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CompletedNCT02917161Updated Aug 9, 2017

Prostatic Artery Embolization Before Radical Prostatectomy in Prostate Cancer: A Proof-of-concept Study

An interventional study of Prostatic Artery Embolization (PAE) in Prostate Cancer, sponsored by Dominik Abt. Completed at 2 sites in Switzerland. Open to male participants aged 45 Years to 75 Years. Per ClinicalTrials.gov, last updated 2017-08-09.

Sponsored by Dominik Abt · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
45 Years to 75 Years
Sex
Male
01

Study summary

MRI findings after successful PAE in patients suffering from BPH suggest a complete necrosis of the prostate after this intervention. Thus, PAE might also play a role in the treatment of prostate cancer.

This proof of concept study assess the impact of PAE in patients with proven prostate cancer.

Read the detailed description

MRI findings after successful PAE in patients suffering from BPH suggest a complete necrosis of the prostate after this intervention. Thus, PAE might also play a role in the treatment of prostate cancer.

This proof of concept study assess the impact of PAE in patients with proven prostate cancer.

PAE is performed in patients that are planned to undergo robot-assisted laparoscopic prostatectomy for proven localized prostate cancer.

The impact of neo-adjuvantly performed PAE on histological tumor regression, surgical margins as well as on safety parameters are assessed.

02

Conditions studied

  • Prostate Cancer

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Keywords

  • Prostate
  • Prostatic Neoplams
  • Therapeutic Embolization
  • Prostatectomy
03

Who can participate

Ages eligible
45 Years to 75 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Men 45 - 75 years old undergoing RALP
  • Patient has biopsy-proven prostate adenocarcinoma
  • Localized disease (tumorstage cT1-cT2), assessed by clinical and MRI findings
  • Written informed consent

Exclusion criteria

Exclusion Criteria:

  • Severe atherosclerosis
  • Severe tortuosity or ectasia in the aortic bifurcation or internal iliac arteries
  • Tumor stage > cT2 assessed by clinical and MRI findings
  • Allergy to intravenous contrast media
  • Contraindication for MRI imaging
  • Renal failure (GFR\<60ml/min)
  • History of pelvic irradiation or radical pelvic surgery
04

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    Prostatic Artery Embolization (PAE)

    PAE is performed 6weeks before RALP

    Device: Prostatic Artery Embolization (PAE)

Interventions

  • DeviceProstatic Artery Embolization (PAE)

    PAE is performed 6 weeks before radical prostatectomy

05

What researchers measure

Primary outcomes

  1. Tumor response

    Histological assessment of the excised prostate to determine whether pathological complete response was achieved, defined as complete absence of histologically identifiable cancer cells in the excised prostate.

    Time frame: 6 weeks after PAE (at the time of RALP)

Secondary outcomes

  1. Histological Tumor Regression Grade

    Time frame: 6 weeks after PAE (at the time of RALP)

  2. Surgical margins assessment (R0 /R1)

    - Success of radical prostatectomy defined as the complete resection of cancerous prostate gland tissue and completely negative surgical margins.

    Time frame: 6 weeks after PAE (at the time of RALP)

  3. Assessment of Adverse Events of PAE according to CTCAE V4.03

    Time frame: At the time of PAE and 6 weeks afterwards

  4. Assessment of Adverse Events of PAE according to Clavien-Dindo classification

    Time frame: At the time of PAE and 6 weeks afterwards

  5. Assessment of Adverse Events of RALP after PAE according to CTCAE V4.03

    Time frame: At the time of RALP, 6 weeks and 12 weeks later

  6. Assessment of Adverse Events of RALP after PAE according to Clavien-Dindo classification

    Time frame: At the time of RALP, 6 weeks and 12 weeks later

  7. Change of prostate volume in MRI after PAE

    Time frame: Before and 6 weeks after PAE

  8. Change of tumor detection rate in MRI after PAE

    Time frame: Before and 6 weeks after PAE

  9. Change of tumor size in MRI after PAE

    Time frame: Before and 6 weeks after PAE

  10. Change of PIRADS classification in MRI after PAE

    Time frame: Before and 6 weeks after PAE

06

Study locations

2 sites
  • Cantonal Hospital Lucerne, Department of Urology
    Lucerne, 6000, Switzerland
  • Urological Department, Cantonal Hospital of St. Gallen
    St. Gallen, 9007, Switzerland
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT02917161
Lead sponsor
Dominik Abt
Responsible party
Dominik Abt (Dr. med., Cantonal Hospital of St. Gallen) — Sponsor-investigator
First posted
Sep 28, 2016
Start date
Sep 2016
Primary completion
Jun 2017
Completion
Aug 3, 2017
Last update
Aug 9, 2017

Study contacts

Dominik Abt, MD
principal investigator · Cantonal Hospital St. Gallen
Livio Mordasini, MD
principal investigator · Cantonal Hospital Luzerne

Oversight

Data monitoring committee
No
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