Active surveillance: The active surveillance protocol involves a TRUS prostate biopsy at eligibility, at 12 months and then every two years. MRI with or without biopsy at eligibility and then every two years. Clinical evaluation with digital rectal examination and PSA every 6 months. Every year a quality of life and anxiety evaluation are planned. A new prostate biopsy is indicated if biochemical progression by PSA or changes in multiparametric MRI. Triggers for definitive intervention are biopsy pathological reclassification with Gleason score greater than 6, clinical progression or patient's request.
In this study, the investigators aim to form a Brazilian national prospective active surveillance cohort of patients with low-risk prostate cancer in the public health system. The investigators aim to demonstrate data on the pathological reclassification rate, treatment-free survival, among others. This cohort aim to evaluate and validate the active surveillance strategy in Brazil.
| Facility | City | Region | Status |
|---|---|---|---|
| Oncocentro Ceará | Fortaleza | Ceará | |
| Hospital Universitário Cassiano Antônio Moraes | Vitória | Espírito Santo | |
| Hospital Obras de Caridade Irma Dulce | Salvador | Estado de Bahia | |
| Hospital Santa Izabel | Salvador | Estado de Bahia | |
| Hospital Universitario de Brasilia | Brasília | Federal District | |
| Hospital Mario Penna | Belo Horizonte | Minas Gerais | |
| Hospital Erasto Gaertner | Curitiba | Paraná | |
| Hospital Universitario Joao de Barros Barreto | Belém | Pará | |
| Hospital Escola - UFPEL | Pelotas | Rio Grande do Sul | |
| Hospital Moinhos de Vento | Porto Alegre | Rio Grande do Sul | |
| Hospital de Clinicas de Porto Alegre | Porto Alegre | Rio Grande do Sul | |
| Hospital Nossa Senhora da Conceição | Porto Alegre | Rio Grande do Sul | |
| Hospital Universidade Dr. Miguel Riet Corrêa Jr. | Rio Grande | Rio Grande do Sul | |
| Hospital de Amor | Barretos | São Paulo | |
| IAMSPE | São Paulo | São Paulo |
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT05343936 on ClinicalTrials.gov ↗ ← All trials in Brazil