Preoperative Magnetic Resonance (MR) Imaging of Prostate Cancer
Clinical Impact of MR Imaging in Patients With Prostate Cancer
1 other identifier
interventional
400
1 country
1
Brief Summary
The investigators want to evaluate if preoperative MRI improves the surgical results, especially in respect to surgical margins. The impact on the surgical procedure will be evaluated. In addition the investigators will examine the accuracy of tumor detection, localization and staging.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable prostate-cancer
Started Nov 2009
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2009
CompletedFirst Submitted
Initial submission to the registry
March 9, 2010
CompletedFirst Posted
Study publicly available on registry
May 4, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2012
CompletedDecember 30, 2013
December 1, 2013
2.7 years
March 9, 2010
December 27, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Surgical margins
The surgical margins are assessed by evaluating the pathological specimen
30 days
Secondary Outcomes (4)
Surgical decision process
30 days
Preoperative TNM classification
1-4 weeks
Detection of Gleason grade 4 and 5
30 days
Functional outcome
1 year after prostatectomy
Study Arms (2)
No preoperative MRI
NO INTERVENTIONcontrol arm of the study
MRI group
ACTIVE COMPARATORpreoperative MRI
Interventions
Eligibility Criteria
You may qualify if:
- All patients suitable for surgery.
- Positive biopsy (Gleason grade \>3).
- Informed consent.
You may not qualify if:
- Patients who do not sign the consent paper for any reason or do not accept the study premises.
- Patents who want to withdraw for any reason during the study.
- Patients with contraindications to MRI (pacemaker, claustrophobia etc) and/or surgery.
- Patients who have undergone a high quality MRI examination of the prostate at another radiological center. In this situation the MR examination is evaluated together with the surgeon but the patient is not included in the study. (In case of a low quality examinations, we will disregard the findings, and include the patient).
- If the surgeon finds it unacceptable to perform RALP without MRI, because of various reasons (eg. patient demand, too high risk etc) the patient will not be included in the study.
- If preoperative MRI reveals extensive tumor invasion into adjacent organ (T4) or skeletal metastases (M1), as these cancer stadiums do not benefit from RALP.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Oslo University Hospital
Oslo, 0514, Norway
Related Publications (2)
Rud E, Baco E, Klotz D, Rennesund K, Svindland A, Berge V, Lundeby E, Wessel N, Hoff JR, Berg RE, Diep L, Eggesbo HB, Eri LM. Does preoperative magnetic resonance imaging reduce the rate of positive surgical margins at radical prostatectomy in a randomised clinical trial? Eur Urol. 2015 Sep;68(3):487-96. doi: 10.1016/j.eururo.2015.02.039. Epub 2015 Mar 23.
PMID: 25813692DERIVEDRud E, Klotz D, Rennesund K, Baco E, Johansen TE, Diep LM, Svindland A, Eri LM, Eggesbo HB. Preoperative magnetic resonance imaging for detecting uni- and bilateral extraprostatic disease in patients with prostate cancer. World J Urol. 2015 Jul;33(7):1015-21. doi: 10.1007/s00345-014-1362-x. Epub 2014 Jul 25.
PMID: 25059766DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Erik Rud, MD
Oslo University Hospital, Aker
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
March 9, 2010
First Posted
May 4, 2011
Study Start
November 1, 2009
Primary Completion
July 1, 2012
Study Completion
July 1, 2012
Last Updated
December 30, 2013
Record last verified: 2013-12