Patients with recurrent disease after radiation therapy are candidates for SAT trials.
Primary objective: Assessment of efficacy by negative biopsy rate at 12 months.
Secondary objectives: Assessment of safety-profile and quality of life.
Exclusion criteria should include evidence of local or distant metastases.
The optimal biopsy strategy is image-guided targeted biopsies.
Follow-up includes multiparametric MRI, PSA, and quality of life, at least 5 years.