Prostate Cancer IRE Study (PRIS) - A Randomized Controlled Trial Comparing Focal to Radical Treatment in Localized Prostate Cancer

Status: Recruiting
Location: See location...
Intervention Type: Procedure, Radiation
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The aim of this study is to evaluate the feasibility to treat localized prostate cancer diagnosed with MRI and targeted/systematic biopsies, with IRE in comparison with conventional radical treatments with the primary objective to locally control the tumour with a minimum of side effects.

Eligibility
Participation Requirements
Sex: Male
Minimum Age: 40
Healthy Volunteers: f
View:

• Age at inclusion ≥ 40 years

• MRI-visible lesion

⁃ EPE 3\* \<1.5 cubic cm3 lesion volume

• Gleason score 3 + 4 or 4 + 3 from a single MRI-visible lesion without any Gleason grade 4 in systematic biopsies outside of the target

• PSA level ≤ 20 ng/ml

• Clinical stage ≤ T2c disease

• Unifocal significant disease

• Life expectancy of ≥ 10 years

• Sufficient proficiency in the Swedish language to understand written and verbal information about the trial, its consent process and the study questionnaires

⁃ Extraprostatic extension; 5-grade Likert scale 1=

Locations
Other Locations
Sweden
Karolinska Institutet
RECRUITING
Stockholm
Contact Information
Primary
Anna Lantz, Ass Prof
anna.lantz@regionstockholm.se
+46851770000
Backup
Olof Akre, Prof
olof.akre@regionstockholm.se
Time Frame
Start Date: 2022-09-01
Estimated Completion Date: 2026-09-01
Participants
Target number of participants: 184
Treatments
Experimental: PRIS 1, arm 1
Men randomized to the experimental arms will be offered focal treatment of prostate cancer with IRE technology. IRE stands for irreversible electroporation and involves the use of high voltage electrical pulses to treat solid tumors by increasing membrane permeability and inducing membrane disruption, leading to cell death.
Active_comparator: PRIS 1, arm 2
Men eligible for radical prostatectomy and randomized to the control arm will undergo radical prostatectomy in line with national guidelines.
Experimental: PRIS 2, arm 1
Men randomized to the experimental arms will be offered focal treatment of prostate cancer with IRE technology. IRE stands for irreversible electroporation and involves the use of high voltage electrical pulses to treat solid tumors by increasing membrane permeability and inducing membrane disruption, leading to cell death.
Active_comparator: PRIS 2, arm 2
Men eligible for radiation therapy and randomized to the control arm will undergo radiation therapy in line with national guidelines.
Related Therapeutic Areas
Sponsors
Collaborators: Karolinska University Hospital
Leads: Karolinska Institutet

This content was sourced from clinicaltrials.gov