Actively Recruiting

Phase Not Applicable
Age: 18Years - 85Years
MALE
NCT07460843

Comparison of TB+PB and TB+6SB for Prostate Cancer Diagnosis

Led by Peking University First Hospital · Updated on 2026-03-12

592

Participants Needed

1

Research Sites

56 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The goal of this randomized controlled trial (RCT) is to evaluate the diagnostic efficacy of two novel prostate biopsy schemes, including targeted and perilesional biopsy (TB+PB) and combination of sextant-systematic biopsy and targeted biopsy (TB+6SB). The main questions it aims to answer are: Does TB+PB promote the accurate diagnosis of clinically significant prostate cancer (csPCa)? Could TB+6SB achieve the non-inferior diagnostic efficacy compared to TB+PB scheme? What's the value of TB+6SB in improving the detection of prostate cancer in the negative prostate lobe (contralateral to the index lesion)? In the era of MRI-targeted biopsy (TB), when TB and PB is effectively conducted and allows confident detection of the ROI, do we still need to perform SB? Researchers will compare the cancer detection rates of TB+PB and TB+SB to explore the efficacy of different prostate biopsy schemes. They will evaluate the diagnostic profile of different prostate biopsy schemes through the spatial analysis of the prostate. Participants will: Receive TB+PB or TB+6SB.

CONDITIONS

Official Title

Comparison of TB+PB and TB+6SB for Prostate Cancer Diagnosis

Who Can Participate

Age: 18Years - 85Years
MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Age between 18 and 85 years
  • No previous prostate biopsy
  • Single suspicious lesion with complete multiparametric MRI data and PI-RADS score of 3 or higher
  • Meets prostate biopsy indications, such as suspicious prostate nodules on digital rectal exam, suspicious lesions on ultrasound or MRI, total PSA over 10 ng/mL, or total PSA 4-10 ng/mL with free-to-total PSA ratio below 0.16 or PSA density over 0.15
  • Complete prostate biopsy pathological results with biopsy and MRI done within one month
  • Complete clinical information available
Not Eligible

You will not qualify if you...

  • Unqualified or incomplete prostate MRI data
  • Prior radiotherapy, chemotherapy, androgen deprivation therapy, or prostate surgery before MRI or biopsy
  • Previous prostate biopsy
  • PI-RADS score below 3
  • Does not meet prostate biopsy indications
  • Unable to cooperate with prostate biopsy
  • Refusal to participate by patient or family
  • Incomplete clinical information

AI-Screening

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Trial Site Locations

Total: 1 location

1

Peking University First Hospital

Beijing, Beijing Municipality, China, 100034

Actively Recruiting

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Research Team

Y

Yi Liu

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

DIAGNOSTIC

Number of Arms

2

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Comparison of TB+PB and TB+6SB for Prostate Cancer Diagnosis | DecenTrialz