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Prostate CancerCAPTAINNCT05027477

A Comparison of TULSA Procedure vs. Radical Prostatectomy in Participants With Localized Prostate Cancer

A study testing Radical Prostatectomy and TULSA Procedure in people with Prostate Cancer and Prostate Adenocarcinoma, run by Profound Medical Inc. at 22 sites in 3 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Men with localized, intermediate risk prostate cancer will be randomized to undergo either radical prostatectomy or the TULSA procedure, with a follow-up of 10 years in this multi-centered randomized control trial. Read more about this study

Who is it for?
Ages 40 to 80 years, men only
Conditions the study is for
Prostate Cancer, Prostate Adenocarcinoma
What is being tested?
Radical Prostatectomy and TULSA Procedure
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
201 participants
Where
22 sitesin 3 countries
Study dates
1 Nov 2021to 31 Aug 2036
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 80 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Male
  • Age 40 to 80 years, with >10 years life expectancy
  • NCCN (favorable and unfavourable) intermediate-risk prostate cancer on biopsy acquired within last 12 months
  • Stage ≤cT2c, N0, M0
  • ISUP Grade Group 2 or 3 disease on TRUS-guided biopsy or in-bore biopsy
  • PSA ≤20ng/mL within last 3 months
  • Treatment-naïve
  • Planned ablation volume is < 3 cm axial radius from urethra on mpMRI acquired within last 6 months

Who cannot join

  • Inability to undergo MRI or general anesthesia
  • Suspected tumor is > 30 mm from the prostatic urethra
  • Prostate calcifications > 3 mm in maximum extent obstructing ablation of tumor
  • Unresolved urinary tract infection or prostatitis
  • History of proctitis, bladder stones, hematuria, history of acute urinary retention, severe neurogenic bladder
  • Artificial urinary sphincter, penile implant, or intraprostatic implant
Show all 9Show fewer
  • Patients who are otherwise not deemed candidates for radical prostatectomy
  • Inability or unwillingness to provide informed consent
  • History of anal or rectal fibrosis or stenosis, or urethral stenosis, or other abnormality challenging insertion of devices

Trial locations and contacts

22 sites in 3 countries.

22 sites in 3 countries

United States19 sites
  • Johns Hopkins School of Medicine

    Baltimore, Maryland, 21287

  • Arizona State Urological Institute

    Chandler, Arizona, 85224

  • Cleveland Clinic

    Cleveland, Ohio, 44106

  • The University of Texas Southwestern Medical Center

    Dallas, Texas, 75390-9020

  • Indiana University

    Indianapolis, Indiana, 46202

  • Mayo Clinic Jacksonville

    Jacksonville, Florida, 32224

  • Atlantic Urology Medical Group

    Long Beach, California, 90806

  • Urology Group of Southern California

    Los Angeles, California, 90017

  • University of California, Los Angeles

    Los Angeles, California, 90024

  • Comprehensive Urology Medical Group

    Los Angeles, California, 90048

  • East Valley Urological Center

    Mesa, Arizona, 85206

  • Alarcon Urology Center

    Montebello, California, 90640

  • Yale Cancer Center

    New Haven, Connecticut, 06511

  • Pasadena Urological Medical Group

    Pasadena, California, 91101

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • The Urology Place

    San Antonio, Texas, 78240

  • Sarasota Memorial Health Care System

    Sarasota, Florida, 34239

  • Investigate MD

    Scottsdale, Arizona, 85255

  • Stanford Cancer Center

    Stanford, California, 94305

Other trials in United States

Canada2 sites
  • Lawson Health Research Institute, London Health Sciences Centre

    London, Ontario, N6C 2R5

  • Sunnybrook Research Institute

    Toronto, Ontario, M4N 3M5

Other trials in Canada

Finland1 site
  • Turku University Hospital/TYKS

    Turku, Southwest Finland, 20520

Other trials in Finland

About this study

Official title: Customized Ablation of the Prostate With the TULSA Procedure Against Radical Prostatectomy Treatment: a Randomized Controlled Trial for Localized Prostate Cancer (CAPTAIN)

Men with localized, intermediate risk prostate cancer will be randomized to undergo either radical prostatectomy or the TULSA procedure, with a follow-up of 10 years in this multi-centered randomized control trial. This study will determine whether the TULSA procedure is as effective and more safe compared to radical prostatectomy.

Read the detailed description

The typical standard of care for patients with localized, intermediate risk prostate cancer is radical prostatectomy, which involves the surgical removal of the prostate. Although radical prostatectomy is effective in terms of controlling the cancer, it may leave men with significant long-term effects in urinary, sexual function like erectile dysfunction and/or incontinence (loss of bladder control), thus reducing quality of life. Preservation of continence (ability to control your bladder) and potency (ability to achieve erection and/or ejaculation) may be significant concerns for men.

Targeted ablation of localized prostate cancer using MRI-guided technology is becoming a favorable option for many men who wish to have their cancer treated but do not wish to compromise their urinary and sexual functions. The TULSA Procedure is a new, minimally-invasive technique that uses real-time MRI-guided technology to guide the delivery of high-energy ultrasound to precisely, and in a customized fashion specific to you, heat and kill the prostate cancer tissue while protecting important surrounding body parts that are important for preserving urinary and sexual function. Minimally invasive here means that the procedure is performed through natural openings in your body (the urethra) instead of creating larger openings like traditional surgery or minimally invasive surgery.

The purpose of this research study is to:

  • Test whether the TULSA Study Procedure preserves or improves your quality of life (urinary, bowel and sexual functions) at 12 months post-study treatment compared to standard of care (radical prostatectomy).
  • Test how many subjects who undergo the TULSA Study Procedure are free from treatment failure by 3 years post-study treatment compared to subjects who undergo the standard of care (radical prostatectomy). Treatment failure is defined as undergoing other additional prostate cancer treatments, spreading of cancer or death caused by cancer.

About 201 subjects will participate in this study with 67 randomly assigned to the radical prostatectomy group and 134 randomly assigned to the TULSA procedure group. Patients will have a 1 in 3 chance of being assigned to the radical prostatectomy group and a 2 in 3 chance of being assigned to the TULSA group. Following treatment, patients will be followed up for 10 years.

Being tested
Radical Prostatectomy, TULSA Procedure
Keywords
Prostate ablation, high intensity transurethral ultrasound ablation, MRI-guided, minimally invasive, real-time temperature feedback control, prostate cancer, TULSA, radical prostatectomy
Medical subject headings
Prostatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Radical ProstatectomyDevice

    If you are in this group, you will get the standard of care treatment used to treat this type of cancer: radical prostatectomy. You will undergo this procedure as per standard clinical practice. A radical prostatectomy is a surgical procedure that removes the prostate gland. This is done by making a surgical incision and removing the prostate gland.

  • TULSA ProcedureDevice

    Also called TULSA-PRO

    If you are in this group, you will get the TULSA Procedure. The TULSA Procedure is a minimally invasive procedure that uses directional ultrasound to produce very high temperature to ablate (destroy) targeted prostate tissue. The procedure is performed in a MRI suite (the physician can see the prostate at all times throughout the procedure) and uses the TULSA-PRO system to ablate prostate tissue. The procedure combines real-time MRI with robotically-driven directional thermal ultrasound to deliver predictable, physician-prescribed ablation of the prostate. Minimally invasive here means that the procedure is performed through natural openings in your body (the urethra) instead of creating larger openings like in traditional surgery.

Study groups in NCT05027477
Study groupRoleWhat they receive
Radical ProstatectomyActive comparatorPatients in this group will undergo Radical prostatectomy. There will be about 67 people in this group.
Receives: Device: Radical Prostatectomy
TULSA ProcedureExperimentalPatients in this group will undergo TULSA Procedure. There will be about 134 people in this group.
Receives: Device: TULSA Procedure

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Safety endpoint - proportion of patients who maintain both urinary continence and erectile potency

    Compare preservation of urinary continence and erectile potency, between the 2 arms. Urinary continence is defined as 'pad-free' (0 pads/day) (per EPIC question 5) and erectile potency is defined as erection firmness sufficient for penetration (per IIEF question 2).

    Measured: 12 months post-treatment

  2. Efficacy endpoint - proportion of patients free from treatment failure

    Compare the proportion of patients experiencing treatment failure, between the 2 arms. Treatment failure is defined as delivery of any additional intervention for prostate cancer (local or systemic, including adjuvant therapy), or metastatic disease, or prostate cancer-specific death.

    Measured: 36 months post-treatment

Secondary outcomes (18)
  1. Biochemical failure endpoint

    Compare the proportion of patients with biochemical failure between the two arms. Biochemical failure is defined as PSA≥ 0.2 ng/mL for the RP arm or PSA nadir plus 2 ng/mL for the TULSA arm (adapted from Phoenix criteria).

    Measured: At each visit post treatment throughout the total study follow up: 1, 3, 6, 9, 12, 18, 24 month, and 3, 4, 5, 6, 7, 8, 9, 10 years

  2. Histological failure endpoint

    Compare the proportion of patients who have clinically significant disease (defined as ISUP Grade Group 2 or higher) between the two arms.

    Measured: At 12 month post treatment, and also at 24 months post treatment for patients who undergo a repeat TULSA

  3. mpMRI endpoint (for Tulsa arm only)

    Characterize the effect of the TULSA Procedure ablation on diagnostic multi-parametric MRI, determined using PI-RADS V2 score, compared to baseline.

    Measured: At 12 month post treatment, and also at 24 months post treatment for patients who undergo a repeat TULSA

  4. Salvage-free survival endpoint

    Compare the proportion of patients who are salvage free, between the two arms. Salvage-free survival is defined as freedom from any salvage treatments after the assigned treatment, for both RP arm and TULSA arm. 1 repeat TULSA does not count as Salvage.

    Measured: At each visit post treatment throughout the total study follow up: 1, 3, 6, 9, 12, 18, 24 month, and 3, 4, 5, 6, 7, 8, 9, 10 years

  5. Metastases-free survival endpoint

    Compare the proportion of patients who are free from metastatic disease between the 2 arms, based on imaging.

    Measured: At each visit post treatment throughout the total study follow up: 1, 3, 6, 9, 12, 18, 24 month, and 3, 4, 5, 6, 7, 8, 9, 10 years

  6. Prostate cancer-specific survival endpoint

    Compare the proportion of patients who die of prostate cancer between the 2 arms.

    Measured: At each visit post treatment throughout the total study follow up: 1, 3, 6, 9, 12, 18, 24 month, and 3, 4, 5, 6, 7, 8, 9, 10 years

  7. Overall survival endpoint

    Compare the proportion of patients who die of any cause, between the 2 arms.

    Measured: At each visit post treatment throughout the total study follow up: 1, 3, 6, 9, 12, 18, 24 month, and 3, 4, 5, 6, 7, 8, 9, 10 years

  8. Surgical complications endpoint

    Compare the frequency and severity of all adverse events between the 2 arms, evaluated by attribution and reported in accordance with Clavien-Dindo classification.

    Measured: At the following study visits post treatment: 1, 3, 6, 9, 12, 18, 24 month, and 3, 4, 5 years

  9. Penile rehabilitation endpoint

    Compare the proportion of patients who undergo penile rehabilitation between the 2 arms (penile rehab includes implant insertion, medication/injection, traction or pump device).

    Measured: At the following study visits post treatment: 1, 3, 6, 9, 12, 18, 24 month, and 3, 4, 5 years

  10. Penile length endpoint

    Compare the change in penile length from baseline to after treatment, between the 2 arms, as measured by the study doctor.

    Measured: At 1 month and 12 months post-treatment

  11. Blood loss endpoint

    Compare the volume of blood lost between the two arms during treatment.

    Measured: During the procedure and immediately after the procedure

  12. Transfusion volume endpoint

    Compare the volume of transfused blood between the two arms during treatment.

    Measured: During the procedure and immediately after the procedure

  13. Inpatient hospital stay endpoint

    Compare the length of inpatient stay between the two arms.

    Measured: Immediately after the procedure

  14. IIEF-15 Endpoint

    Compare International Index of Erectile Function (IIEF-15) scores (for domains of sexual function) between the two arms at follow up, referenced to baseline. Low scores indicate a worse outcome.

    Measured: At each visit post treatment throughout the total study follow up: 1, 3, 6, 9, 12, 18, 24 month, and 3, 4, 5, 6, 7, 8, 9, 10 years

  15. IPSS Endpoint

    Compare International Prostate Symptom Score (IPSS) scores (for urinary function), between the two arms at follow up, referenced to baseline. Minimum score=0, Maximum score=35. Higher scores indicate a worse outcome.

    Measured: At each visit post treatment throughout the total study follow up: 1, 3, 6, 9, 12, 18, 24 month, and 3, 4, 5, 6, 7, 8, 9, 10 years

  16. EPIC Endpoint

    Compare (Expanded Prostate Cancer Index Composite) EPIC scores (for domains of urinary, sexual, bowel, and hormonal function), scored from 0 (worst) to 100 (best) between the two arms at follow up, referenced to baseline.

    Measured: At each visit post treatment throughout the total study follow up: 1, 3, 6, 9, 12, 18, 24 month, and 3, 4, 5, 6, 7, 8, 9, 10 years

  17. NRS Endpoint

    Compare Numerical Rating Scale (NRS) ratings (which measures pain intensity), between the two arms at follow up, referenced to baseline. 0 indicates no pain and 10 indicates worst possible pain.

    Measured: At each visit post treatment throughout the total study follow up: 1, 3, 6, 9, 12, 18, 24, and 36 months.

  18. EQ-5D-5L Endpoint

    Compare the EQ-5D-5L scores (which measures quality of life), between the two arms at follow up, referenced to baseline. Responses are coded as single-digit numbers expressing the severity level selected in each dimension (Mobility, self-care, usual activities, pain/discomfort and anxiety expression), where level 1 indicates no problem and level 5 indicates extreme problem.

    Measured: At each visit post treatment throughout the total study follow up: 1, 3, 6, 9, 12, 18, 24, and 36 months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Aug 2021
  2. Study start1 Nov 2021
  3. Primary completion31 Aug 2026 (estimated)
  4. Study completion31 Aug 2036 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
201 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05027477
Sponsor's protocol ID
GCP-10296
Acronym
CAPTAIN
Status last verified
Jan 2025
First submitted
18 Aug 2021
Last updated
17 Aug 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A study testing Radical Prostatectomy and TULSA Procedure in people with Prostate Cancer and Prostate Adenocarcinoma, run by Profound Medical Inc. at 22 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 17 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 22 sites in United States, Canada, Finland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety endpoint - proportion of patients who maintain both urinary continence and erectile potency (time frame: 12 months post-treatment). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Aug 2025.

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