Intensity-Modulated Radiation Therapy in Treating Patients With Prostate Cancer

NCT ID: NCT00946543

Last Updated: 2013-08-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

198 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-03-31

Brief Summary

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RATIONALE: Specialized radiation therapy that delivers a high dose of radiation directly to the tumor may kill more tumor cells and cause less damage to normal tissue.

PURPOSE: This phase I trial is studying the best dose of intensity-modulated radiation therapy in treating patients with prostate cancer.

Detailed Description

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OBJECTIVES:

* To test the feasibility of delivering hypofractionated intensity-modulated radiotherapy to the prostate and pelvic nodes of patients with prostate cancer.
* To determine the optimal dose level of this treatment regimen to be used in future studies.

OUTLINE: Patients are stratified according to small bowel total volume (low small bowel volume \< 450 cc vs high small bowel volume ≥ 450 cc).

Patients undergo hypofractionated intensity-modulated radiotherapy to the prostate and pelvis for 4 weeks in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up every 6 months for 5 years and then annually thereafter.

Conditions

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Prostate Cancer

Keywords

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stage IIB prostate cancer stage IIA prostate cancer stage III prostate cancer stage IV prostate cancer

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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hypofractionated radiation therapy

Intervention Type RADIATION

intensity-modulated radiation therapy

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Diagnosis of prostate cancer meeting 1 of the following criteria:

* Stage T3b/T4 disease or radiological or pathological pelvic nodal metastases
* Localized disease (stage pT2-T4) with \> 30% estimated risk of pelvic nodal metastases
* High-risk (Gleason score ≥ 8 or ≥ 2 risk factors) or very high-risk disease according to the National Collaborative Cancer Network (NCCN)
* Has undergone prostatectomy AND has stage T2-T3a, N0 disease with extensive high-risk disease (Gleason score ≥ 8) or seminal vesicle or lymph node involvement
* Candidate for radical radiotherapy

PATIENT CHARACTERISTICS:

* No inflammatory bowel disease or other small bowel disease

PRIOR CONCURRENT THERAPY:

* No prior pelvic radiotherapy or surgery (excluding prostatectomy)
Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Royal Marsden NHS Foundation Trust

OTHER

Sponsor Role lead

Principal Investigators

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David P. Dearnaley, MD, FRCP, FRCR

Role: PRINCIPAL_INVESTIGATOR

Royal Marsden NHS Foundation Trust

Locations

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Institute of Cancer Research - Chelsea

London, England, United Kingdom

Site Status RECRUITING

Institute of Cancer Research - Sutton

Sutton, England, United Kingdom

Site Status RECRUITING

Royal Marsden - Surrey

Sutton, England, United Kingdom

Site Status RECRUITING

Countries

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United Kingdom

Facility Contacts

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Contact Person

Role: primary

Contact Person

Role: primary

David P. Dearnaley, MD, FRCP, FRCR

Role: primary

References

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Fernandez-Mateos J, Cresswell GD, Trahearn N, Webb K, Sakr C, Lampis A, Stuttle C, Corbishley CM, Stavrinides V, Zapata L, Spiteri I, Heide T, Gallagher L, James C, Ramazzotti D, Gao A, Kote-Jarai Z, Acar A, Truelove L, Proszek P, Murray J, Reid A, Wilkins A, Hubank M, Eeles R, Dearnaley D, Sottoriva A. Tumor evolution metrics predict recurrence beyond 10 years in locally advanced prostate cancer. Nat Cancer. 2024 Sep;5(9):1334-1351. doi: 10.1038/s43018-024-00787-0. Epub 2024 Jul 12.

Reference Type DERIVED
PMID: 38997466 (View on PubMed)

Other Identifiers

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RMNHS-1766

Identifier Type: -

Identifier Source: secondary_id

EU-20869

Identifier Type: -

Identifier Source: secondary_id

CDR0000601695

Identifier Type: -

Identifier Source: org_study_id