Clinical trial Recruiting at 12 sites Interventional Ages 18 and up Men only

Using MRI scans to improve prostate cancer monitoring

Official title: A Randomised Controlled Trial of Regular MRI Scans Compared to Standard Care in Patients With Prostate Cancer Managed Using Active Surveillance

Run by Imperial College London · NCT06280781 · Data updated 2026-11-12

This study is testing if regular MRI scans can help men with low to medium risk prostate cancer on active surveillance better monitor their condition compared to the usual PSA tests and exams.

More Prostate Cancer trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexMen only
Enrollment1263 (estimated)
SponsorImperial College London
Academic / other
Locations12 sites (Ascot, Berkshire and 11 other locations)
StatusRecruiting
StartedMay 24, 2024
Main results expectedJune 2029
Study endsJune 2032
Registry record updatedMarch 30, 2026
Trial IDNCT06280781 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are men aged 18 and older with localized prostate cancer who have chosen active surveillance.

Probably not a fit

Patients who have been on active surveillance for more than 9 months or have contraindications to MRI will 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 intervention focuses on patients with low to medium risk prostate cancer who are on active surveillance. It aims to compare the effectiveness of regular MRI scans against the current NICE-defined strategy for detecting cancer progression over a five-year period. Patients will be randomly assigned to receive either MRI scans or the standard care, which includes PSA tests and rectal examinations. The study will evaluate whether MRI can detect progression more effectively and at a lower cost to the NHS.

Why it matters

Potential benefit: If successful, this approach could lead to earlier detection of prostate cancer progression, potentially improving patient outcomes and reducing unnecessary treatments.

How similar studies have gone: Other studies have shown promise in using MRI for cancer monitoring, but this specific approach is novel in the context of active surveillance for prostate cancer.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age 18 years or above (no upper limit)
* Patients with a prostate (either cis-male gender or trans-female gender with no prior androgen deprivation hormone use at all).
* Diagnostic bi-parametric or multiparametric MRI
* Diagnostic systematic biopsy +/- targeted biopsy
* A histological diagnosis of localised prostate cancer
* Patient chosen active surveillance

Exclusion Criteria:

* On active surveillance for greater than 9 months prior to screening date.
* Contraindication to MRI or gadolinium contrast
* Previous hip replacement to both hips
* Contraindication to performing a biopsy guided by a transrectal ultrasound probe

Where it's running

  • Heatherwood Hospital
    Ascot, Berkshire, United Kingdom
    Recruiting
  • Darent Valley Hospital
    Dartford, Kent, United Kingdom
    Recruiting
  • Bradford Royal Infirmary
    Bradford, United Kingdom
    Recruiting
  • St Peter's Hospital
    Chertsey, United Kingdom
    Recruiting
  • Charing Cross Hospital
    London, United Kingdom
    Recruiting
  • Kings College London
    London, United Kingdom
    Recruiting
Show 6 more locations
  • West Middlesex Hospital
    London, United Kingdom
    Recruiting
  • Freeman Hospital
    Newcastle upon Tyne, United Kingdom
    Recruiting
  • Glan Clywd Hospital
    Rhyl, United Kingdom
    Recruiting
  • Northern Lincolnshire and Goole NHS Foundation Trust
    Scunthorpe, United Kingdom
    Recruiting
  • Southampton University Hospital
    Southampton, United Kingdom
    Recruiting
  • North Cumbria
    Whitehaven, United Kingdom
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.