Curative Image Guided Radiotherapy for Prostate Cancer

NCT ID: NCT01550237

Last Updated: 2025-06-05

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

260 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Study Completion Date

2025-09-30

Brief Summary

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The clinical importance of cone beam computer tomography based image guided radiotherapy (CT- IGRT) has not been established. The primary aim of the present trial is to investigate whether CT- IGRT and consequently reduced safety margins reduces the rectal side effects from curative, high dose radiotherapy in prostate cancer. Any impact of the reduced planning target volume in the CT- IGRT arm on biochemical freedom from disease will be evaluated as secondary outcome.

An open randomised phase III trial. The included men will be randomised to receive curative radiotherapy to 78 Gy in 39 fractions with weekly orthogonal position verification and standard safety margins (10-15 mm) or 78 Gy in 39 fractions with daily CT position verification and reduced safety margins (7mm).

Detailed Description

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Conditions

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Prostatic Neoplasms

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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radiotherapy daily reduced

radiotherapy, with daily CT position verification and reduced safety margins

Group Type EXPERIMENTAL

radiotherapy daily verification reduced safety margins

Intervention Type RADIATION

curative radiotherapy to 78 Gy in 39 fractions with daily CT position verification and reduced safety margins (7mm)

radiotherapy weekly standard

radiotherapy, with weekly orthogonal position verification and standard safety margins

Group Type ACTIVE_COMPARATOR

radiotherapy weekly verification standard safety margins

Intervention Type RADIATION

curative radiotherapy to 78 Gy in 39 fractions with weekly orthogonal position verification and standard safety margins (10-15 mm)

Interventions

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radiotherapy daily verification reduced safety margins

curative radiotherapy to 78 Gy in 39 fractions with daily CT position verification and reduced safety margins (7mm)

Intervention Type RADIATION

radiotherapy weekly verification standard safety margins

curative radiotherapy to 78 Gy in 39 fractions with weekly orthogonal position verification and standard safety margins (10-15 mm)

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Biopsy confirmed adenocarcinoma of prostate
* No evidence of nodal or distant metastases (N0M0)
* Intermediate or high risk based on T stage, PSA level and Gleason score
* Informed consent

Exclusion Criteria

* Previous treatment for cancer last 5 years, except basal cell carcinoma of skin
* Any previous radiotherapy, except KV or electron treatment of skin tumors outside the pelvis
* Metallic hip joint replacement
* Pre-existing intestinal or genitourinary disease with increased risk of side effects
* Any pre-existing condition making the patient unsuitable for radiotherapy
* Any pre-existing condition making the patient unsuitable for hormonal therapy
* Any pre-existing condition making the patient unsuitable for MRI.
* ALAT, GT, ALP, creatinin \> 1.5 x upper normal limit
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Norwegian University of Science and Technology

OTHER

Sponsor Role collaborator

Alesund Hospital

OTHER

Sponsor Role collaborator

St. Olavs Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jo Å Lund, MD PhD

Role: PRINCIPAL_INVESTIGATOR

St Olavs Hospital, University Hospital, Trondheim, Norway

Locations

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Ålesund Sykehus

Ålesund, , Norway

Site Status

St Olavs Hospital

Trondheim, , Norway

Site Status

Countries

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Norway

References

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Tondel H, Lund JA, Lydersen S, Wanderas AD, Aksnessaether B, Jensen CA, Kaasa S, Solberg A. Radiotherapy for prostate cancer - Does daily image guidance with tighter margins improve patient reported outcomes compared to weekly orthogonal verified irradiation? Results from a randomized controlled trial. Radiother Oncol. 2018 Feb;126(2):229-235. doi: 10.1016/j.radonc.2017.10.029. Epub 2018 Feb 3.

Reference Type RESULT
PMID: 29398152 (View on PubMed)

Other Identifiers

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2011/710

Identifier Type: -

Identifier Source: org_study_id

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