Active Surveillance for Cancer of the Prostate (ASCaP)

The UCLA ASCAP Project is an Observational, Longitudinal, and Open-ended Study Aimed at Establishing a Structured Program of Non-interventional Follow-up for Localized Prostate Cancer.

About This Trial

  • This study is evaluating an approach called active surveillance, which closely monitors early-stage prostate cancer instead of immediately starting treatments like surgery or radiation.
  • It is designed for men with low-risk cancer that has not spread beyond the prostate and who have not received any prior prostate cancer treatments.
  • Under this approach, doctors carefully track the cancer and only begin treatment if tests show it is starting to grow.
  • Before joining, you should know that participating requires attending regular follow-up visits and agreeing to undergo repeated prostate tissue samples, or biopsies, to ensure the cancer remains safe to watch.

More Information

  • Active Surveillance (A.S.) of prostate cancer (CaP) is the systematic monitoring of men with low-risk, localized lesions, with curative treatment of those whose tumors show substantial progression.
  • A.S. is different from Watchful Waiting (W.W.), which is the palliative treatment of men with progressive prostate cancer.

Who Can Enroll

  • Age Range: 30 - 85 years
  • Gender: Male
  • Who This Trial is For: This study is evaluating an approach called active surveillance, which closely monitors early-stage prostate cancer instead of immediately starting treatments like surgery or radiation.

Study Details

  • Start Date: July 4, 2009
  • Lead Sponsor: Jonsson Comprehensive Cancer Center
Full Eligibility Criteria

Inclusion Criteria

  • Histologically confirmed adenocarcinoma of the prostate.
  • 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).
  • Patient has elected Active Surveillance as preferred management plan for prostate cancer.
  • Patient consent has been obtained according to local Institutional Review Board .
  • Patient is accessible and compliant for follow-up.

Exclusion Criteria

  • Unwillingness or inability to undergo serial prostate biopsy.
  • Overall life expectancy less than 2 years
  • Advanced prostate cancer

Treatments

  • Other: Active surveillance
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