NCT04890314

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

87
On Track

Trial Health Score

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

Enrollment
1,953

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started May 2021

Typical duration for all trials

Geographic Reach
1 country

4 active sites

Status
completed

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

Completed
2 days until next milestone

Study Start

First participant enrolled

May 15, 2021

Completed
3 days until next milestone

First Posted

Study publicly available on registry

May 18, 2021

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2024

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2024

Completed
1 year until next milestone

Results Posted

Study results publicly available

May 6, 2025

Completed
Last Updated

May 22, 2025

Status Verified

May 1, 2025

Enrollment Period

3 years

First QC Date

May 13, 2021

Results QC Date

March 6, 2025

Last Update Submit

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.

Other: Patient-reported questionnaire

Stereotactic Body Radiation Therapy (SBRT)

Radiation treatment of prostate cancer requiring less than 2 weeks of treatment.

Other: Patient-reported questionnaire

Intensity-Modulated Radiation Therapy (IMRT)

Radiation treatment of prostate cancer requiring more than 2 weeks of treatment.

Other: Patient-reported questionnaire

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.

Other: Patient-reported questionnaire

Radical Prostatectomy (RP)

Prostate surgery that removes the whole prostate.

Other: Patient-reported questionnaire

Interventions

Validated questionnaires administered at baseline, 8 months following treatment, and 12 months following treatment.

Active Surveillance (AS)Intensity-Modulated Radiation Therapy (IMRT)Partial Gland Ablation (PGA)Radical Prostatectomy (RP)Stereotactic Body Radiation Therapy (SBRT)

Eligibility Criteria

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

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

Location

University of Kansas

Kansas City, Kansas, 66160, United States

Location

New York State Department of Health

Albany, New York, 11204, United States

Location

Weill Cornell Medicine

New York, New York, 10065, United States

Location

MeSH Terms

Conditions

Prostatic Neoplasms

Condition Hierarchy (Ancestors)

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

Results Point of Contact

Title
Dr. Jim C. Hu
Organization
Weill Cornell Medicine

Study Officials

  • Jim Hu, MD MPH

    Weill Medical College of Cornell University

    PRINCIPAL INVESTIGATOR

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

Locations