3T MRI (MS3TMRI) is a device that uses a 3T MRI system without an endorectal receiver coil and with a surface phased array coil. 3T MRI in addition to established computer aided diagnosis (CAD) has been used to perform guided biopsies in an active surveillance population and demonstrated a positive predictive value and negative predictive value of 83% and 81%. A recently completed a study looking at repeat prostate biopsies in men followed on an active surveillance population at Sunnybrook has shown that the PPV of MS3TMRI guided biopsy to be 85%, while the negative predictive value was 100% (Haider, Vesprini and Milot, unpublished).

    Also known as: Multispectral 3T MRI, Transrectal Ultrasound

06

What researchers measure

Primary outcomes

  1. Prostate MRI in BRCA carriers

    Measure of prostate MRI to determine the PPV of MRI for detection of actionable prostate cancer

    Time frame: 2 years (January 2016)

Secondary outcomes

  1. Prostate cancer in BRCA carriers

    Prevalence of any prostate cancer compared to actionable cancer in men with a BRCA1 or BRCA2 mutation independent of serum PSA value.

    Time frame: 2 years January 2016

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Study locations

1 site
  • Sunnybrook Odette Cancer Centre
    Toronto, Ontario M4N 3M5, Canada
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 9, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01990521
Lead sponsor
Toronto Sunnybrook Regional Cancer Centre
Collaborators
Sunnybrook Health Sciences Centre, Women's College Hospital
Responsible party
Danny Vesprini, MD, MSc, FRCPC (Radiation Oncologist, Toronto Sunnybrook Regional Cancer Centre) — Principal investigator
First posted
Nov 21, 2013
Start date
Jan 2014
Primary completion
Sep 2025
Completion
Sep 2026 (estimated)
Last update
Sep 9, 2025

Study contacts

Danny J Vesprini, MD, MSc, FRCPC
principal investigator · Sunnybrook Health Sciences Centre

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

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