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Trial Title: High-Risk prostatE Cancer radiatiOn Versus surgERy

NCT ID: NCT05931419

Condition: Prostate Cancer
Prostate Adenocarcinoma

Conditions: Official terms:
Prostatic Neoplasms

Conditions: Keywords:
Radical prostatectomy
Radiotherapy
Health-related quality of life
Functional outcomes
Progression-free survival
Distant metastases-free survival
Cost-effectiveness

Study type: Observational [Patient Registry]

Overall status: Recruiting

Study design:

Time perspective: Prospective

Summary: Prospective cohort study comparing robot-assisted radical prostatectomy and external beam radiotherapy combined with androgen deprivation therapy for high-risk non-metastatic prostate cancer in terms of health-related quality of life, functional outcomes, cost-effectiveness, progression-free survival and distant metastasis-free survival.

Detailed description: Detailed description: Robot assisted radical prostatectomy (RARP) and external beam radiotherapy (EBRT) combined with Androgen Deprivation Therapy (ADT) are widely used treatment modalities for high-risk non-metastatic prostate cancer (HR-PCa). Both treatments are associated with adverse effects and can have a great impact on health-related quality of life (HRQoL). To date there is no consensus on which of both is the optimal treatment for men with HR-PCa, as it is unclear which treatment is superior in terms of HRQoL, cost-effectiveness, progression-free survival (PFS) and distant metastases-free survival (DMFS). This is reflected in substantial variation between individual hospitals in the utilization of both treatment options that is not explained by patient- and tumor characteristics or patient preferences. In the RECOVER study we aim to address this knowledge gap. The insights gained can be used to tailor recommendations in (national) guidelines and in shared decision-making tools. This allows healthcare professionals to better inform their patients and allows patients to make well-informed choices.

Criteria for eligibility:

Study pop:
Patients with de novo non-metastatic high-risk prostate cancer (cT3a-bN0M0 and/or ISUP grade ≥4 and/or PSA >20ng/ml), who have opted for treatment with RARP or EBRT and ADT and are diagnosed in, or are referred to one of the participating hospitals

Sampling method: Non-Probability Sample
Criteria:
Inclusion Criteria: - Histologically confirmed de novo non-metastatic high-risk prostate cancer. - cT3a-bN0M0, according to the 8th edition of the Tumour, Node, Metastasis (TNM) classification, with the exception that clinical T-stage will be based on digital rectal examination and magnetic resonance imaging (the highest stage will be used) and/or - International Society of Urological Pathology (ISUP) grade ≥4 and/or - Prostate-Specific Antigen (PSA) value at diagnosis greater than 20 ng/mL - Fit for treatment with either RARP or EBRT and ADT (WHO performance status 0-1) - Living in the Netherlands - Able to read and understand the Dutch language Exclusion Criteria: - Histological types other than adenocarcinoma - Diagnosis and/or treatment in a hospital abroad - Treatment with Androgen Receptor Targeted Agents (ARTA) as part of the initial treatment plan

Gender: Male

Minimum age: 50 Years

Maximum age: 75 Years

Locations:

Facility:
Name: Noordwest Ziekenhuisgroep

Address:
City: Alkmaar
Country: Netherlands

Status: Recruiting

Facility:
Name: Ziekenhuis Amstelland

Address:
City: Amstelveen
Country: Netherlands

Status: Recruiting

Facility:
Name: Amsterdam UMC

Address:
City: Amsterdam
Country: Netherlands

Status: Recruiting

Facility:
Name: Antoni van Leeuwenhoek Ziekenhuis

Address:
City: Amsterdam
Country: Netherlands

Status: Recruiting

Facility:
Name: BovenIJ ziekenhuis

Address:
City: Amsterdam
Country: Netherlands

Status: Recruiting

Facility:
Name: OLVG

Address:
City: Amsterdam
Country: Netherlands

Status: Recruiting

Facility:
Name: Wilhelmina Ziekenhuis

Address:
City: Assen
Country: Netherlands

Status: Recruiting

Facility:
Name: Rode Kruis Ziekenhuis

Address:
City: Beverwijk
Country: Netherlands

Status: Recruiting

Facility:
Name: Haaglanden Medisch Centrum

Address:
City: Den Haag
Country: Netherlands

Status: Recruiting

Facility:
Name: Albert Schweitzer Ziekenhuis

Address:
City: Dordrecht
Country: Netherlands

Status: Recruiting

Facility:
Name: Catharina Ziekenhuis

Address:
City: Eindhoven
Country: Netherlands

Status: Recruiting

Facility:
Name: Admiraal de Ruyter Ziekenhuis

Address:
City: Goes
Country: Netherlands

Status: Recruiting

Facility:
Name: Martini ziekenhuis

Address:
City: Groningen
Country: Netherlands

Status: Recruiting

Facility:
Name: Universitair Medisch Centrum Groningen

Address:
City: Groningen
Country: Netherlands

Status: Recruiting

Facility:
Name: Saxenburgh Medisch Centrum

Address:
City: Hardenberg
Country: Netherlands

Status: Recruiting

Facility:
Name: St Jansdal

Address:
City: Harderwijk
Country: Netherlands

Status: Recruiting

Facility:
Name: Spaarne Gasthuis

Address:
City: Hoofddorp
Country: Netherlands

Status: Recruiting

Facility:
Name: Treant

Address:
City: Hoogeveen
Country: Netherlands

Status: Recruiting

Facility:
Name: Dijklander Ziekenhuis

Address:
City: Hoorn
Country: Netherlands

Status: Recruiting

Facility:
Name: Leids Universitair Medisch Centrum

Address:
City: Leiden
Country: Netherlands

Status: Recruiting

Facility:
Name: Canisius Wilhelmina Ziekenhuis

Address:
City: Nijmegen
Country: Netherlands

Status: Recruiting

Facility:
Name: Radboudumc

Address:
City: Nijmegen
Country: Netherlands

Status: Recruiting

Facility:
Name: Erasmus Medisch Centrum Rotterdam

Address:
City: Rotterdam
Country: Netherlands

Status: Recruiting

Facility:
Name: Franciscus Gasthuis & Vlietland

Address:
City: Rotterdam
Country: Netherlands

Status: Recruiting

Facility:
Name: Maasstad Ziekenhuis

Address:
City: Rotterdam
Country: Netherlands

Status: Recruiting

Facility:
Name: Ommelander Ziekenhuis

Address:
City: Scheemda
Country: Netherlands

Status: Recruiting

Facility:
Name: Verbeeten Instituut

Address:
City: Tilburg
Country: Netherlands

Status: Recruiting

Facility:
Name: Maxima Medisch Centrum

Address:
City: Veldhoven
Country: Netherlands

Status: Recruiting

Facility:
Name: Zaans Medisch Centrum

Address:
City: Zaandam
Country: Netherlands

Status: Recruiting

Start date: February 16, 2023

Completion date: June 30, 2030

Lead sponsor:
Agency: Comprehensive Cancer Centre The Netherlands
Agency class: Other

Source: Comprehensive Cancer Centre The Netherlands

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05931419

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