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Prostate CancerNCT05512663

Safety and Efficacy Evaluation of Transperineal Irreversible Electroporation (IRE) of Anterior Prostate Cancer

A study testing Irreversible Electroporation (IRE) in people with Prostate Cancer, run by Jewish General Hospital.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Most prostate cancer treatment research in the last decade has been focused on trying to improve quality of life, while maintaining a high level of cancer control. However, the concept of Focal treatment is proposed as an intermediate option between active surveillance and treatment of the whole prostate. Read more about this study

Who is it for?
Ages 18 to 95 years, men only
Conditions the study is for
Prostate Cancer
What is being tested?
Irreversible Electroporation (IRE)
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
No sites listed yet
Study dates
Sep 2022to Sep 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 95 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 1. Has at least a 10 year life expectancy 2. Have histologically confirmed organ-confined prostate cancer - clinical Stage T1-T2c N0M0 3. Have a PSA <=15ng/mL 4. Has Gleason <=7 (4+3 or 3+4) 5. Has maximum cancer core length >=4mm 6. No evidence of extraprostatic extension or seminal vesicle invasion by mpMRI 7. Able to visualize prostate gland adequately on transrectal ultrasound imaging during enrollment evaluation 8. 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) 9. A visible lesion on mpMRI, that is accessible to IRE treatment 10. Must sign a written informed consent 11. Understands and accepts the obligation and is logistically able to present for all scheduled follow-up visits

Who cannot join

  • 1. Have known hypersensitivity to pancuronium bromide, atricurium or cisatricurium 2. Unfit for anthesthia or have a contraindication for agents listed for paralysis 3. Have an active urinary tract infection (UTI) 4. Have a history of bladder neck contracture 5. Are interested in future fertility 6. Have a history (within 3 years) of inflammatory bowel disease 7. Have a concurrent major debilitating illness 8. Had a malignancy, other than prostate or skin cancer (except malignant melanoma), within 5 years 9. Have any active implanted electronic device (eg, pacemaker) 10. Are unable to catheterize due to a urethral stricture disease 11. 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 12. Have had prior transurethral prostatectomy (TURP), or urethral stent 13. Have had prior major rectal surgery (except hemorrhoids) 14. Unfit for pelvic MRI scanning (e.g. severe claustrophobia, permanent cardiac pacemaker, metallic implant etc… likely to contribute significant artefact to images) 15. Have a non-visible tumor on mpMRI

About this study

Official title: A Pilot Study Evaluating Safety and Efficacy of Transperineal Focal Irreversible Electroporation (IRE) of Anterior Prostate Cancer in Patients With an Intermediate Risk.

Most prostate cancer treatment research in the last decade has been focused on trying to improve quality of life, while maintaining a high level of cancer control. However, the concept of Focal treatment is proposed as an intermediate option between active surveillance and treatment of the whole prostate. Focal ablation aims to efficiently treat the localized cancer while reducing complications related to standard treatments, including the risks of incontinence and impotence.

Focal Irreversible Electroporation (IRE) delivered by NanoKnife System is composed of the NanoKnife Generator and NanoKnife Single Electrode Probes. With IRE, an electrical current is delivered between a pair of probes in a series of pulses. These pulses create irreversible pores in cell membranes and lead to cell death which allow for only the tissue between these probes being destroyed.

The aim of this study is to analyze the safety and efficacy of transperineal IRE treatments in intermediate risk anteriorly localized prostate cancer patients.

Read the detailed description

There are different effective treatment options for intermediate risk prostate cancer to choose from. The standard of care are definite treatments such as robotic surgery or radiotherapy. Robotic surgeries involve the removal of the entire prostate. On the other hand, radiotherapy is a form of treatment that is done by either an external beam at high and low dose rate or by brachytherapy. The external beam at high or low dose rate targets the entire prostate. Brachytherapy, which involves a special radiation source that is placed inside the tumour, targets only specific parts of the prostate.

Both robotic surgeries and radiotherapy provide a greater certainty of cancer control than any other treatments option, however there is a significant risk of side effects that many follow these treatments. Among which, there is a 50% likelihood for impotence, 5-10% likelihood of incontinence and 5-20% likelihood of bowel dysfunction.

One way of reducing the unwanted side-effects from radical treatment of prostate cancer may be to direct treatment to only areas of the cancer. This is called focal therapy, which is the form of treatment that will be performed and observed in this study. There has been recent research done on focal therapies that have been shown to be more advantageous than having radical therapy or radiotherapy. Some of these advantages include: decrease of chance or elimination of possible side-effects post-treatment, it is a less invasive treatment option and the omission of overnight hospital stay post-treatment, among others.

This study is designed to look at an experimental treatment of localized prostate cancer by Focal Irreversible Electroporation (IRE) delivered by the NanoKnife System.

Conditions
Prostate Cancer
Being tested
Irreversible Electroporation (IRE)
Keywords
Intermediate Risk Prostate Cancer, Irreversible Electroporation (IRE)
Medical subject headings
Prostatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Irreversible Electroporation (IRE)Device

    The area of the prostate that was positive for cancer based on the transperineal prostate biopsy will be targeted for ablation via the NanoKnife System. An MRI/TRUS fusion device probe will be placed in the rectum and the prostate will be visualized in both sagittal and axial views. The ultrasound grid which was used during the mapping biopsy will be oriented using anatomical landmarks and used to identify the location of the positive biopsy cores. The NanoKnife Single Electrode Probes will be surgically inserted into the prostate through the perineum using MRI/TRUS fusion guidance and the ultrasound grid for guidance.

Study groups in NCT05512663
Study groupRoleWhat they receive
Irreversible Electroporation (IRE) treatmentExperimentalFocal Irreversible Electroporation (IRE) delivered by NanoKnife System is composed of the NanoKnife Generator and NanoKnife Single Electrode Probes.With the NanoKnife System, electrical current is delivered between pairs of probes in a series of pulses. The waveform of the current is adjustable as determined by clinician chosen parameters. Up to six probes may be placed in an array within the tissue. The probes of the array are matched as pairs by the system. When probes are activated via a foot pedal, the scheduled current is delivered to tissue between subsequent pairs of probes. Soft tissue between the probes is ablated.
Receives: Device: Irreversible Electroporation (IRE)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The occurrence of possible Adverse Events

    The complete description of any possible Adverse Events or Serious Adverse Events, including: Incidence, Type, Duration, Severity and Relationship to the study device.

    Measured: From the operation date until the end of the study (12 months)

  2. Analysis of Urinary function by UCLA-EPIC scores #1.1

    The University of California, Los Angeles - Expanded Prostate Cancer Index Composite score will be evaluated. UCLA-EPIC is a 26-question short form as a Standard Set of patient-centered outcome for men with both localized and advanced prostate cancer. The 5 domains of questions: Urinary Incontinence, Urinary Irritative/Obstructive, Bowel, Sexual, and Hormonal.

    Response options for each EPIC item form a Likert scale, and multi-item scale scores are transformed linearly to a 0-100 scale with higher scores representing better Health Related Quality of Life (HRQOL).

    Measured: At Screening (Pre-operative)

  3. Analysis of Urinary function by UCLA-EPIC scores #1.2

    The University of California, Los Angeles - Expanded Prostate Cancer Index Composite score will be evaluated. UCLA-EPIC is a 26-question short form as a Standard Set of patient-centered outcome for men with both localized and advanced prostate cancer. The 5 domains of questions: Urinary Incontinence, Urinary Irritative/Obstructive, Bowel, Sexual, and Hormonal.

    Response options for each EPIC item form a Likert scale, and multi-item scale scores are transformed linearly to a 0-100 scale with higher scores representing better Health Related Quality of Life (HRQOL).

    Measured: At 1-month post-operation

  4. Analysis of Urinary function by UCLA-EPIC scores #1.3

    The University of California, Los Angeles - Expanded Prostate Cancer Index Composite score will be evaluated. UCLA-EPIC is a 26-question short form as a Standard Set of patient-centered outcome for men with both localized and advanced prostate cancer. The 5 domains of questions: Urinary Incontinence, Urinary Irritative/Obstructive, Bowel, Sexual, and Hormonal.

    Response options for each EPIC item form a Likert scale, and multi-item scale scores are transformed linearly to a 0-100 scale with higher scores representing better Health Related Quality of Life (HRQOL).

    Measured: At 3-month post-operation

  5. Analysis of Urinary function by UCLA-EPIC scores #1.4

    The University of California, Los Angeles - Expanded Prostate Cancer Index Composite score will be evaluated. UCLA-EPIC is a 26-question short form as a Standard Set of patient-centered outcome for men with both localized and advanced prostate cancer. The 5 domains of questions: Urinary Incontinence, Urinary Irritative/Obstructive, Bowel, Sexual, and Hormonal.

    Response options for each EPIC item form a Likert scale, and multi-item scale scores are transformed linearly to a 0-100 scale with higher scores representing better Health Related Quality of Life (HRQOL).

    Measured: At 6-month post-operation

  6. Analysis of Urinary function by UCLA-EPIC scores #1.5

    The University of California, Los Angeles - Expanded Prostate Cancer Index Composite score will be evaluated. UCLA-EPIC is a 26-question short form as a Standard Set of patient-centered outcome for men with both localized and advanced prostate cancer. The 5 domains of questions: Urinary Incontinence, Urinary Irritative/Obstructive, Bowel, Sexual, and Hormonal.

    Response options for each EPIC item form a Likert scale, and multi-item scale scores are transformed linearly to a 0-100 scale with higher scores representing better Health Related Quality of Life (HRQOL).

    Measured: At 9-month post-operation

  7. Analysis of Urinary function by UCLA-EPIC scores #1.6

    The University of California, Los Angeles - Expanded Prostate Cancer Index Composite score will be evaluated. UCLA-EPIC is a 26-question short form as a Standard Set of patient-centered outcome for men with both localized and advanced prostate cancer. The 5 domains of questions: Urinary Incontinence, Urinary Irritative/Obstructive, Bowel, Sexual, and Hormonal.

    Response options for each EPIC item form a Likert scale, and multi-item scale scores are transformed linearly to a 0-100 scale with higher scores representing better Health Related Quality of Life (HRQOL).

    Measured: At 12-month post-operation

  8. Analysis of Urinary function by IPSS-QoL scores #2.1

    The International Prostate Symptom Score-Quality of Life (IPSS-QoL) score will be evaluated. The IPSS-QoL is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life. The answers are assigned points from 0 to 5. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic).

    The American Urological Association (AUA) Symptom Index which currently categorizes symptoms as follows:

    Mild (symptom score less than of equal to 7) Moderate (symptom score range 8-19) Severe (symptom score range 20-35)

    A low score will produce better outcomes.

    Measured: At Screening (Pre-operative)

  9. Analysis of Urinary function by IPSS-QoL scores #2.2

    The International Prostate Symptom Score-Quality of Life (IPSS-QoL) score will be evaluated. The IPSS-QoL is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life. The answers are assigned points from 0 to 5. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic).

    The American Urological Association (AUA) Symptom Index which currently categorizes symptoms as follows:

    Mild (symptom score less than of equal to 7) Moderate (symptom score range 8-19) Severe (symptom score range 20-35)

    A low score will produce better outcomes.

    Measured: At 1-month post-operation

  10. Analysis of Urinary function by IPSS-QoL scores #2.3

    The International Prostate Symptom Score-Quality of Life (IPSS-QoL) score will be evaluated. The IPSS-QoL is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life. The answers are assigned points from 0 to 5. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic).

    The American Urological Association (AUA) Symptom Index which currently categorizes symptoms as follows:

    Mild (symptom score less than of equal to 7) Moderate (symptom score range 8-19) Severe (symptom score range 20-35)

    A low score will produce better outcomes.

    Measured: At 3-month post-operation

  11. Analysis of Urinary function by IPSS-QoL scores #2.4

    The International Prostate Symptom Score-Quality of Life (IPSS-QoL) score will be evaluated. The IPSS-QoL is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life. The answers are assigned points from 0 to 5. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic).

    The American Urological Association (AUA) Symptom Index which currently categorizes symptoms as follows:

    Mild (symptom score less than of equal to 7) Moderate (symptom score range 8-19) Severe (symptom score range 20-35)

    A low score will produce better outcomes.

    Measured: At 6-month post-operation

  12. Analysis of Urinary function by IPSS-QoL scores #2.5

    The International Prostate Symptom Score-Quality of Life (IPSS-QoL) score will be evaluated. The IPSS-QoL is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life. The answers are assigned points from 0 to 5. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic).

    The American Urological Association (AUA) Symptom Index which currently categorizes symptoms as follows:

    Mild (symptom score less than of equal to 7) Moderate (symptom score range 8-19) Severe (symptom score range 20-35)

    A low score will produce better outcomes.

    Measured: At 9-month post-operation

  13. Analysis of Urinary function by IPSS-QoL scores #2.6

    The International Prostate Symptom Score-Quality of Life (IPSS-QoL) score will be evaluated. The IPSS-QoL is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life. The answers are assigned points from 0 to 5. The total score can therefore range from 0 to 35 (asymptomatic to very symptomatic).

    The American Urological Association (AUA) Symptom Index which currently categorizes symptoms as follows:

    Mild (symptom score less than of equal to 7) Moderate (symptom score range 8-19) Severe (symptom score range 20-35)

    A low score will produce better outcomes.

    Measured: At 12-month post-operation

  14. Analysis of Erectile function by IIEF-15 scores #1.1

    The International Index of Erectile Function (IIEF-15) score will be evaluated. A score of 0-5 is awarded to each of the 15 questions that examine the 4 main domains of male sexual function: erectile function, orgasmic function, sexual desire and intercourse satisfaction.

    A higher score will produce better outcomes.

    Measured: At Screening (Pre-operative)

  15. Analysis of Erectile function by IIEF-15 scores #1.2

    The International Index of Erectile Function (IIEF-15) score will be evaluated. A score of 0-5 is awarded to each of the 15 questions that examine the 4 main domains of male sexual function: erectile function, orgasmic function, sexual desire and intercourse satisfaction.

    A higher score will produce better outcomes.

    Measured: At 1-month post-operation

  16. Analysis of Erectile function by IIEF-15 scores #1.3

    The International Index of Erectile Function (IIEF-15) score will be evaluated. A score of 0-5 is awarded to each of the 15 questions that examine the 4 main domains of male sexual function: erectile function, orgasmic function, sexual desire and intercourse satisfaction.

    A higher score will produce better outcomes.

    Measured: At 3-month post-operation

  17. Analysis of Erectile function by IIEF-15 scores #1.4

    The International Index of Erectile Function (IIEF-15) score will be evaluated. A score of 0-5 is awarded to each of the 15 questions that examine the 4 main domains of male sexual function: erectile function, orgasmic function, sexual desire and intercourse satisfaction.

    A higher score will produce better outcomes.

    Measured: At 6-month post-operation

  18. Analysis of Erectile function by IIEF-15 scores #1.5

    The International Index of Erectile Function (IIEF-15) score will be evaluated. A score of 0-5 is awarded to each of the 15 questions that examine the 4 main domains of male sexual function: erectile function, orgasmic function, sexual desire and intercourse satisfaction.

    A higher score will produce better outcomes.

    Measured: At 9-month post-operation

  19. Analysis of Erectile function by IIEF-15 scores #1.6

    The International Index of Erectile Function (IIEF-15) score will be evaluated. A score of 0-5 is awarded to each of the 15 questions that examine the 4 main domains of male sexual function: erectile function, orgasmic function, sexual desire and intercourse satisfaction.

    A higher score will produce better outcomes.

    Measured: At 12-month post-operation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Aug 2022
  2. Study startSep 2022 (estimated)
  3. Primary completionSep 2024 (estimated)
  4. Study completionSep 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
10 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05512663
Sponsor's protocol ID
2021-2815
Status last verified
Aug 2022
First submitted
6 Apr 2021
Last updated
23 Aug 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Irreversible Electroporation (IRE) in people with Prostate Cancer, run by Jewish General Hospital.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 23 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The occurrence of possible Adverse Events (time frame: From the operation date until the end of the study (12 months)). The study lists 19 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Aug 2022.

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