Titre A Pilot Study Evaluating Safety and Efficacy of Transperineal Focal Irreversible Electroporation (IRE) of Anterior Prostate Cancer in Patients With an Intermediate Risk.
Protocole ID 2021-2815
ClinicalTrials.gov ID NCT05512663
Type(s) de cancer Prostate
Phase Autres
Type étude Clinique
Médicament Irreversible Electroporation (IRE)
Institution CIUSSS DU CENTRE-OUEST-DE-L'ILE-DE-MONTREAL
   HOPITAL GENERAL JUIF SIR MORTIMER B.DAVIS
      3755 rue de la Côte Ste. Catherine, Montréal, QC, H3T 1E2
Ville Montréal
Investigateur(trice) principal(e) Dr Maurice Anidjar
Coordonnateur(trice) Oleg Loutochin
 514-340-8222 poste 21627
Statut Actif en recrutement
Critètes d'éligibilité
  • Has at least a 10 year life expectancy
  • Have histologically confirmed organ-confined prostate cancer - clinical Stage T1-T2c N0M0
  • Have a PSA <=15ng/mL
  • Has Gleason <=7 (4+3 or 3+4)
  • Has maximum cancer core length >=4mm
  • No evidence of extraprostatic extension or seminal vesicle invasion by mpMRI
  • Able to visualize prostate gland adequately on transrectal ultrasound imaging during enrollment evaluation
  • Transperineal prostate biopsies (template mapping and/or limited targeted) correlating with clinically significant lesion in the area of the MR-visible lesion (within 2 Barzell zones)
  • A visible lesion on mpMRI, that is accessible to IRE treatment
  • 1Must sign a written informed consent
  • Understands and accepts the obligation and is logistically able to present for all scheduled follow-up visits
Critètes d'exclusion
  • Have known hypersensitivity to pancuronium bromide, atricurium or cisatricurium
  • Unfit for anthesthia or have a contraindication for agents listed for paralysis
  • Have an active urinary tract infection (UTI)
  • Have a history of bladder neck contracture
  • Are interested in future fertility
  • Have a history (within 3 years) of inflammatory bowel disease
  • Have a concurrent major debilitating illness
  • Had a malignancy, other than prostate or skin cancer (except malignant melanoma), within 5 years
  • Have any active implanted electronic device (eg, pacemaker)
  • Are unable to catheterize due to a urethral stricture disease
  • Have had prior or current prostate cancer therapies:
    • Biologic therapy for prostate cancer
    • Chemotherapy for prostate cancer
    • Hormonal therapy for prostate cancer within three months of procedure
    • Radiotherapy for prostate cancer
    • Surgery for prostate cancer
  • Have had prior transurethral prostatectomy (TURP), or urethral stent
  • Have had prior major rectal surgery (except hemorrhoids)
  • Unfit for pelvic MRI scanning (e.g. severe claustrophobia, permanent cardiac pacemaker, metallic implant etc… likely to contribute significant artefact to images)
  • Have a non-visible tumor on mpMRI