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Biological Markers and Advanced Imaging for Prostate Cancer Progression in Active Surveillance

RecruitingNAAges 45 Years - 80 YearsMaleUniversità Vita-Salute San Raffaele
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In plain words

What the trial is, and whether it could suit you

This study aims to identify patients with low-risk prostate cancer (ISUP Grade Group 1) eligible for active surveillance who are at higher risk of upgrading to ISUP Grade Group 2 or higher at confirmatory biopsy one year after diagnosis. Patients with low-risk ISUP GG1 tumors will be selected and undergo: * PSMA PET with calculation of SUVmax and PRIMARY-Likert score * Whole Exome Sequencing (WES) analysis on diagnostic prostate biopsies * Immunohistochemistry on diagnostic prostate biopsies * Confirmatory biopsy one year after diagnosis, as recommended by international guidelines This prospective, monocentric, single-arm interventional study will assess the predictive accuracy of a multivariable model integrating next-generation imaging and molecular biomarkers to improve risk stratification in active surveillance patients.

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📋 Eligibility rules (as published)
Inclusion Criteria: * Histologically proven low-risk PCa (PSA ≤10 ng/ml; clinical stage ≤T2a, and biopsy ISUP GG 1) * Non-metastatic status at study inclusion (patient enrollment). * No prior or concomitant androgen deprivation therapy * Ability to understand a written informed consent and willingness to sign it. Exclusion Criteria: * Unable to tolerate a PSMA-PET scan * Unwillingness to be managed with AS * Receipt of neoadjuvant or curative-intent therapies * Pacemaker * Inability to obtain the FFPE prostate biopsy specimens from the initial biopsy
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What it tests

  • mpMRI-targeted confirmatory biopsy
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Where

1 site
IRCCS Ospedale San Raffaele
Milan, Italy
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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