Radiation Therapy in Treating Patients Receiving Hormone Therapy for Prostate Cancer (GETUG-AFU 18)

NCT ID: NCT00967863

Last Updated: 2024-12-18

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-10-31

Study Completion Date

2026-10-31

Brief Summary

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RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. 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. It is not yet known which dose of radiation therapy is more effective in treating patients with prostate cancer.

PURPOSE: This randomized phase III trial is comparing two radiation therapy regimens in treating patients with prostate cancer receiving hormone therapy.

Detailed Description

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OBJECTIVES:

Primary

* Assess the impact of increasing the radiation dose 10 Gy on biochemical or clinical progression-free survival at 5 years in patients with unfavorable-risk prostate cancer receiving prolonged hormone therapy.

Secondary

* Evaluate overall and specific survival.
* Assess acute and late toxicities of different modalities (conformal or intensity-modulated radiotherapy).
* Evaluate toxicities of the different doses with respect to hormonal therapy.
* Assess the quality of life (QLQ-C30 and PR 25).

OUTLINE: This is a multicenter study. Patients are randomized to 1 of 2 treatment arms.

* Arm I: Patients undergo 80 Gy of conformal or intensity-modulated radiotherapy 5 times a week for 7-8 weeks.
* Arm II: Patients undergo 70 Gy of conformal or intensity-modulated radiotherapy 5 times a week for 7-8 weeks.

In both arms, patients receive goserelin subcutaneously once every 3 months for up to 3 years.

After completion of study treatment, patients are followed up periodically for 10 years.

Conditions

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Prostate Cancer

Keywords

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adenocarcinoma of the prostate stage III prostate cancer stage IV prostate cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm I

Patients undergo 80 Gy of conformal or intensity-modulated radiotherapy 5 times a week for 7-8 weeks.

Group Type EXPERIMENTAL

3-dimensional conformal radiation therapy

Intervention Type RADIATION

Patients undergo radiotherapy

intensity-modulated radiation therapy

Intervention Type RADIATION

Patients undergo radiotherapy

Arm II

Patients undergo 70 Gy of conformal or intensity-modulated radiotherapy 5 times a week for 7-8 weeks.

Group Type EXPERIMENTAL

3-dimensional conformal radiation therapy

Intervention Type RADIATION

Patients undergo radiotherapy

intensity-modulated radiation therapy

Intervention Type RADIATION

Patients undergo radiotherapy

Interventions

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3-dimensional conformal radiation therapy

Patients undergo radiotherapy

Intervention Type RADIATION

intensity-modulated radiation therapy

Patients undergo radiotherapy

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS:

* Histologically confirmed adenocarcinoma of the prostate

* Unfavorable disease, defined by at least 1 of the following criteria:

* Clinical stage T3 or T4
* Gleason score ≥8
* Serum prostate-specific antigen (PSA) ≥20 ng/mL and ≤100 ng/mL
* pN0 disease allowed if lymphadenectomy performed before patient began hormone therapy
* No pelvic lymph nodes ≥15 mm by CT scan or MRI
* No axillary lymph node involvement (pN1)
* No bone metastasis
* Must be starting hormonal treatment on or up to 6 months before beginning radiotherapy

PATIENT CHARACTERISTICS:

* Eastern Cooperative Oncology Group (ECOG) performance status 0-1
* Life expectancy \>5 years
* Must be enrolled in a social security program
* No other cancer, except basal cell skin cancer, that has been treated or relapsed within the past 5 years
* No severe uncontrolled hypertension (systolic BP ≥160 mm Hg or diastolic BP ≥90 mm Hg)
* No contraindication to luteinizing hormone-releasing hormone agonists
* No contraindication to pelvic irradiation (e.g., scleroderma, chronic inflammatory gastrointestinal disease)
* No hip prosthesis
* Must not be deprived of liberty or under guardianship
* No geographical, social, or psychological reasons that would preclude follow up

PRIOR CONCURRENT THERAPY:

* See Disease Characteristics
* No prior pelvic irradiation
* At least 3-4 months since prior transurethral resection
* No other prior surgery for prostate cancer
* No concurrent participation in another clinical trial which would require approval upon entry to this trial
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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UNICANCER

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christophe HENNEQUIN, PhD

Role: PRINCIPAL_INVESTIGATOR

Hopital Saint-Louis

Locations

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Institut de Cancérologie de l'Ouest Paul Papin

Angers, , France

Site Status

Institut Bergonie

Bordeaux, , France

Site Status

Centre Francois Baclesse

Caen, , France

Site Status

Centre hospitalier Métropole Savoie

Chambéry, , France

Site Status

Clinique Léonard de Vinci

Chambray-lès-Tours, , France

Site Status

CHU Henri Mondor

Créteil, , France

Site Status

Centre Léon Bérard

Lyon, , France

Site Status

Hopital La Timone

Marseille, , France

Site Status

Centre de Cancérologie du Grand Montpellier

Montpellier, , France

Site Status

Centre Val D'Aurelle

Montpellier, , France

Site Status

Centre Azureen de Cancerologie

Mougins, , France

Site Status

Chr Orleans

Orléans, , France

Site Status

Hôpital Saint Louis

Paris, , France

Site Status

Centre Hospitalier Lyon Sud

Pierre-Bénite, , France

Site Status

Centre CARIO - HPCA

Plérin, , France

Site Status

Hôpital Jean Bernard - CHU de Poitiers

Poitiers, , France

Site Status

Centre Eugène Marquis

Rennes, , France

Site Status

Centre Henri Becquerel

Rouen, , France

Site Status

Centre Rene Gauducheau

Saint-Herblain, , France

Site Status

Hia Begin

Saint-Mandé, , France

Site Status

Institut de Cancérologie LUCIEN NEUWIRTH

Saint-Priest-en-Jarez, , France

Site Status

Centre Paul Strauss

Strasbourg, , France

Site Status

Clinique PASTEUR

Toulouse, , France

Site Status

Ch Bretonneau

Tours, , France

Site Status

Centre Alexis Vautrin

Vandœuvre-lès-Nancy, , France

Site Status

Countries

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France

References

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Kim S, Kong JH, Lee Y, Lee JY, Kang TW, Kong TH, Kim MH, You SH. Dose-escalated radiotherapy for clinically localized and locally advanced prostate cancer. Cochrane Database Syst Rev. 2023 Mar 8;3(3):CD012817. doi: 10.1002/14651858.CD012817.pub2.

Reference Type DERIVED
PMID: 36884035 (View on PubMed)

Related Links

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https://clinicaltrials.gov/ct2/show/NCT00967863

Clinical trial summary from the National Cancer Institute's PDQ® database

Other Identifiers

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FRE-FNCLCC-GETUG-18/0706

Identifier Type: -

Identifier Source: secondary_id

2008-A00529-46

Identifier Type: OTHER

Identifier Source: secondary_id

EU-20966

Identifier Type: -

Identifier Source: secondary_id

CDR0000649028 UC-0160/0706

Identifier Type: -

Identifier Source: org_study_id