500 Participants Needed

Focal Therapy for Prostate Cancer

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Overseen ByJuan Javier-DesLoges, MD
Age: 18+
Sex: Male
Trial Phase: Academic
Sponsor: University of California, San Diego
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial studies the outcomes of focal therapy, a prostate cancer treatment that targets only the cancerous part of the prostate rather than the entire gland. Researchers aim to gather data to improve care for patients choosing this less invasive option. The trial suits individuals who have already chosen or received focal therapy for prostate cancer. Participants should have a PSA level of 20 or less. As a Phase 2 trial, this research measures the treatment's effectiveness in an initial, smaller group, allowing participants to contribute to important findings.

Do I need to stop my current medications for the trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that focal therapy is safe for prostate cancer patients?

Research shows that focal therapy for prostate cancer is usually well-tolerated. Studies have found that serious side effects occur in about 3% of patients, meaning most people do not experience severe problems. Some studies even report no side effects with certain types of focal therapy, such as cryotherapy and brachytherapy. Overall, focal therapy effectively controls cancer for several years while maintaining low side effects.12345

Why are researchers excited about this trial?

Focal therapy is unique because it targets only the cancerous part of the prostate, unlike traditional options like surgery or radiation, which can affect the entire gland. Researchers are excited because this approach aims to minimize side effects, such as incontinence and erectile dysfunction, by preserving as much healthy tissue as possible. This targeted method could offer a more precise and less invasive alternative for men with localized prostate cancer, potentially leading to quicker recovery times and improved quality of life.

What evidence suggests that focal therapy is effective for prostate cancer?

Research has shown that focal therapy, which participants in this trial may receive, is a promising treatment for prostate cancer that hasn't spread. One study found that focal therapy effectively controls cancer, with about 80% of men having no significant cancer in follow-up tests. Another study demonstrated that focal therapy has few side effects and remains effective even after five years. This treatment provides good control of the disease for up to 5–10 years, regardless of the specific techniques used. By targeting only the cancerous parts of the prostate, focal therapy helps protect the surrounding healthy tissue. Overall, these findings suggest that focal therapy can offer effective cancer treatment with fewer side effects.34678

Are You a Good Fit for This Trial?

Inclusion Criteria

I can understand and sign the consent form.
My PSA level is 20 or below.
I chose focal therapy for my condition and declined other treatments.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

Focal Therapy

Participants undergo focal ablation of prostate tissue as part of their routine prostate cancer treatment

Follow-up

Participants are monitored for safety and effectiveness after focal therapy, including assessments of incontinence and erectile dysfunction using the EPIC-CP questionnaire

1 year

Long-term Follow-up

Participants are monitored for prostate cancer recurrence with PSA tests every 6 months and potential biopsies for up to 10 years

10 years

What Are the Treatments Tested in This Trial?

Interventions

  • Focal Therapy

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Focal TherapyExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, San Diego

Lead Sponsor

Trials
1,215
Recruited
1,593,000+

Citations

A Multicentre Study of 5-year Outcomes Following Focal ...

Focal HIFU therapy for patients with clinically significant prostate cancer that has not spread has a low probability of side effects and is effective at 5 yr.

Review article Advances in focal therapy for prostate cancer

Focal therapy (FT) has emerged as a promising treatment option for localized prostate cancer (PCa), offering oncologic control with reduced ...

Focal therapy in prostate cancer: Development, application ...

This paper discusses the evolution, techniques, outcomes and future prospects of focal therapy for prostate cancer in the United Kingdom.

Outcomes of Focal Therapy for Localized Prostate Cancer

We found that focal ablation of localized prostate cancer (PCa) is effective, with about 80% of men showing no significant cancer in biopsies ...

State-of-the-Art Lecture: Focal Therapy in Prostate Cancer

Focal therapy has demonstrated favorable locoregional disease control for up to 5–10 years, with reproducible outcomes that appear independent of energy source ...

6.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/40251100/

Outcomes of Focal Therapy for Localized Prostate Cancer

Five-year radical and systemic treatment-free survival was 82% (95% CI: 75-88%). The pooled incidence of grade ≥3 AEs was 3% (95% CI: 2-5%). Pad ...

Outcomes of Focal Therapy for Localized Prostate Cancer

Five-year radical and systemic treatment–free survival was 82% (95% CI: 75–88%). The pooled incidence of grade ≥3 AEs was 3% (95% CI: 2–5%). Pad ...

Functional outcomes and safety of focal therapy for ...

In our review, 6 studies reported no adverse event at all (2 on cryotherapy, 2 on focal brachytherapy, 1 on FLA and 1 on microwave). Overall, ...