Circulating Cancer Cells, Clinical Corelation, Immune Profile, Prostate Cancer
Conditions
Brief summary
The change of immune profiles and existence of circulating tumor cells following prostate cryotherapy may be correlated with the clinical outcome.
Interventions
cryoablate the prostate
Remove prostate
Radiate prostate
Sponsors
Study design
Eligibility
Inclusion criteria
* Age\>20 years * Histopathology-proven prostate adenocarcinoma * Non-metastatic localized disease * Subjects have chosen their curative, definitive treatments for prostate cancer prior to enrolling for the study * Subjects are willing to sign the informed consent and agree to comply with the study procedures
Exclusion criteria
* Chronic use (\> 2 weeks) of \> 10 mg/day of prednisone or prednisolone within 2 months of the screening (topical or inhalational corticosteroids are permitted) * Concurrent use of immunosuppressive therapy, including: cyclosporine, antithymocyte globulin, or tacrolimus within 3 months of study entry * Other conditions the investigators think may affect subjects' compliance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cancer recurrence | 3, 6, 12, 24 months after treatments | Includes: 1. Biochemical (PSA) recurrence according to the ASTRO or Phoenix criteria for patients undergoing cryotherapy (Cryo) or radiotherapy (RT) 2. Prostate biopsy positivity 3. Radiographic evidence of recurrence (CT/MRI, Bone scan, radiographs, etc.) Time to recurrence defined by the either of the above 3 outcome parameters |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life | 3, 6, 12, 24months after treatments | according to the QLQ C30 and PR25 questionnaire interview |
Countries
Taiwan