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SPCG17: Prostate Cancer Active Surveillance Trigger Trial
Sponsor: Uppsala University
Summary
A large proportion of men with prostate cancer are overdiagnosed and overtreated mainly due to PSA testing. Active surveillance (AS) aims to reduce these harms by recommending curative treatment only when and if signs of tumor progression occur. There are however a number of uncertainties in AS, the most important being when to initiate treatment. The investigators are therefore starting a large randomized multicenter trial testing the safety of a standardized active surveillance protocol with specified triggers for repeat biopsies and initiation of curative treatment. The standardized protocol is compared with current practice for active surveillance. The primary aim of the study is to reduce overtreatment and subsequent side effects, without increasing the risk of disease progression or prostate cancer mortality.
Official title: SPCG17: Prostate Cancer Active Surveillance Trigger Trial (PCASTT)
Key Details
Gender
MALE
Age Range
Any - Any
Study Type
INTERVENTIONAL
Enrollment
2008
Start Date
2016-10-03
Completion Date
2034-12
Last Updated
2026-01-20
Healthy Volunteers
No
Conditions
Interventions
Active surveillance
Active monitoring of prostate cancer and curative treatment if there are signs of tumor progression.
Locations (23)
Rigshospitalet
Copenhagen, Denmark
Odense University Hospital
Odense, Denmark
Helsinki University Hospital
Helsinki, Finland
Seinäjoki Central Hospital
Tampere, Finland
Ålesund Regional Hospital
Ålesund, Norway
Oslo University Hospital
Oslo, Norway
University Hospital of North Norway
Tromsø, Norway
St Olavs University Hospital
Trondheim, Norway
Hospital of Vestfold
Tønsberg, Norway
Sahlgrenska University Hospital
Gothenburg, Sweden
Linköping University Hospital
Linköping, Sweden
Sunderby Regional Hospital
Luleå, Sweden
Örebro University Hospital
Örebro, Sweden
Sundsvall Regional Hospital
Sundsvall, Sweden
Umeå University Hospital
Umeå, Sweden
Akademiska University Hospital
Uppsala, Sweden
Växjö Hospital
Vaxjo, Sweden
Bedford Hospital
Bedford, United Kingdom
Croydon University Hospital
Croydon, United Kingdom
Epsom and St Helier Hospital
London, United Kingdom
Guy's Hospital
London, United Kingdom
Queen Elisabeth Hospital
London, United Kingdom
Royal Marsden Hospital
London, United Kingdom