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CTRI Number  CTRI/2024/09/074019 [Registered on: 18/09/2024] Trial Registered Prospectively
Last Modified On: 18/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A randomized trial to compare the safety of two modes (trasnrectal and transperineal) of prostate biopsy 
Scientific Title of Study   A comparison of Safety of Transrectal Prostate Biopsy to Transperineal Prostate Biopsy A Randomized Controlled Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Manoj yadav 
Designation  senior resident 
Affiliation  AIIMS Bhopal 
Address  Department of urology AIIMS Campus Rd AIIMS Campus Saket Nagar Habib Ganj Bhopal Madhya Pradesh 462026

Bhopal
MADHYA PRADESH
462026
India 
Phone  7376299254  
Fax    
Email  manojyad15@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr kumar Madhavan 
Designation  Associate professor 
Affiliation  AIIMS Bhopal 
Address  Department of urology AIIMS Campus Rd AIIMS Campus Saket Nagar Habib Ganj Bhopal Madhya Pradesh 462026

Bhopal
MADHYA PRADESH
462026
India 
Phone  9555616040  
Fax    
Email  kumarm.urology@aiimsbhopal.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr kumar Madhavan 
Designation  Associate professor 
Affiliation  AIIMS Bhopal 
Address  Department of urology AIIMS Campus Rd AIIMS Campus Saket Nagar Habib Ganj Bhopal Madhya Pradesh 462026

Bhopal
MADHYA PRADESH
462026
India 
Phone  9555616040  
Fax    
Email  kumarm.urology@aiimsbhopal.edu.in  
 
Source of Monetary or Material Support  
DEPT OF UROLOGY, AIIMS BHOPAL, SAKET NAGAR, BHOPAL- 462026, INDIA 
 
Primary Sponsor  
Name  AIIMS BHOPAL 
Address  Department of urology AIIMS Campus Rd AIIMS Campus Saket Nagar Habib Ganj Bhopal Madhya Pradesh 462026 
Type of Sponsor  Other [AIIMS BHOPAL] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Manoj Yadav  AIIMS Bhopal  Department of urology AIIMS Campus Rd AIIMS Campus Saket Nagar Habib Ganj Bhopal Madhya Pradesh 462026
Bhopal
MADHYA PRADESH 
7376299254

manojyad15@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The AlIMS, Bhopal IHEC-SR  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C61||Malignant neoplasm of prostate,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Transperineal prostate biopsy  Ultra sound guided Transperineal prostate biopsy. This is a procedure to take biopsy of the prostate. The procedure is accepted worldwide and is mentioned in standard guidelines. The procedure is done on daycare basis and takes around 20 minutes. 
Intervention  Transrectal prostate biopsy  Trans rectal ultra sound guided prostate biopsy. This is a procedure to take biopsy of the prostate. The procedure is accepted worldwide and is mentioned in standard guidelines. The procedure is done on daycare basis and takes around 20 minutes. 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  80.00 Year(s)
Gender  Male 
Details  1. Male patients aged 40 years and above.
2. Patients with a clinical indication for prostate biopsy (elevated PSA levels, abnormal digital rectal exam, or suspicious MRI findings).
3. Patients who provide written informed consent.
4. Patients who are capable of understanding and complying with study requirements and procedures.
 
 
ExclusionCriteria 
Details  1. Patients with a history of allergic reaction to iodine or antibiotics used in the study.
2. Patients with a history of rectal surgery.
3. Patients with active urinary tract infection or prostatitis at the time of biopsy.
4. Patients with immunocompromised status (e.g., HIV, ongoing chemotherapy).
5. Patients currently receiving anticoagulant therapy that cannot be safely interrupted for the biopsy procedure.
6. Patients unwilling or unable to comply with follow-up requirements
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Incidence of infectious complications within 30 days post-biopsy   Incidence of infectious complications within 30 days post-biopsy  
 
Secondary Outcome  
Outcome  TimePoints 
a) Pain scores: Assessed using Visual Analog Scale (0-10) immediately post-procedure
b) Patient-Reported Outcome Measures (PROMs):
c) Patient satisfaction: Custom questionnaire at 30 days post-procedure
d) cancer detection rate
e) rate of need to second biopsy
d) Other complications: 
At base line, immediate post op
at 15 and 30 day 
 
Target Sample Size   Total Sample Size="500"
Sample Size from India="500" 
Final Enrollment numbers achieved (Total)= "112"
Final Enrollment numbers achieved (India)="112" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   30/09/2024 
Date of Study Completion (India) 28/03/2026 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Purpose: To compare the safety of transrectal prostate biopsy versus transperineal prostate biopsy by evaluating the incidence of infectious complications, specifically sepsis, fever, and urinary tract infections (UTIs).
Hypothesis:There is no difference in the incidence of infectious complications or patient-reported outcomes between transrectal prostate biopsy and transperineal prostate biopsy.

 
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