Trial Outcomes & Findings for CT-validation of Ultrasound Based Planning for High Dose Rate (HDR) Prostate Brachytherapy Using Vitesse (NCT NCT01248741)

NCT ID: NCT01248741

Last Updated: 2020-12-11

Results Overview

Precise location of the tip of each needle in 3-dimensional space relative to the prostate determines the pattern of dose delivery. Inaccuracies in needle tip location may lead to differences detected between UltraSound(US)-based and Computed Tomography (CT)-based plans.The distance of the needle tip (as identified on either CT images or US images) protruding beyond the template was measured in mm. The template acted as a fixed reference point as it was locked into the stabilizer/stepper apparatus. The 2 protrusion readings for each needle tip were compared, the difference recorded in mm, and categorized as \< 1 mm, 1-2 mm, 2-3 mm and \> 3 mm.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

20 participants

Primary outcome timeframe

Treatment was planned and delivered based on ultrasound identification of needles and needle tips relative to prostate. All measurements and comparisons of measurements pertain to the day of the procedure.

Results posted on

2020-12-11

Participant Flow

20 patients were recruited from the target population of men with localized prostate cancer undergoing radical radiotherapy consisting of a combination of external beam radiation and 2 fractions of 10 Gray each of High Dose Rate brachytherapy

Participant milestones

Participant milestones
Measure
HDR Prostate Brachytherapy
HDR prostate brachytherapy: HDR prostate brachytherapy to be delivered in 2 fractions of 10 Gray as a "boost" combined with external beam radiotherapy
Overall Study
STARTED
20
Overall Study
COMPLETED
20
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

CT-validation of Ultrasound Based Planning for High Dose Rate (HDR) Prostate Brachytherapy Using Vitesse

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Localized Prostate Cancer
n=20 Participants
Patients had either intermediate risk or favorable high risk disease suitable for definitive radiotherapy.
Age, Continuous
65 years
n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
20 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
Canada
20 participants
n=5 Participants

PRIMARY outcome

Timeframe: Treatment was planned and delivered based on ultrasound identification of needles and needle tips relative to prostate. All measurements and comparisons of measurements pertain to the day of the procedure.

Precise location of the tip of each needle in 3-dimensional space relative to the prostate determines the pattern of dose delivery. Inaccuracies in needle tip location may lead to differences detected between UltraSound(US)-based and Computed Tomography (CT)-based plans.The distance of the needle tip (as identified on either CT images or US images) protruding beyond the template was measured in mm. The template acted as a fixed reference point as it was locked into the stabilizer/stepper apparatus. The 2 protrusion readings for each needle tip were compared, the difference recorded in mm, and categorized as \< 1 mm, 1-2 mm, 2-3 mm and \> 3 mm.

Outcome measures

Outcome measures
Measure
Localized Prostate Cancer
n=20 Participants
Patients had either intermediate risk or favorable high risk disease suitable for definitive radiotherapy.
Accuracy of Needle Tip Identification on TransRectal UltraSound Compared to Computed Tomography
1.1 mm
Standard Deviation 0.1

Adverse Events

Localized Prostate Cancer

Serious events: 1 serious events
Other events: 2 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Localized Prostate Cancer
n=20 participants at risk
Patients had either intermediate risk or favorable high risk disease suitable for definitive radiotherapy.
Gastrointestinal disorders
colostomy
5.0%
1/20 • Number of events 1

Other adverse events

Other adverse events
Measure
Localized Prostate Cancer
n=20 participants at risk
Patients had either intermediate risk or favorable high risk disease suitable for definitive radiotherapy.
Renal and urinary disorders
urethral stricture
10.0%
2/20 • Number of events 2

Additional Information

Dr Juanita Crook

British Columbia Cancer Agency

Phone: 2507123958

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place