Evidence map›Paper›PMID 38902526›Full record

ArticleNPJ digital medicine2024

Development of an effective predictive screening tool for prostate cancer using the ClarityDX machine learning platform.

M Eric Hyndman, Robert J Paproski, Adam Kinnaird, Adrian Fairey, Leonard Marks, Christian P Pavlovich, Sean A Fletcher, Roman Zachoval, Vanda Adamcova, Jiri Stejskal and 6 more

2 registry-linked trialsAbstract read
In one paragraph

Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03957252 active not recruitingnot on this map

Clinical Validation of ClarityDX Prostate as a Reflex Test to Prostate Specific Antigen (PSA) to Refine the Prediction of Clinically-significant Prostate Cancer

TypeobservationalSponsorNanosticsRan2019 to 2027Enrolled2,800ConditionsProstate Cancer, Prostate Cancer Screening, Performance Assessment of Novel Test
NCT06678828 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Establishing the Clinical Utility of ClarityDX Prostate

TypeinterventionalSponsorNanosticsRan2025 to 2028Enrolled1,450ConditionsProstate Cancer, Prostate Cancer Screening Decision, Prostate Cancer ScreeningArmsClarityDX Prostate, ClarityDX Prostate, blinded
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

M Eric Hyndman *Department of Surgical Oncology, University of Calgary, Prostate Cancer Centre, Calgary, T2P 1P9, AB, Canada.
Robert J Paproski *Nanostics Inc., 4550 10230 Jasper Avenue, Edmonton, T5J 4P6, AB, Canada.
Adam KinnairdDivision of Urology, Department of Surgery, University of Alberta, Kipnes Urology Centre, Edmonton, T6G 1Z1, AB, Canada.
Adrian FaireyNanostics Inc., 4550 10230 Jasper Avenue, Edmonton, T5J 4P6, AB, Canada.
Leonard MarksUCLA Health, Westwood Urology 200 Medical Plaza, Suite 140, Los Angeles, CA, 90095, USA.
Christian P PavlovichJames Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, 21287, MD, USA.
Sean A FletcherJames Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, 21287, MD, USA.
Roman ZachovalDepartment of Urology, 3rd Faculty of Medicine of Charles University and Thomayer University Hospital, Prague, Czech Republic.
Vanda AdamcovaDepartment of Urology, 3rd Faculty of Medicine of Charles University and Thomayer University Hospital, Prague, Czech Republic.
Jiri StejskalDepartment of Urology, 3rd Faculty of Medicine of Charles University and Thomayer University Hospital, Prague, Czech Republic.
Armen AprikianNanostics Inc., 4550 10230 Jasper Avenue, Edmonton, T5J 4P6, AB, Canada.
Christopher J D WallisDivision of Urology, Department of Surgery, University of Toronto, Toronto, M5T 1P5, ON, Canada.ORCID http://orcid.org/0000-0002-5990-4026
Desmond PinkNanostics Inc., 4550 10230 Jasper Avenue, Edmonton, T5J 4P6, AB, Canada.
Catalina VasquezNanostics Inc., 4550 10230 Jasper Avenue, Edmonton, T5J 4P6, AB, Canada.
Perrin H BeattyNanostics Inc., 4550 10230 Jasper Avenue, Edmonton, T5J 4P6, AB, Canada.
John D LewisNanostics Inc., 4550 10230 Jasper Avenue, Edmonton, T5J 4P6, AB, Canada. jdlewis@ualberta.ca.ORCID http://orcid.org/0000-0002-7734-1204

Funding

Alberta Cancer Foundation ACF 26001Alberta Innovates G2017000328Prostate Cancer Canada (Cancer de la Prostate Canada) PCC MTA TAG2014-03
6 · The paper itself

Abstract

The current prostate cancer (PCa) screen test, prostate-specific antigen (PSA), has a high sensitivity for PCa but low specificity for high-risk, clinically significant PCa (csPCa), resulting in overdiagnosis and overtreatment of non-csPCa. Early identification of csPCa while avoiding unnecessary biopsies in men with non-csPCa is challenging. We built an optimized machine learning platform (ClarityDX) and showed its utility in generating models predicting csPCa. Integrating the ClarityDX platform with blood-based biomarkers for clinically significant PCa and clinical biomarker data from a 3448-patient cohort, we developed a test to stratify patients' risk of csPCa; called ClarityDX Prostate. When predicting high risk cancer in the validation cohort, ClarityDX Prostate showed 95% sensitivity, 35% specificity, 54% positive predictive value, and 91% negative predictive value, at a ≥ 25% threshold. Using ClarityDX Prostate at this threshold could avoid up to 35% of unnecessary prostate biopsies. ClarityDX Prostate showed higher accuracy for predicting the risk of csPCa than PSA alone and the tested model-based risk calculators. Using this test as a reflex test in men with elevated PSA levels may help patients and their healthcare providers decide if a prostate biopsy is necessary.

Identifiers

PMID38902526
PMCPMC11190196

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.