Salvage Hypofractionated Accelerated Versus Standard Radiotherapy for Biochemical Failure After Prostatectomy

NCT ID: NCT03920033

Last Updated: 2021-01-20

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

288 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-05-01

Study Completion Date

2027-01-01

Brief Summary

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Patients with a biochemical recurrence after radical prostatectomy for moderate- or high- risk prostate cancer are randomly assigned to hypofractionated, accelerated high dose radiation therapy group (65 Gy, 26 fractions) and a control group of standard treatment group (66 Gy, 33 fractions). The criteria for stratification at randomization include 1) risk groups, 2) androgen deprivation therapy, and 3) PSA before salvage radiation therapy, which affect biochemical recurrence.

It is expected that hypofractionated, accelerated high dose radiation therapy will have a superiority in terms of biochemical control to conventional radiation therapy, and the present study would like to confirm this. In addition, we aimed to evaluate and compare the toxicity and quality of life index of two radiation therapy regimens.

Detailed Description

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Conditions

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Prostate Cancer Biochemical Recurrence Radiation Hypofractionation Dose Escalation Survival Radiation Toxicity Quality of Life

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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Hypofractionated

65 Gy/ 26 fractions (fraction size 2.5 Gy)

Group Type EXPERIMENTAL

Salvage radiation therapy

Intervention Type RADIATION

Salvage radiation therapy for biochemical recurrence

Standard

66 Gy/ 33 fractions (fraction size 2 Gy)

Group Type ACTIVE_COMPARATOR

Salvage radiation therapy

Intervention Type RADIATION

Salvage radiation therapy for biochemical recurrence

Interventions

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Salvage radiation therapy

Salvage radiation therapy for biochemical recurrence

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Pathologically confirmed intermediate- or high-risk prostate cancer
* Biochemical recurrence after radical prostatectomy (Definition: Serial elevation of PSA over 0.2 ng/mL and \<=1.0 ng/mL)
* ECOG performance status 0-1
* Appropriate values of blood tests within 6 months after enrollment Absolute neutrophil count (ANC) ≥ 1500 cells/mm3 Platelets ≥ 50,000 cells/mm3 Hemoglobin ≥ 8.0 g/dl
* Appropriate values of kidney function within 6 months after enrollment Creatinine \< 2.0 ng/dL
* Appropriate values of liver function within 6 months after enrollment total bilirubin \< 1.5 X maximum normal value alanine aminotransferase or aspartate aminotransferase \< 2.5 X maximum normal value

Exclusion Criteria

* Clinically gross recurrent tumor
* Presence of distant metastasis
* Presence of pelvic LN metastasis
* History of pelvic irradiation
* History of cryotherapy or brachytherapy for prostate cancer
* Double primary cancer other than skin/thyroid cancer
* Combined serious morbidity
Minimum Eligible Age

20 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Asan Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Young Seok Kim

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Young Seok Kim, M.D., Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Asan Medical Center

Locations

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Asan Medical Center

Seoul, , South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Young Seok Kim, M.D., Ph.D.

Role: CONTACT

82 2 3010 5614 ext. 5614

Yeon Joo Kim, M.D.

Role: CONTACT

82 2 258 9243 ext. 9243

Facility Contacts

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Young Seok Kim, M.D., Ph.D.

Role: primary

82 2 3010 5614 ext. 5614

Won Park, M.D., Ph.D.

Role: primary

82-2-3410-2616

References

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Park G, Kim YJ, Ahn H, Park W, Lee JS, Kim YS. Salvage hypofractionated accelerated versus standard radiotherapy for the treatment of biochemical recurrence after radical prostatectomy (SHARE): the protocol of a prospective, randomized, open-label, superiority, multi-institutional trial. Trials. 2021 Oct 21;22(1):728. doi: 10.1186/s13063-021-05708-5.

Reference Type DERIVED
PMID: 34674739 (View on PubMed)

Other Identifiers

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S2019-0154-0001

Identifier Type: -

Identifier Source: org_study_id

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