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Not yet recruitingNCT07733440PROACTUpdated Jul 29, 2026

PROstate Cancer Risk Calculator for ACTionable Clinical Decision-making in Nigeria

An interventional study of (a) Training and (b) Supported risk assessment in Prostate Cancer, Risk Assessment and Clinical Decision Support Systems, sponsored by Ahmadu Bello University. Not yet recruiting at 1 site in Nigeria. Open to male participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-07-29.

Sponsored by Ahmadu Bello University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
89
Allocation
Not applicable
Ages
18 Years and older
Sex
Male
01

Study summary

This study is a pilot trial that builds on findings from the validation of prostate cancer risk calculators in Nigerian men. The goal of the overall study is to improve the early detection of prostate cancer in a high-risk population.

The main questions the validation study aims to answer are:

  1. How accurately do existing prostate cancer risk calculators identify Nigerian men with clinically significant prostate cancer?
  2. Will a new risk calculator designed for Nigerian men more accurately identify those with clinically significant prostate cancer?

The main questions the intervention study aims to answer is:

Will the primary care provider-facing risk calculator be feasible and acceptable for primary care providers to implement?

The intervention trial will be piloted among participants in community-level hospitals in order to primarily assess implementation outcomes

Read the detailed description

The validation study will use prospective data from 500 participants with suspicion of prostate cancer to compare the effectiveness of prostate cancer risk calculator(s).

The intervention study is the only specific aim that meets the definition of a Clinical Trial. This clinicaltrial.gov information is based on the intervention study.

  1. For training, healthcare practitioners from community-level hospitals will be invited to participate. Before the training, a pre-test questionnaire will be given to conveniently sampled attending participants. After the training, the same questionnaire will be given to the same participants. The pre- and post-training knowledge scores will be compared to see if there is a change in knowledge.
  2. Supported risk assessment with the risk calculator will be piloted for at least six months. Primary care providers at community-level hospitals will use the online risk calculator to assess prostate cancer risk in patient participants 40-79 years old who are accessing their services. After the risk assessment, we will evaluate feasibility and acceptability using a mixed methods approach.
02

Conditions studied

  • Prostate Cancer
  • Risk Assessment
  • Clinical Decision Support Systems
  • Predictive Value of Tests
  • Models
  • Algorithms
  • Evidence-Based Practice
  • Implementation Research
  • Community Health Services
  • Primary Health Care
  • Biomarker
  • Prostate Specific Antigen
  • Global Health
  • Africa
  • Nigeria

Keywords

  • Prostate cancer
  • early detection
  • prostate cancer screening
  • early diagnosis
  • prostate specific antigen
  • risk calculator
  • risk prediction model
  • diagnostic accuracy
  • validation
  • prostate biopsy
  • primary care
  • implementation science
  • Africa
  • precision prevention
  • clinically significant prostate cancer
  • clinical prediction model
  • community oncology
  • Nigeria
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Training - Eligible primary care providers (for the training surveys) will be healthcare practitioners at community-level hospitals.
  2. Supported Risk Assessment

(i) Eligible key informants will be eligible primary care providers who were trained and implemented the supported risk assessment and the targeted population of patient participants who received the supported risk assessment.

(ii) Eligible patient participants (for the collection of observation data) will be the target population of adult males 40 - 79 years accessing provider services.

Exclusion criteria

Exclusion Criteria:

-

04

Study design

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

Study arms

  • Other
    Training and Supported risk assessment

    Other: (a) Training and (b) Supported risk assessment

Interventions

  • Other(a) Training and (b) Supported risk assessment

    1. The training intervention will be facilitated by experienced clinical mentors through didactics and demonstrations and conducted as half-day sessions over 3 days 2. This intervention includes risk calculator use and clinical mentorship for at least six months.

05

What researchers measure

Primary outcomes

  1. Task completion rate

    The percentage of risk calculator tasks successfully completed by providers during the risk assessment of patient participants. A task will be be considered successfully completed if all required steps are performed. Task completion will be documented using a standardized activity checklist and summarized using descriptive statistics.

    Time frame: 6 months

  2. Perceived feasibility of risk calculator use

    Feasibility will be assessed through participants' perceptions of the suitability of the risk calculator for its intended clinical purpose and its fit within routine clinical workflow. Data will be collected through qualitative feedback interviews and analyzed using thematic analysis.

    Time frame: 6 months

Secondary outcomes

  1. Acceptability of risk calculator use

    Acceptability will be assessed through participants' perceptions of the content relevance and perceived complexity of the risk calculator for clinical decision-making. Data will be collected through qualitative feedback interviews and analyzed using thematic analysis.

    Time frame: 6 months

  2. Change in knowledge score following training

    Knowledge will be assessed using a structured questionnaire administered before and after training. Each questionnaire item will be scored as 1 for a correct response and 0 for an incorrect response. The total knowledge score will be calculated as the sum of correct responses. The change in knowledge score from pre-training to post-training assessment will be analyzed using inferential statistics.

    Time frame: 3 days

Other outcomes

  1. Proportion of participants predicted to have clinically significant prostate cancer

    The proportion of participants classified by the risk calculator as having a predicted risk of clinically significant prostate cancer. The outcome will be reported as the number and percentage of participants predicted to have clinically significant prostate cancer among all assessed participants.

    Time frame: 6 months

06

Study locations

1 site
  • Ahmadu Bello University Teaching Hospital
    Zaria, Kaduna State, Nigeria
    • Musliu Adetola TOLANI, MBBS PGCertPH ChM FWACS FMCS · Contact · adetolatolani@yahoo.com · +2348035646382
    • Musliu Adetola TOLANI, MBBS PGCertPH ChM FWACS FMCS · Principal investigator
07

References and documents

Individual participant data

Plan to share: Yes — The scientific data and metadata will be assigned a digital object identifier number. This citable link will be referenced in associated publications and discoverable during repository search.

Supporting information: Csr, Analytic code

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07733440
Lead sponsor
Ahmadu Bello University
Collaborators
Fogarty International Center of the National Institute of Health
Responsible party
Musliu Adetola Tolani (Senior Lecturer, Ahmadu Bello University) — Principal investigator
First posted
Jul 29, 2026
Start date
Mar 2029 (estimated)
Primary completion
Aug 2029 (estimated)
Completion
Aug 2029 (estimated)
Last update
Jul 29, 2026

Study contacts

Musliu Adetola TOLANI, MBBS PGCertPH ChM FWACS FMCS
Contact
adetolatolani@yahoo.com
+2348035646382

Oversight

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

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