Unique ID issued by UMIN | UMIN000052842 |
---|---|
Receipt number | R000060305 |
Scientific Title | Longitudinal intervention study using interim treatment-free observation as the initial treatment strategy for stage T1c prostate cancer |
Date of disclosure of the study information | 2023/11/19 |
Last modified on | 2023/11/19 18:40:45 |
Longitudinal intervention study using interim treatment-free observation as the initial treatment strategy for stage T1c prostate cancer
Longitudinal intervention study for non-palpable prostate cancer using temporary observation without treatment as initial treatment strategy
Longitudinal intervention study using interim treatment-free observation as the initial treatment strategy for stage T1c prostate cancer
Longitudinal intervention study for non-palpable prostate cancer using temporary observation without treatment as initial treatment strategy
Japan |
prostate cancer
Urology |
Malignancy
NO
Stage T1cN0M0 in prostate cancer patients with favorable biopsy findings, where the lesion is estimated to be small and highly differentiated based on pathological findings from systematic biopsy, temporary observation without treatment is the initial treatment. We will examine the validity of ``patient selection criteria'' and ``criteria for continuing/discontinuing non-treatment follow-up'' that are considered not to increase the risk of death from prostate cancer even if the strategy of active surveillance is implemented. We will continue to follow patients for as long as possible after the primary analysis to determine whether active surveillance does indeed increase the risk of death from prostate cancer. Furthermore, the patient's QOL (Quality of Life) will be evaluated to examine the usefulness of monitoring therapy.
Safety,Efficacy
Exploratory
Phase II
Proportion of patients with a PSA doubling time of more than 2 years at 6 months after enrollment among patients selected for active surveillance
1) Percentage of patients who met the pathological eligibility criteria at the time of enrollment as a result of re-biopsy among patients selected for active surveillance who underwent re-biopsy performed 13 months after enrollment
2) Percentage of patients who underwent total prostatectomy as the first treatment for prostate cancer within 6 months of enrollment who had a pathology diagnosis of Non Organ Confined Disease in the resected specimen.
3) Adverse events in patients receiving active treatment
4) Degree of decline in her QOL in patients choosing active surveillance and patients choosing active treatment
5) Overall survival time in patients who selected active surveillance and patients who selected active therapy
6) Metastasis-free survival time in patients who selected active surveillance and patients who selected active therapy
Observational
50 | years-old | <= |
80 | years-old | >= |
Male
PSA 20 ng/ml or less, Gleason score 3+3 or less, 2 positive cores or less , and maximum cancer occupancy (within positive cores) less than 50%
Patients with a history of cerebral infarction, unstable angina, diabetes uncontrolled by insulin, severe hypertension, or myocardial infarction within 6 months
100
1st name | Yoshiyuki |
Middle name | |
Last name | Kakehi |
Kagawa university
Department of Urology, Faculty of Medicine
761-0793
1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa,Japan
0878912202
yoshiyukikakehi@gmail.com
1st name | Takuma |
Middle name | |
Last name | Kato |
Kagawa university
Department of Urology, Faculty of Medicine
761-0793
1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa,Japan
0878912202
kato.takuma@kagawa-u.ac.jp
Kagawa University
none
Other
kagawa university
1750-1, Ikenobe, Miki-cho, Kita-gun, Kagawa,Japan
0878985111
kenkyushien@kagawa-u.ac.jp
NO
2023 | Year | 11 | Month | 19 | Day |
Unpublished
134
Completed
2001 | Year | 12 | Month | 12 | Day |
2002 | Year | 12 | Month | 12 | Day |
2002 | Year | 01 | Month | 01 | Day |
2023 | Year | 03 | Month | 31 | Day |
none
2023 | Year | 11 | Month | 19 | Day |
2023 | Year | 11 | Month | 19 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000060305