A Study to Assess Alpha DaRT224 for the Treatment of Men With Non-metastatic Locally Recurrent Prostate Cancer

Non-metastatic Prostate Cancer Clinical Trial

Official title:

A Feasibility and Safety Study of Focal Interstitial Radiotherapy Using Diffusing Alpha Emitters Radiation Therapy (DaRT) Seeds in Men With Non-metastatic Locally Recurrent Prostate Cancer.

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06202248
• Other study ID #: CTP-PRST-00
• Status: Not yet recruiting
• Phase: N/A
• Start date: February 2024
• Est. completion date: June 2027

Study information

• Verified date: May 2023
• Source: Alpha Tau Medical LTD.
• Contact: Liron Dimnik
• Phone: +972542688602
• Email: LironD[@]alphatau.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is a multi-center clinical study enrolling up to 10 participants. The purpose of this study is to assess the feasibility and safety of intratumoral DaRT seeds implantation for the treatment of locally recurrent prostate cancer. Secondary objectives are to 1. To evaluate feasibility of interstitial radiotherapy using DaRT seeds. Feasibility will be determined according to the rate of successful placement of DaRT seeds via imaging [Timeframe: immediately following the insertion procedure 2. To assess the impact of DaRT seeds on patient reported quality of life.

Description:

This study is a prospective multicenter, single arm, open label , interventional clinical study to assess the feasibility and safety of intratumoral Alpha DaRT seeds for the treatment of men with non metastatic locally recurrent prostate cancer. Diffusing Alpha emitters Radiation Therapy (DaRT). Treatment will be delivered through radioactive sources [Ra-224 containing Stainless steel 316LVM tubes- (Alpha DaRT seeds)] inserted into the tumors. The purpose of this study is to assess the feasibility and safety of intratumoral DaRT seeds implantation for the treatment of locally recurrent prostate cancer. The secondary objectives is 1. To evaluate feasibility of interstitial radiotherapy using DaRT seeds. Feasibility will be determined according to the rate of successful placement of DaRT seeds via imaging [Timeframe: immediately following the insertion procedure 2. To assess the impact of DaRT seeds on patient reported quality of life.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 10
• Est. completion date: June 2027
• Est. primary completion date: June 2027
• Accepts healthy volunteers: No
• Gender: Male
• Age group: 18 Years to 120 Years

Eligibility

Inclusion Criteria:

• Histologically confirmed locally recurrent prostate adenocarcinoma cancer confined to at least 1 hemi-gland with concordant pathology and imaging findings within 6 months prior to consenting
• Targetable lesion by either PSMA PET-CT according to PERCIST v1.0 or by multiparametric MRI according RECIST v1.1
• Patient being considered for focal salvage brachytherapy
• Lesion size = 3 cm in the longest diameter
• Target lesion technically amenable for full tumor coverage with the Alpha DaRT seeds
• Pre-salvage PSA level (rPSA) below <10 ng/ml
• Age = 18 years old
• ECOG Performance Status Scale = 2
• Subjects' life expectancy is more than 6 months
• Negative metastatic workup on at least standard imaging (CT CAP and bone scan). Other metastatic screening studies allowed in lieu of standard imaging including multiparametric MRI prostate/whole body, PSMA PET, F18 PET or Axumin PET within 3 months before visit 0
• Platelet count =100,000/mm3
• Subjects are willing and able to sign an informed consent form.

Exclusion Criteria:

• N1 or M1 disease
• Prior TURP or prostate surgery
• Inability to undergo multiparametric MRI (i.e. permanent implanted device incompatible with MRI)
• Inability to undergo general or spinal anesthesia
• Prior androgen deprivation therapy or systemic chemotherapy for prostate cancer within 3 months before visit 0.
• Previous diagnosis of other malignancy < 3 years of enrollment (excluding non-melanomatous skin cancer)
• Volunteers participating in another interventional study in the past 30 days which might conflict with the endpoints of this study or the evaluation of response or toxicity of DaRT
• High probability of protocol non-compliance (in opinion of investigator)
• Subjects not willing to sign an informed consent
• Patients with significant comorbidities that the treating physician deems may conflict with the endpoints of the study (e.g., poorly controlled autoimmune diseases, vasculitis, etc.)

Related Conditions & MeSH terms

• Locally Recurrent Prostate Cancer
• Non-metastatic Prostate Cancer
• Prostatic Neoplasms
• Recurrence

Intervention

Device:
• Experimental: DaRT seeds
Intratumoral Diffusing alpha-emitters Radiation Therapy (DaRT) Seeds

Locations

Country	Name	City	State
Israel	RAMBAM Health Care Campus	Haifa

Sponsors (1)

Lead Sponsor	Collaborator
Alpha Tau Medical LTD.

Country where clinical trial is conducted

Israel, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Feasibility of intratumoral DaRT seeds implantation	To evaluate feasibility of interstitial radiotherapy using DaRT seeds. Feasibility will be determined according to the rate of successful placement of DaRT seeds via imaging	immediately following the insertion procedure