Alpha Radiation Emitters Device (DaRT) for the Treatment of Non-Metastatic Locally Recurrent Prostate Cancer.
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Experimental: DaRT seeds.
- Кому может быть актуально
- Состояния в реестре: Non-metastatic Prostate Cancer, Locally Recurrent Prostate Cancer. Базовые параметры: 18 лет — 120 лет · Мужчины.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Израиль
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
A Feasibility and Safety Study of Focal Interstitial Radiotherapy Using Diffusing Alpha Emitters Radiation Therapy (DaRT) Seeds in Men With Non-metastatic Locally Recurrent Prostate Cancer.
Обзор
This is a multi-center clinical study enrolling up to 10 participants. The purpose of this study is to assess the feasibility and safety of intratumoral DaRT seeds implantation for the treatment of locally recurrent prostate cancer. Secondary objectives are to 1. To evaluate feasibility of interstitial radiotherapy using DaRT seeds. Feasibility will be determined according to the rate of successful placement of DaRT seeds via imaging \[Timeframe: immediately following the insertion procedure 2. To assess the impact of DaRT seeds on patient reported quality of life.
Подробное описание
This study is a prospective multicenter, single arm, open label , interventional clinical study to assess the feasibility and safety of intratumoral Alpha DaRT seeds for the treatment of men with non metastatic locally recurrent prostate cancer.
Diffusing Alpha emitters Radiation Therapy (DaRT). Treatment will be delivered through radioactive sources \[Ra-224 containing Stainless steel 316LVM tubes- (Alpha DaRT seeds)\] inserted into the tumors.
The purpose of this study is to assess the feasibility and safety of intratumoral DaRT seeds implantation for the treatment of locally recurrent prostate cancer. The secondary objectives is 1. To evaluate feasibility of interstitial radiotherapy using DaRT seeds.
Feasibility will be determined according to the rate of successful placement of DaRT seeds via imaging \[Timeframe: immediately following the insertion procedure 2. To assess the impact of DaRT seeds on patient reported quality of life.
Вмешательства
- Устройство Experimental: DaRT seeds
Intratumoral Diffusing alpha-emitters Radiation Therapy (DaRT) Seeds
Первичные конечные точки
- Feasibility of intratumoral DaRT seeds implantation [Срок оценки: immediately following the insertion procedure]
Критерии участия
Критерии включения
- Histologically confirmed locally recurrent prostate adenocarcinoma cancer confined to at least 1 hemi-gland with concordant pathology and imaging findings within 6 months prior to consenting
- Targetable lesion by either PSMA PET-CT according to PERCIST v1.0 or by multiparametric MRI according RECIST v1.1
- Patient being considered for focal salvage brachytherapy
- Lesion size ≤ 3 cm in the longest diameter
- Target lesion technically amenable for full tumor coverage with the Alpha DaRT seeds
- Pre-salvage PSA level (rPSA) below <10 ng/ml
- Age ≥ 18 years old
- ECOG Performance Status Scale ≤ 2
- Subjects' life expectancy is more than 6 months
- Negative metastatic workup on at least standard imaging (CT CAP and bone scan). Other metastatic screening studies allowed in lieu of standard imaging including multiparametric MRI prostate/whole body, PSMA PET, F18 PET or Axumin PET within 3 months before visit 0
- Platelet count ≥100,000/mm3
- Subjects are willing and able to sign an informed consent form.
Критерии исключения
- N1 or M1 disease
- Prior TURP or prostate surgery
- Inability to undergo multiparametric MRI (i.e. permanent implanted device incompatible with MRI)
- Inability to undergo general or spinal anesthesia
- Prior androgen deprivation therapy or systemic chemotherapy for prostate cancer within 3 months before visit 0.
- Previous diagnosis of other malignancy < 3 years of enrollment (excluding non-melanomatous skin cancer)
- Volunteers participating in another interventional study in the past 30 days which might conflict with the endpoints of this study or the evaluation of response or toxicity of DaRT
- High probability of protocol non-compliance (in opinion of investigator)
- Subjects not willing to sign an informed consent
- Patients with significant comorbidities that the treating physician deems may conflict with the endpoints of the study (e.g., poorly controlled autoimmune diseases, vasculitis, etc.)
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Не применимо
- Модель
- Одна группа
- Маскирование
- Открытое
- Основная цель
- Лечение
Центры проведения
Израиль · 1 центр
- RAMBAM Health Care Campus — Haifa
Идентификаторы
NCT: NCT06202248 · CTP-PRST-00