Safety Study of Pelvic and Prostatic SIB-IMRT With Long-term Androgen Deprivation for High Risk Localized Prostate Cancer

NCT ID: NCT01704027

Last Updated: 2014-09-18

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

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-10-31

Brief Summary

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The purpose of this study is to evaluate the incidence of urinary and rectal acute side effects of a pelvic and prostatic intensity-modulated arctherapy with simultaneous integrated boost (SIB-IMRT)combined with long-term androgen deprivation for patients with high risk localized prostate cancer

Detailed Description

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Conditions

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Prostate Cancer

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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Radiotherapy

Patient will receive a pelvic and prostatic simultaneous integrated boost intensity-modulated arctherapy (SIB-IMAT) in combination with three years of androgen deprivation

Group Type EXPERIMENTAL

Simultaneous integrated boost intensity-modulated arctherapy

Intervention Type RADIATION

Three dose levels will be delivered at each fraction, 5 days a week, 30 fractions :

* Pelvis : 55,5 Gy (1,85 Gy/fr)
* Seminal vesicles : 66 Gy (2,2 Gy/fr)
* Prostate : 72 Gy (2,4 Gy/fr)

Androgen deprivation

Intervention Type DRUG

Patients will received androgen deprivation for a maximum of three years. This treatment can start six months before radiotherapy and at least the day one of radiotherapy.

Interventions

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Simultaneous integrated boost intensity-modulated arctherapy

Three dose levels will be delivered at each fraction, 5 days a week, 30 fractions :

* Pelvis : 55,5 Gy (1,85 Gy/fr)
* Seminal vesicles : 66 Gy (2,2 Gy/fr)
* Prostate : 72 Gy (2,4 Gy/fr)

Intervention Type RADIATION

Androgen deprivation

Patients will received androgen deprivation for a maximum of three years. This treatment can start six months before radiotherapy and at least the day one of radiotherapy.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Histologically confirmed adenocarcinoma of the prostate
2. High risk localized adenocarcinoma defined by at least one of the following criteria:

* Clinical stage T2c, T3 or T4
* Gleason score ≥ 8
* Prostate-specific antigen (PSA)≥ 20 ng/ml and ≤ 100 ng/ml
3. Patient cN0, pN0 or Nx (negative lymphadenectomy or no lymphadenectomy)
4. No pelvic adenopathy ≥ 15 mm on CT or MRI,
5. Absence of bone and/or visceral metastasis
6. Androgen deprivation beginning no later than the day of radiotherapy and up to six months before irradiation
7. Absence of prior pelvic radiotherapy,
8. Absence of surgical treatment of prostate cancer except transurethral resection performed within 4 months minimum before radiotherapy,
9. Age ≥ 18 years and ≤ 85 years
10. ECOG performance status ≤ 1,
11. Estimated life expectancy \> 5 years
12. Membership of a social security system,
13. Signed informed consent.

Exclusion Criteria

1. Prostate cancer histology other than adenocarcinoma,
2. pN1 patients (lymph node dissection after histologically proven)
3. PSA \> 100 ng/ml
4. History of cancer within 5 years prior to trial entry (with the exception of basal cell carcinoma skin)
5. Patient with severe hypertension uncontrolled by appropriate treatment (≥ 160 mm Hg systolic and / or ≥ 90 mm Hg diastolic)
6. Contra-indication for pelvic irradiation (eg scleroderma, chronic inflammatory disease of the digestive tract, etc ...)
7. Contra-indication to agonists or antagonists of LH-RH
8. Bilateral hip prosthesis,
9. Patients already included in another clinical trial with an experimental molecule,
10. Persons deprived of liberty or under guardianship
11. Unable to undergo medical test for geographical, social or psychological.
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Centre Georges Francois Leclerc

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Etienne MARTIN, MD

Role: PRINCIPAL_INVESTIGATOR

Centre Georges François Leclerc

Locations

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Centre Georges-François Leclerc

Dijon, Burgundy, France

Site Status

Countries

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France

Other Identifiers

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2012-A00694-39

Identifier Type: -

Identifier Source: org_study_id

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