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ClariCore Optical Biopsy System Used in TRUS (Trans-Rectal Ultrasound)-Guided Prostrate Biopsy

Primary Purpose

Cellular Diagnosis, Prostate Cancer

Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
ClariCore System
Sponsored by
Precision Biopsy, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Cellular Diagnosis, Prostate Cancer

Eligibility Criteria

22 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • Patient scheduled for TRUS-guided prostrate biopsy with or without MR TRUS Fusion determined based on standard of care requirements
  • Prostrate volume ≥ 20cc and height at least 22mm (at the area(s) to be biopsied) as verified by ultrasound or prostrate MRI
  • Patient, or authorized representative signs a written Informed Consent form to participate in the study, prior to any study mandated determinations or procedure

Exclusion Criteria:

  • Contraindications to TRUS prostrate biopsy

    • Acute painful perianal disorder
    • Surgical absence of a rectum or the presence of a rectal fistula
  • Patients with contraindications to MRI (e.g., pacemaker, claustrophobia, etc.) (MR/TRUS only)

    ---Patients with renal dysfunction are excluded due to their inability to undergo contrast enhanced MRI

  • Previous prostrate surgeries
  • Prior pelvic irradiation
  • Active inflammatory bowel disease within the last 6 months
  • Any condition, or history of illness or surgery that, in the opinion of the Investigator, might confound the results of the study or pose additional risks to the patient (e.g., significant cardiovascular conditions or allergies)
  • Patient has systemic infection or evidence of any surgical site infection (superficial or organ space), including active urinary tract infection
  • Bladder cancer (current or prior)
  • Symptomatic acute prostatitis
  • Actively taking blood thinning agents (with the exception of low dose aspirin [81 mg] Plavix, Coumadin, etc.) or severe comorbidity prohibiting halting of anticoagulation therapies or history of bleeding disorder (e.g., coagulopathy
  • Any malignancy other than non-melanoma cell skin cancer, unless no evidence of disease for a minimum of 5 years
  • Hormone therapy for locally advanced disease (except patients on 5-alpha reductase inhibitors to reduce the size of the prostrate)
  • Neo-adjuvant hormonal therapy
  • Salvage radical prostatectomy, i.e., patients having surgery due to failure of previous therapy (radiation, brachytherapy, cryotherapy, etc.)
  • Patient has a compromised immune system or autoimmune disease (WBC < 4000 or > 20,000)
  • Patient is not likely to comply with the follow-up evaluation schedule
  • Patient is participating in a clinical trial of another investigational drug or device
  • Patient is mentally incompetent or a prisoner

Sites / Locations

  • The Urology Center of Colorado
  • Johns Hopkins Brady Urological Institute- The Johns Hopkins Hospital
  • Comprehensive Urology
  • Associated Professionals of New York, PLLC
  • Carolina Urologic Research Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

ClariCore System

Arm Description

ClairCore System study designed for data collection to build the prostrate tissue classification algorithm.

Outcomes

Primary Outcome Measures

Primary Effectiveness
Correlate histopathology of tissue biopsy core samples with corresponding spectral data obtained in vivo for algorithm training at time of procedure.

Secondary Outcome Measures

Assessment of Pain
Pain shall be reported based on the patient-reported level of pain during the ClariCore System procedure and at 7 and 30 days post-procedure as measured on a 10 point numerical rating scale (NRS).
Incidence and frequency of adverse events
The secondary safety endpoint is the incidence and frequency of all Adverse Event's (both related and unrelated to the ClariCore System) reported during the study.

Full Information

First Posted
October 4, 2016
Last Updated
February 13, 2019
Sponsor
Precision Biopsy, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT02928640
Brief Title
ClariCore Optical Biopsy System Used in TRUS (Trans-Rectal Ultrasound)-Guided Prostrate Biopsy
Official Title
Prospective, Multi-Center Study of the ClariCore Optical Biopsy System in Patients Undergoing TRUS-Guided Prostrate Biopsy With or Without MR Fusion For Prostrate Tissue Classification Algorithm Development
Study Type
Interventional

2. Study Status

Record Verification Date
February 2019
Overall Recruitment Status
Unknown status
Study Start Date
September 2016 (undefined)
Primary Completion Date
January 2020 (Anticipated)
Study Completion Date
December 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Precision Biopsy, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the study is to collect information on prostrate biopsy tissue for use in developing a method determining the difference in normal and cancerous prostrate tissue using the ClariCore System.
Detailed Description
The purpose of this study is to collect information on prostrate tissue biopsies using the ClariCore System. The ClariCore system is designed to improve how the tissue samples are being collected from the prostrate by using light sensors (fiber optics) that can see changes in the tissue. Researchers will study the data collected from the light sensor (optical readings) to develop a method (like a mathematical equation) that can be used to tell the difference between normal and cancerous prostrate tissue during the biopsy. What the researchers are hoping to learn from this study is if a light guided biopsy procedure can improve the accuracy of prostrate biopsy sampling.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cellular Diagnosis, Prostate Cancer

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
200 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
ClariCore System
Arm Type
Experimental
Arm Description
ClairCore System study designed for data collection to build the prostrate tissue classification algorithm.
Intervention Type
Device
Intervention Name(s)
ClariCore System
Other Intervention Name(s)
ClariCore Optical Biopsy System
Intervention Description
Data collection to build the prostrate tissue classification algorithm.
Primary Outcome Measure Information:
Title
Primary Effectiveness
Description
Correlate histopathology of tissue biopsy core samples with corresponding spectral data obtained in vivo for algorithm training at time of procedure.
Time Frame
Ath the time of procedure
Secondary Outcome Measure Information:
Title
Assessment of Pain
Description
Pain shall be reported based on the patient-reported level of pain during the ClariCore System procedure and at 7 and 30 days post-procedure as measured on a 10 point numerical rating scale (NRS).
Time Frame
Up to 30 days post-procedure
Title
Incidence and frequency of adverse events
Description
The secondary safety endpoint is the incidence and frequency of all Adverse Event's (both related and unrelated to the ClariCore System) reported during the study.
Time Frame
Up to 30 days post-procedure
Other Pre-specified Outcome Measures:
Title
Technical Success
Description
Ability to obtain optical spectra: defined as the ability to obtain the optical spectra of underlying tissue at each target site and record and store the data on the software and obtain viable biopsy sample from the underlying tissue where the optical spectra data were collected: defined as a sample that the pathologist can use to classify the specific tissue.
Time Frame
Until clinical study closure, at time of 30 day follow up
Title
Clinical Success
Description
Clinical success is defined at the biopsy core level as the device's ability to obtain a technically successful core and an accurate correlation with optical spectra for the purpose of the tissue classification development.
Time Frame
Until clinical study closure, at time of 30 day follow up
Title
Negative Predictive Value
Description
The negative predictive value (NPV) will be estimated as a function of prevalence.
Time Frame
Until clinical trial closure, at time of 30 days follow up

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
22 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patient scheduled for TRUS-guided prostrate biopsy with or without MR TRUS Fusion determined based on standard of care requirements Prostrate volume ≥ 20cc and height at least 22mm (at the area(s) to be biopsied) as verified by ultrasound or prostrate MRI Patient, or authorized representative signs a written Informed Consent form to participate in the study, prior to any study mandated determinations or procedure Exclusion Criteria: Contraindications to TRUS prostrate biopsy Acute painful perianal disorder Surgical absence of a rectum or the presence of a rectal fistula Patients with contraindications to MRI (e.g., pacemaker, claustrophobia, etc.) (MR/TRUS only) ---Patients with renal dysfunction are excluded due to their inability to undergo contrast enhanced MRI Previous prostrate surgeries Prior pelvic irradiation Active inflammatory bowel disease within the last 6 months Any condition, or history of illness or surgery that, in the opinion of the Investigator, might confound the results of the study or pose additional risks to the patient (e.g., significant cardiovascular conditions or allergies) Patient has systemic infection or evidence of any surgical site infection (superficial or organ space), including active urinary tract infection Bladder cancer (current or prior) Symptomatic acute prostatitis Actively taking blood thinning agents (with the exception of low dose aspirin [81 mg] Plavix, Coumadin, etc.) or severe comorbidity prohibiting halting of anticoagulation therapies or history of bleeding disorder (e.g., coagulopathy Any malignancy other than non-melanoma cell skin cancer, unless no evidence of disease for a minimum of 5 years Hormone therapy for locally advanced disease (except patients on 5-alpha reductase inhibitors to reduce the size of the prostrate) Neo-adjuvant hormonal therapy Salvage radical prostatectomy, i.e., patients having surgery due to failure of previous therapy (radiation, brachytherapy, cryotherapy, etc.) Patient has a compromised immune system or autoimmune disease (WBC < 4000 or > 20,000) Patient is not likely to comply with the follow-up evaluation schedule Patient is participating in a clinical trial of another investigational drug or device Patient is mentally incompetent or a prisoner
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Sierra Yearly
Organizational Affiliation
Sponsor GmbH
Official's Role
Study Director
Facility Information:
Facility Name
The Urology Center of Colorado
City
Denver
State/Province
Colorado
ZIP/Postal Code
80211
Country
United States
Facility Name
Johns Hopkins Brady Urological Institute- The Johns Hopkins Hospital
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States
Facility Name
Comprehensive Urology
City
Royal Oak
State/Province
Michigan
ZIP/Postal Code
48073
Country
United States
Facility Name
Associated Professionals of New York, PLLC
City
Syracuse
State/Province
New York
ZIP/Postal Code
13210
Country
United States
Facility Name
Carolina Urologic Research Center
City
Myrtle Beach
State/Province
South Carolina
ZIP/Postal Code
29572
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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ClariCore Optical Biopsy System Used in TRUS (Trans-Rectal Ultrasound)-Guided Prostrate Biopsy

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