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RecruitingNCT05129605ClinicalTrials.gov record

Prostate Cancer Genetic Risk Evaluation and Screening Study

Prostatic Neoplasm · Prostate Cancer · BRCA2 Mutation · BRCA1 Mutation · ATM Gene Mutation · MMR Mutation · Lynch Syndrome · Genetic Predisposition to Disease

THE QUICK READ

What this study involves

The registry says this study is recruiting. Individual locations may have different availability.

Study type
Observational
Phase
Not applicable / not listed
Age range
35 years - Not specified
Sex eligible
Male
Healthy volunteers
Not accepted
Participants
400 Estimated

These are starting points, not an eligibility decision. The research team must review the full requirements.

About the research

This study aims to define the natural history of men at high genetic risk for prostate cancer on the basis of specific germline genetic mutations, family history, or Black/African ancestry and evaluate the utility of prostate MRI as a screening tool. The hypothesis is that this targeted population of men are at elevated risk of developing prostate cancer compared to the general population, and enhanced screening with MRI will enable early detection and diagnosis of potentially aggressive prostate cancer, characterization of the penetrance of specific mutations, and potentially identify new genetic risk mutations.

Read the full description

Prostate cancer is the most common malignancy and the second leading cause of cancer-related deaths in American men. Prostate cancer has substantial inherited predisposition and men harboring specific genetic variants or a positive family history have been associated with an increased risk of developing prostate cancer. Men with specific genetic variants, such as pathogenic BRCA2 mutations, are at particularly greater risk of developing aggressive forms of prostate cancer and thus warrant undergoing careful screening for prostate cancer. However, the penetrance of many mutations in prostate cancer risk genes is unknown, and some men have no identifiable mutations in known risk genes despite a strong family history of prostate cancer. Prospectively collected clinical data along with biospecimens from unaffected individuals at high genetic risk for developing prostate cancer will advance the understanding of how specific mutations contribute to the development of prostate cancer and how these prostate cancers might be best detected. The purpose of this study is to prospectively screen men at high risk genetic risk for prostate cancer by prostate exam, PSA, and prostate MRI to characterize the penetrance and cancer-related outcomes of specific mutations, identify potentially novel genetic risk mutations and/or markers for early detection.

Who may be able to participate?

The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.

Inclusion Criteria:

  • Individuals with a prostate aged 35 years or older
  • No known diagnosis of prostate cancer
  • Life expectancy \>10 years
  • Meet cohort A, B, or C criteria
  • Cohort A: Documented pathogenic or likely pathogenic germline genetic mutation in a prostate cancer risk gene from a CLIA-certified laboratory (ATM, ATR, BRCA1, BRCA2, BRIP1, CHEK2, EPCAM, FANCA, GEN1, HOXB13, MLH1, MSH2, MSH6, NBN, PALB2, PMS2, RAD51C, RAD51D, TP53)
  • Cohort B: A strong family history suggestive of high genetic risk for prostate cancer with negative clinical genetic testing
  • Cohort C: Individuals who self-identify as Black American or Black Caribbean with both parents and all four grandparents of Black/African ancestry

Exclusion Criteria:

  • Prior diagnosis or treatment of prostate cancer
  • Inability to undergo prostate MRI
  • Inability to receive MRI contrast agent

Study population

Individuals aged 35 years or older at high genetic risk for prostate cancer on the basis of a specific germline genetic mutation or a strong family history.

Understand screening

Treatment, groups and participation

The registry may describe treatments and study duration without a complete visit calendar. Ask the study team for the exact schedule, procedures, risks, costs and alternatives. Keep your usual care plan unless your treating clinician tells you otherwise.

Assignment
Not reported
Masking
Not reported
Cohort A

Documented germline known pathogenic or likely pathogenic mutation in a prostate cancer related risk gene

Diagnostic Test: Prostate cancer screening

Cohort B

Family history suggestive of high genetic risk for prostate cancer with clinical genetic testing negative for known pathogenic or likely pathogenic mutations in prostate cancer-related risk genes

Diagnostic Test: Prostate cancer screening

Cohort C

Individuals who self-identify as Black American or Black Caribbean with both parents and all four grandparents of Black/African ancestry

Diagnostic Test: Prostate cancer screening

Prostate cancer screening DIAGNOSTIC_TEST

Physical exam (digital rectal exam), prostate-specific antigen (PSA) and PSA derivatives, and multiparametric MRI of the prostate

Prepare your questions

What researchers are measuring

Outcome measures describe what is being studied. They are not proof that a treatment works.

Primary measures

Diagnosis of prostate cancer

Time frame: Up to 10 years

Diagnosis of overall and clinically significant (grade group 2 or higher) prostate cancer

Secondary measures

Positive predictive value of multiparametric MRI for detection of prostate cancer

Time frame: Up to 10 years

Positive predictive value of multiparametric prostate MRI for detecting clinically significant prostate cancer in men at high genetic risk for prostate cancer with a positive MRI (PI-RADS score of 3 or higher)

No results are flagged as posted.

Review the complete result tables and limitations in the official record.

Open official results ↗

Research locations (1)

The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.

1 locations

Massachusetts General HospitalBoston, Massachusetts, United StatesRecruiting

Study team and timeline

Lead sponsor
Massachusetts General Hospital
Study start
Feb 12, 2020 Actual
Primary completion
2030-12 Estimated
Study completion
2040-12 Estimated
First posted
Nov 22, 2021 Actual
Last updated
Nov 10, 2026 Actual

Official study contacts

Official study title

Prostate Cancer Genetic Risk Evaluation and Screening Study (PROGRESS)

A HUMAN NEXT STEP

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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.

Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026