5 Fractions of Pelvic SABR With Intra Prostatic SABR

NCT ID: NCT02911636

Last Updated: 2020-11-24

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-10-31

Study Completion Date

2022-10-31

Brief Summary

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Stereotactic Ablative Radiation(SABR) 35 Gy in 5 fractions, once weekly to prostate with simultaneous intraprostatic boost to the MR detected nodule up to 50Gy + 25 Gy in 5 fractions, once weekly simultaneously to seminal vesicles (SV's) and pelvic lymph nodes + 6-18 months of ADT

Detailed Description

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SABR 25Gy / 5 fractions to pelvis; 35Gy / 5 fractions to prostate; up to 50Gy / 5 fractions to MR nodule

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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Arm 1

Pelvic SABR with intra-prostatic SABR

Group Type EXPERIMENTAL

Pelvic SABR with intra-prostatic SABR

Intervention Type RADIATION

described elsewhere

Interventions

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Pelvic SABR with intra-prostatic SABR

described elsewhere

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed prostate adenocarcinoma (centrally reviewed)
* High- tier intermediate risk defined as:

PSA 10-20ng/ml AND (T2b-2c OR Gleason 7 )

• High-risk prostate cancer, defined as at least one of: T3, OR Gleason 8-10, OR PSA \> 20 ng/mL

* Willing to give informed consent to participate in this clinical trial
* Able and willing to complete Expanded Prostate Index Composite (EPIC) questionnaire

Exclusion Criteria

* Prior pelvic radiotherapy
* Contra-indication to radical prostate radiotherapy e.g. connective tissue disease or inflammatory bowel disease
* Contraindication to prostate MRI
* Anticoagulation medication (if unsafe to discontinue for gold seed insertion)
* Diagnosis of bleeding diathesis
* Large prostate with significant arch interference on TRUS after 3 months of neoadjuvant ADT.
* Previous TURP
* Poor baseline urinary function defined as International Prostate Symptom Score (IPSS) \>20
* Significant medical co-morbidity rendering patient unsuitable for general anesthetic
* No evidence of castrate resistance (defined as PSA \< 3 ng/ml while testosterone is \< 0.7nmol/l. Patients could have been on combined androgen blockade but are excluded if this was started due to PSA progression.
* Definitive extrapelvic nodal or distant metastatic disease on staging investigations.
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Andrew Loblaw

OTHER

Sponsor Role lead

Responsible Party

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Andrew Loblaw

Principal investigator

Responsibility Role SPONSOR_INVESTIGATOR

Other Identifiers

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360-2016

Identifier Type: -

Identifier Source: org_study_id