About this trial
The WATER IV study is a multicenter, prospective, randomized clinical trial that aims to evaluate the safety and efficacy of Aquablation therapy in men with localized prostate cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Biological male with age ≥ 45 years at the time of consent
Biopsy positive Grade Group 2 prostate cancer or biopsy positive Grade Group 1 MRI visible lesion (PI-RADS/Likert ≥ 3)
First prostate cancer diagnoses within 18 months (545 days) of consent
Are candidates for active surveillance
Disqualifiers
Any prior or current local or systemic treatment for prostate cancer, including but not limited to surgery, radiation therapy (external or brachytherapy), tissue ablation, hormone therapy or chemotherapy.
Patients with previous surgical or minimally invasive treatment of benign prostatic hyperplasia within the prior 3 months of study treatment.
Evidence of lymph node, bone metastasis, extracapsular extension or seminal vesicle invasion.
Patient is unwilling to accept a blood transfusion if required.
Trial design
Parallel
Treatments tested in this trial
Aquablation Therapy
DeviceThe AquaBeam Robotic System and the HYDROS Robotic System utilize high-velocity sterile saline waterjet to resect prostate tissue, guided by real-time visualization through cystoscopy and transrectal ultrasound imaging. This minimally invasive surgical procedure is called the Aquablation therapy.
Active Surveillance
Other interventionActive surveillance is a management strategy for men with low- and favorable intermediate-risk localized prostate cancer that involves close monitoring with curative intent, reserving treatment for evidence of disease progression. Monitoring typically includes serial PSA testing, periodic prostate MRI, and repeat biopsies at scheduled intervals, with intervention triggered by evidence of disease progression.
Treatment groups
Trial outcomes
Primary outcomes
Freedom from GG ≥ 2
Secondary outcomes
Freedom from persistent or increased MRI suspicion AND additional prostate cancer treatment
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: