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Phase II/III Study of WST09 in Prostate Cancer After Radiation Therapy
This study is currently recruiting participants.
Verified by STEBA France, July 2007
Sponsored by: STEBA France
Information provided by: STEBA France
ClinicalTrials.gov Identifier: NCT00312442
  Purpose

The aim of this clinical trial is to evaluate the efficacy and safety of the WST09-mediated vascular-targeted photodynamic therapy (VTP) in patients with localized prostate cancer recurrent after external radiation therapy or temporary (High Dose Rate, or HDR) brachytherapy.


Condition Intervention Phase
Prostate Cancer
Drug: Photodynamic therapy
Phase II
Phase III

MedlinePlus related topics: Cancer Prostate Cancer
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: Study of Photodynamic Therapy With WST09 in Patients With Recurrent or Persistent Localized Carcinoma of the Prostate Following Radiation Therapy

Further study details as provided by STEBA France:

Primary Outcome Measures:
  • Prostate biopsy results at Month 6 after treatment. [ Time Frame: 6 months ]

Secondary Outcome Measures:
  • Percentage of positive cores in the biopsies prior to and 6 months after the WST09-mediated VTP. [ Time Frame: 6 months ]
  • PSA levels taken periodically for 1 year after the procedure [ Time Frame: 1 year ]
  • Hypoperfusion according to MRI at Week 1 after the procedure. [ Time Frame: 1 week ]
  • Calculated PSA velocity before and after WST09-mediated VTP. [ Time Frame: 1 year ]
  • Nadir of the PSA after the WST09-mediated VTP compared with the nadir of PSA after radiation therapy [ Time Frame: 1 year ]

Estimated Enrollment: 85
Study Start Date: May 2006
Estimated Study Completion Date: December 2009
Detailed Description:

This is a multicentre, open labelled, phase II/III, 6-month clinical trial with an additional follow-up at Month 12, aiming to determine the efficacy and tolerability of the WST09-mediated VTP treatment. This treatment consists of an I.V. infusion of WST09 (2 mg/kg), in combination with per-cutaneous interstitial illumination using laser light (wavelength at 763nm) delivered through optical fibres positioned through the perineum in the prostatic lobes.

Patients who are eligible to participate in the study must have a clinically diagnosed positive biopsy of the prostate (up to stage T2b-N0-M0) diagnosed after external radiotherapy or temporary brachytherapy (no seeds), and present with increasing PSA levels on three consecutive occasions (at least 3 months apart) post-radiation treatment.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Histologically proven localized prostate cancer after receiving external radiation therapy;

Exclusion Criteria:

Patients unwilling or unable to give informed consent; Patients who received or are receiving chemotherapy; Patients previously treated with HIFU, cryotherapy, other salvage treatments, or with a trans-urethral resection of the prostate (TURP); Patients whose previous radiation therapy caused extensive cystitis and/or proctitis.

Patients suspected of Disseminated Intravascular Coagulation (DIC). Patients with prior history of coronary artery disease, angina pectoris, myocardial infarction, coronary angioplasty or coronary artery bypass graft, severe valvulopathy, cardiac failure, artrial fibrillation and / or sustained arrhythmia.

Patients whose cardiac status does not allow general anesthesia. Patients with history of thromboses or thrombo-embolisms. Patients with history of stroke or transient ischemic attack.

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00312442

Contacts
Contact: Rupinder Dhaliwal 905 338-3130 ext 236 rupinderdhaliwal_1@hotmail.com

Locations
Canada, Ontario
Princess Margaret Hospital Recruiting
Toronto, Ontario, Canada, M5G 2M9
Contact: Rupinder Dhaliwal     905 338-3130 ext 236     rupinderdhaliwal_1@hotmail.com    
Sponsors and Collaborators
STEBA France
Investigators
Principal Investigator: John Trachtenberg, MD FRCS(C) University Health Network, Princess Margaret Hospital
  More Information

Study ID Numbers: HEC/WST0512 66N/WST 2.21
Study First Received: March 30, 2006
Last Updated: July 28, 2008
ClinicalTrials.gov Identifier: NCT00312442  
Health Authority: Canada: Health Canada

Keywords provided by STEBA France:
Prostate cancer after radiation therapy

Study placed in the following topic categories:
Prostatic Diseases
Genital Neoplasms, Male
Urogenital Neoplasms
Genital Diseases, Male
Prostatic Neoplasms
Recurrence
Carcinoma

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Site

ClinicalTrials.gov processed this record on January 16, 2009