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Prospective phase II study of focal therapy (Hemiablation) of the prostate by high intensity focused ultrasound (HIFU) in patients with suitability for Active Surveillance (HEMI)

Not Applicable
Recruiting
Conditions
prostate cancer
C61
Malignant neoplasm of prostate
Registration Number
DRKS00005180
Lead Sponsor
niversitätsklinikum Regensburg
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Male
Target Recruitment
200
Inclusion Criteria

• Patients aged > 18 years
• Bioptic secured prostate cancer
• Clinical stage T1c - T2a
• PSA <= 10 ng/ml
• Gleason Score <= 7a (3+4)
• One-sided tumor attack
• Proportion of infected tumor stamp in the total number of stamp of collected stamp <30% and the largest continuous tumor stove <5 mm
• Height of the peripheral zone of the prostate to be treated in TRUS:
o = 30 mm when treated with Ablatherm Integrated Imaging
o = 40 mm when treatment with Focal One
• No evidence of significant carcinoma of the opposite side in multiparametric MRI (defined as PI-RADS score 4 and 5)
• Thickness of the rectal wall <6 mm in TRUS
• Willingness of the participant to attend all follow-up visits (for 12 months)

Exclusion Criteria

- Previous therapie of prostate cancer as radiation, hormonotherapy (including bilateral orchiectomy and plastic orchiectomy)
- Previous surgery of prostate and urethra within the last 6 month (TUR-prostate, urethrotomy, bladder neck incision)
- Taking of 5-alpha-reductase inhibitors (finasteride or dutasteride) within the last 6 month
- Stenosis of the rectum
- Acute urinary tract infection
- Acute bleeding coagulopathy
- Allergy of latex
- Participation of another clinical or pharmacological trial during the last 30 days

Study & Design

Study Type
interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
o initiation of definitive therapy (radical prostatectomy, radiation, complete HIFU, cryotherapy, hormone therapy) after one year
Secondary Outcome Measures
NameTimeMethod
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