Early Changes In Multiparametric MRI In Prostate Cancer

Study Overview
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Brief Summary
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In this research study, the investigators are trying to determine if there are measurable changes in prostate MRI that will help predict those who will or will not respond to Androgen Deprivation Therapy (ADT) and External Beam Radiation Therapy (EBRT) The first baseline prostate MRI prior to the start of treatment is standard of care. The participant's ADT/EBRT treatment is also standard of care, as advised by their doctor. It is the 3 follow up prostate MRIs during ADT/EBRT treatment, and 4 follow up serum PSA levels that are part of this research study.

Detailed Description
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If the participant chooses to take part in this research study, the participant will have 3 follow up prostate MRIs during a 6 month time period, while the participant is having their ADT/EBRT treatment. These follow-up prostate MRIs will use a standard imaging protocol without the use of an endorectal coil. The participant will also have a total of 4 blood samples to measure serum PSA. 1-2 mls (just less than ½ teaspoon) will be taken for each sample. Research Study Plan Baseline Visit (routine standard of care screening visit): PSA blood test and prostate MRI Visit 1 (8 weeks after starting ADT): PSA blood test and prostate MRI Visit 2 (6 weeks after starting EBRT): PSA blood test and prostate MRI Visit 3 (on last day of EBRT): PSA blood test Visit 4 (6 months after starting ADT): PSA blood test and prostate MRI Planned Follow-up: The investigator would like to keep track of the participant's prostate cancer status while they continue to see their doctor at DFCI. The investigators would like to do this by collecting the following data from the participant's medical records, to look at long-term outcome of their ADT/EBRT treatment. PSA values Clinical results of your treatment. The investigator will not contact the participant to obtain this information.

Official Title
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Early Changes in Multiparametric MRI in Response to Neoadjuvant Androgen Deprivation and External Beam Radiation Therapy for Prostate Cancer

Conditions
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Prostate Cancer

Intervention / Treatment
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* Device: MRI
* Other: PSA Blood Test


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult males with unfavorable intermediate- to high-risk localized disease, defined as having one of the following three categories, Clinical or radiographic T2b-T4 primary tumor or Gleason score 7-10 in any core, or PSA ≥ 10 prior to initiation of therapy Patients are deemed suitable for therapy with ADT and EBRT. Subjects must to able to provide informed written consent prior to study entry. Exclusion Criteria: The standard exclusion criteria for MRI exams will apply which include patients with pacemakers, non-compatible intra-cranial vascular clips, inner ear implants, and severe claustrophobia. Patients who because of age, general medical or psychiatric condition, or physiologic status unrelated to the presence of prostate cancer are unlikely to be candidates for repeat MRIs, or cannot give valid informed consent. Patients unwilling or unable to undergo the multiparametric MRI exam (non-endorectal coil). Patients with a history of allergic reaction to latex or Gadolinium containing intravenous contrast agents. Individuals with renal disease or other contraindications to gadolinium will be excluded. The BWH standard MRI contrast screening criteria will be used to establish renal status. Patients who have had prior prostatectomy or prior androgen therapy. Patients with hip implant or any other metallic implant or device that results in significant distortion of the local magnetic field and compromise of the quality of the multiparametric MRI data.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: MRIs and PSA Blood Test<br>Visit 1 (8 weeks after starting ADT): PSA blood test and prostate MRI Visit 2 (6 weeks after starting EBRT): PSA blood test and prostate MRI Visit 3 (on last day of EBRT): PSA blood test Visit 4 (6 months after starting ADT): PSA blood test and prostate MRI | Device: MRI<br> <br> Other: PSA Blood Test<br>* Serum PSA will also be subsequently checked on the same day as each follow-up MR is performed, i.e. TP 1, 2 and 3, and right after finishing EBRT. 1-2 mls of blood will be sampled per blood test.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Correlation Between MRI Parameter at Visit 1 and Nadir PSA | Pearson correlation coefficient between MRI parameters at visit 1 and nadir PSA | 2 months after starting ADT (Visit 1) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Correlation Between MRI Parameter at Visit 2 With Nadir PSA | Pearson correlation coefficient between MRI parameters at visit 2 with nadir PSA | 6 weeks after starting EBRT (Visit 2) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Prostate Cancer