Radiation and Androgen Ablation for Prostate Cancer

NCT ID: NCT01517451

Last Updated: 2024-06-07

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

PHASE1/PHASE2

Total Enrollment

105 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-05-22

Study Completion Date

2026-12-31

Brief Summary

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A study to see how effective and tolerable radiation therapy along with androgen deprivation therapy is in treating prostate cancer.

Detailed Description

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This will be a Phase I/II study evaluating the effectiveness and toxicity of a combined regimen of 7.25 Gy every other day fractions to a total dose of 36.25 Gy (total of 5 fractions) with androgen deprivation therapy (ADT) for 4 months total.

Conditions

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Adenocarcinoma of the Prostate

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Radiation with Androgen Deprivation Therapy (ADT)

This will be a Phase I/II study evaluating the effectiveness and toxicity of a combined regimen of 7.25 Gy every other day fractions to a total dose of 36.25 Gy (total of 5 fractions) with androgen deprivation therapy (ADT) for 4 months total, greater than or equal to 1 month prior to SBRT (stereotactic body radiation therapy). This choice of daily dose is based on the prior published experience showing safety and efficacy of hypofractionated regimens.

Group Type EXPERIMENTAL

Radiation Therapy

Intervention Type RADIATION

7.25 Gy every other day fractions to a total dose of 36.25 Gy (total of 5 fractions)

Androgen Deprivation Therapy (ADT)

Intervention Type DRUG

Androgen deprivation therapy (ADT) for 4 months total, greater than or equal to 1 month prior to SBRT.

Interventions

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Radiation Therapy

7.25 Gy every other day fractions to a total dose of 36.25 Gy (total of 5 fractions)

Intervention Type RADIATION

Androgen Deprivation Therapy (ADT)

Androgen deprivation therapy (ADT) for 4 months total, greater than or equal to 1 month prior to SBRT.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed, locally confined adenocarcinoma of the prostate
* Patient must fit D'Amico intermediate risk criteria by clinical stage (T2b-T2c), PSA (prostatic specific antigen) (10-20 ng/mL), and/or Gleason score (Gleason 7).
* The patient has decided to undergo external beam radiation as treatment choice for his prostate cancer.
* Signed study-specific consent form prior to registration

Exclusion Criteria

* Stage T3-4 disease.
* Gleason 8 or higher score.
* PSA \> 20 ng/ml.
* IPSS (International Prostate Symptom Score) \> 15
* Clinical or Pathological Lymph node involvement (N1).
* Evidence of distant metastases (M1).
* Radical surgery for carcinoma of the prostate.
* Previous Chemotherapy, unless intervention was greater than 5 years from beginning treatment for current prostate cancer.
* Previous pelvic radiation therapy.
* Previous or concurrent cancers other than basal or squamous cell skin cancers or superficial bladder cancer unless disease free for at least 5 years.
* History of inflammatory bowel disease.
* Major medical or psychiatric illness which, in the investigator's opinion, would prevent completion of treatment and would interfere with follow up.
* Myocardial infarction or cerebrovascular accident within one year from consultation, or other major vascular risk factor which would prevent a patient from receiving appropriate androgen deprivation therapy.11
* Liver function tests (LFTs) greater than twice the upper limit of normal.
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Daniel Song, M.D.

Role: PRINCIPAL_INVESTIGATOR

Johns Hopkins University

Locations

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Sibley Memorial Hospital

Washington D.C., District of Columbia, United States

Site Status

The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Baltimore, Maryland, United States

Site Status

Suburban Hospital

Bethesda, Maryland, United States

Site Status

Countries

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United States

Other Identifiers

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NA_00067963

Identifier Type: OTHER

Identifier Source: secondary_id

J11157

Identifier Type: -

Identifier Source: org_study_id

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