A Study to Evaluate the Safety, Tolerability and Efficacy of a Liproca® Depot Injection in Patients With Prostate Cancer
Prostate Cancer

About this trial
This is an interventional treatment trial for Prostate Cancer
Eligibility Criteria
Inclusion Criteria:
- Signed informed consent prior to any study specific procedures being performed
- 18 - 80 years of age, inclusive
- Assigned to Active Surveillance
- Histologically confirmed, localized prostate cancer within 24 months of Screening
- Gleason score 3+3 or 3+4 with one or more of the following characteristics:
PSA > 6.0 μg/L (ng/mL) and PSA density > 0.15; PSA > 10.0 μg/L and < 20 μg/L (ng/mL); Any systematic core > 50% involvement; Any PI-RADS score 4 or 5 on MRI; Any Gleason grade 4, Men of African descent
- Patient has a negative bone scan within the last 12 months
- Patient is able to have an MRI
- Prostate volume ≤ 80 mL (measured by MRI within 12 months of Screening or has been scheduled for an MRI prior to Screening)
- eGFR ≥ 30 mL/min, using the Cockcroft - Gault Equation: = [{(140 - age in years) x (weight in kg)} x 1.23] / serum Creatinine in micromol/l
- AST, ALT and ALP ≤ 1.5 times upper limit of normal
- Patient must be willing to comply with all study procedures
- Patients must agree to the use of medically acceptable methods of contraception, including non-hormonal intrauterine device (IUD) or double barrier method (condom with foam or vaginal spermicidal suppository, diaphragm with spermicide) for the duration of the study (24 weeks), unless the patient and/or their partner has been surgically sterilized
Exclusion Criteria:
- PSA > 20 μg/L (ng/mL)
- Previous or ongoing hormonal therapy for prostate cancer
- Positive urine culture before treatment with prophylactic antibiotics
- Ongoing or previous therapy with finasteride or dutasteride in the last 3 months
- Ongoing or previous invasive therapy for benign prostate hyperplasia (BPH) (e.g. TURP,TUMT, HIFU, etc.)
- Use of pacemaker or other implanted electronic devices
- Metal implant in the pelvis (e.g. hip replacement) that may affect the MRI of the prostate
- Allergy to Liproca® Depot and its ingredients
- Severe micturition symptoms (I-PSS >15 or residual urine volume > 150 mL) confirmed by repeat measurement or Qmax< 12 mL/s
- Ongoing therapy with the anticoagulant Acetyl Salicylic Acid (ASA) (more than 100mg/day) as preventive anti-thrombotic therapy should be withdrawn temporarily before treatment with Liproca® Depot, as determined by the Investigator. Other anticoagulants should be withdrawn in cooperation with the treating physician
- Use of any previous focal prostate cancer treatment, such as transurethral resection, cryotherapy, high intensity frequency ultrasound (HIFU) and/or photodynamic therapy
- Concomitant systemic treatment with corticosteroids or immune modulating agents
- Known immunosuppressive disease (e.g. HIV, Type II Diabetes). Patients with well controlled Type II Diabetes may be included, as determined by Investigator
- Simultaneous participation in any other study involving an investigational product or device,or having participated in a prostate cancer study within the last 12 months prior to starting treatment with Liproca® Depot
- Infection in WHO Risk Group 2, 3 or 4
Sites / Locations
- Nova Scotia Health Authority
- Jonathan Giddens Medicine Professional Corporation
- G. Kenneth Jansz Medicine Professional Corporation
- The Fe/Male Health Centres
- Sunnybrook Health Sciences Centre
- CIUSSS de l'Estrie - CHUS
- Helsinki University Hospital
- Tampere University Hospital
- Hospital of Lithuanian University of Health Sciences
- National Cancer Institute - Oncourology Department
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Stage I: Dose = 35% of prostate volume
Stage I: Dose = 45% of prostate volume
Stage II: Dose = 16mL
Stage II: Dose = 20mL
Subject will be randomized into a group receiving one dose of 2-hydroxyflutamide depot (Liproca® Depot) equal to 35 % of their prostate volume.
Subject will be randomized into a group receiving one dose of 2-hydroxyflutamide depot (Liproca® Depot) equal to 45 % of their prostate volume.
Subject will be randomized into a group receiving one dose of 2-hydroxyflutamide depot (Liproca® Depot) equal to 16mL
Subject will be randomized into a group receiving one dose of 2-hydroxyflutamide depot (Liproca® Depot) equal to 20mL