MRI Guided Radiation Therapy for the Treatment of High Risk Prostate Cancer

NCT ID: NCT05676463

Last Updated: 2025-08-22

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

PHASE2

Total Enrollment

6 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-16

Study Completion Date

2027-12-31

Brief Summary

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This phase II trial tests whether magnetic resonance imaging (MRI)-guided hypofractionated radiation therapy works to reduce treatment time and side effects in patients with high risk prostate cancer. MRI-guided hypofractionated radiation therapy delivers higher doses of radiation therapy over a shorter period of time directly to diseased tissue, reducing damage to healthy tissue. Using MRI-guided radiation therapy on areas of the prostate and pelvic lymph nodes may shorten overall treatment time compared to the longer standard of care therapy and may reduce the number and/or duration of side effects.

Detailed Description

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PRIMARY OBJECTIVE:

I. Evaluate late grade 2+ genitourinary (GU) toxicity.

SECONDARY OBJECTIVE:

I. Evaluating acute GU and gastrointestinal (GI) toxicity, late GI toxicity, overall survival, prostate cancer specific survival, biochemical failure, and quality of life.

OUTLINE:

Patients undergo MRI-guided intensity-modulated radiation therapy (IMRT) on study and receive standard of care (SOC) antiandrogen therapy (ADT) throughout the trial. Patients may also undergo prostate specific membrane antigen (PSMA) positron emission tomography (PET), computed tomography (CT), MRI, and bone scans at screening and undergo collection of blood samples throughout the trial.

After completion of study treatment, patients are followed up every 3 months for 2 years and then every 6 months for a total of 4 years.

Conditions

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Prostate Adenocarcinoma Stage IIIB Prostate Cancer AJCC v8 Stage IIIC Prostate Cancer AJCC v8

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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Treatment (MRI-guided IMRT, ADT)

Patients undergo MRI-guided IMRT on study and receive SOC ADT throughout the trial. Patients may also undergo PSMA PET, CT, MRI, and bone scans at screening and undergo collection of blood samples throughout the trial.

Group Type EXPERIMENTAL

MRI-guided Intensity-Modulated Radiation Therapy

Intervention Type PROCEDURE

Undergo MRI-guided IMRT

Antiandrogen Therapy

Intervention Type DRUG

Receive SOC ADT

PSMA PET Scan

Intervention Type PROCEDURE

Undergo PSMA PET scan

Computed Tomography

Intervention Type PROCEDURE

Undergo CT

Magnetic Resonance Imaging

Intervention Type PROCEDURE

Undergo MRI

Bone Scan

Intervention Type PROCEDURE

Undergo bone scan

Biospecimen Collection

Intervention Type PROCEDURE

Undergo blood sample collection

Quality-of-Life Assessment

Intervention Type OTHER

Ancillary studies

Interventions

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MRI-guided Intensity-Modulated Radiation Therapy

Undergo MRI-guided IMRT

Intervention Type PROCEDURE

Antiandrogen Therapy

Receive SOC ADT

Intervention Type DRUG

PSMA PET Scan

Undergo PSMA PET scan

Intervention Type PROCEDURE

Computed Tomography

Undergo CT

Intervention Type PROCEDURE

Magnetic Resonance Imaging

Undergo MRI

Intervention Type PROCEDURE

Bone Scan

Undergo bone scan

Intervention Type PROCEDURE

Biospecimen Collection

Undergo blood sample collection

Intervention Type PROCEDURE

Quality-of-Life Assessment

Ancillary studies

Intervention Type OTHER

Other Intervention Names

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ADT Androgen Deprivation Therapy Androgen Deprivation Therapy (ADT) Anti-androgen Therapy Anti-androgen Treatment Antiandrogen Treatment Hormone Deprivation Therapy Hormone-Deprivation Therapy Prostate-specific Membrane Antigen PET PSMA PET PSMA-Positron emission tomography CAT CAT Scan Computed Axial Tomography computerized axial tomography Computerized Tomography CT CT SCAN tomography Computerized axial tomography (procedure) Magnetic Resonance Magnetic Resonance Imaging Scan Medical Imaging Magnetic Resonance / Nuclear Magnetic Resonance MR MR Imaging MRI MRI Scan NMR Imaging NMRI nuclear magnetic resonance imaging Magnetic resonance imaging (procedure) Bone Scintigraphy Biological Sample Collection Biospecimen Collected Specimen Collection Quality of Life Assessment

Eligibility Criteria

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Inclusion Criteria

* Age: above 18 years
* Participants must be histologically proven, adenocarcinoma prostate
* Localized to the prostate without positive pelvic lymph node involvement
* No distant metastatic disease assessed by pretreatment PSMA PET or bone scan and CT scan
* High risk prostate cancer as defined by National Comprehensive Cancer Network (NCCN): Gleason score of 8- 10, clinical stage T3a or higher, or prostate specific antigen (PSA) \> 20 ng/mL
* Ability to receive long term hormone therapy
* Karnofsky performance score (KPS) \> 70
* No prior history of therapeutic irradiation to pelvis
* Patient willing and reliable for follow-up and quality of life (QOL)
* English speaking/reading

Exclusion Criteria

* Evidence of distant or pelvic metastasis at any time since presentation
* Life expectancy \< 2 years
* Previous radiation therapy (RT) to prostate or prostatectomy
* A previous trans-urethral resection of the prostate (TURP)
* Severe urinary symptoms or with severe International Prostate Symptom Score (IPSS) score despite being on hormonal therapy for 6 months which in the opinion of the physician precludes RT
* Patients with known obstructive symptoms with stricture
* Any contraindication to radiotherapy such as inflammatory bowel disease
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Thomas Jefferson University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jessie DiNome, MD

Role: PRINCIPAL_INVESTIGATOR

Thomas Jefferson University

Locations

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Sidney Kimmel Cancer Center at Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

Countries

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United States

Other Identifiers

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JT 20770

Identifier Type: OTHER

Identifier Source: secondary_id

22D.687

Identifier Type: -

Identifier Source: org_study_id

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