Focal Prostate Radiofrequency Ablation
ProRAFT
A Prospective Development Study Evaluating Focal Therapy Using Encage Coiled Bipolar Radiofrequency Ablation in Men With Localised Prostate Cancer
1 other identifier
interventional
20
1 country
1
Brief Summary
To assess the early histological outcomes of tissue ablation, adverse events and genitourinary side-effect profile of focal radiofrequency ablation using a coiled bipolar device to treat localized prostate cancer in men with clinically significant prostate cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable prostate-cancer
Started Mar 2015
Typical duration for not_applicable prostate-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 15, 2014
CompletedFirst Posted
Study publicly available on registry
November 19, 2014
CompletedStudy Start
First participant enrolled
March 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
May 30, 2018
CompletedApril 24, 2018
April 1, 2018
3.1 years
November 15, 2014
April 23, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Cancer control outcome
To determine the ablative efficacy of focal therapy to treat localized low to intermediate risk prostate cancer using coiled bipolar radiofrequency ablation (Encage)
6 months
Study Arms (1)
ProRAFT
EXPERIMENTALProcedure/Surgery: Coiled Bipolar Radiofrequency Ablation
Interventions
Radiofrequency ablation by use of bipolar electrodes
Eligibility Criteria
You may qualify if:
- Histologically proven prostate cancer
- A visible lesion on multiparametric Magnetic Resonance Imaging (mpMRI), that is accessible to a treatment based on radiofrequency bipolar electrodes
- Transperineal prostate biopsies (template mapping and/or targeted) correlating with clinically significant lesion in the area of the Magnetic Resonance (MR)-visible lesion
- Absence of clinically significant histological disease outside of the planned treatment zone
- Radiological stage T1-T3aN0M0 disease, as determined by local guidelines
- Serum prostate-specific antigen (serum PSA) \</=15ng/ml within 3 months of screening visit
- Life expectancy of more than 10 years
- Signed informed consent by patient
- An understanding of the English language sufficient to understand written and verbal information about the trial and consent process
You may not qualify if:
- Men who have had previous radiation therapy to the pelvis
- Men who have had androgen suppression/hormone treatment within the previous 12 months for their prostate cancer
- Men with evidence of metastatic disease or nodal disease outside the prostate on bone scan or cross-sectional imaging
- Men with a tumour not visible on mpMRI
- Men with an inability to tolerate a transrectal ultrasound (TRUS)
- Men allergic to latex
- Men who have undergone prior significant rectal surgery preventing insertion of the transrectal ultrasound probe (decided on the type of surgery in individual cases)
- Men who have had previous electroporation, radiofrequency ablation, High Intensity Focused Ultrasound (HIFU), cryosurgery, thermal or microwave therapy to the prostate
- Men who have undergone a Transurethral Resection of the Prostate (TURP) for symptomatic lower urinary tract symptoms within the prior 6 months. These patients may be included within the trial if deferred from consent and screening until at least 6 months following the TURP
- Men not fit for major surgery as assessed by a Consultant Anaesthetist
- Men unable to have pelvic MRI scanning (severe claustrophobia, permanent cardiac pacemaker, metallic implant etc likely to contribute significant artefact to images)
- Presence of metal implants/stents in the urethra
- Men with renal impairment with a Glomerular Filtration Rate (GFR) of \<35ml/min (unable to tolerate Gadolinium dynamic contrast enhanced MRI)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University College London Hospitals
London, NW1 2PS, United Kingdom
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Ahmed U HASHIM, FRCS, PhD
UCLH NHS Foundation Trust
- PRINCIPAL INVESTIGATOR
Mark EMBERTON, FRCS, MD
Division of Surgery & Interventional Science, UCL
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 15, 2014
First Posted
November 19, 2014
Study Start
March 1, 2015
Primary Completion
April 1, 2018
Study Completion
May 30, 2018
Last Updated
April 24, 2018
Record last verified: 2018-04