PRISM-NLM: Prostatectomy Intraoperative Surgical Margin Assessment With Non-linear Microscopy
2 other identifiers
interventional
20
1 country
1
Brief Summary
This study will evaluate the use of intraoperative nonlinear microscopy (NLM) for surgical margin assessment during nerve-sparing radical prostatectomy in participants with prostate cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable prostate-cancer
Started Jun 2026
Shorter than P25 for not_applicable prostate-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 1, 2026
CompletedFirst Posted
Study publicly available on registry
April 8, 2026
CompletedStudy Start
First participant enrolled
June 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 28, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 28, 2027
April 8, 2026
February 1, 2026
3 months
April 1, 2026
April 1, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Enrollment Success Rate
Enrollment success rate is defined as the proportion of eligible participants enrolled relative to the prespecified enrollment target.
From screening through informed consent completion (up to Day 0 or baseline visit).
Retention Success Rate
Retention success rate is defined as the probability of enrolled participants who completed the required study procedures and the follow-up period.
Up to 30 days post-surgery.
Technical and Workflow Feasibility Rate
Feasibility rate is defined as the proportion of enrolled participants undergoing robot-assisted radical prostatectomy for whom intraoperative NLM-based specimen margin evaluation meets all predefined feasibility criteria, including timely actionable pathologic feedback, effective real-time communication, and the ability to perform secondary NVB resection when indicated.
On the day of robot-assisted radical prostatectomy (Day 0)
Secondary Outcomes (1)
Concordance of Surgical Margin Status Between Intraoperative Nonlinear Microscopy (NLM) and Postoperative Formalin-Fixed Paraffin-Embedded Hematoxylin and Eosin (FFPE H&E) Assessment
Up to 30 days post-surgery.
Study Arms (1)
Nonlinear Microscopy
EXPERIMENTALEnrolled participants will undergo standard-of-care robot-assisted radical prostatectomy surgery utilizing NLM (Nonlinear Microscopy)
Interventions
The nonlinear microscope (NLM) is an imaging device used for intraoperative imaging of prostatectomy specimens to assess surgical margins.
Eligibility Criteria
You may qualify if:
- Age ≥ 18 years old.
- Male or assigned male at birth (AMAB).
- Initial diagnosis of localized PrCa.
- Undergoing radical prostatectomy at BIDMC as part of their standard of care.
You may not qualify if:
- No short-form available in the participant's language.
- Cognitively unable to provide consent, in the opinion of the investigator.
- Patients with evidence of unequivocal radiologic bilateral extraprostatic extension (EPE) on most recent MRI results.
- Patients with \>80 cc prostate volume (larger prostates would require potentially excessive evaluation time).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Beth Israel Deaconess Medical Centerlead
- National Cancer Institute (NCI)collaborator
- Massachusetts Institute of Technologycollaborator
Study Sites (1)
Beth Israel Deaconess Medical Center (BIDMC)
Boston, Massachusetts, 02215, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Peter Chang, MD
Beth Israel Deaconess Medical Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- DIAGNOSTIC
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Invesitgator
Study Record Dates
First Submitted
April 1, 2026
First Posted
April 8, 2026
Study Start
June 1, 2026
Primary Completion (Estimated)
August 28, 2026
Study Completion (Estimated)
August 28, 2027
Last Updated
April 8, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP
- Time Frame
- Data can be shared no earlier than 1 year following the date of publication
- Access Criteria
- Contact the Belfer office for Dana -Farber Innovations (BODFI) at innovations@dfci.harvard.edu
The Harvard Cancer Consortium encourages and supports the responsible and ethical sharing of data from clinical trials. De-identified participant data from the final research dataset used in the published manuscript may only be shared under the terms of a Data Use Agreement. Requests may be directed to: \[contact information for Sponsor Investigator or designee\]. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.