HDR Monotherapy for Prostate Cancer: A Feasibility Study of Focal Radiotherapy Yields
Condition: Prostate Cancer
Study Type: Interventional
Clinical Trials Identifier NCT 8-digits: NCT02918253
Sponsor: University Health Network, Toronto
Eligibility:
- Age: minimum 18 Years maximum N/A
- Gender: All
Inclusion Criteria:
- Age ≥ 18 years
- ECOG performance status 0
- 2
- Histological evidence of prostate adenocarcinoma
- Low- and favorable intermediate-risk prostate cancer
- Informed consent: All patients must sign a document of informed consent indicating their understanding of the investigational nature and risks of the study before any protocol related studies are performed
- No contraindications to MRI:
- Absent or unifocal intraprostatic disease (<2 separate/distinct lesions), on multiparametric MRI
- Prostate gland size <80cc
- Baseline IPSS <18
- No TRUP within the past 6 months, nor large TURP defect
- Absence of radiological evidence of regional or distant metastases (optional evaluation, at physician discretion)
- No previous pelvic and/or prostate EBRT and/or brachytherapy
- No contraindications to general anesthesia, or spinal/epidural anesthesia
- Absence of bleeding diathesis and/or anti-coagulative therapy that cannot be temporarily ceased during brachytherapy
- No contraindications to endorectal coil, surgically absent rectum, severe hemorrhoids or colorectal surgery
- Negative past medical history of Ulcerative Colitis, Crohn's Disease, Ataxia Telangiectasia, or SLE
- Absence of latex allergy
- No other medical conditions deemed by the PI to make patient ineligible for prostate HDR brachytherapy
View trial on ClinicalTrials.gov