About this trial
Registration of Prostate Cancer patients undergoing Prostate Cryotherapy guided by Mutiparametric-MRI (MP-MRI) highlighting biopsy confirmed regions. The primary outcome measure is 5 year oncological control. Secondary aim is lack of progression beyond the prostate gland. The aim of intervention is to eradicate prostate cancer disease in the treated area while imposing no or minimal deleterious effects in quality of life.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Men between 55 and 65 years of age with a clinical diagnosis of prostate cancer with Low or Intermediate risk prostate cancer, and <50% positive core rate by prostate lobe
Men older than 65 years of age with clinical diagnosis of prostate cancer <50% positive core rate by prostate lobe
Absence of extra-capsular extension
Absence of seminal vesicle invasion
Disqualifiers
Prior treatment of prostate cancer in the form of surgery.
Performance status greater than 0 based on ECOG criteria
Mental status impairment
Trial population
As written in Initial Section
Trial design
Cohort
Prospective
Treatments tested in this trial
FUSE IMAGE MRI GUIDED PROSTATE CRYOTHERAPY
Procedure/SurgeryBiopsy proven Prostate Cancer is delimited and defined by MP-MRI. The MRI study is fused with transrectal ultrasound in realtime. The cryogenic "cryoprobes/devices" are employed to freeze and all "circuled or noted" cancer lesions. Two freeze 8 min/ thaw 10 min clycles are performed. Thermocouples are used to monitor treatment areas and safety margins
Treatment groups
Trial outcomes
Primary outcomes
Oncological Control
Lack of prostate cancer presence in treated area after MRI/US FUSION Biopsy
Secondary outcomes
Oncological Control
Lack of prostate cancer presence in the gland after MRI/US FUSION Biopsy
Oncological Control
Lack of prostate cancer presence in gland measured by MP-MRI
Urinary Functional Outcomes
Evaluation of urinary function outcomes when compared to baseline using expanded prostate composite index and AUA symptoms scores. Urinary function also by objective measurements - uroflow and post void residuals
Perioperative Outcomes
Procedure tolerance, need for hospital admission or ER consultation, incidence of urinary tract infection, urinary retention, any significant side effect that may occur and perioperative survivel
Other outcomes
Secondary Treatment Requirement
Type of treatments required after initial intervention over time
Sponsors and contacts
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