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Trial Title: Evaluation of Truebeam for Low-Intermediate Risk Prostate Cancer

NCT ID: NCT01581749

Condition: Prostate Neoplasms

Conditions: Official terms:
Prostatic Neoplasms

Conditions: Keywords:
low risk prostate cancer
intermediate risk prostate cancer
stereotactic radiosurgery

Study type: Interventional

Study phase: Phase 4

Overall status: Unknown status

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Radiation
Intervention name: "TrueBeam" stereotactic body radiosurgery
Description: 36.25Gy to be delivered to the prostate in 5 fractions. There is only 1 arm in this study.
Arm group label: 36.25Gy to prostate in 5 fractions

Summary: The primary safety purpose of this study is to estimate the rates of immediate and long-term high grade (grade 3-5) gastrointestinal and genitourinary side effects during the five years after TrueBeam stereotactic body radiotherapy in low-risk and intermediate-risk prostate cancer patients. The primary efficacy purpose is to compare 5 year biochemical disease free survival rates with TrueBeam to 5 year biochemical diseases free survival rates with dose-escalated external beam radiation therapy.

Detailed description: The prescribed PTV dose of 36.25Gy shall be given in 5 fractions using the Truebeam STx. At one week after treatment, toxicity and AUA score will be evaluated. At 1 month following treatment, patients will be assessed for acute toxicity, and will fill out AUA form, SF-12, EPIC-26, SHIM and Utilization of Sexual Rx/Devices. At 3, 6, 12, 18, and 24 month intervals (and every 6 months thereafter, through year 5, and annually through year 10, if investigators opt to continue past year 5), patients will be seen and evaluated, including a history, physical exam, ECOG performance status, PSA, toxicity evaluation, and AUA score. In addition, at 6 months, 12 months and annually thereafter, the SF-12, EPIC-26, SHIM and Utilization of Sexual Medications/Devices will be administered. Examination and studies may be done at outside facility. A prostate biopsy will be performed at time of biochemical or local clinical failure, and is encouraged at 2 years following treatment and at time of distant failure.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - histologically proven prostate adenocarcinoma within 1 year of enrollment - Low risk: Gleason 10 & < or =20 & Clinical Stage T1b- T2b, Nx or NO, Mx or M0 - ECOG Performance Status 0-1 - No prior prostate radiation or other definitive therapy Exclusion Criteria: - implanted hardware or other material that would prohibit treatment planning or delivery - chemotherapy for a malignancy within the previous 5 years - history of an invasive malignancy (other than this prostate cancer,or basal or squamous skin cancers) within prior 5 years - hormone ablation for 2 months prior to treatment or during treatment

Gender: Male

Minimum age: 21 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Lankenau Medical Center, Radiation Oncology

Address:
City: Wynnewood
Zip: 19096
Country: United States

Status: Recruiting

Start date: October 2011

Completion date: December 2022

Lead sponsor:
Agency: Albert DeNittis
Agency class: Other

Source: Main Line Health

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT01581749

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