ClariCore System Used in Transrectal Ultrasound Guided Prostate Biopsy for Real-Time Tissue Evaluation (SCORE)
Primary Purpose
Cellular Diagnosis, Prostate Cancer
Status
Unknown status
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
ClariCore Optical Biopsy System
Sponsored by

About this trial
This is an interventional diagnostic trial for Cellular Diagnosis, Prostate Cancer
Eligibility Criteria
Inclusion Criteria:
- Males > 22 years old
- Patient scheduled for TRUS-guided prostate biopsy based on standard of care urologic requirements to assess for tissue malignancy (abnormal Digital Rectum Examination, Prostate Specific Antigen kinetics, age, ethnicity, family history, etc.)
- Enrolling physician must have expectation that prostate dimensions will meet minimum prostate volume and height requirements that will be evaluated at start of biopsy procedure (i.e., Prostate volume > 20cc and height at least 22mm)
- Patient signs an Institutional Review Board approved, Informed Consent form to participate in the study prior to any study mandated determinations or procedure
Exclusion Criteria:
- Any anatomical or co-morbidity contraindications to TRUS prostate biopsy
- Acute painful perianal disorder (i.e. rectal abscess)
- Symptomatic, acute prostatitis
- Surgical absence of a rectum or the presence of a rectal fistula
- Patient has systemic infection or evidence of any surgical site infection (superficial or organ space), including active urinary tract infection
- Previous prostate intervention [Transurethral Prostatectomy (TURP) (bipolar, monopolar, laser)], Transurethral Microwave Thermotherapy (TUMT), High-Intensity Focused Ultrasound (HIFU), Cryo, Rezum, Urolift], not including previous prostate biopsy
- Current use of blood thinning agents for medical comorbidity which prohibits the cessation of use as typically required per standard of care (SOC) or history of a bleeding disorder (e.g. coagulopathy)
- Prior pelvic irradiation
- Actively receiving therapy for the treatment of cancer (except for patients on 5-alpha reductase inhibitors, or non-melanoma skin cancers that are managed nonsystemically)
- Actively receiving intravesical therapy or within 6 months of treatment for bladder cancer
- Patient has compromised immune system
- 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 is not likely to comply with the protocol or follow up evaluation
- Patient is participating in a clinical trial of another investigational drug or device that may impact participation in this clinical study
- Patient is unable to provide legal Informed Consent
Sites / Locations
- The Urology Center of ColoradoRecruiting
- Brady Urological Institute, Johns Hopkins Hospital
- NYU Langone Urology AssociatesRecruiting
- Memorial Sloan-Kettering Cancer Center
- Carolina Urologic Research CenterRecruiting
- Urology of San Antonio
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
ClariCore System
Arm Description
ClariCore System study designed to obtain prostate biopsies utilizing real-time tissue classification with the ClariCore Optical Biopsy System.
Outcomes
Primary Outcome Measures
Validation of the tissue classification algorithm
Correlate histopathology of tissue biopsy core samples with the tissue classification algorithm results obtained at the time of the procedure to validate the tissue classification algorithm.
Secondary Outcome Measures
Sensitivity and Specificity
The sensitivity and specificity of the ClariCore System will be calculated and reported.
Cancer Detection Rate
The cancer detection per core rate in the Targeted Cores that have been classified as suspicious will be determined and reported.
Full Information
NCT ID
NCT03504761
First Posted
April 6, 2018
Last Updated
February 12, 2019
Sponsor
Precision Biopsy, Inc.
1. Study Identification
Unique Protocol Identification Number
NCT03504761
Brief Title
ClariCore System Used in Transrectal Ultrasound Guided Prostate Biopsy for Real-Time Tissue Evaluation
Acronym
SCORE
Official Title
Prospective, Multi-Center Study of the ClariCore Optical Biopsy System in Patients Undergoing Transrectal Ultrasound (TRUS)-Guided Prostate Biopsy for Real-Time Tissue Evaluation
Study Type
Interventional
2. Study Status
Record Verification Date
February 2019
Overall Recruitment Status
Unknown status
Study Start Date
April 25, 2018 (Actual)
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
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Device Product Not Approved or Cleared by U.S. FDA
Yes
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of this study is to demonstrate the effectiveness and safety of the ClariCore System in obtaining prostate biopsies with device feedback that provides real-time tissue classification.
Detailed Description
The purpose of this study is to collect information on prostate biopsies using the ClariCore System. The ClariCore System is designed to improve how the biopsies are being collected from the prostate by using light sensors (fiber optics) that can see changes in the prostate tissue. Researchers will study the information collected from the light sensors to study a method that has been developed to tell the difference between normal and suspicious (possibly cancerous) prostate tissue during the biopsy. This information will be given to the doctor in real-time. From this study, researchers hope to learn if this method can tell the difference between normal and suspicious prostate tissue, and if this can improve the evaluation of prostate tissue (biopsies).
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
325 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
ClariCore System
Arm Type
Experimental
Arm Description
ClariCore System study designed to obtain prostate biopsies utilizing real-time tissue classification with the ClariCore Optical Biopsy System.
Intervention Type
Device
Intervention Name(s)
ClariCore Optical Biopsy System
Other Intervention Name(s)
ClariCore System
Intervention Description
Demonstrate the efficacy and safety of the ClariCore System in obtaining prostate biopsies utilizing real-time tissue classification.
Primary Outcome Measure Information:
Title
Validation of the tissue classification algorithm
Description
Correlate histopathology of tissue biopsy core samples with the tissue classification algorithm results obtained at the time of the procedure to validate the tissue classification algorithm.
Time Frame
At time of procedure
Secondary Outcome Measure Information:
Title
Sensitivity and Specificity
Description
The sensitivity and specificity of the ClariCore System will be calculated and reported.
Time Frame
At time of procedure
Title
Cancer Detection Rate
Description
The cancer detection per core rate in the Targeted Cores that have been classified as suspicious will be determined and reported.
Time Frame
At time of procedure
Other Pre-specified Outcome Measures:
Title
Identification of New or Clinically Significant Disease
Description
The number of instances where a new or more clinically significant disease (Gleason 7 or greater) is diagnosed during collection of the Targeted Cores compared to the SOC Cores
Time Frame
At time of procedure, at time of 7 day follow up
Title
Adverse Event Incidence
Description
The cumulative incidence of adverse events related to the device or the procedure.
Time Frame
Up to 7 days post-procedure
Title
Serious Adverse Event
Description
The cumulative incidence of serious adverse events (SAEs) related to the device or the procedure.
Time Frame
Up to 7 days post-procedure
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
22 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Males > 22 years old
Patient scheduled for TRUS-guided prostate biopsy based on standard of care urologic requirements to assess for tissue malignancy (abnormal Digital Rectum Examination, Prostate Specific Antigen kinetics, age, ethnicity, family history, etc.)
Enrolling physician must have expectation that prostate dimensions will meet minimum prostate volume and height requirements that will be evaluated at start of biopsy procedure (i.e., Prostate volume > 20cc and height at least 22mm)
Patient signs an Institutional Review Board approved, Informed Consent form to participate in the study prior to any study mandated determinations or procedure
Exclusion Criteria:
Any anatomical or co-morbidity contraindications to TRUS prostate biopsy
Acute painful perianal disorder (i.e. rectal abscess)
Symptomatic, acute prostatitis
Surgical absence of a rectum or the presence of a rectal fistula
Patient has systemic infection or evidence of any surgical site infection (superficial or organ space), including active urinary tract infection
Previous prostate intervention [Transurethral Prostatectomy (TURP) (bipolar, monopolar, laser)], Transurethral Microwave Thermotherapy (TUMT), High-Intensity Focused Ultrasound (HIFU), Cryo, Rezum, Urolift], not including previous prostate biopsy
Current use of blood thinning agents for medical comorbidity which prohibits the cessation of use as typically required per standard of care (SOC) or history of a bleeding disorder (e.g. coagulopathy)
Prior pelvic irradiation
Actively receiving therapy for the treatment of cancer (except for patients on 5-alpha reductase inhibitors, or non-melanoma skin cancers that are managed nonsystemically)
Actively receiving intravesical therapy or within 6 months of treatment for bladder cancer
Patient has compromised immune system
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 is not likely to comply with the protocol or follow up evaluation
Patient is participating in a clinical trial of another investigational drug or device that may impact participation in this clinical study
Patient is unable to provide legal Informed Consent
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Amanda K Jonas, B.S.
Phone
510-676-0904
Email
amanda.jonas@precisionbiopsy.com
First Name & Middle Initial & Last Name or Official Title & Degree
Sierra Yearsley, B.S.
Phone
650-867-0927
Email
sierra.yearsley@precisionbiopsy.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Neal Shore, M.D.
Organizational Affiliation
Carolina Urologic Research Center/Atlantic Urology Clinics
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Urology Center of Colorado
City
Denver
State/Province
Colorado
ZIP/Postal Code
80211
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Robin Dorsey
Phone
303-762-7155
First Name & Middle Initial & Last Name & Degree
Larry Karsh, MD
Facility Name
Brady Urological Institute, Johns Hopkins Hospital
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21287
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Robin Gurganus, RN, CCRC
Phone
410-614-6926
Email
rgurganus@jhmi.edu
First Name & Middle Initial & Last Name & Degree
Leslie Mangold, MS
Phone
410-955-2139
Email
lmangold@jhmi.edu
First Name & Middle Initial & Last Name & Degree
Michael A Gorin, M.D., Ph.D.
Facility Name
NYU Langone Urology Associates
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elton Llukani
Email
Elton.Llukani@nyumc.org
First Name & Middle Initial & Last Name & Degree
James Wysock, MD
Email
James.Wysock@nyumc.org
Facility Name
Memorial Sloan-Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Melissa Salerno, BS
Email
salernom@mskcc.org
First Name & Middle Initial & Last Name & Degree
Tanya Milan, MPH
Phone
646-227-2231
Email
milanrot@mskcc.org
First Name & Middle Initial & Last Name & Degree
Bafar Edhaie, M.D.
Facility Name
Carolina Urologic Research Center
City
Myrtle Beach
State/Province
South Carolina
ZIP/Postal Code
29572
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jennifer Baiden
Phone
843-449-1010
Ext
237
Email
jbaiden@atlanticurologyclinics.com
First Name & Middle Initial & Last Name & Degree
Neal Shore, MD
First Name & Middle Initial & Last Name & Degree
Kenneth Krzyzaniak, MD
Facility Name
Urology of San Antonio
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Manuel R Hernandez
Phone
210-617-4116
Email
manuel.hernandez@urologysa.com
First Name & Middle Initial & Last Name & Degree
Daniel Saltzstein, MD
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
ClariCore System Used in Transrectal Ultrasound Guided Prostate Biopsy for Real-Time Tissue Evaluation
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