RECRUITING

TRANBERG® Transperineal MR/US Fusion Laser--Induced Thermal Therapy for Men With Prostate Cancer

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This study is set up as a phase I prospective, single center, device interventional pilot study carried in office setting under local anesthesia. It will assess the tolerance and safety of target fusion ablation of prostate cancer tumors using Laser Induced Thermal Therapy (TFA-LITT) guided by fusion imaging in men 50 to 80 years of age with low to intermediate risk prostate cancer Prostate Cancer is currently managed with in a discrete fashion where patients either enroll in active surveillance protocols (No intervention) or undergo full intervention via whole gland treatments - most commonly radical surgery or radiation. These treatments have not shown definitive gains in all cause survival and not uncommonly harbor undesirable adverse effects, most notably: impotency and incontinence. Such events elicit significant and noticeable changes on a male lifestyle and for most prostate cancer tumors are considered overtreatment. This study aims to evaluate the use of TFA-LITT in the office setting under local anesthesia - greatly decreasing patient perioperative surgical risk - focused on the organ sparing cancer lesion ablation, where organ function is preserved. The fundamental objective is to determine the tolerance and safety of TFA-LITT in men with low to intermediate risk prostate cancer, successful performed in the outpatient office-based setting under local anesthesia directed by fusion imaging. Secondary objectives include: 1-Biopsy proven cancer control of ablated areas 12 months after procedure; 2-Uroflowmetry and urinary function Patient Reported Outcome Measures (PROMs) at one, three, six, nine and 12 months; 3- Sexual function Patient Reported Outcome Measures (PROMs) at one, three, six, nine and 12 months; 4- MRI changes of ablated area one, three and 12 months after TFA-LITT; 5- Absence or presence of ejaculation after TFA-LITT.

Official Title

TRANBERG® Transperineal MR/US Focalyx Fusion Laser--Induced Thermal Therapy in the Office Setting Under Local Anesthesia

Quick Facts

Study Start:2022-03-16
Study Completion:2033-01-30
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT05698576

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:50 Years to 80 Years
Sexes Eligible for Study:MALE
Accepts Healthy Volunteers:Yes
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Willing and able to sign informed consent
  2. * Subject is able and willing to complete all procedure and follow-up visits indicated in the protocol
  3. * Absence of urinary retention
  4. * Prostate volume: ≥ 18 and ≤ 100 cc, measured by transrectal ultrasound
  5. * Serum creatinine levels \<2 ng/dl and GFR \> 45
  6. * Serum PSA levels \< 20 ng/ml
  7. * Multiparametric prostate MRI with piRADS scores 3-5
  8. * Prostate volume: ≥ 18 and ≤ 100 cc, measured by MRI
  9. * Presence of Intermediate risk prostate cancer with a volume that is less than 1/3 of the gland volume by MRI evaluation
  1. * Post-void residual (PVR): \> 250 mL or \> 50% of voided volume
  2. * Previous prostate cancer intervention (Radiation therapy, brachytherapy, prostate cryoablation
  3. * Major neurological conditions such as Alzheimer's, Parkinson, Multiple sclerosis, ALS, spinal cord injury
  4. * Evidence of neurogenic bladder determined by urodynamics studies
  5. * Presence of Indwelling Foley catheter or on active regime of clean intermittent catheterization (CIC) in the prior 30 days
  6. * Active urinary tract infection determined by urinary cultures
  7. * SHIM score \<14
  8. * IPSS score \>23
  9. * Acute prostatitis
  10. * Macroscopic hematuria without a known contributing factor
  11. * History of colorectal carcinoma with anterior perineal resection of rectum
  12. * History of pelvic radiation therapy or radical pelvic surgery
  13. * History of bladder neck contracture and/or urethral strictures within the 5 years prior to the informed consent date
  14. * Bladder stones
  15. * Medical contraindication for undergoing TPFLA surgery (eg, infection, coagulopathy, significant cardiac or other medical risk factors for surgery)
  16. * Diagnosed or suspected bleeding or coagulopathic disorder such as hemophilia, ITP, TTP
  17. * Medical contraindication to being subjected to local anesthesia

Contacts and Locations

Study Contact

Cielo D Guerra, BS
CONTACT
786-431-2014
cielo@besturology.net
Luanda Perez, PA.C
CONTACT
305-822-7227
luanda@besturology.net

Principal Investigator

Fernando J Bianco, MD
PRINCIPAL_INVESTIGATOR
Urological Research Network
Isabel H Lopez, BS., MBA
STUDY_DIRECTOR
Urological Research Network

Study Locations (Sites)

Urology Specialist Group
Hialeah, Florida, 33016
United States

Collaborators and Investigators

Sponsor: Urological Research Network, LLC

  • Fernando J Bianco, MD, PRINCIPAL_INVESTIGATOR, Urological Research Network
  • Isabel H Lopez, BS., MBA, STUDY_DIRECTOR, Urological Research Network

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2022-03-16
Study Completion Date2033-01-30

Study Record Updates

Study Start Date2022-03-16
Study Completion Date2033-01-30

Terms related to this study

Additional Relevant MeSH Terms

  • Prostate Cancer
  • Adverse Effects Surgery
  • MRI
  • Ultrasound
  • Sexual Function Disturbances
  • Urinary Incontinence
  • Urinary Function Disorders
  • Prostate Biopsy
  • Ablation