About this trial
This research project aims to develop a novel blood testing method integrating cutting-edge quantum sensing and artificial intelligence technologies to achieve precise, non-invasive early diagnosis of prostate cancer. The research will employ quantum sensors to perform ultra-high-sensitivity measurements of circulating free DNA (cfDNA) in blood, thereby training a dedicated AI diagnostic model. The ultimate objective is to establish the diagnostic efficacy of this approach through clinical validation, providing clinicians with a novel diagnostic tool capable of significantly reducing unnecessary prostate biopsy procedures.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Male, aged 18-80 years;
PSA > 4 ng/ml;
fPSA/PSA < 0.16 or PSA D > 0.15 or PSA V > 0.75; ② Positive digital rectal examination (DRE); ③ Imaging studies (ultrasound/MRI) showing suspicious lesions.
Disqualifiers
Patients diagnosed with any malignant tumour within the past five years;
Patients who have undergone transurethral resection or enucleation of the prostate;
Patients who have previously received treatment for prostate cancer, including but not limited to endocrine therapy, targeted therapy, or immunotherapy;
Patients on long-term anticoagulant or antiplatelet therapy (anticoagulants discontinued for less than one week);
Trial population
Males aged 18-80 years with elevated PSA (\>4 ng/ml) and clinical indications for prostate biopsy.
Trial design
Cohort
Prospective
Treatments tested in this trial
Quantum Detection
Diagnostic testThis cohort will utilize archived plasma samples from a historical patient population with confirmed diagnoses (prostate cancer vs. controls). The objective is model development. The intervention involves analyzing these stored samples using the quantum sensing platform to extract multi-modal cfDNA features (e.g., fragmentomics, methylation). This data is then used to train and optimize the initial AI diagnostic algorithm, establishing the core model before prospective validation.
Quantum Detection
Diagnostic testThis cohort will prospectively enroll new patients with suspected prostate cancer from the same institution as testing cohort. The objective is initial model validation. The intervention entails collecting pre-biopsy blood samples from these participants. The cfDNA from these fresh samples is analyzed using the locked model from the training phase. The model's predictions are then compared against the gold-standard prostate biopsy results to assess initial diagnostic performance.
Quantum Detection
Diagnostic testThis cohort will prospectively recruit patients from multiple independent clinical centers. The objective is to test the model's generalizability. The intervention involves standardized blood collection across all external sites, with samples sent to a central lab for blinded cfDNA analysis using the finalized, locked-down model.
Treatment groups
Trial outcomes
Primary outcomes
Area under the receiver operating characteristic curve (AUC-ROC) for the predictive model in the general population for prostate cancer.
Sensitivity of the predictive model in detecting prostate cancer within the general population.
Specificity of the predictive model in detecting prostate cancer within the general population.
Secondary outcomes
Area under the ROC curve for the predictive model in identifying prostate cancer within the PSA grey zone cohort.
Sensitivity of the predictive model in identifying prostate cancer within the PSA grey zone cohort.
The specificity of the predictive model in identifying prostate cancer among individuals in the PSA grey zone.
Sponsors and contacts
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Shanghai Changzheng Hospital
Lead sponsor
West China Hospital
Collaborator
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Collaborator
The First Affiliated Hospital of Guangzhou Medical University
Collaborator
First Affiliated Hospital of Ningbo University
Collaborator
Jiangsu Provincial People's Hospital
Collaborator
The First Affiliated Hospital of Soochow University
Collaborator
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