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RecruitingObservational

Canary Prostate Active Surveillance Study

NCT ID: NCT00756665Sponsor: University of WashingtonLast updated: 2026-01-15

Summary

The Prostate Active Surveillance Study (PASS) is a research study for men who have chosen active surveillance as a management plan for their prostate cancer. Active surveillance is defined as close monitoring of prostate cancer with the offer of treatment if there are changes in test results. This study seeks to discover markers that will identify cancers that are more aggressive from those tumors that grow slowly.

Detailed description

This is a multi-center, prospective active surveillance study with selective intervention in patients with previously untreated, clinically localized prostate cancer at diagnosis. Candidates are assessed based on an extended core biopsy, serum PSA (including PSA kinetics, if available), digital rectal examination (DRE), and assessment of cancer grade and extent. Active surveillance is defined as serial PSA measurements and prostate examination with routine prostate biopsy and therapeutic intervention considered at the time one or more of the following: * Grade or volume progression * Clinical progression The objectives of the study are as follows: Primary Objective • To discover and confirm biomarkers that predict aggressive disease as defined by pre-specified histological, PSA, clinical criteria, or outcomes based on these variables. Secondary Objectives * To determine the proportion of patients on active surveillance who progress based on the above criteria. * To determine the clinical predictors of disease progression. * To measure the recurrence-free, disease-specific, and overall survival of men on active surveillance for clinically localized prostate cancer.

Eligibility criteria

Sex: MaleAge: 21 Years and olderHealthy volunteers: No
Inclusion Criteria: * Histologically confirmed adenocarcinoma of the prostate from a prostate biopsy. * Clinically localized prostate cancer: T1-2, NX or N0, MX or M0. * No previous treatment for prostate cancer (including hormonal therapy, radiation therapy, surgery, or chemotherapy). * ECOG Performance Status 0 or 1. * Patient has elected Active Surveillance as preferred management plan for prostate cancer. * Patient consent has been obtained according to local Institutional Review Board for acquisition of research specimens. * Patient is accessible and compliant for follow-up. * Prostate cancer diagnosis cannot be more than 3 years prior to baseline visit date. * No more than two prostate biopsies including the initial biopsy in which cancer was diagnosed. * If cancer diagnosis is more than one year before enrollment, there must be two prostate biopsies including the initial biopsy in which cancer was diagnosed and a subsequent biopsy. The subsequent biopsy may occur on the same day as the baseline visit. * Biopsies must have at least 10 cores. Exclusion Criteria: * Unwillingness or inability to undergo serial prostate biopsy. * History of other malignancies, except: adequately treated non-melanoma skin cancer or adequately treated superficial bladder cancer (Ta) or other solid tumors curatively treated with no evidence of disease for \> 5 years.

Study locations (10)

Veterans Affairs San Francisco Health Care System

San Francisco, California, 94121

Recruiting
Kristy Li · Contact
Matthew R. Cooperberg, MD, MPH · Principal Investigator

University of California, San Francisco

San Francisco, California, 94143

Recruiting
Imelda Tenggara-Hunter · Contact
Peter R. Carroll, MD, MPH · Principal Investigator

Stanford University

Stanford, California, 94305

Recruiting
Ned Realiza · Contact
James D. Brooks, MD · Principal Investigator

Emory University

Atlanta, Georgia, 30322

Recruiting
Martin G. Sanda, MD · Principal Investigator

Beth Israel Deaconess Medical Center/Harvard Medical School

Boston, Massachusetts, 02215

Recruiting
Gabriela NietoBlanco · Contact
Andrew A. Wagner, MD · Principal Investigator

University of Michigan

Ann Arbor, Michigan, 48105

Recruiting
Amy Kasputis · Contact
Todd M. Morgan, MD · Principal Investigator

University of Texas Health Science Center, San Antonio

San Antonio, Texas, 78229

Recruiting
Rafael Sanchez · Contact
Michael A. Liss, MD, MAS · Principal Investigator

Eastern Virginia Medical School

Norfolk, Virginia, 23502

Recruiting
Amuktha Polkampally · Contact
Robert W. Given, MD · Principal Investigator

Veterans Affairs Puget Sound Health Care System

Seattle, Washington, 98108

Recruiting
Branda Levchak · Contact
Atreya Dash, MD · Principal Investigator

University of Washington

Seattle, Washington, 98195

Recruiting
Chenee Holcomb · Contact
Daniel W. Lin, MD · Principal Investigator

References

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  • Carter HB, Walsh PC, Landis P, Epstein JI. Expectant management of nonpalpable prostate cancer with curative intent: preliminary results. J Urol. 2002 Mar;167(3):1231-4.(PubMed)
  • Hardie C, Parker C, Norman A, Eeles R, Horwich A, Huddart R, Dearnaley D. Early outcomes of active surveillance for localized prostate cancer. BJU Int. 2005 May;95(7):956-60. doi: 10.1111/j.1464-410X.2005.05446.x.(PubMed)
  • Klotz L. Active surveillance with selective delayed intervention for favorable risk prostate cancer. Urol Oncol. 2006 Jan-Feb;24(1):46-50. doi: 10.1016/j.urolonc.2005.07.002.(PubMed)
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  • Patel MI, DeConcini DT, Lopez-Corona E, Ohori M, Wheeler T, Scardino PT. An analysis of men with clinically localized prostate cancer who deferred definitive therapy. J Urol. 2004 Apr;171(4):1520-4. doi: 10.1097/01.ju.0000118224.54949.78.(PubMed)
  • Roemeling S, Roobol MJ, de Vries SH, Wolters T, Gosselaar C, van Leenders GJ, Schroder FH. Active surveillance for prostate cancers detected in three subsequent rounds of a screening trial: characteristics, PSA doubling times, and outcome. Eur Urol. 2007 May;51(5):1244-50; discussion 1251. doi: 10.1016/j.eururo.2006.11.053. Epub 2006 Dec 5.(PubMed)
  • Kattan MW, Eastham JA, Wheeler TM, Maru N, Scardino PT, Erbersdobler A, Graefen M, Huland H, Koh H, Shariat S, Slawin KM, Ohori M. Counseling men with prostate cancer: a nomogram for predicting the presence of small, moderately differentiated, confined tumors. J Urol. 2003 Nov;170(5):1792-7. doi: 10.1097/01.ju.0000091806.70171.41.(PubMed)
  • Steyerberg EW, Roobol MJ, Kattan MW, van der Kwast TH, de Koning HJ, Schroder FH. Prediction of indolent prostate cancer: validation and updating of a prognostic nomogram. J Urol. 2007 Jan;177(1):107-12; discussion 112. doi: 10.1016/j.juro.2006.08.068.(PubMed)
  • Chappidi MR, Newcomb LF, Zheng Y, Liu M, Schenk JM, Zhu K, de la Calle CM, Brooks JD, Carroll PR, Dash A, Filson CP, Gleave ME, Liss MA, Martin F, McKenney JK, Morgan TM, Wagner AA, Nelson PS, Lin DW. Magnetic Resonance Imaging at Second Surveillance Biopsy After Diagnosis in Patients With Grade Group 1 Prostate Cancer in the Canary Prostate Active Surveillance Study. J Urol. 2025 Sep;214(3):251-258. doi: 10.1097/JU.0000000000004592. Epub 2025 Apr 30.(PubMed)
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