Trial Comparing Radical Radiotherapy to Prostate Only VS Prostate And Pelvic Lymph Nodes in Intermediate And High Risk Prostate Cancer

NCT ID: NCT05285319

Last Updated: 2022-08-10

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

PHASE2

Total Enrollment

82 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-02-09

Study Completion Date

2023-04-01

Brief Summary

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This phase II randomized controlled study aims to compare the treatment results of intermediate and high risk prostate cancer patients treated with hormonal therapy and radical radiotherapy with or without pelvic lymph nodes in NCI- Cairo University.

Detailed Description

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Study Design :

Phase II prospective randomized trial with 2 arms • Prostate Only (Arm A)

Hypofractionated Intensity modulated radiotherapy (IMRT) to the prostate only to dose of 60Gy/20fractions (3 Gy per fraction)

• Prostate \& Pelvic Lymph Nodes (Arm B)

Hypofractionated Intensity modulated radiotherapy (IMRT) with elective pelvic nodes irradiation up to 44Gy/20 fractions (2.2 Gy per fraction) with a Simultaneous Integrated Boost (SIB) to the prostate to dose of 60Gy/20fractions (3 Gy per fraction)

Conditions

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Prostate Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Phase II prospective randomized trial with 2 arms:

* Prostate Only (Arm A)

o Hypofractionated Intensity modulated radiotherapy (IMRT) to the prostate only to dose of 60Gy/20fractions (3 Gy per fraction)
* Prostate \& Pelvic Lymph Nodes (Arm B)

* Hypofractionated Intensity modulated radiotherapy (IMRT) with elective pelvic nodes irradiation up to 44Gy/20 fractions (2.2 Gy per fraction) with a Simultaneous Integrated Boost (SIB) to the prostate to dose of 60Gy/20fractions (3 Gy per fraction)
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Prostate Only (Arm A)

Hypofractionated Intensity modulated radiotherapy (IMRT) to the prostate only to a dose of 60Gy/20fractions (3 Gy per fraction)

Group Type EXPERIMENTAL

Prostate Only Radiation

Intervention Type RADIATION

Prostate Only Radiation for Intermediate and High Risk Prostate cancer

Prostate and Pelvic Lymph Nodes (Arm B)

Hypofractionated Intensity modulated radiotherapy (IMRT) with elective pelvic nodes irradiation up to 44Gy/20 fractions (2.2 Gy per fraction) with a Simultaneous Integrated Boost (SIB) to the prostate to a dose of 60Gy/20fractions (3 Gy per fraction)

Group Type EXPERIMENTAL

Prostate and Pelvic Lymph Node Radiation

Intervention Type RADIATION

Prostate and Pelvic Lymph Node Radiation for Intermediate and High Risk Prostate cancer

Interventions

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Prostate Only Radiation

Prostate Only Radiation for Intermediate and High Risk Prostate cancer

Intervention Type RADIATION

Prostate and Pelvic Lymph Node Radiation

Prostate and Pelvic Lymph Node Radiation for Intermediate and High Risk Prostate cancer

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Histologically-proven prostatic adenocarcinoma.
* Risk stratification from intermediate to very high risk will be included according to NCCN guide lines September 5, 2019 version 4.2019:

* Intermediate risk: T2b or T2c and/or GS =7 and/or PSA \>10-20. Both the favorable intermediate (1 intermediate risk factor (IRF) and Grade Group 1 or 2 and \<50% biopsy core positive) and unfavorable intermediate risk (2 or 3 IRFs and/or Grade Group 3 and/or ≥50% biopsy cores positive) will be included.
* High risk: T3a or PSA \>20 or Grade Group 4 or 5, not very high risk.
* Very high risk: T3b-4, primary gleason pattern 5 OR \>4 cores with grade group 4 or 5
* N stage: N0
* M Stage: M0
* Performance Status: PS 0-2

Exclusion Criteria

* Low risk prostate cancer
* Histologies other than adenocarcinoma
* Patients with significant comorbidities might affect treatment completion and follow up
* Previously received pelvic radiotherapy
* Patients with metastatic disease
* Poor performance status (PS ≥ 3)
Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Cairo University

OTHER

Sponsor Role lead

Responsible Party

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Ahmed Abdelhamid

Assistant Lecturer Of Radiation Oncology - National Cancer Institute

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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National Cancer Institute - Cairo University

Cairo, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Ahmed Abdelhamid, Msc

Role: CONTACT

+201203262526

Facility Contacts

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Ahmed Abdelhamid

Role: primary

+201203262526

Other Identifiers

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RO2002-30906

Identifier Type: -

Identifier Source: org_study_id

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