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Status unknownNCT04192890Updated Jul 22, 2021

Efficacy and Safety Assessment of IRE of Localized Prostate Cancer

An interventional study of Focal irreversible electroporation of the prostate cancer in Prostate Cancer and Prostate Adenocarcinoma, sponsored by I.M. Sechenov First Moscow State Medical University. Status unknown at 1 site in Russia. Open to male participants aged 40 Years to 85 Years. Per ClinicalTrials.gov, last updated 2021-07-22.

Sponsored by I.M. Sechenov First Moscow State Medical University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
40 Years to 85 Years
Sex
Male
01

Study summary

The purpose of this study is to evaluate safety and short-term oncological efficacy of the NanoKnife Irreversible Electroporation System for localised prostate cancer.

Irreversible electroporation (IRE) is the method of focal treatment for prostate cancer, which is already proven by FDA as method of the surgical ablation of soft tissue. It has not received clearance for the therapy or treatment of any specific disease or condition.

Read the detailed description

Detailed Description:

Irreversible electroporation is a newly developed non-thermal tissue ablation technique in which short duration electrical fields are used to form permanent nanoscale defects in the cell membrane which leads to cell apoptosis. Thus, IRE is a non-thermal technique, which means that changes associated with tissue freezing or heating are not relevant.

Moreover, animal studies of IRE in the canine prostate have demonstrated that structures such as ejaculatory ducts, neurovascular bundles, blood vessels, and the urethra heal normally after ablation. The reason is that collagen matrix during treatment with IRE is not destroyed thus allowing for a large structures (blood vessels, nerves, etc.) to heal normally.

This study is a prospective and non-randomized with one group of 12 patients eligible for focal therapy of prostate cancer with IRE (eligibility defined by this protocol).

Before the surgery all patients will underwent transperineal MRI-fusion biopsy to localize the prostate cancer foci.

Objectives of the study: to asses safety of IRE in patients with localized PCa, to asses short-term oncologic efficacy of IRE in patients with localized PCa, to asses functional outcomes after IRE.

All patients will be followed up for 1 year (each 3 months).

02

Conditions studied

  • Prostate Cancer
  • Prostate Adenocarcinoma

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Keywords

  • Prostate
  • Irreversible Electroporation
  • Prostate Cancer
03

In context

Prostatic Neoplasms

6,484 studies on the registry are indexed under Prostatic Neoplasms; 1,415 are open to participants now.

This study's planned enrollment of 12 is below the median of 58 across 4,908 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

I.M. Sechenov First Moscow State Medical University is the lead sponsor of 137 studies on the registry; 28 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
40 Years to 85 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Verified with MR-fusion biopsy localized Pca
  • PSA \< 20 ng/ml
  • Gleason score 3+3=6; 3+4=7 OR Grade Group 1 and 2
  • Life expectancy > 10 years
  • No post-void residual urine or infravesical obstruction

Exclusion criteria

Exclusion Criteria:

  • patients with artificial cardiac pacemaker
  • patients not eligible for general anesthesia
  • patients after primary Pca treatment
  • hormonal therapy six months before the study
  • radiotherapy of pelvic organs
  • urinary infection
  • extracapsular Pca
  • patients with metastatic lesions
05

Study design

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

Study arms

  • Experimental
    IRE patients

    patients who will underwent 'Focal irreversible electroporation of the prostate cancer'

    Device: Focal irreversible electroporation of the prostate cancer

Interventions

  • DeviceFocal irreversible electroporation of the prostate cancer

    Irreversible electroporation is a non-thermal tissue ablation technique in which short duration electrical fields are used to permanently permeabilize the cell membrane.

06

What researchers measure

Primary outcomes

  1. PSA level

    Stable decrease of PSA level after surgery (\<1 ng/ml)

    Time frame: 3 months, 6 months, 9 months, 12 months

  2. Complications

    Short and long term surgical complications according to Clavien-Dindo

    Time frame: 1 year

Secondary outcomes

  1. IPSS (International Prostate Symptom Score, range from 5 to 30

    International Prostate Symptom Score

    Time frame: 1 year

  2. QoL (Quality of Life score, range 1-6)

    Quality of Life Score

    Time frame: 1 year

  3. Qmax

    Maximal urine flow rate

    Time frame: 1 year

  4. IIEF

    International Index of Erectile Function - Erectile function assessment (range 1-5)

    Time frame: 1 year

07

Study locations

1 of 1 sites recruiting
  • Institute for Urology and Reproductive Health, Sechenov University.
    Moscow, 119991, Russia
    Recruiting
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 22, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04192890
Responsible party
Dmitry Enikeev, MD, PhD (Deputy Director for Research, I.M. Sechenov First Moscow State Medical University) — Principal investigator
First posted
Dec 10, 2019
Start date
Jan 27, 2020
Primary completion
Dec 1, 2021 (estimated)
Completion
Dec 1, 2021 (estimated)
Last update
Jul 22, 2021

Oversight

FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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