NCT04060589

Brief Summary

ReIMAGINE Prostate Cancer Risk is a multi-centre, prospective, observational, longitudinal cohort study of men referred to secondary care with a suspicion of prostate cancer. The aim of the study is to develop a robust baseline risk stratification system for men at risk of prostate cancer. Men whose serum Prostate Specific Antigen (PSA) level is 20ng/ml or less, whose multi-parametric magnetic resonance imaging (mpMRI) scan has been scored as Prostate Imaging Reporting and Data System (PIRADS)/LIKERT score 3, 4 or 5, and who have been advised and accepted the need for a targeted and systematic prostate biopsy will be invited to take part in the study and be asked to donate blood, urine, imaging files and prostate biopsy for biomarker analysis.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
1,000

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Sep 2019

Longer than P75 for all trials

Geographic Reach
1 country

3 active sites

Status
unknown

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

First Submitted

Initial submission to the registry

August 15, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

August 19, 2019

Completed
15 days until next milestone

Study Start

First participant enrolled

September 3, 2019

Completed
5.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2025

Completed
Last Updated

March 22, 2023

Status Verified

March 1, 2023

Enrollment Period

5.7 years

First QC Date

August 15, 2019

Last Update Submit

March 21, 2023

Conditions

Keywords

Prostate cancerMagnetic resonance imaging-targeted biopsyBiomarkerMRI-based diagnostic pathwaymagnetic resonance imagingtargeted biopsy

Outcome Measures

Primary Outcomes (3)

  • Presence of clinically significant prostate cancer confirmed on biopsy, defined as any Gleason pattern 7 or greater

    Proportion of men with significant prostate cancer categorised as gleason pattern 7 or greater

    6 weeks

  • Time to metastases in men with prostate cancer

    Development of secondary cancers or cancer recurrence

    3 years

  • Time to prostate cancer related death

    Time to prostate cancer related death in men diagnosed with prostate cancer

    3 years

Secondary Outcomes (4)

  • Time to new prostate cancer in men without cancer at baseline

    3 years

  • Time to cancer progression in men identified with prostate cancer at baseline

    3 years

  • Time to prostate cancer specific death in all men

    3 years

  • Time to all-cause death in all men

    3 years

Study Arms (1)

Cohort Observation

This is a cohort study where participating men will be asked to donate blood, urine, tissue in addition to access to standard of care tissue and medical data (including imaging files). Men will also consent to longer term healthcare data linkage.

Other: Tissue donationOther: Blood DonationOther: Urine DonationOther: Healthcare data linkage

Interventions

Biopsies will be performed as part of standard of care, additional cores will be performed for research. Access to standard of care prostate biopsy tissue will also be requested after standard of care reporting is complete.

Cohort Observation

Phlebotomy will be performed prior to tissue collection following trust standard operating procedures or drawn when cannula already in situ in preparation for the prostate biopsy.

Cohort Observation

Urine will be collected prior to prostate biopsy

Cohort Observation

Men will consent to healthcare data linkage via national databases.

Cohort Observation

Eligibility Criteria

Age18 Years - 90 Years
Sexmale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodNon-Probability Sample
Study Population

Men who have been referred to secondary care with a suspicion of prostate cancer

You may qualify if:

  • Any man with PSA 20 or less (value recorded \<90 days before study entry)
  • Men who have undergone a prostate MRI as a standard NHS diagnostic work-up
  • MRI lesion conforming to Likert/PIRADS 3, 4 or 5
  • Radiological stage T3b or less
  • Clinical or radiological stage N0 and M0
  • No anti-androgen exposure in the preceding 6 months (5-alpha reductase inhibitors permitted)
  • No prior treatment for prostate cancer (chemical, biological, ablative, surgical, radiotherapy)
  • Previous trans urethral resection of the prostate (TURP) is permitted
  • Willing and able to provide written informed consent.

You may not qualify if:

  • Men unable to donate tissue, blood or urine.
  • Previous prostate cancer treatment
  • Previous prostate biopsy \<12 months from date of the mpMRI scan used to assess study eligibility (scoring PIRADS/Likert 3, 4 or 5)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

University College London Hospital

London, NW1 2PG, United Kingdom

Location

Royal Free Hospital

London, NW3 2QG, United Kingdom

Location

Charing Cross Hospital

London, W6 8RF, United Kingdom

Location

Related Publications (1)

  • Marsden T, Ahmed HU, Emberton M; ReIMAGINE Study Group. An update from the ReIMAGINE Prostate Cancer Risk Study (NCT04060589): A prospective cohort study in men with a suspicion of prostate cancer who are referred onto a magnetic resonance imaging-based diagnostic pathway with donation of tissue, blood, and urine for biomarker analyses. Eur Urol. 2021 Oct;80(4):398-399. doi: 10.1016/j.eururo.2021.06.011. Epub 2021 Jul 1.

MeSH Terms

Conditions

Prostatic Neoplasms

Interventions

Tissue and Organ ProcurementBlood Donation

Condition Hierarchy (Ancestors)

Genital Neoplasms, MaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsGenital Diseases, MaleGenital DiseasesUrogenital DiseasesProstatic DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

Health ServicesHealth Care Facilities Workforce and Services

Study Officials

  • Hashim U Ahmed, FRCS

    Imperial College London

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

August 15, 2019

First Posted

August 19, 2019

Study Start

September 3, 2019

Primary Completion

May 31, 2025

Study Completion

May 31, 2025

Last Updated

March 22, 2023

Record last verified: 2023-03

Locations