Hypofractionated Stereotactic Boost in Prostate Cancer

NCT ID: NCT01596816

Last Updated: 2019-05-14

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

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

76 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-08-31

Study Completion Date

2018-09-01

Brief Summary

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hypofractionated stereotactic boost radiation (prostate) after normofractionated radiotherapy (prostate + seminal vesicles).

Detailed Description

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The aim of this study is to assess the safety of hypofractionated stereotactic boost radiation (prostate) after normofractionated radiotherapy (prostate + seminal vesicles).

Conditions

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Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Boost by CyberKnife

Group Type EXPERIMENTAL

First part of treatment : Conformal irradiation

Intervention Type RADIATION

23 fractions (2 Gy/session), are delivered over 42 days maximum, for a total dose of 46 Gy

Fiducials placement

Intervention Type PROCEDURE

Placement of intra-prostatic markers for the tracking

Second part : hypofractionated stereotactic boost

Intervention Type RADIATION

3 fractions (6Gy/session) are delivered over 5 to 9 days (at least 48 hours between sessions) for a total dose of 18 Gy

Boost by linear accelerator

Group Type EXPERIMENTAL

First part of treatment : Conformal irradiation

Intervention Type RADIATION

23 fractions (2 Gy/session), are delivered over 42 days maximum, for a total dose of 46 Gy

Fiducials placement

Intervention Type PROCEDURE

Placement of intra-prostatic markers for the tracking

Second part : hypofractionated stereotactic boost

Intervention Type RADIATION

3 fractions (6Gy/session) are delivered over 5 to 9 days (at least 48 hours between sessions) for a total dose of 18 Gy

Interventions

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First part of treatment : Conformal irradiation

23 fractions (2 Gy/session), are delivered over 42 days maximum, for a total dose of 46 Gy

Intervention Type RADIATION

Fiducials placement

Placement of intra-prostatic markers for the tracking

Intervention Type PROCEDURE

Second part : hypofractionated stereotactic boost

3 fractions (6Gy/session) are delivered over 5 to 9 days (at least 48 hours between sessions) for a total dose of 18 Gy

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Prostate adenocarcinoma proved by histology
* With at least one of this intermediate-risk criterias:

* T2b
* and/or PSA between 10 et 20 ng/ml
* and/or Gleason score = 7
* Prostatic volume ≤ 80 cc
* No adenopathy(lymph node \< 1.5 cm on scanner or MRI and/or in lymph node dissection)
* No metastasis (bone scan)
* Age \>= 18 ans
* No prior pelvic irradiation
* No prior anticancer treatment (prostatectomy, chemotherapy, hormonotherapy \> 3 months)
* Performance status (ECOG) \< 1
* No contraindication of fiducials implantation, hemostasis disorders must be treated before the implantation
* Life expectancy \>= 10 weeks
* Patient affiliated to health insurance
* Informed consent signed by the patient

Exclusion Criteria

* Cancer no histologically proved
* Unfavorable-risk(T2c and/or PSA \> 20 ng/ml and/or Gleason \> 7)
* Favorable-risk(T1c T2a and PSA \< 10 ng/ml and Gleason \< 7)
* T3 and T4
* History of cancer uncontrolled and/or treated since less of 5 years (except basal cell carcinoma of the skin)
* Contraindication to MRI
* IPSS score \> 10
* Recurrent or metastatic disease
* Allergy to gold
* Patient already included in another therapeutic trial with an experimental molecule
* Unable for medical follow-up (geographic, social or mental reasons)
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute, France

OTHER_GOV

Sponsor Role collaborator

Centre Oscar Lambret

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eric LARTIGAU, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Centre Oscar Lambret

Locations

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Centre Paul Papin

Angers, , France

Site Status

Centre Georges François Leclerc

Dijon, , France

Site Status

Centre Oscar LAMBRET

Lille, , France

Site Status

Centre Léon Bérard

Lyon, , France

Site Status

Val d'Aurelle-Paul Lamarque

Montpellier, , France

Site Status

Centre Hospitalier Lyon Sud

Pierre-Bénite, , France

Site Status

Centre Alexis Vautrin

Vandœuvre-lès-Nancy, , France

Site Status

Countries

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France

References

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Pasquier D, Nickers P, Peiffert D, Maingon P, Pommier P, Lacornerie T, Martinage G, Tresch E, Lartigau E. Hypofractionated stereotactic boost in intermediate risk prostate carcinoma: Preliminary results of a multicenter phase II trial (CKNO-PRO). PLoS One. 2017 Nov 30;12(11):e0187794. doi: 10.1371/journal.pone.0187794. eCollection 2017.

Reference Type DERIVED
PMID: 29190707 (View on PubMed)

Other Identifiers

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2010-A00237-32

Identifier Type: OTHER

Identifier Source: secondary_id

CKNO-PRO-0901

Identifier Type: -

Identifier Source: org_study_id

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