RecruitingNot ApplicableNCT06178354

Focal Ablation With Focal Cryotherapy or HIFU for the Treatment of Men With Localized Prostate Cancer

A Pragmatic Phase 2 Study of Focal Ablation (Focal Cryotherapy or High Intensity Frequency Ultrasound) in Men With Clinically Localized Prostate Cancer


Sponsor

Marc Dall'Era, MD

Enrollment

100 participants

Start Date

Nov 9, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This clinical trial evaluates the effectiveness of focal ablation with either focal cryotherapy or high intensity frequency ultrasound for the treatment of men with localized prostate cancer. Focal cryotherapy kills tumor cells by freezing them. High intensity frequency ultrasound uses highly focused ultrasound waves to produce heat and destroy tumor cells.


Eligibility

Sex: MALEMin Age: 18 Years

Inclusion Criteria6

  • Ability to understand and willingness to sign an informed consent form
  • Clinically localized grade group 1, 2, or 3 prostate cancer and unilateral magnetic resonance imaging (MRI) visible lesion(s). Up to 3 lesions will be allowed for focal treatment
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1 (Karnofsky ≥ 70%)
  • Patients ≥ 18 years of age at time of consent
  • Life expectancy ≥ 5 years
  • Ability and stated willingness to adhere to the study visit schedule and other protocol procedures/requirements for the duration of the study

Exclusion Criteria8

  • Nodal or distant metastases
  • Prior treatment for prostate cancer
  • Anticipated treatment with any cancer intervention, including radiation, hormonal therapy or surgery ≤ 6 months prior to focal therapy in this study
  • Known contraindications to general anesthesia
  • Uncorrectable coagulopathy
  • Significant active cardiac disease within the previous 6 months including: New York Heart Association (NYHA) class 4 congestive heart failure (CHF), unstable angina, or myocardial infarction
  • Any condition that would prohibit the understanding or rendering of informed consent
  • Any condition that in the opinion of the investigator would interfere with the participant's safety or compliance while on trial

Interventions

PROCEDURECryosurgery

Undergo focal cryotherapy ablation

PROCEDUREHigh-Intensity Focused Ultrasound Ablation

Undergo high intensity frequency ultrasound ablation

OTHERSurvey Administration

Ancillary studies


Locations(1)

University of California Davis Comprehensive Cancer Center

Sacramento, California, United States

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NCT06178354


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