Intervention Trial Evaluating Focal Therapy Using High Intensity Focused Ultrasound for the Treatment of Prostate Cancer

NCT ID: NCT02265159

Last Updated: 2016-10-27

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/PHASE3

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-05-31

Study Completion Date

2020-05-31

Brief Summary

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The investigators aim to evaluate cancer control, genitourinary, rectal and overall health-related quality of life outcomes and effectiveness of focal therapy for localised prostate cancer using High Intensity Focused Ultrasound (HIFU).

Detailed Description

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Conditions

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Prostate Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Focal Therapy Using High Intensity Focused Ultrasound

Group Type OTHER

Focal Therapy Using High Intensity Focused Ultrasound

Intervention Type PROCEDURE

Interventions

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Focal Therapy Using High Intensity Focused Ultrasound

Intervention Type PROCEDURE

Other Intervention Names

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Focal HIFU

Eligibility Criteria

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Inclusion Criteria

* Histologically proven prostate cancer on trans-rectal or transperineal template prostate biopsies
* Template biopsy:

* unilateral disease (Gleason ≤4+3)
* bilateral disease: presence of clinically significant cancer in both sides (Gleason ≤4+3) OR clinically insignificant disease with a burden of \>50% of biopsy cores taken on that side, OR bilateral clinically insignificant disease and \<50% of biopsy cores positive on any one side but with dominant disease burden on one side
* Stage T1-T2cN0M0 disease, as determined by local guidelines (radiological T3a permitted)
* Serum PSA ≤15
* Life expectancy of ≥10 years
* Signed informed consent by patient
* An understanding of the German language sufficient to understand written and verbal information about the trial and consent process

Exclusion Criteria

* Men who have had androgen suppression/hormone treatment within the previous 12 months for their prostate cancer
* Men with evidence of metastatic disease or nodal disease outside the prostate on bone scan or cross-sectional imaging
* Men with an inability to tolerate a transrectal ultrasound
* Men with latex allergies as the HIFU probe is covered with a latex condom sheath prior to insertion into the back passage
* Men who have undergone prior significant rectal surgery preventing insertion of trans-rectal HIFU probe (decided on the type of surgery in individual cases)
* Men who have had previous HIFU, cryosurgery, thermal or microwave therapy to the prostate.
* Men who have undergone a Transurethral Resection of the Prostate (TURP) for symptomatic lower urinary tract symptoms within 6 months. These patients may be included within the trial if deferred from consenting and screening until at least 6 months following the TURP.
* Men not fit for major surgery as assessed by a Consultant Anaesthetist
* Men unable to have pelvic MRI scanning (severe claustrophobia, permanent cardiac pacemaker, metallic implant etc likely to contribute significant artefact to images)
* Presence of metal implants/stents in the urethra
* Presence of prostatic calcification and cysts (on transrectal ultrasound) whose location will interfere with effective delivery of HIFU therapy
* Men with renal impairment with a glomerular filtration rate of \<35ml/min (unable to tolerate Gadolinium dynamic contrast enhanced MRI).
Minimum Eligible Age

40 Years

Maximum Eligible Age

99 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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University College, London

OTHER

Sponsor Role collaborator

University of Zurich

OTHER

Sponsor Role lead

Responsible Party

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Daniel Eberli

PD Dr. med. PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Daniel Eberli, PD Dr. PhD

Role: PRINCIPAL_INVESTIGATOR

Klinik für Urologie, Universitätsspital Zürich

Locations

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Klinik für Urologie, Universitätsspital Zürich

Zurich, Canton of Zurich, Switzerland

Site Status RECRUITING

Countries

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Switzerland

Central Contacts

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Daniel Eberli, PD Dr. PhD

Role: CONTACT

Phone: +41 44 255 95 49

Email: [email protected]

Ashkan Mortezavi, Dr.

Role: CONTACT

Phone: +41 44 255 11 11

Email: [email protected]

Facility Contacts

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Daniel Eberli, PD Dr. PhD

Role: primary

Ashkan Mortezavi, Dr.

Role: backup

Other Identifiers

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KEK-ZH-Nr. 2013-0415

Identifier Type: -

Identifier Source: org_study_id