Lower Urinary Tract Symptoms, Prostate Adenocarcinoma
Conditions
Brief summary
Biolen, a novel implant, is intended to deliver an anti-androgen locally to the prostate gland for the management of prostate disease, while minimizing systemic exposure and its associated side-effects. The objectives of the study are to assess whether the Biolen is safe.
Detailed description
This prospective, multi-center, single-arm feasibility study is planned to assess the safety and patient tolerance of Biolen for the localized delivery of bicalutamide into the prostate in patients presenting for treatment of prostate cancer. Study participants will have placement of the drug eluting Biolen and be followed through scheduled radical prostatectomy.
Interventions
COMBINATION_PRODUCTBicalutamide implant
Biolen bicalutamide implant
Sponsors
Alessa Therapeutics Inc.
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Biolen bicalutamide implant
Eligibility
Sex/Gender
MALE
Age
35 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Histologically confirmed adenocarcinoma of the prostate. * Study participant qualified and planning for radical prostatectomy. * At least 1 prostate lesion measurable by MRI \> 0.5 cm within one month of screening. * PSA \> 3 ng/mL within 3 months of screening. * Gleason score 3+4 or higher. * Study participant must be willing to undergo post-treatment imaging by MRI. * ECOG performance status 0 or 1.
Exclusion criteria
* Prior radiotherapy or surgery for prostate cancer. * Prior or ongoing hormonal therapy for prostate cancer. * Prior prostate procedures such as transurethral resection of the prostate, transurethral microwave thermotherapy of the prostate, high-intensity focused ultrasound or minimally invasive BPH procedure. * Study participant unwilling or unable to undergo MRI, including patients with contra-indications to MRI, such as cardiac pacemakers, non-compatible intracranial vascular clips, etc. * Metallic hip implant or any other metallic implant or device that distorts the quality of prostatic MR images. * Use of 5 alpha reductase inhibitors (e.g. Finasteride or Dutasteride) within 3 months of screening or total use within the last two years prior to screening of \> 3 months. * Presence of any metastatic disease. * Prostate volume more than 80 cc at prior MRI imaging. * I-PSS score \>20. * History of prostate infection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety as measured by number and incidence of adverse events | change from baseline to radical prostatectomy up to 12 weeks after implantation | Adverse Events |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| change in prostate size | change from baseline to radical prostatectomy up to 12 weeks after implantation | prostate measurement by MRI |
| change in tumor size | change from baseline to radical prostatectomy up to 12 weeks after implantation | tumor measurement by MRI |
| change in Prostate Specific Antigen (PSA) | change from baseline to radical prostatectomy up to 12 weeks after implantation | PSA level |
Countries
Australia, New Zealand, United States
Outcome results
None listed