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CompletedNCT03650153Updated Apr 3, 2024

Randomized Controlled Trial of MRI Target Biopsy: Transrectal vs. Transperineal

An interventional study of Trans-rectal MRI targeted Biopsy and Trans-perineal MRI targeted Biopsy in Prostate Cancer, sponsored by Princess Al-Johara Al-Ibrahim Cancer Research Center. Completed at 1 site in Saudi Arabia. Open to male participants aged Up to 80 Years. Per ClinicalTrials.gov, last updated 2024-04-03.

Sponsored by Princess Al-Johara Al-Ibrahim Cancer Research Center · Not applicable, Interventional, and Diagnostic

Phase
Not applicable
Study type
Interventional
Enrollment
165
Allocation
Randomized
Ages
Up to 80 Years
Sex
Male
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Study summary

This prospective study of comparing between Transrectal and transperineal prostate MRI targeted biopsy to provide evidence for clinicians to select the appropriate biopsy approach under different conditions.

Read the detailed description

This prospective study of comparing transperineal (TP) prostate MRI targeted biopsy with transrectal (TR) prostate MRI targeted biopsy was aimed to provide evidence for clinicians to select the appropriate biopsy approach under different conditions. TP (n = 75) and TR (n = 75) will be performed randomly for 150 patients who are suspicious of prostate cancer (PCa). The cancer detection rate (CDR), complication rate, visual analog scale (VAS) score, most painful procedure, number of repeated biopsy and additional anesthesia, and operating time (starting from lying down on the operating table to getting up) will be recorded.

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Conditions studied

  • Prostate Cancer

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03

In context

Prostatic Neoplasms

6,484 studies on the registry are indexed under Prostatic Neoplasms; 1,415 are open to participants now.

This study's enrollment of 165 is above the median of 58 across 4,908 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Princess Al-Johara Al-Ibrahim Cancer Research Center is the lead sponsor of 4 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
Up to 80 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • prostate-specific antigen > 4ng/ml
  • Palpation is positive

Exclusion criteria

Exclusion Criteria:

  • older than 80y
  • prostate-specific antigen > 100 ng/ml
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Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
165 participants (actual)

Study arms

  • Active comparator
    Trans-rectal MRI targeted Biopsy

    Trans-rectal to perform the prostate MRI targeted biopsy The puncture points are at the rectal

    Procedure: Trans-rectal MRI targeted Biopsy

  • Active comparator
    Trans-perineal MRI targeted Biopsy

    Trans-perineal to perform the prostate MRI targeted biopsy The puncture points are at the perineal

    Procedure: Trans-perineal MRI targeted Biopsy

Interventions

  • ProcedureTrans-rectal MRI targeted Biopsy

    Trans-rectal biopsy of the prostate: A procedure in which a sample of tissue is removed from the prostate using a thin needle that is inserted through the rectum and into the prostate.

  • ProcedureTrans-perineal MRI targeted Biopsy

    Trans-perineal biopsy of the prostate: The sample is removed with a thin needle that is inserted through the skin of the perineum and into the prostate.

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What researchers measure

Primary outcomes

  1. the rate of positive detections

    the rate of positive detections (How many case are Prostate cancer positive)

    Time frame: 1 year

Secondary outcomes

  1. the incidence rate of each complication

    the Incidence of complication rate is the number of complications divided by the number of patients and the number of patients with complications. Complications were separated into those with major or minor sequelae and the proportion of each type that were due to medical error (avoidable).

    Time frame: 1 year

Other outcomes

  1. Pain level assessed by visual analogue scale (VAS)

    The pain VAS is a unidimensional measure of pain intensity used adult populations. The pain VAS is a continuous scale comprised of a horizontal (HVAS) or vertical (VVAS) line, usually 10 centimeters (100 mm) in length, anchored by 2 verbal descriptors, one for each symptom extreme. Instructions, time period for reporting, and verbal descriptor anchors have varied widely in the literature depending on intended use of the scale. Using a ruler, the score is determined by measuring the distance (mm) on the 10-cm line between the "no pain" anchor and the patient's mark, providing a range of scores from 0-100. A higher score indicates greater pain intensity. Based on the distribution of pain VAS scores in postsurgical patients who described their postoperative pain intensity as none, mild, moderate, or severe, the following cut points on the pain VAS have been recommended: no pain (0-4 mm), mild pain (5-44 mm), moderate pain (45-74 mm), and severe pain (75- 100 mm).

    Time frame: 1 year

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Study locations

1 site
  • King Khalid University Hospital
    Riyadh, Saudi Arabia
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 3, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03650153
Lead sponsor
Princess Al-Johara Al-Ibrahim Cancer Research Center
Responsible party
Sponsor
First posted
Aug 28, 2018
Start date
Jan 1, 2020
Primary completion
Dec 31, 2022
Completion
Dec 31, 2022
Last update
Apr 3, 2024

Study contacts

danny M Rabah, FRCS
principal investigator · Surgery Department and Cancer Research Chair, College of Medicine, King Saud University, Saudi Arabia

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.

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