COHORT Trial in Clinical Pelivc Lymph Node Metastatic Prostate Cancer

NCT ID: NCT03241537

Last Updated: 2023-11-27

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

PHASE3

Total Enrollment

61 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-15

Study Completion Date

2026-12-14

Brief Summary

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In local advanced prostate cancer patients with clinically positive metastatic regional lymph node, the optimal treatment is still unanswered. For these patients, radiotherapy combined with hormonal therapy or hormonal therapy alone are recommended. Recently, the reports from NCCB and SEER data showed that radiotherapy combined with hormonal therapy have better survivals than hormonal therapy alone.

This randomized phase III trial compare hormonal therapy alone with combined hormone with radiotherapy in clinically pelvic lymph node metastatic prostate cancer.

Detailed Description

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Conditions

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Prostate Neoplasm

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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Hormonal therapy alone

total androgen ablation or antiandrogen therapy alone for 2-3 years

Group Type NO_INTERVENTION

No interventions assigned to this group

Hormonal therapy with radiotherapy

total androgen ablation or antiandrogen therapy for 2-3 years combined with radiotherapy on whole pelvis

Group Type ACTIVE_COMPARATOR

Intensity modulated radiotherapy

Intervention Type RADIATION

Interventions

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Intensity modulated radiotherapy

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* pathologically confirmed prostate cancer within 6 months for study enrollment
* Clincally enlarged pelvic lymph node ((short axis 0.5 cm ≤) in imaging studies (CT, MRI, PET-CT) at diagnosis and partial response or complete remission of enlarged lymph nodes according to RECIST v1.1 after hormonal therapy for 2-3 months 3. age 20 ≤ 4. ECOG performance status 0-1 5. Optimal hematologic profiles within 6 months for study enrollment
* Absolute neutrophil count (ANC) ≥ 1500 cells/mm3
* Platelets ≥ 50,000 cells/mm3
* Hemoglobin ≥ 8.0 g/dl 6. Optimal kidney function within 6 months for study enrollment
* Creatinine \< 2.0 ng/dL 7. Optimal liver functions within 6 months for study enrollment
* total bilirubin \< 1.5 X maximum normal value
* alanine aminotransferase or aspartate aminotransferase \< 2.5 X maximum normal value

Exclusion Criteria

1. combined with distant metastasis (retroperitoneal lymph node, bone,...)
2. previous history of antiandrogen therapy within 6 months of study enrollment
3. previous history of definitive prostate cancer treatment such as prostatectomy
4. previous history of pelvic radiotherapy
5. previous history of other cancer treatment except for skin cancer and theroid cancer
Minimum Eligible Age

20 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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Samsung Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Won Park, M.D.,Ph.D

Role: PRINCIPAL_INVESTIGATOR

Korean Radiation Oncology Group

Locations

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Samsung Medical Center

Seoul, , South Korea

Site Status

Countries

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South Korea

Other Identifiers

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SMC2015-11-139-002

Identifier Type: -

Identifier Source: org_study_id