This trial aims to develop and validate the urinary multimarker sensor which can measure trace amounts of biomarkers from naturally voided urine in men referred with clinical suspicion of prostate cancer who have had no prior prostate biopsy. The investigators hypothesize that urinary multimarker sensor will help to avoid unnecessary prostate biopsy while detect the clinically significant cancers.
The investigators will develop a urinary multimarker sensor, able to measure trace amounts of biomarkers from naturally voided urine. 1. Urine specimen collection. This study was approved by the Institutional Review Board of the Asan Medical Center (Seoul, Republic of Korea) and informed consent will be obtained from all subjects. Biomarkers diffused passively from prostate tissue to the urethra and will be collected from naturally voided urine. Urine will be collected in a sterilized specimen cup containing 10 vol% RNA stabilizer and 1vol% antibiotics and stored in a refrigerator for less than a week before shipping the sample to the laboratory 2. To measure the electrical signals from the four different biomarkers in the urine, the four sensing channels in the extended gate of an field-effect transistor biosensor will be conjugated to antibodies, thus capturing different biomarkers. 3. Without any pretreatment, urine will be added directly to the four different sensing channels. After 20 min of reaction time in the four channels, the bottom gate voltage shifts will be measured at the reference current (1 nA). Each urine sample will generate four independent sensing signals from the corresponding biomarkers. The set of sensing signals collected for each patient will be then analyzed.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
800
We will develop a urinary multimarker sensor, able to measure trace amounts of biomarkers from naturally voided urine.
Asan Medical Center
Seoul, South Korea
RECRUITINGPresence vs. absence of clinically significant prostate cancer on prostate biopsy
(≥Gleason score 3+4)
Time frame: through study completion, an average of 3 year
Presence vs. absence of overall prostate cancer
presence or absence of prostate cancer at prostate biopsy
Time frame: through study completion, an average of 3 year
Optimal cutoff points for the each biomarker
cutoff points for each biomarker (ANXA3, PSMA, ERG, ENG)
Time frame: through study completion, an average of 3 year
Accuracy of each biomarker
sensitivity, specificity, positive/negative predictive value
Time frame: through study completion, an average of 3 year
Area Under Curve (Receiver operating curve) by multivariable linear regression model
Area Under Curve for each biomarker alone or combination
Time frame: through study completion, an average of 3 year
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