Comparison of HT Concomitant With RT vs RT Alone in Patients With a Detectable PSA After Prostatectomy

NCT ID: NCT01994239

Last Updated: 2024-12-16

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

PHASE2

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-12-31

Study Completion Date

2025-03-31

Brief Summary

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The purpose of this study is to select the best therapeutic strategy in studying the effectiveness of the association of a short duration hormonal therapy and radiotherapy compared with radiotherapy alone, in patients with a detectable PSA after radical prostatectomy.

Detailed Description

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Study the effectiveness of the association of a short duration hormonal therapy by degarelix (Firmagon ®) and radiotherapy, with radiotherapy alone on survival without events in the treatment of detectable PSA after radical prostatectomy.

122 patients should be included over a period of 2 years. Patients will be treated according to the following scheme:

* Arm A (61 patients) : Pelvic Radiotherapy: 46 Gy and prostate only boost up to 66 Gy
* Arm B (61 patients) : Arm A + hormonal therapy by degarelix during 6 months

Conditions

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Adenocarcinoma of Prostate

Keywords

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Prostate-Specific Antigen LHRH antagonist Radiotherapy

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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Radiation

Pelvic radiotherapy

* 46 Gy in 23 fractions of 2 Gy.
* prostate only-boost up to 66 Gy

Group Type ACTIVE_COMPARATOR

Pelvic Radiotherapy

Intervention Type RADIATION

46 Gy in 23 fractions Prostate only-boost up to 66 Gy

Radiation and Degarelix

Radiotherapy:

* 46 Gy in 23 fractions of 2 Gy.
* prostate only-boost up to 66 Gy

Associated with hormonal therapy by degarelix:

* beginning in parallel to radiotherapy for 6 months
* First dose of 240 mg
* Maintenance dose of 80 mg

Group Type EXPERIMENTAL

Degarelix

Intervention Type DRUG

First dose of 240 mg 5 Maintenance doses of 80 mg every 28 days(+/-3d)

Pelvic Radiotherapy

Intervention Type RADIATION

46 Gy in 23 fractions Prostate only-boost up to 66 Gy

Interventions

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Degarelix

First dose of 240 mg 5 Maintenance doses of 80 mg every 28 days(+/-3d)

Intervention Type DRUG

Pelvic Radiotherapy

46 Gy in 23 fractions Prostate only-boost up to 66 Gy

Intervention Type RADIATION

Other Intervention Names

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Firmagon

Eligibility Criteria

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Inclusion Criteria

1. Patient with localized prostate adenocarcinoma treated with radical prostatectomy (whatever the initial prognostic stage)
2. R0 or R1
3. pN0 or pNx
4. Post prostatectomy PSA ≥0.2 ng/mL measured between 1 month and 4 months after surgery and increasing to a second test performed between 1 et 8 months after the post prostatectomy dosage
5. PSA ≤2 ng/mL at moment of the randomisation
6. No clinical signs of progressive disease (bone scan or PET scan or abdominal and pelvic scan or MRI): N0, M0
7. Neutrophils ≥1500/mm³; platelet count ≥100 000/mm³
8. Bilirubin ≤ upper limit of normal (ULN); alkaline phosphatase (ALP), aspartate aminotransferase (AST), and Alanine aminotransferase (ALT) ≤1.5 ULN
9. Creatinine \<140 µmol/L (or clearance \>60 mL/min)
10. Normal fasting glucose
11. Eastern Cooperative Oncology Group (ECOG) ≤1
12. Age \>18 years
13. Life expectancy ≥10 years
14. Patients with invasive cancer in complete response for more than five years are eligible
15. Patients who have received the information sheet and signed the informed consent form
16. Patients with a public or a private health insurance coverage

Exclusion Criteria

1. Prostate cancer histology other than adenocarcinoma
2. Patients pN1, N1 and M1
3. History of pelvic radiotherapy
4. Contraindication to pelvic irradiation (eg, scleroderma, chronic inflammatory bowel disease, etc.)
5. Testosterone ≤0.5 ng/mL
6. History of surgical castration
7. Previous treatment by hormonotherapy
8. Antineoplastic treatment in progress
9. History of another invasive cancer within 5 years before inclusion (with the exception of a basal cell skin carcinoma treated)
10. Known pituitary adenoma
11. Severe hypertension uncontrolled by appropriate treatment (160 mm Hg systolic and/or 90 mm Hg diastolic)
12. Patient with a corrected QT interval (using Fridericia correction) greater than 450 msec
13. Individual deprived of liberty or placed under the authority of a tutor
14. Unable to undergo medical monitoring test for geographical, social or psychological reasons
15. Known hypersensitivity to the treatment in test
16. Administration of an investigational therapeutic within 28 days prior to the screening visit or more if treatment is likely to influence the outcome of this
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Ferring Pharmaceuticals

INDUSTRY

Sponsor Role collaborator

UNICANCER

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Igor LATORZEFF

Role: PRINCIPAL_INVESTIGATOR

Clinique Pasteur

Laurent SALOMON

Role: PRINCIPAL_INVESTIGATOR

CHU Henri Mondor

Paul SARGOS

Role: PRINCIPAL_INVESTIGATOR

Institut Bergonié

Emmanuel MEYER

Role: PRINCIPAL_INVESTIGATOR

Centre François Baclesse

Locations

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Institut de Cancérologie de l'Ouest -Site Paul Papin

Angers, , France

Site Status

Institut Sainte Catherine

Avignon, , France

Site Status

Chu Jean Minjoz

Besançon, , France

Site Status

Institut Bergonié

Bordeaux, , France

Site Status

Centre d'oncologie - Clinique Pasteur

Brest, , France

Site Status

Centre François Baclesse

Caen, , France

Site Status

Centre hospitalier de Chambéry

Chambéry, , France

Site Status

Hôpital Henri Mondor

Créteil, , France

Site Status

Centre d'oncologie et de radiothérapie du Parc

Dijon, , France

Site Status

Centre Georges François Leclerc

Dijon, , France

Site Status

Clinique Sainte-Marguerite

Hyères, , France

Site Status

Chd Vendee

La Roche-sur-Yon, , France

Site Status

Centre Leon Berard

Lyon, , France

Site Status

Clinique Clairval

Marseille, , France

Site Status

CHU La Timone - Hôpital Nord

Marseille, , France

Site Status

Groupe Oncorad Garonne Clinique Du Pont de Chaume

Montauban, , France

Site Status

Ghi Le Raincy / Montfermeil

Montfermeil, , France

Site Status

Centre Azureen de Cancerologie

Mougins, , France

Site Status

Centre Hospitalier Emile Muller

Mulhouse, , France

Site Status

Institut de Cancerologie de Lorraine

Nancy, , France

Site Status

Centre Antoine Lacassagne

Nice, , France

Site Status

Chu Caremeau

Nîmes, , France

Site Status

CHR Orléans La Source

Orléans, , France

Site Status

Hôpital d'Instruction des Armées du Val de Grâce

Paris, , France

Site Status

Hôpital Saint Louis

Paris, , France

Site Status

Centre Hospitalier Lyon Sud

Pierre-Bénite, , France

Site Status

CHU de POITIERS

Poitiers, , France

Site Status

Institut Jean Godinot

Reims, , France

Site Status

Centre Henri Becquerel

Rouen, , France

Site Status

Clinique Armoricaine de Radiologie

Saint-Brieuc, , France

Site Status

CHP Saint Grégoire

Saint-Grégoire, , France

Site Status

Institut de Cancérologie de l'Ouest René Gauducheau

Saint-Herblain, , France

Site Status

Clinique Mutualiste de l'Estuaire

Saint-Nazaire, , France

Site Status

Institut de Cancérologie LUCIEN NEUWIRTH

Saint-Priest-en-Jarez, , France

Site Status

Clinique Cote Emeraude

St-Malo, , France

Site Status

Hôpitaux du Léman

Thonon-les-Bains, , France

Site Status

Groupe Oncorad Garonne

Toulouse, , France

Site Status

Centre Marie Curie

Valence, , France

Site Status

GUSTAVE ROUSSY, Cancer Campus, Grand Paris

Villejuif, , France

Site Status

Countries

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France

Related Links

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Other Identifiers

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2012-001561-32

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

UC-0160/1204

Identifier Type: -

Identifier Source: org_study_id