Prostate Cancer Detection
Conditions
Keywords
prostate cancer, screening
Brief 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 and prior to the scheduled prostate biopsy (≤30 days), 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. Prostate biopsy 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 are required. 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. The assay results will be compared to the biopsy results.
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.
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.
Sponsors
Sequenom, Inc.
Labcorp Corporation of America Holdings, Inc
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
MALE
Age
40 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
1. Subject is male ≥40 and ≤75 years of age at the time of enrollment; 2. Subject provides a signed and dated informed consent; 3. Subject has a SOC tPSA of 2-10 ng/mL inclusive within 30 days of the Screening Visit; 1. Up to 100 subjects will have a SOC tPSA of 2-\<4 ng/mL 2. A minimum of 400 subjects will have a SOC tPSA of 4-10 ng/mL 4. Subject is scheduled to undergo a prostate biopsy within 30 days of the Screening Visit blood collection; 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.
Exclusion criteria
\-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assess the clinical performance of Proclarix® in a United States (US) cohort when compared to the biopsy results. | From enrollment to the collection of prostate biopsy results at 90 days | Evaluate Proclarix®'s clinical performance, specifically NPV to predict the absence of csPCa on prostate biopsy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 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.) | From enrollment to collection of biopsy results at 90 days | Compare study test results to SOC screening and diagnostic tests. |
Countries
United States
Contacts
CONTACTSenior Clinical Trial Manager
PRINCIPAL_INVESTIGATORNeil Shore, MD
Carolina Urologic Research Center
Outcome results
None listed