ClinicalTrials.gg
RecruitingNCT07543757PRIMEUpdated Sep 28, 2026

Prostate Cancer Risk Identification in a Multi-Ethnic Cohort: a Prospective US-based Multi-center Validation Study of Proclarix

An observational study in Prostate Cancer Detection, sponsored by Sequenom, Inc.. Recruiting at 7 sites in United States. Open to male participants aged 40 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-28.

Sponsored by Sequenom, Inc. (part of Labcorp) · Observational

From the registry’s dates

  • Started Apr 2026; still recruiting 7 months later.
Updated Sep 28, 2026Eligibility revisedGo to Updates ↓
Study type
Observational
Model
Case-only
Time perspective
Prospective
Enrollment
500
Ages
40 Years to 75 Years
Sex
Male
01

Study summary

The study is a prospective, multi-center, single cohort study involving up to 10 urological clinics in the US. After provision of informed consent, up to 20 mL of whole blood will be collected from each subject. The samples will be blinded and sent to Labcorp for evaluation using the Proclarix® assay. If a prostate biopsy is performed, it will be performed according to standard clinical practice of the urologist (systematic, targeted, or combined biopsy with a transrectal or transperineal approach with or without prior magnetic resonance imaging (MRI)). A minimum of 10 cores is required if a systematic biopsy is performed. Histopathological examination of the biopsy specimen will be performed according to the established local practice. A csPCa is defined as ISUP Grade Group ≥2 detected on biopsy.

Read the detailed description

Prostate cancer remains a leading cause of cancer-related morbidity and mortality in men worldwide, with significant disparities in incidence and outcomes across different ethnic groups with black men being affected by prostate cancer earlier, more frequently and with more aggressive disease. Current risk stratification tools often lack the precision needed to effectively assess and predict prostate cancer risk in diverse populations.

Proclarix® is a blood-based test that addresses the problem of prostate cancer (PCa) overdiagnosis by indicating the risk of clinically significant disease. It is comprised of two novel biomarkers, thrombospondin 1 (THBS1) and cathepsin D (CTSD), and is combined with total prostate-specific antigen (tPSA), free PSA (fPSA) and age. A software algorithm returns a risk score that can be used as an aid in the identification of clinically significant PCa (csPCa), defined as International Society of Urological Pathology (ISUP) Grade Group ≥ 2. Proclarix® has been developed and validated on 955 men, in majority of Caucasian background with 90% sensitivity, 43% specificity, 95% negative predictive value (NPV) and 25% positive predictive value (PPV). The validation performance established on German and Austrian patients has been fully confirmed in other European populations: the United Kingdom, Spain, Denmark, Italy and Switzerland.

To be used broadly, confirmation of Proclarix® performance in patients from diverse ethnic backgrounds requires further investigation.

02

Conditions studied

  • Prostate Cancer Detection

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Keywords

  • prostate cancer, screening
03

In context

Prostatic Neoplasms

7,046 studies on the registry are indexed under Prostatic Neoplasms; 1,580 are open to participants now.

This study's planned enrollment of 500 is above the median of 200 across 1,310 observational studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Sequenom, Inc. is the lead sponsor of 26 studies on the registry; 5 are open to participants now.

First submitted after Sequenom, Inc. became part of Labcorp.

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

04

Who can participate

The criteria were revised on the registry on Sep 28, 2026. See what changed

Ages eligible
40 Years to 75 Years
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Approximately 500 subjects will be enrolled in this study, of which approximately 400 subjects will have a tPSA value of 4-10 ng/mL and 100 subjects will have a tPSA of 2-\<4 ng/mL.

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

  1. Subject is male ≥40 and ≤75 years of age at the time of enrollment;
  2. Subject provides a signed and dated ;
  3. Subject has a SOC tPSA of 2-10 ng/mL inclusive within 90 days of the study blood draw;
  4. Subject is presenting to the clinic to discuss a potential prostate ;
  5. Subject agrees to provide all diagnostic test results throughout the study; and
  6. Subject agrees to provide blood for Proclarix® and phi testing at the Screening Visit.

7 Study blood sample will be collected prior to MRI (if conducted) and prior to the biopsy.

Exclusion criteria

Exclusion Criteria

  1. Previous diagnosis of prostate cancer;
  2. Treatment with a medication classified as a 5α-reductase-inhibitor at any time in the 6 months prior to study blood collection;
  3. Acute or chronic urinary tract infection within 3 months of the study blood collection;
  4. Men with an indwelling catheter or intermittent self-catheterization within 30 days of the study blood collection;
  5. Digital Rectal Exam (DRE) or transurethral manipulation (e.g. cystoscopy, catheterization) the same day and prior to the study blood collection;
  6. Men who had an invasive urological procedure for benign prostate hyperplasia/obstruction (e.g. transurethral resection of the prostate (TURP), Holmium Laser Enucleation of the Prostate (HoLEP), Thulium laser enucleation of the prostate (ThuLEP), aquablation, prostatic artery embolization, Rezum, laser vaporization, etc.) or of the prostate within 6 months prior to the study blood collection;
  7. Subject is not able to read or comprehend the form;
  8. Previous enrollment in this protocol with valid biopsy results; or
  9. Men who had an MRI of the prostate within 90 days prior to the study blood collection.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

05

Study design

Observational model
Case-only
Time perspective
Prospective
Enrollment
500 participants (estimated)
Patient registry
No
Biospecimen retention
Samples without dna

Groups and cohorts

  • Prostate cancer suspected

    Subjects with an elevated PSA (2-10) planning to undergo prostate biopsy

    Diagnostic Test: Proclarix

Interventions

  • Diagnostic testProclarix

    Proclarix® is a blood-based test that addresses the problem of prostate cancer (PCa) overdiagnosis by indicating the risk of clinically significant disease. It is comprised of two novel biomarkers, thrombospondin 1 (THBS1) and cathepsin D (CTSD), and is combined with total prostate-specific antigen (tPSA), free PSA (fPSA) and age.

06

What researchers measure

Primary outcomes

  1. Assess the clinical performance of Proclarix® in a United States (US) cohort when compared to the biopsy results.

    Evaluate Proclarix®'s clinical performance, specifically NPV to predict the absence of csPCa on prostate biopsy.

    Time frame: From enrollment to the collection of prostate biopsy results at 90 days

Secondary outcomes

  1. Evaluate Proclarix's clinical ability to correlate with and add to the results of other diagnostic tests performed as standard of care (i.e., MRI, ultrasound, etc.)

    Compare study test results to SOC screening and diagnostic tests.

    Time frame: From enrollment to collection of biopsy results at 90 days

  2. Assess Proclarix®'s clinical performance compared with percent free PSA (%fPSA), the Prostate Health Index (phi), and a risk calculator as proposed by the American Urological Association (AUA) guidelines.

    Compare other validated study endpoints to study test results.

    Time frame: From enrollment to collection of biopsy results at 90 days

07

Study locations

7 of 7 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2026 (actual). Primary completion is estimated for Mar 2027, 11 months after the start.

Of 109 industry-sponsored observational studies under Prostatic Neoplasms, half reached primary completion within 45 months of starting (the median), counting those still running; a quarter within 24 and three quarters within 65. This study's planned 11 months is below that.

Counting every sponsor, half of 650 studies reached it within 60 months; a quarter within 29 and three quarters within 141.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 14, 2026
First posted
Apr 22, 2026
StartActual
Apr 3, 2026
Primary completionEst.
Mar 31, 2027
CompletionEst.
Mar 31, 2027
Last update
Sep 28, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Eligibility
1 inclusion criterion edited, 2 added, 3 removed; 9 exclusion criteria added, 1 removed
What changed in the criteria
Inclusion criteria
  • EditedSubject has a SOC tPSA of 2-10 ng/mL inclusive within 3090 days of the Screening Visitstudy blood draw;
  • RemovedUp to 100 subjects will have a SOC tPSA of 2-<4 ng/mL
  • RemovedA minimum of 400 subjects will have a SOC tPSA of 4-10 ng/mL
  • RemovedSubject is scheduled to undergo a prostate biopsy within 30 days of the Screening Visit blood collection;
  • AddedSubject is presenting to the clinic to discuss a potential prostate biopsy;
  • Added7 Study blood sample will be collected prior to MRI (if conducted) and prior to the biopsy.
Exclusion criteria
  • Removed-
  • AddedPrevious diagnosis of prostate cancer;
  • AddedTreatment with a medication classified as a 5α-reductase-inhibitor at any time in the 6 months prior to study blood collection;
  • AddedAcute or chronic urinary tract infection within 3 months of the study blood collection;
  • AddedMen with an indwelling catheter or intermittent self-catheterization within 30 days of the study blood collection;
  • AddedDigital Rectal Exam (DRE) or transurethral manipulation (e.g. cystoscopy, catheterization) the same day and prior to the study blood collection;
  • AddedMen who had an invasive urological procedure for benign prostate hyperplasia/obstruction (e.g. transurethral resection of the prostate (TURP), Holmium Laser Enucleation of the Prostate (HoLEP), Thulium laser enucleation of the prostate (ThuLEP), aquablation, prostatic artery embolization, Rezum, laser vaporization, etc.) or biopsy of the prostate within 6 months prior to the study blood collection;
  • AddedSubject is not able to read or comprehend the informed consent form;
  • AddedPrevious enrollment in this protocol with valid biopsy results; or
  • AddedMen who had an MRI of the prostate within 90 days prior to the study blood collection.
Sep 28, 2026
Secondary outcomes
1 added
What changed in the outcomes
  • AddedAssess Proclarix®'s clinical performance compared with percent free PSA (%fPSA), the Prostate Health Index (phi), and a risk calculator as proposed by the American Urological Association (AUA) guidelines.Time frame: From enrollment to collection of biopsy results at 90 days
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    Eligibility 1 inclusion criterion edited, 2 added, 3 removed; 9 exclusion criteria added, 1 removed
    What changed in the criteria
    Inclusion criteria
    • EditedSubject has a SOC tPSA of 2-10 ng/mL inclusive within 3090 days of the Screening Visitstudy blood draw;
    • RemovedUp to 100 subjects will have a SOC tPSA of 2-<4 ng/mL
    • RemovedA minimum of 400 subjects will have a SOC tPSA of 4-10 ng/mL
    • RemovedSubject is scheduled to undergo a prostate biopsy within 30 days of the Screening Visit blood collection;
    • AddedSubject is presenting to the clinic to discuss a potential prostate biopsy;
    • Added7 Study blood sample will be collected prior to MRI (if conducted) and prior to the biopsy.
    Exclusion criteria
    • Removed-
    • AddedPrevious diagnosis of prostate cancer;
    • AddedTreatment with a medication classified as a 5α-reductase-inhibitor at any time in the 6 months prior to study blood collection;
    • AddedAcute or chronic urinary tract infection within 3 months of the study blood collection;
    • AddedMen with an indwelling catheter or intermittent self-catheterization within 30 days of the study blood collection;
    • AddedDigital Rectal Exam (DRE) or transurethral manipulation (e.g. cystoscopy, catheterization) the same day and prior to the study blood collection;
    • AddedMen who had an invasive urological procedure for benign prostate hyperplasia/obstruction (e.g. transurethral resection of the prostate (TURP), Holmium Laser Enucleation of the Prostate (HoLEP), Thulium laser enucleation of the prostate (ThuLEP), aquablation, prostatic artery embolization, Rezum, laser vaporization, etc.) or biopsy of the prostate within 6 months prior to the study blood collection;
    • AddedSubject is not able to read or comprehend the informed consent form;
    • AddedPrevious enrollment in this protocol with valid biopsy results; or
    • AddedMen who had an MRI of the prostate within 90 days prior to the study blood collection.
    Secondary outcomes 1 added
    What changed in the outcomes
    • AddedAssess Proclarix®'s clinical performance compared with percent free PSA (%fPSA), the Prostate Health Index (phi), and a risk calculator as proposed by the American Urological Association (AUA) guidelines.Time frame: From enrollment to collection of biopsy results at 90 days
    + 1 other change: description

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07543757
Lead sponsor
Sequenom, Inc.
Collaborators
Labcorp Corporation of America Holdings, Inc
Responsible party
Sponsor
First posted
Apr 22, 2026
Start date
Apr 3, 2026
Primary completion
Mar 31, 2027 (estimated)
Completion
Mar 31, 2027 (estimated)
Last update
Sep 28, 2026

Study contacts

Senior Clinical Trial Manager
Contact
clinicalaffairsSD@labcorp.com
858-202-2000
Neil Shore, MD
principal investigator · Carolina Urologic Research Center

Oversight

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

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