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