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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | Men only |
| Enrollment | 1263 (estimated) |
| Sponsor | Imperial College London Academic / other |
| Locations | 12 sites (Ascot, Berkshire and 11 other locations) |
| Status | Recruiting |
| Started | May 24, 2024 |
| Main results expected | June 2029 |
| Study ends | June 2032 |
| Registry record updated | March 30, 2026 |
| Trial ID | NCT06280781 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
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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
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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
- Study coordinator: Hashim Ahmed
- Email: hashim.ahmed@imperial.ac.uk
- Phone: +44 (0)20 7594 1660
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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.