Prostate Cancer - Comparative Outcomes of New Conceptual Paradigms for Treatment
PC-CONCEPT
2 other identifiers
observational
1,953
1 country
4
Brief Summary
This study will use a population-based cohort design to study men with newly diagnosed low- and intermediate-risk prostate cancer at high-volume centers in Southern California (SCa) and New York State (NYS). Complications of contemporary treatments for prostate cancer and quality of life outcomes, such as general health, urinary, sexual, and bowel function, cancer anxiety, and treatment regret will be compared and tracked over the course of this study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started May 2021
Typical duration for all trials
4 active sites
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
May 13, 2021
CompletedStudy Start
First participant enrolled
May 15, 2021
CompletedFirst Posted
Study publicly available on registry
May 18, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 30, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
April 30, 2024
CompletedResults Posted
Study results publicly available
May 6, 2025
CompletedMay 22, 2025
May 1, 2025
3 years
May 13, 2021
March 6, 2025
May 12, 2025
Conditions
Outcome Measures
Primary Outcomes (10)
Assessing Percentage of Participants Who Reported Adverse Events Following Treatment by Common Terminology Criteria for Adverse Events (CTCAE) v5.0
All adverse events will be graded as an event occurred, event will indicate an adverse event occurred. observations only; intervention not indicated.
8 months
Assessing Percentage of Participants Who Reported Adverse Events Following Treatment by Common Terminology Criteria for Adverse Events (CTCAE) v5.0
All adverse events will be graded as an event occurred, event will indicate an adverse event occurred. observations only; intervention not indicated.
12 months
Change in Patient-Reported Quality of Life as Measured on EQ-5D-5L
Adjusted quality of life scores for active surveillance (AS), radical prostatectomy (RP) and partial gland ablation (PGA) at 8 and 12 months showing the mean reported score on a scale from 0-100 with a higher score indicating better function or better health.
8 months, 12 months
Change in Patient-Reported Urinary Function, Urinary Incontinence, Urinary Irritation, Sexual Function, Bowel Function and Hormonal Function as Measured on Expanded Prostate Cancer Index Composite (EPIC-26)
The Expanded Prostate Cancer Index Composite (EPIC-26) is a 26-item questionnaire, dichotomized by severity, assessing four domains: urinary, sexual, bowel, and hormonal function. Each domain is scored 0-100, with higher scores indicating greater dysfunction.
8 months, 12 months
Change in Ejaculatory Function as Measured on Male Sexual Health Questionnaire - Ejaculatory Function and Related Distress (MSHQ-EjD)
The Male Sexual Health Questionnaire - Ejaculatory Function and Related Distress (MSHQ-EjD) is a 4-item questionnaire measuring severity of ejaculatory dysfunction. The 4 items are degree of bother, ejaculatory force, ejaculatory volume, and frequency of ejaculation, and the total score is measured on a scale of 1-20, with higher scores indicating greater dysfunction. Scores were adjusted for age, race (Black, white or other), number of comorbidities (0, 1, 2, \>= 3) and NCCN risk (low vs intermediate).
8 months, 12 months
Patient-Reported Anxiety Based on Memorial Anxiety Prostate Cancer Questionnaire (MAX-PC)
The Memorial Anxiety Scores for Prostate Cancer (MAX-PC) is an 18-item questionnaire measuring treatment anxiety. Total scores ranged from 0-54, with higher scores associated with higher anxiety, the mean of patient reported MAX-PC scores by treatment group are shown below.
12 months
Assessment of Cancer Recurrence Following Treatment as Measured by Prostate Specific Antigen Levels
Patient PSA levels (ng/mL) will be obtained through medical record review of laboratory (blood) results. Information below reflects the percentage of subjects that were estimated to have risk of recurrence based on their reported PSA by treatment group.
8 months
Assessment of Cancer Recurrence Following Treatment as Measured by Prostate Specific Antigen Levels
Patient PSA levels (ng/mL) will be obtained through medical record review of laboratory (blood) results. Information below reflects the percentage of subjects that were estimated to have risk of recurrence based on their reported PSA by treatment group.
12 months
Assessment of Treatment Regret as Measured on Clark's Prostate Cancer Health Worry
Clark's Prostate Cancer Health Worry is a 5-item questionnaire measuring treatment regret. All items are scored 0-100, with higher scores indicating greater treatment regret.
8 months
Assessment of Treatment Regret as Measured on Clark's Prostate Cancer Health Worry
Clark's Prostate Cancer Health Worry is a 5-item questionnaire measuring treatment regret. All items are scored 0-100, with higher scores indicating greater treatment regret.
12 months
Study Arms (5)
Active Surveillance (AS)
Doctor will monitor the patient without directly treating the cancer.
Stereotactic Body Radiation Therapy (SBRT)
Radiation treatment of prostate cancer requiring less than 2 weeks of treatment.
Intensity-Modulated Radiation Therapy (IMRT)
Radiation treatment of prostate cancer requiring more than 2 weeks of treatment.
Partial Gland Ablation (PGA)
Prostate cancer treatment that involves only treating part of the prostate that has cancer. Examples include, but are not limited to, high intensity focused ultrasound (HIFU) and cryotherapy.
Radical Prostatectomy (RP)
Prostate surgery that removes the whole prostate.
Interventions
Validated questionnaires administered at baseline, 8 months following treatment, and 12 months following treatment.
Eligibility Criteria
Subjects with a diagnosis of prostate cancer who meet the inclusion and exclusion criteria will be eligible for participation in this study.
You may qualify if:
- Pathologically-confirmed clinically localized prostate adenocarcinoma with National Comprehensive Cancer Network (NCCN) low (T1-T2a, Gleason 6, Grade Group 1, PSA \<10 ng/mL) or intermediate risk (T2b-T2c or, Gleason 7, Grade Group 2 or 3 or PSA 10-20 ng/mL)72 at one of the selected hospitals in SCa and NYS
- Diagnosis date during the 18 month recruitment window
- Able to read/speak English or Spanish
- Agree to participate by completing the baseline questionnaire
You may not qualify if:
- Clinically metastatic disease or high-risk PCa (T3a-T4, Gleason Grade Group 4 or 5 or PSA \>20 ng/mL
- Unable to read/speak English or Spanish
- Unwilling or unable to give informed consent.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
University of Southern California
Los Angeles, California, 90033, United States
University of Kansas
Kansas City, Kansas, 66160, United States
New York State Department of Health
Albany, New York, 11204, United States
Weill Cornell Medicine
New York, New York, 10065, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Jim C. Hu
- Organization
- Weill Cornell Medicine
Study Officials
- PRINCIPAL INVESTIGATOR
Jim Hu, MD MPH
Weill Medical College of Cornell University
Publication Agreements
- PI is Sponsor Employee
- Yes
- Restrictive Agreement
- No
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 13, 2021
First Posted
May 18, 2021
Study Start
May 15, 2021
Primary Completion
April 30, 2024
Study Completion
April 30, 2024
Last Updated
May 22, 2025
Results First Posted
May 6, 2025
Record last verified: 2025-05
Data Sharing
- IPD Sharing
- Will not share