Personalized biopsy approach for prostate cancer diagnosis
Official title: Diagnostic Performance of a Individualized Reduced-Core Biopsy Strategy in Prostate Cancer: A Prospective, Randomized Controlled Study
Run by Fujian Medical University Union Hospital · NCT05998278 · Data updated 2026-11-12
This study tests a new way to take fewer biopsy samples for diagnosing prostate cancer to see if it can still accurately find the disease while reducing complications.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 50 Years to 95 Years |
| Sex | Men only |
| Enrollment | 330 (estimated) |
| Sponsor | Fujian Medical University Union Hospital Academic / other |
| Locations | 1 site (Fuzhou, Fujian) |
| Status | Recruiting |
| Started | August 23, 2023 |
| Main results expected | December 30, 2025 |
| Study ends | December 30, 2025 |
| Registry record updated | December 18, 2025 |
| Trial ID | NCT05998278 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include men with suspected prostate cancer based on imaging or rectal examination findings and specific PSA levels.
✕Probably not a fit
Patients who have previously undergone prostate biopsies or surgeries, or those with severe systemic diseases, may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates a new personalized biopsy model for diagnosing prostate cancer, aiming to reduce the number of biopsy cores needed while maintaining diagnostic accuracy. Patients with suspected prostate cancer are randomly assigned to either an experimental group receiving a targeted biopsy combined with a personalized systematic biopsy or a control group receiving standard targeted biopsy combined with systematic biopsy. The study evaluates the efficacy of this new approach by comparing the cancer detection rates between the two groups. The goal is to minimize complications associated with excessive biopsy cores while ensuring accurate diagnosis.
Why it matters
Potential benefit: If successful, this approach could lead to fewer complications and a more accurate diagnosis for patients suspected of having prostate cancer.
How similar studies have gone: While this approach is innovative, similar studies have shown promise in optimizing biopsy techniques, suggesting potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Patients with lesions found on rectal examination with any PSA value; 2. Patients with abnormal lesions found on imaging with any PSA value; 3. PSA \>10.0 ng.ml-1; 4. Patients with PSA of 4.0-10.0 ng.ml-1 and fPSA/tPSA \< 0.16; (5 ) mpMRI was performed prior to biopsy and Prostate Imaging Reporting and Data System (PI-RADS V2.1) assessment category ≥3 (6) Willing to truthfully fill in the subject survey scale; (7) Willing to undergo follow-up; (8) The patient himself or his authorized immediate family member has signed the informed consent for clinical trial. Exclusion Criteria: 1. previous biopsy cases; 2. Patients who have undergone prostate-related surgery, radiotherapy, or anti-androgen therapy; 3. Patients whopresented with severe hemorrhoids or rectal stenosis, rendering them intolerant to transrectal ultrasound 4. clotting disordersPatients with severe systemic diseases, such as cardiovascular and cerebrovascular disorders, are not appropriate candidates for surgical intervention. 5. unable to follow the plan.
Where it's running
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Department of Urology, Fujian Union Hospital, Fujian Medical University
Fuzhou, Fujian, China Recruiting
Study contacts
- Principal investigator: Zhenlin Chen — Department of Urology, Fujian Union Hospital, Fujian Medical University
- Study coordinator: Jiabing Zheng
- Email: xhyykjk@163.com
- Phone: +8613799422519
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Lower-dose radiation to parts of the prostate for some men with prostate cancer
This study tests whether a smaller amount of radiation aimed at specific parts of the prostate can reduce side effects compared with giving the full prostate the same dose.
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Focal HDR-Brachytherapy for Prostate Cancer
This trial tests using targeted high-dose-rate brachytherapy to treat prostate cancer patients and see if it provides local control with fewer side effects.
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Shorter androgen deprivation in combination with radiation for high-risk prostate cancer
Doctors are testing whether 6 months of hormone therapy with radiation works as well as 18 months, for men with high-risk prostate cancer.
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PSMA PET/CT plus MRI to find higher‑grade prostate cancer in men on active surveillance
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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.