- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00756665
Prostate Active Surveillance Study (PASS)
Canary Prostate Active Surveillance Study
Study Overview
Status
Conditions
Detailed Description
This is a multi-center, prospective active surveillance study with selective intervention in patients with previously untreated, clinically localized prostate cancer at diagnosis. Candidates are assessed based on an extended core biopsy, serum PSA (including PSA kinetics, if available), digital rectal examination (DRE), and assessment of cancer grade and extent.
Active surveillance is defined as serial PSA measurements and prostate examination with routine prostate biopsy and therapeutic intervention considered at the time one or more of the following:
- Grade or volume progression
- Clinical progression
The objectives of the study are as follows:
Primary Objective
• To discover and confirm biomarkers that predict aggressive disease as defined by pre-specified histological, PSA, clinical criteria, or outcomes based on these variables.
Secondary Objectives
- To determine the proportion of patients on active surveillance who progress based on the above criteria.
- To determine the clinical predictors of disease progression.
- To measure the recurrence-free, disease-specific, and overall survival of men on active surveillance for clinically localized prostate cancer.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Lisa Newcomb, PhD
- Email: lnewcomb@fredhutch.org
Study Locations
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British Columbia
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Vancouver, British Columbia, Canada, V5Z 1M9
- Recruiting
- University of British Columbia
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Principal Investigator:
- Martin E. Gleave, MD
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Contact:
- Sarah Charlesworth
- Phone Number: 604-875-4111
- Email: scharlesworth@prostatecentre.com
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California
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San Francisco, California, United States, 94143
- Recruiting
- University of California, San Francisco
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Contact:
- Imelda Tenggara-Hunter
- Phone Number: 415-353-7348
- Email: Imelda.Tenggara@ucsf.edu
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Principal Investigator:
- Peter R. Carroll, MD, MPH
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San Francisco, California, United States, 94121
- Recruiting
- Veterans Affairs San Francisco Health Care System
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Contact:
- Chloe Chan
- Phone Number: 415-010-3268
- Email: chloe.chan@va.gov
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Principal Investigator:
- Matthew R. Cooperberg, MD, MPH
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Stanford, California, United States, 94305
- Recruiting
- Stanford University
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Contact:
- Ned Realiza
- Phone Number: 650-498-8496
- Email: nrealiza@stanford.edu
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Principal Investigator:
- James D. Brooks, MD
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Georgia
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Atlanta, Georgia, United States, 30322
- Recruiting
- Emory University
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Contact:
- Bill Zheng
- Phone Number: 404-778-2258
- Email: bill.zheng@emory.edu
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Contact:
- Regan Bates
- Phone Number: 404-251-0636
- Email: rrbates@emory.edu
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Principal Investigator:
- Martin G. Sanda, MD
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Recruiting
- Beth Israel Deaconess Medical Center/Harvard Medical School
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Principal Investigator:
- Andrew A. Wagner, MD
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Contact:
- Gabriela NietoBlanco
- Phone Number: 617-632-1047
- Email: gnietobl@bidmc.harvard.edu
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Michigan
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Ann Arbor, Michigan, United States, 48105
- Recruiting
- University of Michigan
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Contact:
- Amy Kasputis
- Phone Number: 734-647-3411
- Email: amgursky@med.umich.edu
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Principal Investigator:
- Todd M. Morgan, MD
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Texas
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San Antonio, Texas, United States, 78229
- Recruiting
- University of Texas Health Science Center, San Antonio
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Contact:
- Rafael Sanchez
- Phone Number: 210-450-8272
- Email: sanchezr17@uthscsa.edu
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Principal Investigator:
- Michael A. Liss, MD, MAS
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Virginia
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Norfolk, Virginia, United States, 23502
- Recruiting
- Eastern Virginia Medical School
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Contact:
- Amy Bohannon
- Phone Number: 757-452-3821
- Email: abohannon@urologyofva.net
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Principal Investigator:
- Robert W. Given, MD
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Washington
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Seattle, Washington, United States, 98195
- Recruiting
- University of Washington
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Principal Investigator:
- Daniel W. Lin, MD
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Contact:
- Chenee Holcomb
- Phone Number: 206-598-0850
- Email: cnh3@uw.edu
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Seattle, Washington, United States, 98108
- Recruiting
- Veterans Affairs Puget Sound Health Care System
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Contact:
- Branda Levchak
- Phone Number: 206-277-4760
- Email: Branda.Levchak@va.gov
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Principal Investigator:
- Atreya Dash, MD
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Histologically confirmed adenocarcinoma of the prostate from a prostate biopsy.
- Clinically localized prostate cancer: T1-2, NX or N0, MX or M0.
- No previous treatment for prostate cancer (including hormonal therapy, radiation therapy, surgery, or chemotherapy).
- ECOG Performance Status 0 or 1.
- Patient has elected Active Surveillance as preferred management plan for prostate cancer.
- Patient consent has been obtained according to local Institutional Review Board for acquisition of research specimens.
- Patient is accessible and compliant for follow-up.
- Prostate cancer diagnosis cannot be more than 3 years prior to baseline visit date.
- No more than two prostate biopsies including the initial biopsy in which cancer was diagnosed.
- If cancer diagnosis is more than one year before enrollment, there must be two prostate biopsies including the initial biopsy in which cancer was diagnosed and a subsequent biopsy. The subsequent biopsy may occur on the same day as the baseline visit.
- Biopsies must have at least 10 cores.
Exclusion Criteria:
- Unwillingness or inability to undergo serial prostate biopsy.
- History of other malignancies, except: adequately treated non-melanoma skin cancer or adequately treated superficial bladder cancer (Ta) or other solid tumors curatively treated with no evidence of disease for > 5 years.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Daniel W. Lin, MD, University of Washington
- Principal Investigator: James D. Brooks, MD, Stanford University
- Principal Investigator: Martin E. Gleave, MD, University of British Columbia
- Principal Investigator: Michael Liss, MD, University of Texas Health Science Center, San Antonio
- Principal Investigator: Andrew A Wagner, MD, Beth Israel Deaconess Medical Center/Harvard Medical School
- Principal Investigator: Todd M. Morgan, MD, University of Michigan
- Study Director: Lisa F Newcomb, PhD, Fred Hutchinson Cancer Research Center/University of Washington
- Principal Investigator: Peter R. Carroll, MD, MPH, University of California, San Francisco
- Principal Investigator: Robert W. Given, MD, Eastern Virginia Medical School
- Principal Investigator: Martin G. Sanda, MD, Emory University
- Principal Investigator: Matthew R. Cooperberg, MD, MPH, Veterans Affairs San Francisco Health Care System
- Principal Investigator: Atreya Dash, MD, Veterans Affairs Puget Sound Health Care System
Publications and helpful links
General Publications
- Warlick CA, Allaf ME, Carter HB. Expectant treatment with curative intent in the prostate-specific antigen era: triggers for definitive therapy. Urol Oncol. 2006 Jan-Feb;24(1):51-7. doi: 10.1016/j.urolonc.2005.07.004.
- Carter HB, Walsh PC, Landis P, Epstein JI. Expectant management of nonpalpable prostate cancer with curative intent: preliminary results. J Urol. 2002 Mar;167(3):1231-4.
- Hardie C, Parker C, Norman A, Eeles R, Horwich A, Huddart R, Dearnaley D. Early outcomes of active surveillance for localized prostate cancer. BJU Int. 2005 May;95(7):956-60. doi: 10.1111/j.1464-410X.2005.05446.x.
- Klotz L. Active surveillance with selective delayed intervention for favorable risk prostate cancer. Urol Oncol. 2006 Jan-Feb;24(1):46-50. doi: 10.1016/j.urolonc.2005.07.002.
- Meng MV, Elkin EP, Harlan SR, Mehta SS, Lubeck DP, Carroll PR. Predictors of treatment after initial surveillance in men with prostate cancer: results from CaPSURE. J Urol. 2003 Dec;170(6 Pt 1):2279-83. doi: 10.1097/01.ju.0000094190.46523.b2.
- Patel MI, DeConcini DT, Lopez-Corona E, Ohori M, Wheeler T, Scardino PT. An analysis of men with clinically localized prostate cancer who deferred definitive therapy. J Urol. 2004 Apr;171(4):1520-4. doi: 10.1097/01.ju.0000118224.54949.78.
- Roemeling S, Roobol MJ, de Vries SH, Wolters T, Gosselaar C, van Leenders GJ, Schroder FH. Active surveillance for prostate cancers detected in three subsequent rounds of a screening trial: characteristics, PSA doubling times, and outcome. Eur Urol. 2007 May;51(5):1244-50; discussion 1251. doi: 10.1016/j.eururo.2006.11.053. Epub 2006 Dec 5.
- Kattan MW, Eastham JA, Wheeler TM, Maru N, Scardino PT, Erbersdobler A, Graefen M, Huland H, Koh H, Shariat S, Slawin KM, Ohori M. Counseling men with prostate cancer: a nomogram for predicting the presence of small, moderately differentiated, confined tumors. J Urol. 2003 Nov;170(5):1792-7. doi: 10.1097/01.ju.0000091806.70171.41.
- Steyerberg EW, Roobol MJ, Kattan MW, van der Kwast TH, de Koning HJ, Schroder FH. Prediction of indolent prostate cancer: validation and updating of a prognostic nomogram. J Urol. 2007 Jan;177(1):107-12; discussion 112. doi: 10.1016/j.juro.2006.08.068.
Study record dates
Study Major Dates
Study Start
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 33567
- RG4212000 (Other Identifier: Fred Hutch/University of Washington Cancer Consortium)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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