Evidence map›Paper›PMID 39418289›Full record

ArticlePloS one2024

The RECONCILE study protocol: Exploiting image-based risk stratification in early prostate cancer to discriminate progressors from non-progressors (RECONCILE).

Teresa Marsden, Gerhardt Attard, Shonit Punwani, Francesco Giganti, Alex Freeman, Aiman Haider, Anna Wingate, Norman Williams, Tom Syer, Nora Pashayan and 3 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04340245 (Exploiting Risk-Based Risk Stratification in Early Prostate Cancer to Discriminate Progressors From Non-Progressors), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04340245 active not recruitingnot on this map

Exploiting Risk-Based Risk Stratification in Early Prostate Cancer to Discriminate Progressors From Non-Progressors

TypeobservationalSponsorUniversity College, LondonRan2020 to 2028Enrolled60ConditionsProstate CancerArmsNA (Observational)
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

13 authors.

Teresa MarsdenUCL Division of Surgical & Interventional Science, University College London, London, United Kingdom.ORCID 0000-0002-1800-3547
Gerhardt AttardCancer Institute, University College London, London, United Kingdom.
Shonit PunwaniCentre for Medical Imaging, University College London, London, United Kingdom.
Francesco GigantiUCL Division of Surgical & Interventional Science, University College London, London, United Kingdom.
Alex FreemanDepartment of Pathology, University College London Hospitals NHS Foundation Trust, London, United Kingdom.
Aiman HaiderDepartment of Pathology, University College London Hospitals NHS Foundation Trust, London, United Kingdom.
Anna WingateCancer Institute, University College London, London, United Kingdom.
Norman WilliamsUCL Division of Surgical & Interventional Science, University College London, London, United Kingdom.ORCID 0000-0001-6496-312X
Tom SyerCentre for Medical Imaging, University College London, London, United Kingdom.ORCID 0000-0001-9594-9638
Nora PashayanDepartment of Applied Health Research, University College London, London, United Kingdom.
Caroline M MooreUCL Division of Surgical & Interventional Science, University College London, London, United Kingdom.
Mark EmbertonUCL Division of Surgical & Interventional Science, University College London, London, United Kingdom.
Clement OrczykUCL Division of Surgical & Interventional Science, University College London, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRECONCILE (ClinicalTrials.gov:NCT04340245) will identify molecular and radiomic markers associated with clinical progression and radiological progression events in a cohort of localised, newly diagnosed Gleason 3 + 4 tumours. Molecular markers will be correlated against standard of care MRI-targeted histology and oncological outcomes.

methodsRECONCILE is an ethics approved (20/LO/0366) single centre, prospective, longitudinal, observational cohort study of recently diagnosed (within 12 months), organ-confined Gleason 3 + 4 cancers (MCCL ≤10mm) currently under active surveillance. 60 treatment-naïve participants with a concordant MRI lesion (Likert score 4 or 5) and PSA ≤ 15 ng/ml will be recruited. Blood, urine and targeted prostate tissue cores will be subject to next generation sequencing at baseline and one year in all participants. Semen will be collected from a specified sub-population. Baseline and interval MR images will be extracted from standard of care prostate MRI ahead of radiomic analysis. Data extracted from radiological and biological samples will be used to derive the association of molecular change and radiological progression, the primary outcome of the study. To compensate for spatial intratumoral heterogeneity and inherent sampling bias, a molecular index will be derived for each participant using the molecular profile of tumour tissue at both baseline (MolBL) and one year (MolFU). We will extract a ΔMolBL:MolFU score for each participant. Molecular progression will be defined as a MolBL:MolFU score >95% CI of the combined ΔMolBL scores. Radiological progression is defined as a PRECISE score of 4 or 5. The study is powered to detect an association with a statistical power of 80%.

resultsRecruitment began in July 2020 (n = 62). To date, 37 participants have donated tissue for analysis.

conclusionWe have designed and implemented a prospective, longitudinal study to evaluate the underlying molecular landscape of intermediate risk, MR-visible prostate tumours. Recruitment is ongoing.

Indexed as

Disease ProgressionMagnetic Resonance ImagingProstatic NeoplasmsAgedBiomarkers, TumorHumansLongitudinal StudiesMaleMiddle AgedNeoplasm GradingObservational Studies as TopicProspective StudiesProstateProstate-Specific AntigenRisk AssessmentBiomarkers, TumorProstate-Specific Antigen

Identifiers

PMID39418289
PMCPMC11486392

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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.