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Brief Title: Phase 3, Multicenter, Randomized Study, Evaluating the Efficacy and Tolerability of Focused HIFU (High Intensity Focused Ultrasound) Therapy Compared to Active Surveillance in Patients With Significant Low Risk Prostate Cancer
Official Title: Phase 3, Multicenter, Randomized Study, Evaluating the Efficacy and Tolerability of Focused HIFU Therapy Compared to Active Surveillance in Patients With Significant Low Risk Prostate Cancer
Study ID: NCT03531099
Brief Summary: The percentage of malignant prostate tumors detected very early is constantly increasing and the number of well differentiated tumors, with small volume and low risk of progression increases. When a tumor of this type is identified, radical prostatectomy remains the reference treatment, but this treatment is not without side effects. Active surveillance is a strategy which aims at detecting an early development of the cancerous disease in order to propose curative treatment in a timely manner and thus improve specific survival. Patients are therefore re-evaluated each year by rectal examination, PSA (Prostate-Specific Antigen) assay. Active surveillance remains difficult to manage psychologically for both the patient and the practitioner, because of the lack of treatment on the one hand and a rate of non-curable cancers close to 50% when signs of progression trigger a radical treatment. The aim of the focal treatment HIFU (High Intensity Focused Ultrasound) is to destroy the cancer without causing side effects in contrast to radical treatments. It is in this sense that it is positioned both as an alternative to radical surgery and as an alternative to active surveillance.
Detailed Description:
Minimum Age: 50 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: MALE
Healthy Volunteers: No
Polyclinique du parc Rambot, Aix-en-Provence, , France
Clinique Saint-Vincent, Besançon, , France
Service d'Urologie, Clinique Tivoli Ducos, Bordeaux, , France
Groupe Hospitalier Pellegrin - CHU, Bordeaux, , France
Service d'Urologie, CHU de Guebwiller Colmar, Colmar, , France
Service d'Urologie CHRU de Lille, Hôpital HURIEZ, Lille, , France
Service d'Urologie Générale de Santé - Hôpital Privé La Louvière, Lille, , France
Service d'Urologie et Chirurgie de la Transplantation, Hôpital Edouard Herriot,, Lyon, , France
Service d'urologie Assistance Publique - Hôpitaux de Marseille - Hôpital Marseille Nord, Marseille, , France
Département d'Urologie, Institut Montsouris, Paris, , France
Centre Hospitalier Lyon Sud, Pierre-bénite, , France
Clinique Urologique Nantes Atlantis, Saint-Herblain, , France
Service d'Urologie, Hôpital Foch, Suresnes, , France
CHU de Toulouse - Hôpital de Rangueil, Toulouse, , France