Unique ID issued by UMIN | UMIN000026453 |
---|---|
Receipt number | R000030389 |
Scientific Title | The evaluation of the adverse effects in the prostate cancer patient who received a focal brachytherapy. |
Date of disclosure of the study information | 2017/03/08 |
Last modified on | 2020/03/09 14:31:18 |
The evaluation of the adverse effects in the prostate cancer patient who received a focal brachytherapy.
The evaluation of the adverse effects in the prostate cancer patient who received a focal brachytherapy.
The evaluation of the adverse effects in the prostate cancer patient who received a focal brachytherapy.
The evaluation of the adverse effects in the prostate cancer patient who received a focal brachytherapy.
Japan |
Prostate caner
Urology | Radiology |
Malignancy
NO
To examine the urinary symptoms, sexual functions and defecation symptoms of the patients who received the focal brachytherapy prospectively.
Safety
recovery periods from urinary dysfunctions after treatments
it is assessed after the treatments by using IPSS, OABSS, IIEF5, FACT-P, NIHCPSI 1 month, 3 months and every 3 months afterwards.
sexual function assessed by using IIEF5
rectal bleeding
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Maneuver |
To perform the focal brachytherapy for the patients that were diagnosed with prostate cancers by using the MRI/US fusion guided targeted biopsies. The radiation area is between the half and one eighth of the prostate. The radiation area will be decided according to the location of the prostate cancer. All patients start or continue an intake of the alpha blockers after the focal brachytherapy. It is permitted to add an intake of drugs such as anticholinergic drugs and beta adrenergic agonists for the benign prostatic hyperplasia and the overactive bladder syndromes. Serum PSA will be checked every 3 months until 2 years after treatments and every 6 months afterwards. The emergence of the cancer suspected lesions will be examined by MRI. All patients receive repeat biopsies after 3 years of treatments and when the recurrence of prostate cancers were suspected by a PSA check or the MRI imaging.
20 | years-old | <= |
Not applicable |
Male
Patients must be under these conditions
1) Patients expect to live more than 10 years after the treatment
2) Prostate cancers are diagnosed by biopsies which they receive in our hospital
3) Patients can receive MRI imaging check and the clinical staging before biopsies is T2aN0.
4) PSA was 20.00 ng/ml or less.
5) The computed tomography (CT) of the chest/abdomen/pelvis and bone scintigraphy do not detect metastatic lesions
6) Functions of the main organs are maintained
6-1) Lliver function; AST and ALT is under 3 times the upper limit of the normal range.
6-2) Heart function;there is no severe abnormality in the electrocardiogram or normal it is confirmed that there is no severe abnormalities by the cardiac ultrasound.
6-3) Renal function; estimated GFR is 15 per minute or more.
7) There is no pubic arch interference in the prostate brachytherapy.
8) It is confirmed at least once that a residual volume is 200 ml or less by an ultrasound.
9) The prostate volume is 50 ml or less by the trans rectal ultrasound.
10) We obtain a written Informed consent of the participation of the study.
11) The result of the prostate biopsy was under these conditions
11-1) The biopsy was performed along the parasagittal, peripheral and base areas of the prostate with an interval of 5 mm. The core number of systematic biopsy is 16 or more and MRI/US fusion-guided biopsy was performed. If the volume of the prostate is small ,the base area of the biopsy can be abbreviated.
11-2) The lesions of the cancer detected core are limited in the targeted area by MRI/US fusion biopsy and the surrounding area.
11-3) The lesions of the cancer detected core was limited in the left or right lobe of the prostate.
12) The result of the biopsy meet any of these Gleason scores and the proportion of the cores.
12-1) Gleason score is 3+3
12-2) Gleason score is 3+4
12-3) Gleason score is 4+3 and the proportion of the core is 50 or less.
Patients must not be under these conditions
1) Patients who had past surgical histories of benign prostatic hyperplasia.
2) Patients who had severe mental disorders.
3) Patients who had other active cancers
4) Patients who doctors judge as unsuitable for this study
20
1st name | Hisashi |
Middle name | |
Last name | Matsushima |
Tokyo Metropolitan Police Hospital
Department of Urology
164-0001
4-22-1 Nakano, Nakano-ku, Tokyo, 164-0001, Japan
+81-03-5343-5611
hmatsu53@me.com
1st name | Yuji |
Middle name | |
Last name | Hakozaki |
Tokyo Metropolitan Police Hospital
Department of Urology
164-0001
4-22-1 Nakano, Nakano-ku, Tokyo, 164-0001, Japan
+81-03-5343-5611
yhakozaki11012@gmail.com
Tokyo Metropolitan Police Hospital
Tokyo Metropolitan Police Hospital
Profit organization
Tokyo Metropolitan Police Hospital Clinical Review Comittee
4-22-1 Nakano, Nakano-ku, Tokyo, 164-0001, Japan
+81-03-5343-5611
yhakozaki11012@gmail.com
NO
2017 | Year | 03 | Month | 08 | Day |
Unpublished
Open public recruiting
2017 | Year | 03 | Month | 08 | Day |
2017 | Year | 02 | Month | 28 | Day |
2017 | Year | 03 | Month | 09 | Day |
2032 | Year | 03 | Month | 31 | Day |
2017 | Year | 03 | Month | 07 | Day |
2020 | Year | 03 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000030389