A Phase II Clinical Study of Stereotactic Radiation Therapy in Patients With High-risk Prostate Cancer

NCT ID: NCT05430737

Last Updated: 2022-06-24

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-30

Study Completion Date

2025-06-30

Brief Summary

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Stereotactic body radiotherapy (SBRT) has emerged as an effective and safe treatment for low and intermediate-risk prostate cancer(PCa). However, there is no study that has investigated the effectiveness and safety of SBRT with pelvic radiation and gross target volume(GTV) boost for high-risk prostate cancer patients yet. The investigators designed a phase II clinical study of SBRT with pelvic radiation and GTV boost based on mpMRI in patients with high-risk prostate cancer.

Detailed Description

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Conditions

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Prostate Cancer Stereotactic Body Radiotherapy High-risk Efficacy Safety

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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stereotactic body radiotherapy

Long-term ADT of 2-3years were administered. Neoadjuvant ADT within 6 months was allowed.Then patients with high-risk prostate cancer recieve stereotactic body radiotherapy with pelvic radiation and GTV boost based on multiparameter magnetic resonance image.

Group Type EXPERIMENTAL

stereotactic body radiotherapy

Intervention Type RADIATION

The radiation dose to the primary tumor was 40 or 45 Gy in five fractions according to the clinical determination of the radiologist. The dose to the positive lymph nodes and the prostate and seminal vesicles was 37.5Gy in five fraction. And internal iliac, external iliac, obturator, and presacral pelvic drainage regions received 25 Gy/5f, simultaneously. The treatment was delivered every other day. The volumetric modulated arc radiotherapy (VMAT) or intensity-modulated radiotherapy (IMRT) was used to complete treatment. Image-guided radiotherapy(IGRT) was performed for every treatment.

Interventions

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stereotactic body radiotherapy

The radiation dose to the primary tumor was 40 or 45 Gy in five fractions according to the clinical determination of the radiologist. The dose to the positive lymph nodes and the prostate and seminal vesicles was 37.5Gy in five fraction. And internal iliac, external iliac, obturator, and presacral pelvic drainage regions received 25 Gy/5f, simultaneously. The treatment was delivered every other day. The volumetric modulated arc radiotherapy (VMAT) or intensity-modulated radiotherapy (IMRT) was used to complete treatment. Image-guided radiotherapy(IGRT) was performed for every treatment.

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* 18 years or older
* pathologically confirmed high-risk (T3a or Gleason score ≥ 8 or a PSA \> 20 ng/ml) prostate cancer
* a WHO performance status 0-1
* history of neoadjuvant androgen deprivation therapy(ADT) within 6 months before enrollment
* Patients with pelvic positive lymph node were also included in our study

Exclusion Criteria

* distant metastasis
* history of neoadjuvant ADT over 6 months before enrollment
* history of definitive treatment for prostate cancer such as radical prostatectomy
* history of pelvic irradiation; prostate volume≥100 cm3
Minimum Eligible Age

18 Years

Maximum Eligible Age

95 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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West China Hospital

OTHER

Sponsor Role lead

Responsible Party

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Wang Xin

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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xin wang

Role: PRINCIPAL_INVESTIGATOR

China, SiChuan West China Hospital

Locations

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China, SiChuan

Chengdu, Sichuan, China

Site Status RECRUITING

Countries

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China

Central Contacts

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xin wang, PhD/MD

Role: CONTACT

+86 28 85423609

fang wang

Role: CONTACT

17342338589

Facility Contacts

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xin Wang, PhD/MD

Role: primary

+86 28 85423609

fang Wang

Role: backup

17342338589

Other Identifiers

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SBRT-PCa-001

Identifier Type: -

Identifier Source: org_study_id

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