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Phase Not Applicable
Age: 40Years - 80Years
MALE
ID03650595

MRI Guided Focal Laser Ablation Treatment for Low and Intermediate Risk Prostate Cancer in Men Aged 40 to 80

Led by University Health Network, Toronto · Updated on 2026-06-05

102

Participants Needed

1

Research Sites

26 weeks

Total Duration

On this page

Sponsors

U

University Health Network, Toronto

Lead Sponsor

C

Clinical Laserthermia Systems AB

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research aims to evaluate the use of MRI guided Focal Laser Ablation MRgFLA in men with early stage, low to intermediate risk prostate cancer. The study focuses on determining how well MRgFLA can control prostate cancer while reducing the need for more invasive treatments like surgery or radiation. Previous studies suggest that MRgFLA may be a safe option with minimal side effects and help many patients avoid radical therapies over several years. Participants will receive focal laser ablation treatment guided by MRI, targeting the visible tumor with a margin around it to ensure thorough treatment. This is a single arm study where all patients will undergo the MRgFLA procedure using The TRANBERGCLSThermal Therapy device. After treatment, patients will have follow-up MRI scans and prostate biopsies at 6 months and 2 years, along with regular PSA blood tests to monitor cancer status. During the study, researchers will assess the presence of clinically significant prostate cancer using MRI and biopsy results. Patients will also complete validated questionnaires measuring urinary and sexual function before and at several points after treatment to track quality of life changes. The total monitoring period includes evaluations at 6 months, 12 months, and 24 months after treatment, allowing detailed assessment of treatment effects and safety over time.

CONDITIONS

Brief Title

MRI Guided Focal Laser Ablation of Prostate Cancer

Who Can Participate

Age: 40Years - 80Years
MALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Men 40 to 80 years of age
  • Histologically confirmed low to intermediate risk prostate cancer (Gleason score 4, primary grade 4)
  • Prostate cancer clinical stage T1c or T2
  • MRI visible tumor smaller than 20 mm
  • Suspicious MRI site must match positive biopsy sector
  • Prostate specific antigen (PSA) level below 15 ng/mL
  • Complete IPSS, ICIQ-UI-SF, and IIEF questionnaires before procedure
  • Life expectancy greater than 10 years unrelated to prostate cancer
Not Eligible

You will not qualify if you...

  • Medically unfit for focal prostate therapy
  • Unable or unwilling to give informed consent
  • Previous androgen suppression therapy
  • Previous or current chemotherapy for prostate cancer
  • Prior prostate surgery or curative treatments (including HIFU, TUNA, RITA, microwave, cryotherapy)
  • Previous radiation therapy for prostate or pelvis
  • Conditions or illnesses posing additional risk or confounding results (e.g., significant cardiovascular issues, allergies)
  • History of noncompliance with medical recommendations
  • Unable or unwilling to complete self-assessment questionnaires
  • Chronic or acute prostatitis, neurogenic bladder, urinary tract infection, sphincter abnormalities, or symptoms preventing normal urination
  • Participation in another investigational study or treatment within past 90 days
  • Contraindications to MRI (e.g., pacemaker, hip prosthesis, severe claustrophobia, brain aneurysm clip, allergy to MRI contrast)
  • Any condition that may increase risks or confound study results as judged by investigator

Research Team

S

Sangeet Ghai, MD

K

Kateri Corr, RPN

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