Urology

Overview of eligibility criteria

There is a Clinical Trial available for most fit patients with Prostate Cancer if they have progressive disease.

NB - Most trials require STABLE therapy for 4-6 weeks before trial entry. If considering HRPC trials - refer BEFORE changing Hormone Therapy.

Unless otherwise indicated, likely to be ineligible for clinical trials if:

  • Performance Status 3-4. i.e. NOT up and about ≥50% of waking hours
  • eGFR <50. Creatinine ≥ 1.5 Upper Limit of Normal (~180).
  • ALT/AST/Bilirubin ≥ 1.5 Upper Limit of Normal.
  • Hb ≤9-10, Plts ≤100, neutrophils ≤1.5.
  • Transfusion-dependent.
  • Systemic condition e.g. significant CVS/Respiratory/Thromboembolic disease that may impact on trial entry (PE/recent MI usually rules out, DVT/controlled angina usually allowed).
  • Other malignancy treated within 5 years.
  • Biopsy usually required though PSA >50-100 AND positive bone scan may suffice.

Clinical trials to consider

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Trial web links