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A Study to Evaluate the Performance of Confocal Microscopy to Detect Positive Margins During Radical Prostatectomy

Sponsor: University College, London

NCT ID: NCT07541911

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
LaserSAFE (diagnostic test)
How long the study runs
Study runs about 61 months (dates as stated)
About the drug or intervention
LaserSAFE — diagnostic test: The LaserSAFE intervention uses the Histolog® fluorescence confocal microscope to provide real-time tissue visualization at near-cellular resolution.
Patient visit burden
Not specified by the sponsor

In plain English

This study, run by University College London, is testing whether confocal microscopy (a special imaging technique) can detect cancer cells at the edges of the prostate during surgery to remove the prostate (called a radical prostatectomy). It focuses on men having robot-assisted surgery for prostate cancer. The aim is to see how well this technique works at spotting cancer remaining at the surgical margins.

Who can take part

  • Men diagnosed with operable prostate cancer that has not spread to lymph nodes or other parts of the body (stage cT2-T3a N0 M0)
  • Medically fit to have robot-assisted surgery to remove the prostate
  • Surgery is planned where nerve-sparing on at least one side is not advised, based on scans, biopsy results and discussions by the medical team
  • Able to read English well enough to understand the patient information sheet and give informed consent

Who may not be able to

  • Men who had hormone therapy (androgen deprivation therapy) before surgery
  • Scans showing either a very low or a very high chance of cancer extending beyond the prostate near the nerves — in other words, only 'in between' cases on scanning are included
  • Scans showing the cancer involves the rectum or seminal vesicles, where nerve-sparing would not be safe
  • Men who have had previous treatment for prostate cancer, such as radiotherapy, brachytherapy (internal radiation), focal therapy or chemotherapy

What taking part involves

  • • Robot-assisted surgery to remove the prostate (radical prostatectomy)
  • • During the operation, confocal microscopy is used to check the edges (margins) of the removed tissue for cancer cells
  • • Not stated — ask the trial team about any other tests or procedures involved

Time commitment: Not stated — ask the trial team about the number of visits, how long the study lasts, and what taking part involves beyond your planned surgery.

Plain-English summary (AI-generated) from registry data. Not eligibility advice — only the trial team can confirm whether you can take part. Use the eligibility checker to see how your health profile matches this trial.

Type of study
Testing a treatment
Ages
18 Years and over
Who
Male
Number of participants
693
Started
2026-04-20
Last checked
2026-05

Plain English Summary

What is this study?

  • • Testing a new treatment for prostate cancer
  • • NA - 693 participants
  • • The goal of this study is to find out whether a new method called "LaserSAFE" can accurately detect cancer at the edge of the prostate (called a positive margin) during prostate surgery

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with prostate cancer
  • • Male only

Where?

  • • London - University College London Hospital NHS Foundation Trust

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The goal of this study is to find out whether a new method called "LaserSAFE" can accurately detect cancer at the edge of the prostate (called a positive margin) during prostate surgery. LaserSAFE uses a special microscope in the operating room to quickly scan the prostate after it has been removed from the body. This information can help surgeons decide whether it is safe to preserve the nerves around the prostate. This is especially important for patients who are not usually considered suitable for nerve-sparing surgery using current methods. The study will also assess how quickly and reliably LaserSAFE provides this information during surgery. The main questions it aims to answer are: Can LaserSAFE accurately detect cancer at the edges of the prostate during surgery? Can LaserSAFE help surgeons safely decide whether to preserve or remove the surrounding nerves? Researchers will evaluate the use of the LaserSAFE technique during surgery to see if it improves decision-making about nerve preservation compared to standard practice. Participants will: Complete a quality of life questionnaire before surgery Undergo standard prostate surgery, where the surgeon will initially try to preserve the nerves Have their removed prostate analysed during surgery using the LaserSAFE technique Have additional tissue removed if LaserSAFE detects cancer at the edges of the prostate Attend routine follow-up visits as part of standard care Complete quality of life questionnaires at 3 and 12 months after surgery

Prostate CancerProstate Cancer (Adenocarcinoma)

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What we know so far

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: Male only

What the study is looking for

  • ✓Patients diagnosed with clinically significant operable cT2-T3a N0 M0 PC.
  • ✓Medically fit to undergo RARP.
  • ✓Scheduled for robot-assisted RARP with a recommendation against intrafascial nerve sparing on at least 1 side based...
  • ✓Ability to read English sufficiently to understand PIS and able to give agreement to take part.

Who cannot take part

  • ✗Patients who received neo-after surgery ADT.
  • ✗MRI informed very low likelihood for extra prostatic extension in the proximity of NVB (Based on EPE Likert 1 score...
  • ✗MRI informed high likelihood for extra prostatic extension in the proximity of NVB (based on Likert 5 score or...
  • ✗Patients in whom preoperative imaging shows rectal involvement or seminal vesicle invasion in which nerve-sparing is...
  • ✗Patients who received previous treatment for prostate cancer: External beam radiotherapy, brachytherapy, focal...
See the full criteria
Inclusion Criteria: * Patients diagnosed with clinically significant operable cT2-T3a N0 M0 PC. * Medically fit to undergo RARP. * Scheduled for robot-assisted RARP with a recommendation against intrafascial nerve sparing on at least 1 side based on multidisciplinary meetings informed by MRI, biopsy result and clinical factors. * Ability to read English sufficiently to understand PIS and able to give informed consent. Exclusion Criteria: * Patients who received neo-adjuvant ADT. * MRI informed very low likelihood for extra prostatic extension in the proximity of NVB (Based on EPE Likert 1 score or tumour away from the posterolateral areas of the prostate) * MRI informed high likelihood for extra prostatic extension in the proximity of NVB (based on Likert 5 score or bulging tumour on MRI T2 images) * Patients in whom preoperative imaging shows rectal involvement or seminal vesicle invasion in which nerve-sparing is deemed not feasible due to oncological safety concerns. * Patients who received previous treatment for prostate cancer: External beam radiotherapy, brachytherapy, focal therapy, chemotherapy.

Where Is This Study? (1 UK site)

University College London Hospital NHS Foundation Trust

London NW1 2BU, United Kingdom

Recruiting
Site contact (verified)

How to Get in Touch

Ricardo Almeida-Magana, Dr

Sponsor contact

CONTACT

+44 02076792000 r.magana@ucl.ac.uk
Data sourced from ClinicalTrials.gov · Last verified: 2026-05