Description:
The primary purpose of this study is to evaluate the feasibility and safety of MRI-guided focal laser ablation (Laser-Induced Interstitial Thermal Therapy, LITT) to treat low-risk native prostate cancer.
The primary purpose of this study is to evaluate the feasibility and safety of MRI-guided focal laser ablation (Laser-Induced Interstitial Thermal Therapy, LITT) to treat low-risk native prostate cancer.
Recruiting
N/A
The study is being done to evaluate the safety and effectiveness of Magnetic Resonance
Imaging (MRI)-guided focal laser therapy with the Visualase Thermal Therapy System to treat
low-risk prostate cancer tumors. Unlike surgery or radiotherapy which affects a large portion
of the prostate or the entire organ, localized or focal therapy is intended to treat a small
portion of tissue in which the cancer has been found by biopsy.
| Name | Type | Description | Interventions |
|---|---|---|---|
| Single arm study | Experimental | MR guided focal laser ablation of prostate cancer using the Visualase Thermal Therapy System. |
Inclusion Criteria
- Male, 45 years of age or older.
- Diagnosis of prostate adenocarcinoma.
- Clinical stage T1c or T2a.
- Gleason score of 7 (3+4 or 4+3) or Intermediate risk Gleason 6
- PSA less than or equal to 20 ng/mL
- Three or fewer biopsy locations with prostate cancer which correlate with MRI
findings.
- No lesion > or = 2cm
- One, two, or three tumor suspicious regions identified on multiparametric MRI
- No definite radiographic indication of extra-capsular extension.
- Estimated survival of 5 years or greater, as determined by treating physician.
- Tolerance for anesthesia/sedation.
- Ability to give informed consent.
Exclusion Criteria
- Presence of any condition (e.g., metal implant, shrapnel) not compatible with MRI.
- History of other primary non-skin malignancy within previous three years.
| Maximum Eligible Age: | N/A |
| Minimum Eligible Age: | 45 Years |
| Eligible Gender: | Male |
| Healthy Volunteers: | No |
| Measure: | Success rate |
| Time Frame: | 3 years |
| Safety Issue: | |
| Description: | To evaluate the procedural success rate of using the MR-guided laser ablation to target, access, thermally monitor, and focally ablate MR-visible prostate cancer lesions. |
| Measure: | Short- and mid-term ablative success |
| Time Frame: | 3 years |
| Safety Issue: | |
| Description: | To obtain preliminary data on ablative success using longitudinal MR imaging assessment of treated areas. |
| Phase: | N/A |
| Primary Purpose: | Interventional |
| Overall Status: | Recruiting |
| Lead Sponsor: | Mayo Clinic |
April 27, 2021