Actively Recruiting
Phase 1-2 Dose-escalation Study Evaluating Safety and Efficacy of HIFU Treatment for Benign Prostatic Hyperplasia Over 36 Months
Led by EDAP TMS S.A. · Updated on 2024-10-15
100
Participants Needed
9
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
Benign prostatic hyperplasia BPH, also known as prostate adenoma, is a common non-cancerous enlargement of the prostate affecting mainly men over 40 years old. This condition often causes lower urinary tract symptoms LUTS such as difficulty starting urination, frequent urination, especially at night, and a decrease in urine flow. Researchers are evaluating the safety and effectiveness of a high-intensity focused ultrasound HIFU treatment specifically targeted to reduce prostate volume and improve urinary symptoms in men with BPH. The study uses HIFU, a technique that applies focused ultrasonic waves to heat and destroy targeted prostate tissue precisely without invasive surgery or radiation. This treatment is delivered endorectally using a specialized probe to target the affected prostate areas. The study observes patients at 3, 6, 12, 18, and 36 months after treatment to assess safety, symptom improvement, prostate size reduction, urinary flow changes, and sexual function. Participants will undergo various assessments including MRI scans, urinary flow measurements, and questionnaires on urinary symptoms, quality of life, and erectile and ejaculatory function. Researchers will monitor adverse events and treatment effects over 36 months. The study aims to gather detailed information about treatment safety and effectiveness through regular follow-up visits and evaluations.
CONDITIONS
Brief Title
Evaluating the Safety and Efficacy of the "HIFU" High-intensity Focused Ultrasound Treatment of Benign Prostatic Hyperplasia;
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Male aged 50 to 85 years
- Diagnosed with benign prostatic hyperplasia with prostate volume between 30 cc and 80 cc by MRI
- Maximum urinary flow rate (Qmax) less than 15 ml/s
- International Prostate Symptom Score (IPSS) of 8 or higher
- IPSS Quality of Life score of 3 or higher
- International Index of Erectile Function (IIEF-5) score greater than 17
- Previous medical treatment for BPH failed after more than 12 weeks, or contraindication/refusal of medical treatment
- No signs of prostate cancer confirmed by MRI
- Able to read and understand French or has a carer who can assist
- Registered with a social security scheme
- Provided informed consent to participate
You will not qualify if you...
- Presence of a median prostate lobe preventing HIFU treatment
- Confirmed or suspected prostate cancer
- History of prostate surgery or radiotherapy
- History of bladder cancer or urethral stricture
- Presence of urinary tract fistula
- Untreated bladder neck stenosis or urinary lithiasis
- Neurological disease affecting bladder or sphincter function
- History of pelvic radiotherapy
- Renal failure with GFR less than 35 ml/min
- Current anticoagulant therapy without appropriate stoppage
- Contraindications to surgery, anesthesia, pelvic MRI, or HIFU
- Rectal wall thickness greater than 10 mm
- Active urogenital infection
- Anal or rectal abnormalities hindering probe insertion
- Presence of urinary tract or rectal fistula
- Anatomic abnormalities of rectum or mucosa
- Permanent radioactive implants in rectal wall
- Prostatic calcifications interfering with HIFU
- Presence of artificial sphincter, penile prosthesis, or intra-prostatic implants
- Implanted devices within 1 cm of the treatment area
- History of inflammatory bowel disease
- Metallic stents or implants in urethra
- Refusal to participate
- Under legal guardianship or protection preventing informed consent
- Currently enrolled in another study with conflicting exclusion period at pre-inclusion
Research Team
D
Djamila BENNAT
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