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OncoMatch/Clinical Trials/NCT07795723

Ipsilateral Versus Bilateral Systematic Biopsy Combined With MRI/Ultrasound Cognitive Fusion Targeted Biopsy for Prostate Cancer Diagnosis

Is NCT07795723 recruiting? Yes, currently enrolling (Sep 2026). This NA trial studies non-drug interventions for prostate cancer.

NARecruitingThe Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical SchoolNCT07795723Data as of Sep 2026Location: China

Prostate biopsy usually combines magnetic resonance imaging/ultrasound (MRI/US) cognitive fusion targeted biopsy with systematic biopsy. Standard bilateral systematic biopsy requires sampling from both sides of the prostate and may increase the number of biopsy cores, procedural discomfort, procedure time, pathological workload, and biopsy-related complications. This prospective, multicenter, open-label, randomized noninferiority trial will enroll 454 biopsy-naive men with suspected prostate cancer, a unilateral prostate MRI lesion with a highest PI-RADS score of 4 or 5, and prostate-specific antigen levels of 20 ng/mL or lower. Participants will be randomly assigned in a 1:1 ratio to receive transperineal MRI/US cognitive fusion targeted biopsy combined with either a 6-core ipsilateral systematic biopsy or a standard 12-core bilateral systematic biopsy. The primary objective is to determine whether the ipsilateral systematic biopsy strategy is noninferior to the bilateral systematic biopsy strategy for detecting clinically significant prostate cancer, defined as International Society of Urological Pathology Grade Group 2 or higher. The study will also compare overall prostate cancer detection, biopsy core numbers, pain and discomfort, procedure time, pathological workload and costs, urinary symptoms, quality of life, and biopsy-related adverse events and complications through 30 days after biopsy.

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Extracted eligibility criteria

Cancer type

Prostate Cancer

Demographics

Ages ≥ 19
Male only

Prior therapy

Cannot have received: prostate biopsy

Prior prostate biopsy

Cannot have received: prostate-related treatment or procedure that may affect pathological assessment or interpretation of the biopsy results (androgen deprivation therapy for prostate cancer, radiotherapy, focal therapy, transurethral prostate surgery)

Prior prostate-related treatment or procedure that may affect pathological assessment or interpretation of the biopsy results, including but not limited to androgen deprivation therapy for prostate cancer, radiotherapy, focal therapy, or transurethral prostate surgery

Structured fields extracted by AI. May contain errors — verify against the official protocol.

Frequently asked questions

Is NCT07795723 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior prostate biopsy, prostate-related treatment or procedure that may affect pathological assessment or interpretation of the biopsy results disqualifies patients from enrollment.

Is this trial open to female patients?

No. This trial enrolls male patients only.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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