Docetaxel, Androgen Deprivation and Proton Therapy for High Risk Prostate Cancer

NCT ID: NCT01040624

Last Updated: 2023-10-03

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

77 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-31

Study Completion Date

2022-04-11

Brief Summary

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The purpose of this study is to see what effects, good and/or bad, proton based radiation combined with low dose chemotherapy and hormonal therapy, has on patients and their cancer.

Detailed Description

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Conditions

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Prostate Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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High-risk arm A (HR-A)

\< 15% risk of + lymph nodes (LN)

Group Type EXPERIMENTAL

< 15% risk of + LN

Intervention Type RADIATION

Total of 54 Cobalt gray equivalent (CGE) over 30 treatments to prostate + seminal vesicles (SV), then proton boost total of 23.4-27 CGE over 13-15 treatments to prostate +/- SV. Low dose docetaxel every week during radiation therapy (RT) followed by androgen deprivation therapy for 6 months.

HR-B

\> 15% risk of + LN

Group Type EXPERIMENTAL

> 15% risk of + LN

Intervention Type RADIATION

Total of 45 Gy over 25 treatments to prostate + SV + LN, then proton boost total of 32.4-36 CGE over 18-20 treatments to prostate + SV. Low dose docetaxel every week during RT followed by androgen deprivation therapy for 6 months.

Interventions

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< 15% risk of + LN

Total of 54 Cobalt gray equivalent (CGE) over 30 treatments to prostate + seminal vesicles (SV), then proton boost total of 23.4-27 CGE over 13-15 treatments to prostate +/- SV. Low dose docetaxel every week during radiation therapy (RT) followed by androgen deprivation therapy for 6 months.

Intervention Type RADIATION

> 15% risk of + LN

Total of 45 Gy over 25 treatments to prostate + SV + LN, then proton boost total of 32.4-36 CGE over 18-20 treatments to prostate + SV. Low dose docetaxel every week during RT followed by androgen deprivation therapy for 6 months.

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

\* Adenocarcinoma of the prostate.

Exclusion Criteria

* Previous prostate cancer treatment such as chemotherapy and/or pelvic radiation.
* Active inflammatory bowel disease (diverticulitis, Crohn's disease or ulcerative colitis) affecting the rectum. (Non-active diverticulitis and Crohn's disease not affecting the rectum are allowed.)
* History of hip replacement.
* Prior intrapelvic surgery. This includes the following:
* Transrectal or rectal surgery other than polypectomy or hemorrhoid removal or banding
* Transabdominal pelvic surgery
* Bladder surgery
* Prior myocardial infarction (MI) or congestive heart failure (CHF).
* Taking Saw Palmetto or methotrexate and unable or unwilling to discontinue its use during radiation.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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University of Florida

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nancy P Mendenhall, MD

Role: PRINCIPAL_INVESTIGATOR

University of Florida Proton Therapy Institute

Locations

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University of Florida Proton Therapy Institute

Jacksonville, Florida, United States

Site Status

Countries

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United States

References

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Other Identifiers

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IRB201702459

Identifier Type: OTHER

Identifier Source: secondary_id

UFPTI 0703 - PR05

Identifier Type: -

Identifier Source: org_study_id

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