High-Intensity Focused Ultrasound Focal Ablation in Treating Patients With Progressive Prostate Cancer

NCT ID: NCT00988130

Last Updated: 2013-08-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

26 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Brief Summary

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RATIONALE: High-intensity focused ultrasound focal ablation uses high-energy sound waves to kill tumor cells.

PURPOSE: This phase II trial is studying the side effects of high-intensity focused ultrasound focal ablation and to see how well it works in treating patients with progressive prostate cancer.

Detailed Description

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OBJECTIVES:

Primary

* To evaluate the side effects of high-intensity focused ultrasound (HIFU) ablation in men with non-metastatic progressive prostate cancer.
* To evaluate the quality of life of patients treated with this regimen.

Secondary

* To determine the success of index lesion ablation with HIFU at 6 months after treatment by demonstrating the absence of cancer in the treated or ablated area by transrectal ultrasound biopsy.
* To evaluate the prostate-specific antigen kinetics after index lesion ablation in patients treated with this regimen.
* To evaluate the proportion of men who require androgen blockade at 12 months of follow-up.

OUTLINE: Patients undergo focal ablation with high-intensity focused ultrasound (HIFU) ablation on day 1. Treatment may repeat at 6 months in patients with progressive disease.

Blood samples and prostate biopsies are collected periodically for further analysis.

Patients complete questionnaires (IPSS, IPSS-QoL, ICS, IIEF-5, and FACT-P) at baseline and periodically during study.

Conditions

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Prostate Cancer Sexual Dysfunction

Keywords

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sexual dysfunction stage I prostate cancer stage IIB prostate cancer stage IIA prostate cancer stage III prostate cancer

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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laboratory biomarker analysis

Intervention Type OTHER

questionnaire administration

Intervention Type OTHER

assessment of therapy complications

Intervention Type PROCEDURE

high-intensity focused ultrasound ablation

Intervention Type PROCEDURE

quality-of-life assessment

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Histologically confirmed prostate cancer by transrectal or transperineal template prostate biopsies

* Stage ≤ T3bN0M0
* Gleason grade ≤ 8
* Serum PSA ≤ 20 ng/mL
* Bone scan- or cross-sectional imaging-negative for metastatic or nodal (outside prostate) disease
* No metastatic disease and/or nodal spread by CT scan or MRI
* Index lesion or other secondary lesions with a volume ≥ 0.5 cc by MRI
* No prostatic calcification and cysts (on transrectal ultrasound) that would interfere with effective delivery of therapy

PATIENT CHARACTERISTICS:

* Able to tolerate a transrectal ultrasound
* Not allergic to latex
* Fit for major surgery as assessed by a consultant anaesthetist
* Able to have MRI scanning (i.e., none of the following conditions: severe claustrophobia, permanent cardiac pacemaker, metallic implant, etc.)

PRIOR CONCURRENT THERAPY:

* No prior radiotherapy
* No androgen suppression and/or hormone treatment within the past 12 months
* No prior significant rectal surgery preventing insertion of transrectal high-intensity focused ultrasound (HIFU) probe (decided on the type of surgery in individual cases)
* No prior transurethral resection of the prostate (or equivalent procedures) within the past 2 years
* No prior HIFU, cryosurgery, thermal, or microwave therapy to the prostate
Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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University College London Hospitals

OTHER

Sponsor Role lead

Principal Investigators

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Mark Emberton, MD, FRCS, MBBS

Role: PRINCIPAL_INVESTIGATOR

University College London Hospitals

Locations

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University College Hospital - London

London, England, United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Facility Contacts

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Mark Emberton, MD, FRCS, MBBS

Role: primary

References

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Ahmed HU, Dickinson L, Charman S, Weir S, McCartan N, Hindley RG, Freeman A, Kirkham AP, Sahu M, Scott R, Allen C, Van der Meulen J, Emberton M. Focal Ablation Targeted to the Index Lesion in Multifocal Localised Prostate Cancer: a Prospective Development Study. Eur Urol. 2015 Dec;68(6):927-36. doi: 10.1016/j.eururo.2015.01.030. Epub 2015 Feb 11.

Reference Type DERIVED
PMID: 25682339 (View on PubMed)

Other Identifiers

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UCL-09-H0714-7

Identifier Type: -

Identifier Source: secondary_id

EU-20977

Identifier Type: -

Identifier Source: secondary_id

CDR0000652331

Identifier Type: -

Identifier Source: org_study_id