About this trial
The RING study is a European registry collecting real-world data on advanced prostate cancer (APC) imaging. It aims to evaluate the role of next-generation imaging (NGI), such as PET/CT and whole-body MRI, in detecting and monitoring the disease compared to conventional imaging.
Men aged 18 or older with histologically confirmed prostate cancer are eligible to participate in the study if they require imaging to assess potential metastases, either at diagnosis or after relapse and sign a consent form.
Patients will receive standard care with no experimental treatments. Imaging and treatment decisions will follow routine clinical practice. Data will be collected from medical records and analysed for research. This study will help doctors understand when NGI should be used, how it affects treatment decisions, and its impact on patient outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adult male patients (≥18 years with no upper age limit).
Histologically proven prostate cancer.
Patients who require imaging exploration (conventional, Next-Generation Imaging (NGI), or their combination) at high risk for harbouring metastatic deposits at the hormone-sensitive stage, either at the diagnostic workout of a "naïve" patient or at biochemical relapse/progression after local treatment.
Patients who authorize their participation in the study by signing a written informed consent form (ICF).
Disqualifiers
Patients participating in other interventional or non-interventional study which requires NGI as a triage test for metastatic assessment.
Patients with evidence of any other clinically significant disease or condition which in the opinion of the investigator discourages their participation in the study.
Patients who will not be able to complete the study.
Trial population
Outpatient "naive" or relapsed/progressed patients above 18 years with prostate cancer at high risk for harbouring metastatic deposits at the hormone-sensitive stage, who require imaging exploration (conventional, NGI, or their combination)
Trial design
Cohort
Prospective
Treatments tested in this trial
Imaging
Diagnostic testImaging will be done according to local protocols and/or guidelines of EAU
Treatment groups
Trial outcomes
Primary outcomes
Proportion of patients requiring NGI, conventional imaging, or a combination of both imaging tools.
Number of patients who require NGI, conventional imaging, or a combination of both imaging tools with the respect to local protocols
Proportion of patients with a change of treatment determined by the imaging test result, when multiple imaging tests have been realized
Number of patients who received multiple imaging tests for whom the result of the particular imaging test has lead to the change in management
Other outcomes
Clinical variables associated to NGI or conventional imaging
The investigators aim to identify which clinical characteristics (age, ethnicity, comorbidities, PSA, PSA doubling time, ISUP grade at biopsy or at specimens, etc), are associated to the clinical decision of undertaking a systemic work-up with either NGI or CI. This outcome will be measured by means of a univariate and multivariate statistical analysis.
Sponsors and contacts
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Fundacio Puigvert
Lead sponsor
European Association of Urology Research Foundation
Collaborator
GUARD Consortium (Genitourinary Alliance for Research and Development)
Collaborator
European Association of Urology - Section of Urological Imaging
Collaborator
Johnson & Johnson
Collaborator
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Collaborator