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临床试验/NCT00988130
NCT00988130Unknown2 期

HIFU Lesion Control in Patients With Non-metastatic Progressive Prostate Cancer

University College London Hospitals2 个研究点 分布在 1 个国家目标入组 26 人开始时间: 2009年7月1日最近更新:
适应症

试验速览

阶段
2 期
发起方
入组人数
26
试验地点
2
主要终点
Total proportion of men with erectile dysfunction and/or incontinence

研究概览

简要总结

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.

详细描述

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.

研究设计

研究类型
Interventional
主要目的
Treatment
盲法
None

入排标准

性别
Male
接受健康志愿者

入选标准

  • 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

排除标准

  • 未提供

结局指标

主要结局

Total proportion of men with erectile dysfunction and/or incontinence

Quality of life

次要结局

  • Prostate-specific antigen kinetics
  • Proportion of men requiring androgen blockade at 12 months
  • Success of index lesion ablation with HIFU at 6 months

研究者

发起方
University College London Hospitals
申办方类型
Other

研究点 (2)

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