prostate cancer recurrent prostate carcinoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age >=18 years - Biopsy proven local recurrence - Biopsy proven recurrence at least 2 years after primary radiotherapy treatment (low-dose-rate brachytherapie or external beam radiation therapy) - Limited and non-aggressive tumor presentation at time of salvage (Prostate Spedific Antigen (PSA) at time of salvage =70 - Written informed consent - Fit for spinal anaesthesia
Exclusion criteria
Exclusion criteria: - Distant metastasis - Severe toxicity during primary radiation treatment (International Prostate Symptom Score (IPSS)>15) - Patients who meet exclusion criteria for MRI following the protocol of the radiology department of the UMC Utrecht - Anticoagulant administration continuously required, except for Ascal - Discongruence between prostate biopsies and contrast MR imaging - No prior prostate cancer treatment(s) (like a recent TURP (
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of grade>=3 gastro-intestinal and/or urogenital toxicity after MRI guided focal salvage therapy for locally recurrent prostate cancer. Toxicity will be determined by the Common Terminology Criteria for Adverse Events (CTCAE) version 4.0 (National Cancer Institute). | — |
Secondary
| Measure | Time frame |
|---|---|
| - To determine the technical feasibility of MRI guided focal high-dose rate brachytherapy as salvage therapy for locally recurrent prostate cancer - Quality of life - Biochemical disease free survival (Phoenix criteria) | — |
Countries
Netherlands