Detecting tiny amounts of prostate cancer left after prostatectomy
Official title: Pilot Study for the Detection of Minimal Residual Disease Post-prostatectomy and Early Disease Recurrence in Circulating Tumor DNA to Guide Future Adjuvant Therapy in High-risk Prostate Cancer Patients (MiRaDE)
Run by Radboud University Medical Center · NCT07334275 · Data updated 2026-11-12
This pilot will test whether a custom prostate-specific ctDNA blood test can find minimal residual disease after prostatectomy in men with high-risk prostate cancer.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 50 (estimated) |
| Sponsor | Radboud University Medical Center Academic / other |
| Locations | 1 site (Nijmegen) |
| Status | Recruiting |
| Started | September 16, 2025 |
| Main results expected | July 2027 |
| Study ends | January 2028 |
| Registry record updated | January 12, 2026 |
| Trial ID | NCT07334275 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Men aged 18 or older with high-risk localized or locally advanced prostate cancer who are scheduled for robot-assisted radical prostatectomy and willing to provide tissue and blood samples are ideal candidates.
✕Probably not a fit
Men with lower-risk disease, those not undergoing prostatectomy, or those unable to attend follow-up or provide blood samples are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is an observational pilot enrolling men with high-risk or locally advanced prostate cancer who are scheduled for robot-assisted radical prostatectomy at participating Dutch centers. Researchers will collect tumor tissue and blood samples for biobanking and analyze circulating tumor DNA using a custom prostate-specific ctDNA panel. The presence of minimal residual disease (MRD) by ctDNA will be compared with later clinical recurrence to see if MRD detection improves prediction of relapse. No experimental treatments are given as part of this observational protocol.
Why it matters
Potential benefit: If successful, this approach could identify men at higher risk of recurrence earlier so follow-up and additional therapy can be better personalized.
How similar studies have gone: Early work in other cancers and emerging prostate-cancer studies show promising results for ctDNA MRD detection, but prostate-specific MRD testing remains relatively novel and not yet widely validated.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male aged 18 years or older; * High-risk prostate cancer, defined as: 1. High-risk localized prostate cancer, with PSA level \>20 ng/mL, Gleason score 8-10 (ISUP grade 4/5) at prostate biopsies, or iT3a (based on multi-parametric MRI of the prostate); or 2. High-risk locally advanced prostate cancer, having any PSA level, any Gleason score/ISUP grade, iT3b-4 (based on multi-parametric MRI of the prostate) or iN1 (based on PSMA PET/CT imaging); * Scheduled for robot-assisted radical prostatectomy; * Willingness to consent to both patient information sheets regarding tissue and liquid biobanking. Exclusion Criteria: * Relevant contra-indications that may limit clinical follow-up or blood collection, as assessed by the including physician.
Where it's running
-
Prosper Prostate Cancer Clinics
Nijmegen, Netherlands Recruiting
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Targeted alpha therapy for B7-H3 expressing solid tumors using AKY-2519
This phase 1b trial tests a radiolabeled drug (AKY-2519) to see if it's safe and tolerable in adults with B7-H3 positive advanced solid tumors, including NSCLC and SCLC, with imaging to help guide use.
-
PSMA-guided surgery and tissue-resident T cells in node-positive prostate cancer
This study tests whether PSMA-guided surgery can help identify and study tissue-resident T cells in prostate cancer that has spread to lymph nodes.
-
Predictive factors for response to Lu-177 PSMA therapy in metastatic castration-resistant prostate cancer
This study tests whether imaging, dose measurements, and blood tests can predict which men with metastatic castration-resistant prostate cancer will respond to Lu-177 PSMA therapy.
-
Salvage high-dose-rate brachytherapy for locally recurrent prostate cancer
This observational study tests whether salvage HDR brachytherapy can help men with locally recurrent prostate cancer after initial radiotherapy, using advanced imaging and biopsy to guide treatment.
-
Multi-peptide Vaccination and PSMAxCD3 Antibody Therapy for Prostate Cancer with Biochemical Recurrence
This phase 2 trial tests whether a PSMA-targeted bispecific antibody (CC-1), a prostate cancer peptide vaccine (VAC-XS15-PC01), or both can be given safely and help control biochemical recurrence after local therapy in men with prostate cancer.
-
Lutetium-177 Ludotadipep for advanced prostate cancer
This study tests whether adding Lu-177 Ludotadipep to standard care helps men with metastatic castration-resistant prostate cancer live longer without their disease getting worse.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.