Trial Outcomes & Findings for MR Image Guided Therapy in Prostate Cancer (NCT NCT01377753)

NCT ID: NCT01377753

Last Updated: 2022-02-01

Results Overview

Adverse events were assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). Grade 1 is mild and Grade 2 is moderate.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

15 participants

Primary outcome timeframe

For all participants enrolled over the time frame of the study including follow up time is approximately 65 months

Results posted on

2022-02-01

Participant Flow

Participant milestones

Participant milestones
Measure
Arm 1/Magnetic Resonance (MR) Thermal Image Guided Laser Ablation
Eligible subjects will undergo MR thermal image guided laser ablation of all biopsy proven areas of prostate cancer using one or multiple laser probes during a single procedure lasting approximately two hours in duration. Visualase Thermal Therapy System: Used for performing Laser Induced Thermal Therapy to destroy malignant or unwanted tissue by delivering laser energy sufficient to cause coagulation and necrosis of the tissue.
Overall Study
STARTED
15
Overall Study
COMPLETED
15
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

MR Image Guided Therapy in Prostate Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm 1/Magnetic Resonance (MR) Thermal Image Guided Laser Ablation
n=15 Participants
Eligible subjects will undergo MR thermal image guided laser ablation of all biopsy proven areas of prostate cancer using one or multiple laser probes during a single procedure lasting approximately two hours in duration. Visualase Thermal Therapy System: Used for performing Laser Induced Thermal Therapy to destroy malignant or unwanted tissue by delivering laser energy sufficient to cause coagulation and necrosis of the tissue.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
8 Participants
n=99 Participants
Age, Categorical
>=65 years
7 Participants
n=99 Participants
Age, Continuous
63.86 years
STANDARD_DEVIATION 7.07 • n=99 Participants
Sex: Female, Male
Female
0 Participants
n=99 Participants
Sex: Female, Male
Male
15 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
15 Participants
n=99 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=99 Participants
Race (NIH/OMB)
White
14 Participants
n=99 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
Region of Enrollment
United States
15 participants
n=99 Participants
Median Prostate-Specific Antigen (PSA)
6.19 ng/mL
n=99 Participants
Median Baseine Tumor Volume
0.55 cm(3)
n=99 Participants

PRIMARY outcome

Timeframe: For all participants enrolled over the time frame of the study including follow up time is approximately 65 months

Adverse events were assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). Grade 1 is mild and Grade 2 is moderate.

Outcome measures

Outcome measures
Measure
Arm 1/Magnetic Resonance (MR) Thermal Image Guided Laser Ablation
n=15 Participants
Eligible subjects will undergo MR thermal image guided laser ablation of all biopsy proven areas of prostate cancer using one or multiple laser probes during a single procedure lasting approximately two hours in duration. Visualase Thermal Therapy System: Used for performing Laser Induced Thermal Therapy to destroy malignant or unwanted tissue by delivering laser energy sufficient to cause coagulation and necrosis of the tissue.
Number of Participants With One Grade 1 Adverse Event, More Than One Grade 1 Adverse Event, and One Grade 2 Adverse Event
One Grade 1 Adverse Event
4 Participants
Number of Participants With One Grade 1 Adverse Event, More Than One Grade 1 Adverse Event, and One Grade 2 Adverse Event
More Than One Grade 1 Adverse Event
2 Participants
Number of Participants With One Grade 1 Adverse Event, More Than One Grade 1 Adverse Event, and One Grade 2 Adverse Event
One Grade 2 Adverse Event
4 Participants

SECONDARY outcome

Timeframe: From date participant is enrolled to completion of post-ablation monitoring, approximately 3 years.

A single difference was calculated between the PSA value measured at baseline and either (1) the PSA value measured just prior to a salvage treatment or (2) the PSA value measured at the conclusion of the study time frame (if no salvage treatment was necessary).

Outcome measures

Outcome measures
Measure
Arm 1/Magnetic Resonance (MR) Thermal Image Guided Laser Ablation
n=15 Participants
Eligible subjects will undergo MR thermal image guided laser ablation of all biopsy proven areas of prostate cancer using one or multiple laser probes during a single procedure lasting approximately two hours in duration. Visualase Thermal Therapy System: Used for performing Laser Induced Thermal Therapy to destroy malignant or unwanted tissue by delivering laser energy sufficient to cause coagulation and necrosis of the tissue.
Mean Change in Prostate Specific Antigen (PSA) From Baseline Prior to Salvage Treatment or at the Conclusion of the Study Time Frame if There Was No Salvage Treatment
-2.5 ng/mL
Standard Error 0.6

SECONDARY outcome

Timeframe: From date participant is enrolled to completion of post-ablation monitoring, approximately 3 years.

A single difference was calculated between the PSA density at baseline and either (1) the PSA density just prior to a salvage treatment or (2) the PSA density at the conclusion of the study time frame (if no salvage treatment was necessary).

Outcome measures

Outcome measures
Measure
Arm 1/Magnetic Resonance (MR) Thermal Image Guided Laser Ablation
n=15 Participants
Eligible subjects will undergo MR thermal image guided laser ablation of all biopsy proven areas of prostate cancer using one or multiple laser probes during a single procedure lasting approximately two hours in duration. Visualase Thermal Therapy System: Used for performing Laser Induced Thermal Therapy to destroy malignant or unwanted tissue by delivering laser energy sufficient to cause coagulation and necrosis of the tissue.
Mean Change in Prostate Specific Antigen Density (PSAD) From Baseline During Study Time Frame
0.114 ng/dL/mL
Standard Deviation 0.07

SECONDARY outcome

Timeframe: From date participant is enrolled to completion of post-ablation monitoring, approximately 3 years.

The outcome of laser ablation for treatment of prostate cancer for each participant was assessed by Quality of Life (QoL) questionnaire at clinic appointments. Specifically, patients are asked "How would you feel if you had to live with your urinary condition the way it is now, no better, no worse, for the rest of your life?" A score is then provided on a scale of 0 (delighted) to 5 (unhappy). The change in QoL from baseline was determined by calculating the difference between the baseline score and either the score just prior to a salvage treatment or the last measurement obtained at the conclusion of the study time frame.

Outcome measures

Outcome measures
Measure
Arm 1/Magnetic Resonance (MR) Thermal Image Guided Laser Ablation
n=15 Participants
Eligible subjects will undergo MR thermal image guided laser ablation of all biopsy proven areas of prostate cancer using one or multiple laser probes during a single procedure lasting approximately two hours in duration. Visualase Thermal Therapy System: Used for performing Laser Induced Thermal Therapy to destroy malignant or unwanted tissue by delivering laser energy sufficient to cause coagulation and necrosis of the tissue.
Mean Change in Quality of Life (QoL) From Baseline Prior to Salvage Treatment or at the Conclusion of the Study Time Frame if There Was No Salvage Treatment
0 score on a scale
Standard Error 0.2

SECONDARY outcome

Timeframe: From date participant is enrolled to completion of post-ablation monitoring, approximately 3 years.

The outcome of laser ablation for treatment of prostate cancer for each participant was assessed by International Prostate Symptom Score (IPSS) questionnaire at clinic appointments. Specifically, patients are asked about seven domains of lower urinary tract symptoms (incomplete emptying, frequency, intermittency, urgency, weak stream, straining, and nocturia) and provide scores for each domain from 0 (not at all) to 5 (almost always) to describe how often they experience each symptom. Therefore, each domain is scored from 0 to 5. The scores are then totaled (summed). Therefore, the total score could range from 0 to 35. For both individual domain scores and the total score, a higher score indicates more severe symptoms. The change in IPSS from baseline was determined by calculating the difference between the baseline score and either the score just prior to a salvage treatment or the last measurement obtained at the conclusion of the study time frame.

Outcome measures

Outcome measures
Measure
Arm 1/Magnetic Resonance (MR) Thermal Image Guided Laser Ablation
n=15 Participants
Eligible subjects will undergo MR thermal image guided laser ablation of all biopsy proven areas of prostate cancer using one or multiple laser probes during a single procedure lasting approximately two hours in duration. Visualase Thermal Therapy System: Used for performing Laser Induced Thermal Therapy to destroy malignant or unwanted tissue by delivering laser energy sufficient to cause coagulation and necrosis of the tissue.
Mean Change in International Prostate Symptom Score (IPSS) From Baseline Over Follow-Up Visits Prior to Salvage Treatment or Across All Follow-up Visits During Study Time Frame if There Was No Salvage Treatment
-1 score on a scale
Standard Error 0.9

SECONDARY outcome

Timeframe: From date participant is enrolled to completion of post-ablation monitoring, approximately 3 years.

The outcome of laser ablation for treatment of prostate cancer for each participant was assessed by Sexual Health Inventory for Men (SHIM) questionnaire at clinic appointments. Specifically, patients are asked six questions about sexual health and erectile function and provide scores for each question from 0 (not at all) to 5 (almost always) to describe how often they experience each symptom. Therefore, each question is scored from 0 to 5. The scores are then totaled (summed). Therefore, the total score could range from 0 to 30. For both individual question scores and the total score a lower score indicates more severe symptoms. The mean change in SHIM from baseline was determined by calculating the difference between the baseline score and either the score just prior to a salvage treatment or the last measurement obtained at the conclusion of the study time frame.

Outcome measures

Outcome measures
Measure
Arm 1/Magnetic Resonance (MR) Thermal Image Guided Laser Ablation
n=15 Participants
Eligible subjects will undergo MR thermal image guided laser ablation of all biopsy proven areas of prostate cancer using one or multiple laser probes during a single procedure lasting approximately two hours in duration. Visualase Thermal Therapy System: Used for performing Laser Induced Thermal Therapy to destroy malignant or unwanted tissue by delivering laser energy sufficient to cause coagulation and necrosis of the tissue.
Mean Change in Sexual Health Inventory for Men (SHIM) From Baseline Over Follow-Up Visits Prior to Salvage Treatment or Across All Follow-up Visits During Study Time Frame if There Was No Salvage Treatment
-2 score on a scale
Standard Error 0.7

OTHER_PRE_SPECIFIED outcome

Timeframe: For all participants enrolled over the time frame of the study including follow up time is approximately 65 months

Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Outcome measures

Outcome measures
Measure
Arm 1/Magnetic Resonance (MR) Thermal Image Guided Laser Ablation
n=15 Participants
Eligible subjects will undergo MR thermal image guided laser ablation of all biopsy proven areas of prostate cancer using one or multiple laser probes during a single procedure lasting approximately two hours in duration. Visualase Thermal Therapy System: Used for performing Laser Induced Thermal Therapy to destroy malignant or unwanted tissue by delivering laser energy sufficient to cause coagulation and necrosis of the tissue.
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
8 Participants

Adverse Events

Arm 1/Magnetic Resonance (MR) Thermal Image Guided Laser Ablation

Serious events: 0 serious events
Other events: 8 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Arm 1/Magnetic Resonance (MR) Thermal Image Guided Laser Ablation
n=15 participants at risk
Eligible subjects will undergo MR thermal image guided laser ablation of all biopsy proven areas of prostate cancer using one or multiple laser probes during a single procedure lasting approximately two hours in duration. Visualase Thermal Therapy System: Used for performing Laser Induced Thermal Therapy to destroy malignant or unwanted tissue by delivering laser energy sufficient to cause coagulation and necrosis of the tissue.
Renal and urinary disorders
Hematuria
26.7%
4/15 • Number of events 4 • For all participants enrolled over the time frame of the study including follow up time is approximately 65 months.
Reproductive system and breast disorders
Other, Peyronie's Disease
6.7%
1/15 • Number of events 1 • For all participants enrolled over the time frame of the study including follow up time is approximately 65 months.
Skin and subcutaneous tissue disorders
Skin ulceration
6.7%
1/15 • Number of events 1 • For all participants enrolled over the time frame of the study including follow up time is approximately 65 months.
Infections and infestations
Urinary tract infection
6.7%
1/15 • Number of events 1 • For all participants enrolled over the time frame of the study including follow up time is approximately 65 months.
Reproductive system and breast disorders
Other, epididymitis
6.7%
1/15 • Number of events 1 • For all participants enrolled over the time frame of the study including follow up time is approximately 65 months.
Renal and urinary disorders
Other, weak stream
6.7%
1/15 • Number of events 1 • For all participants enrolled over the time frame of the study including follow up time is approximately 65 months.

Additional Information

Dr. Peter Pinto

National Cancer Institute

Phone: 240-760-6249

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place