SBRT Boost for Unfavorable Prostate Cancer'

NCT ID: NCT02016248

Last Updated: 2026-02-02

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

RECRUITING

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-06-30

Study Completion Date

2029-06-30

Brief Summary

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The purpose of this study is to find out whether giving a short course of focused radiation called an SBRT "boost" is a safe and effective way to treat prostate cancer. This boost delivers a high dose of radiation to the prostate in a non-invasive way, similar to what is done with high dose rate (HDR) brachytherapy but without using needles. The study looks at how well this treatment controls the cancer, what side effects it may cause, and how it affects patients' quality of life over time.

Detailed Description

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This study is designed to evaluate whether delivering a stereotactic body radiotherapy (SBRT) boost-a short course of five high-dose, precisely targeted radiation treatments-can safely and effectively replace the traditional invasive high dose rate (HDR) brachytherapy boost for men with unfavorable, high-risk, or very high-risk localized prostate cancer. The SBRT boost uses imaging-guided systems and gold fiducial markers to track prostate motion in real time, allowing submillimeter accuracy without placing needles inside the prostate. Treatment planning incorporates CT/MRI fusion, careful mapping of the urethra, and strict dose-volume limits for nearby organs such as the rectum and bladder to ensure the boost achieves HDR-equivalent tumor dosing while minimizing toxicity. All patients also receive standard external beam radiation therapy to the pelvis, and the combined course is designed based on biological dose modeling and prior HDR clinical experience to optimize tumor control while maintaining acceptable side-effect rates.

The protocol also includes structured follow-up and ongoing safety monitoring to track side effects, prostate-specific antigen (PSA) response, and quality-of-life outcomes. Patients are assessed at regular intervals-from two weeks post-treatment through five years-with physical exams, PSA testing, toxicity evaluations, and validated questionnaires measuring urinary and sexual function. Imaging such as prostate-specific membrane antigen (PSMA) PET/CT or bone scans is performed if biochemical failure or symptoms suggest disease progression. The study's primary goals are to determine the rate of significant gastrointestinal and genitourinary side effects and to measure biochemical disease-free survival at five years, while secondary goals include evaluating local and distant tumor control and longer-term survival outcomes. Stopping rules, adverse-event reporting procedures, and quality-assurance requirements are built into the protocol to ensure patient safety and regulatory compliance throughout the study.

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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Treatment Arm

All participants receive the same treatment: standard external-beam radiation therapy (EBRT) plus an SBRT boost.

Group Type EXPERIMENTAL

Stereotactic Body Radiotherapy

Intervention Type RADIATION

The intervention in this study is the SBRT boost, which is a short course of five high-dose stereotactic body radiotherapy treatments (5.5 Gy × 5 fractions, total 27.5 Gy) delivered with image-guided precision to the prostate. This SBRT boost is given in addition to standard external-beam radiation therapy (EBRT), which delivers 50.4 Gy to the pelvis, prostate, and proximal seminal vesicles.

Interventions

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Stereotactic Body Radiotherapy

The intervention in this study is the SBRT boost, which is a short course of five high-dose stereotactic body radiotherapy treatments (5.5 Gy × 5 fractions, total 27.5 Gy) delivered with image-guided precision to the prostate. This SBRT boost is given in addition to standard external-beam radiation therapy (EBRT), which delivers 50.4 Gy to the pelvis, prostate, and proximal seminal vesicles.

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Histologically proven prostate adenocarcinoma
* Biopsy within 12 months of date of registration required except for patients who already meet criteria for enrollment in the high risk arm of the protocol. For these patients, repeat biopsy will be at the discretion of the treating physician. In general, repeat biopsy is recommended for these patients, but is not required if it will not affect the treating physician's management decisions in regards to the care of the patient.
* Clinical Stage I-IV, MX-M0 (AJCC VERSION 9)
* M-stage determined by physical exam, CT, MRI, bone scan, PSMA PET/CT, or biopsy.
* Prostate volume: ≤ 100 cc (recommended not required)
* Determined using: volume = π/6 x length x height x width
* Measurement from CT, MRI or ultrasound ≤ 90 days prior to registration.
* Eastern Cooperative Oncology Group (ECOG) performance status 0-1
* No prior prostatectomy or cryotherapy of the prostate
* No prior radiotherapy to the prostate or lower pelvis
* No implanted hardware or other material that would prohibit appropriate treatment planning or treatment delivery, in the investigator's opinion.
* Completion of patient questionnaires in section 3.7.
* Consent signed

Exclusion

* No prior prostatectomy or cryotherapy of the prostate
* No prior radiotherapy to the prostate or lower pelvis
* No implanted hardware or other material that would prohibit appropriate treatment planning or treatment delivery, in the investigator's opinion.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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MemorialCare Health System

OTHER

Sponsor Role lead

Responsible Party

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Asif Harsolia, MD

Radiation Oncologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Asif Harsolia, MD

Role: PRINCIPAL_INVESTIGATOR

MemorialCare

Locations

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Orange Coast Memorial Medical Center

Fountain Valley, California, United States

Site Status RECRUITING

Saddleback Memorial Medical Center

Laguna Hills, California, United States

Site Status RECRUITING

Long Beach Memorial Medical Center

Long Beach, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Shelbe Tolentino (Santos)

Role: CONTACT

562-933-9068

Francine Metcalf-Nodwell

Role: CONTACT

562-313-7076

Facility Contacts

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Shelbe Tolentino (Santos)

Role: primary

562-933-9068

Francine Metcalf-Nodwell, CRC

Role: backup

5623137076

Shelbe Tolentino (Santos)

Role: primary

5629339068

Francine Metcalf-Nodwell, CRC

Role: backup

5623137076

Shelbe Tolentino (Santos)

Role: primary

5629339068

Francine Metcalf-Nodwell, CRC

Role: backup

5623137076

Other Identifiers

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065-12

Identifier Type: -

Identifier Source: org_study_id

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