NCT06866782

Brief Summary

The RING study is a European registry collecting real-world data on advanced prostate cancer (APC) imaging. It aims to evaluate the role of next-generation imaging (NGI), such as PET/CT and whole-body MRI, in detecting and monitoring the disease compared to conventional imaging. Men aged 18 or older with histologically confirmed prostate cancer are eligible to participate in the study if they require imaging to assess potential metastases, either at diagnosis or after relapse and sign a consent form. Patients will receive standard care with no experimental treatments. Imaging and treatment decisions will follow routine clinical practice. Data will be collected from medical records and analysed for research. This study will help doctors understand when NGI should be used, how it affects treatment decisions, and its impact on patient outcomes.

Trial Health

83
On Track

Trial Health Score

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

Enrollment
600

participants targeted

Target at P75+ for all trials

Timeline
8mo left

Started Sep 2024

Typical duration for all trials

Geographic Reach
8 countries

24 active sites

Status
recruiting

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 Progress72%
Sep 2024Dec 2026

Study Start

First participant enrolled

September 17, 2024

Completed
5 months until next milestone

First Submitted

Initial submission to the registry

February 26, 2025

Completed
12 days until next milestone

First Posted

Study publicly available on registry

March 10, 2025

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 23, 2025

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 23, 2026

Expected
Last Updated

March 11, 2025

Status Verified

March 1, 2025

Enrollment Period

1.3 years

First QC Date

February 26, 2025

Last Update Submit

March 8, 2025

Conditions

Keywords

prostate canceradvanced prostate cancernew generation imagingconventional imagingMetastatic Prostate CancerMagnetic Resonance ImagingPET/CT PSMAProstate-Specific Membrane AntigenImaging Biomarkersbone scanCT

Outcome Measures

Primary Outcomes (2)

  • Proportion of patients requiring NGI, conventional imaging, or a combination of both imaging tools.

    Number of patients who require NGI, conventional imaging, or a combination of both imaging tools with the respect to local protocols

    4 - 6 weeks

  • Proportion of patients with a change of treatment determined by the imaging test result, when multiple imaging tests have been realized

    Number of patients who received multiple imaging tests for whom the result of the particular imaging test has lead to the change in management

    4-6 weeks

Other Outcomes (1)

  • Clinical variables associated to NGI or conventional imaging

    4-6 weeks

Study Arms (3)

New generation imaging

Patients with prostate cancer at high risk for harbouring metastatic deposits at the hormone-sensitive stage, who require imaging exploration either at the diagnostic workup of a "naïve" patient or at biochemical relapse/progression after local treatment with the use of next generation imaging ( whole-body MRI and PET/CT with new tracers (F/Ga-PSMA, 18F-fluciclovine)

Diagnostic Test: Imaging

Conventional imaging

Patients with prostate cancer at high risk for harbouring metastatic deposits at the hormone-sensitive stage, who require imaging exploration either at the diagnostic workup of a "naïve" patient or at biochemical relapse/progression after local treatment with the use of conventional imaging ( CT and bone scan)

Diagnostic Test: Imaging

Conventional imaging and New generation imaging

Patients with prostate cancer at high risk for harbouring metastatic deposits at the hormone-sensitive stage, who require imaging exploration either at the diagnostic workup of a "naïve" patient or at biochemical relapse/progression after local treatment with the use of conventional imaging ( CT and bone scan) AND next generation imaging

Diagnostic Test: Imaging

Interventions

ImagingDIAGNOSTIC_TEST

Imaging will be done according to local protocols and/or guidelines of EAU

Also known as: whole-body MRI, PSMA PET/CT, 18F-fluciclovine PET/CT, Bone Scan, CT, Choline PET/CT
Conventional imagingConventional imaging and New generation imagingNew generation imaging

Eligibility Criteria

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

Outpatient "naive" or relapsed/progressed patients above 18 years with prostate cancer at high risk for harbouring metastatic deposits at the hormone-sensitive stage, who require imaging exploration (conventional, NGI, or their combination)

You may qualify if:

  • Adult male patients (≥18 years with no upper age limit).
  • Histologically proven prostate cancer.
  • Patients who require imaging exploration (conventional, Next-Generation Imaging (NGI), or their combination) at high risk for harbouring metastatic deposits at the hormone-sensitive stage, either at the diagnostic workout of a "naïve" patient or at biochemical relapse/progression after local treatment.
  • Patients who authorize their participation in the study by signing a written informed consent form (ICF).

You may not qualify if:

  • Patients participating in other interventional or non-interventional study which requires NGI as a triage test for metastatic assessment.
  • Patients with evidence of any other clinically significant disease or condition which in the opinion of the investigator discourages their participation in the study.
  • Patients who will not be able to complete the study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (24)

Universitair Ziekenhuis Leuven

Leuven, Belgium

NOT YET RECRUITING

Hospital Center University De Lille

Lille, France

NOT YET RECRUITING

Hospices Civils de Lyon

Lyon, France

NOT YET RECRUITING

University Hospitals Pitié Salpêtrière

Paris, France

NOT YET RECRUITING

Bonn University Hospital

Bonn, Germany

NOT YET RECRUITING

Martini Klinik

Hamburg, Germany

NOT YET RECRUITING

München LMU L MU-University Clinic

Munich, Germany

NOT YET RECRUITING

Urologische Klinik München - Planegg

Planegg, Germany

NOT YET RECRUITING

Universitätsklinik Tübingen

Tübingen, Germany

NOT YET RECRUITING

IRCCS Universit of Bologna

Bologna, Italy

NOT YET RECRUITING

Azienda Ospedaliero-Universitaria Careggi

Florence, Italy

RECRUITING

Azienda Ospedaliero-Universitaria Careggi

Florence, Italy

NOT YET RECRUITING

IRCCS Ospedale San Raffaele

Milan, Italy

NOT YET RECRUITING

ERASMUS MC & Franciscus Hospital

Rotterdam, Netherlands

NOT YET RECRUITING

Uniwersytet Jagielloński Collegium Medicum

Krakow, Poland

NOT YET RECRUITING

Fundació Puigvert

Barcelona, Spain

RECRUITING

Hospital de la Santa Creu i Sant Pau

Barcelona, Spain

RECRUITING

Hospital Universitario Reina Sofia

Córdoba, Spain

NOT YET RECRUITING

Hospital Universitario La Paz

Madrid, Spain

NOT YET RECRUITING

Hospital Universitario Ramón y Cajal

Madrid, Spain

NOT YET RECRUITING

Hospital Universitario de Canarias

San Cristóbal de La Laguna, Spain

RECRUITING

Hospital Universitario Marqués de Valdecilla

Santander, Spain

NOT YET RECRUITING

Hospital Clínico Universitario de Santiago

Santiago de Compostela, Spain

NOT YET RECRUITING

Skånes universitetssjukhus Malmö

Malmo, Sweden

NOT YET RECRUITING

Related Publications (1)

  • Chernysheva D, Fanti S, Bjartell A, Afferi L, Breda A, Palou J, Padhani AR, Sanguedolce F. European Registry of Next Generation Imaging in Advanced Prostate Cancer (RING): protocol for an international, prospective registry study. BMJ Open. 2025 Dec 3;15(12):e106022. doi: 10.1136/bmjopen-2025-106022.

MeSH Terms

Conditions

Prostatic Neoplasms

Interventions

Diagnostic Imaging

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Diagnostic Techniques and ProceduresDiagnosis

Study Officials

  • Francesco Sanguedolce, MD, PhD

    Fundació Puigvert

    STUDY CHAIR

Central Study Contacts

Francesco Sanguedolce, MD, PhD

CONTACT

Daria Chernysheva, MD, PhD

CONTACT

Study Design

Study Type
observational
Observational Model
COHORT
Time Perspective
PROSPECTIVE
Target Duration
24 Months
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Chief Investigator

Study Record Dates

First Submitted

February 26, 2025

First Posted

March 10, 2025

Study Start

September 17, 2024

Primary Completion

December 23, 2025

Study Completion (Estimated)

December 23, 2026

Last Updated

March 11, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will not share

GDPR regulations

Locations