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.
COMPLETED
PHASE2
15 participants
For all participants enrolled over the time frame of the study including follow up time is approximately 65 months
2022-02-01
Participant Flow
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.
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|---|---|
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Overall Study
STARTED
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15
|
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Overall Study
COMPLETED
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15
|
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Overall Study
NOT COMPLETED
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0
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Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
MR Image Guided Therapy in Prostate Cancer
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.
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|---|---|
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Age, Categorical
<=18 years
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0 Participants
n=99 Participants
|
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Age, Categorical
Between 18 and 65 years
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8 Participants
n=99 Participants
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Age, Categorical
>=65 years
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7 Participants
n=99 Participants
|
|
Age, Continuous
|
63.86 years
STANDARD_DEVIATION 7.07 • n=99 Participants
|
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Sex: Female, Male
Female
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0 Participants
n=99 Participants
|
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Sex: Female, Male
Male
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15 Participants
n=99 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
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0 Participants
n=99 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
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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
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0 Participants
n=99 Participants
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Race (NIH/OMB)
Black or African American
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1 Participants
n=99 Participants
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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
|
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Region of Enrollment
United States
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15 participants
n=99 Participants
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Median Prostate-Specific Antigen (PSA)
|
6.19 ng/mL
n=99 Participants
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Median Baseine Tumor Volume
|
0.55 cm(3)
n=99 Participants
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PRIMARY outcome
Timeframe: For all participants enrolled over the time frame of the study including follow up time is approximately 65 monthsAdverse 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
| 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
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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
|
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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
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4 Participants
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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
| 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
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-2.5 ng/mL
Standard Error 0.6
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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
| 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.
|
|---|---|
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Mean Change in Prostate Specific Antigen Density (PSAD) From Baseline During Study Time Frame
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0.114 ng/dL/mL
Standard Deviation 0.07
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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
| 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
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0 score on a scale
Standard Error 0.2
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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
| 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
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-1 score on a scale
Standard Error 0.9
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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
| 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
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OTHER_PRE_SPECIFIED outcome
Timeframe: For all participants enrolled over the time frame of the study including follow up time is approximately 65 monthsHere 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
| 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.
|
|---|---|
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Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)
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8 Participants
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Adverse Events
Arm 1/Magnetic Resonance (MR) Thermal Image Guided Laser Ablation
Serious adverse events
Adverse event data not reported
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.
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|---|---|
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Renal and urinary disorders
Hematuria
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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.
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Reproductive system and breast disorders
Other, Peyronie's Disease
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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
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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.
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Infections and infestations
Urinary tract infection
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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.
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Reproductive system and breast disorders
Other, epididymitis
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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.
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Renal and urinary disorders
Other, weak stream
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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.
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Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place