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Brief Title: Prostate Testing for Cancer and Treatment
Official Title: The ProtecT Trial - Evaluating the Effectiveness of Treatments for Clinically Localised Prostate Cancer
Study ID: NCT02044172
Brief Summary: RATIONALE: Radical prostatectomy is surgery to remove the entire prostate. Radiation therapy uses high-energy x-rays or other types of radiation to kill tumor cells. Sometimes the tumor may not need treatment until it progresses. In this case, active surveillance may be sufficient. It is not yet known which treatment regimen is more effective for localized prostate cancer. PURPOSE: This randomized phase III trial is studying active monitoring to see how well it works compared with radical prostatectomy or radiation therapy in treating patients with localized prostate cancer.
Detailed Description: OBJECTIVES: * To assess survival of patients with localized prostate cancer at 10 years and 15 years after treatment. * To investigate disease progression (i.e., biochemical and clinical), treatment complications, and lower urinary tract symptoms in these patients. * To investigate the psychosocial impact of cancer detection and treatment on these patients, including generic health status, quality of life, and sexual function. * To estimate the resource use and costs of detection, treatment, and follow-up. * To compare costs and outcomes of treatment in terms of survival and health-related quality of life. * To collect samples suitable for basic science research (ProMPT study). OUTLINE: This is a multicenter study. Patients are stratified by age (50-55 vs 56-59 vs 60-65 vs 66-69 years), Gleason score (6, 7, 8-10), and average result of recruitment and first biopsy prostate-specific antigen (PSA) tests (\< 6 vs 6-9.9 vs ≥ 10 ng/mL). Patients are randomized or select a treatment to be followed up in a cohort study.
Minimum Age: 50 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: MALE
Healthy Volunteers: Yes
Queen Elizabeth Hospital, Birmingham, , United Kingdom
Southmead Hospital, Bristol, , United Kingdom
Addenbrokes' Hospital, Cambridge, , United Kingdom
University Hospital of Wales, Cardiff, , United Kingdom
Western General Hospital, Edinburgh, , United Kingdom
Leicester General Hospital, Leicester, , United Kingdom
Freeman Hospital, Newcastle, , United Kingdom
Royal Hallamshire Hospital, Sheffield, , United Kingdom
Name: Freddie C Hamdy
Affiliation: University of Oxford
Role: PRINCIPAL_INVESTIGATOR