Effectiveness of Focal Therapy in Men With Prostate Cancer


Condition: Prostate Cancer, Prostate Neoplasm

Study Type: Interventional

Clinical Trials Identifier NCT 8-digits: NCT06223295

Sponsor: Radboud University Medical Center

Eligibility:

  • Age: minimum 45 Years maximum N/A
  • Gender: Male

Inclusion Criteria:

  • Gleason score of 7 (3 + 4 or 4 + 3; ISUP grade 2/3)
  • PSA level of ≤ 20 ng/ml
  • Clinical stage ≤ T2b disease
  • Life expectancy of ≥ 10 years
  • Men with a prostate size ≤ 5 cm in sagittal length and ≤ 6 cm in axial length
  • Fit, eligible, and normally destined for radical surgery or radiotherapy
  • No concomitant cancer
  • No previous treatment of their prostate
  • An understanding of the Dutch language sufficient to receive written and verbal information about the trial, its consent process and the study questionnaires

Exclusion Criteria:

  • Unfit for general anesthesia or radical surgery
  • Low volume low-risk disease (≤4mm Gleason score of ≤ 6 / ISUP grade 1)
  • High-risk disease (Gleason score of ≥ 8 / ISUP grade >3)
  • Clinical T3 disease (extracapsular PCa)
  • Men who have received previous active therapy for PCa.
  • Men with evidence of extraprostatic disease.
  • Men with an inability to tolerate a transrectal ultrasound.
  • Cardiac pacemaker
  • Metal implants/stents in the urethra or prostate.
  • ASA ≥4
  • Prostatic calcification/cysts that interfere with effective delivery of TULSA/HIFU based on MRCT.
  • Men with renal impairment and a glomerular filtration rate (GFR) of < 30 ml/minute/1.73 m2.
  • Unable to give consent to participate in the trial, as judged by the attending clinicians

View trial on ClinicalTrials.gov