High-Risk prostatE Cancer radiatiOn Versus surgERy

NCT ID: NCT05931419

Last Updated: 2024-09-19

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

Total Enrollment

837 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-02-16

Study Completion Date

2030-06-30

Brief Summary

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Prospective cohort study comparing robot-assisted radical prostatectomy and external beam radiotherapy combined with androgen deprivation therapy for high-risk non-metastatic prostate cancer in terms of health-related quality of life, functional outcomes, cost-effectiveness, progression-free survival and distant metastasis-free survival.

Detailed Description

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Detailed description: Robot assisted radical prostatectomy (RARP) and external beam radiotherapy (EBRT) combined with Androgen Deprivation Therapy (ADT) are widely used treatment modalities for high-risk non-metastatic prostate cancer (HR-PCa). Both treatments are associated with adverse effects and can have a great impact on health-related quality of life (HRQoL). To date there is no consensus on which of both is the optimal treatment for men with HR-PCa, as it is unclear which treatment is superior in terms of HRQoL, cost-effectiveness, progression-free survival (PFS) and distant metastases-free survival (DMFS). This is reflected in substantial variation between individual hospitals in the utilization of both treatment options that is not explained by patient- and tumor characteristics or patient preferences. In the RECOVER study we aim to address this knowledge gap. The insights gained can be used to tailor recommendations in (national) guidelines and in shared decision-making tools. This allows healthcare professionals to better inform their patients and allows patients to make well-informed choices.

Conditions

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Prostate Cancer Prostate Adenocarcinoma

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Robot assisted radical prostatectomy (RARP)

Robot-assisted radical prostatectomy, potentially as part of multimodality therapy with adjuvant radiotherapy or with (neo)adjuvant androgen deprivation therapy. Pelvic lymph node dissection (PLND) may be performed for staging purposes. The presence of positive lymph nodes (pN1) upon PLND is not a reason for exclusion and may be followed by adjuvant treatment such as lymph node irradiation.

No interventions assigned to this group

External beam radiotherapy (EBRT) combined with androgen deprivation therapy (ADT)

External beam radiotherapy (hypofractionated or conventionally fractionated) at a biologically effective dose converted to 2Gy fractions (α/β:1.5) of at least 76Gy. EBRT may be combined with a brachytherapy boost and PLND may be performed for staging purposes. The presence of positive lymph nodes (pN1) upon PLND is not a reason for exclusion and lymph node irradiation may be performed. Patients should receive ADT for at least 6 months.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed de novo non-metastatic high-risk prostate cancer.
* cT3a-bN0M0, according to the 8th edition of the Tumour, Node, Metastasis (TNM) classification, with the exception that clinical T-stage will be based on digital rectal examination and magnetic resonance imaging (the highest stage will be used) and/or
* International Society of Urological Pathology (ISUP) grade ≥4 and/or
* Prostate-Specific Antigen (PSA) value at diagnosis greater than 20 ng/mL
* Fit for treatment with either RARP or EBRT and ADT (WHO performance status 0-1)
* Living in the Netherlands
* Able to read and understand the Dutch language

Exclusion Criteria

* Histological types other than adenocarcinoma
* Diagnosis and/or treatment in a hospital abroad
* Treatment with Androgen Receptor Targeted Agents (ARTA) as part of the initial treatment plan
Minimum Eligible Age

50 Years

Maximum Eligible Age

75 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Comprehensive Cancer Centre The Netherlands

OTHER

Sponsor Role lead

Responsible Party

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Berdine Heesterman

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Katja Aben, PhD

Role: PRINCIPAL_INVESTIGATOR

Comprehensive Cancer Centre The Netherlands

Igle Jan de Jong, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Medical Center Groningen

Floris Pos, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Netherlands Cancer Institute/ Antoni van Leeuwenhoek

Locations

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Noordwest Ziekenhuisgroep

Alkmaar, , Netherlands

Site Status RECRUITING

Ziekenhuis Amstelland

Amstelveen, , Netherlands

Site Status RECRUITING

Amsterdam UMC

Amsterdam, , Netherlands

Site Status RECRUITING

Antoni van Leeuwenhoek Ziekenhuis

Amsterdam, , Netherlands

Site Status RECRUITING

BovenIJ ziekenhuis

Amsterdam, , Netherlands

Site Status RECRUITING

OLVG

Amsterdam, , Netherlands

Site Status RECRUITING

Wilhelmina Ziekenhuis

Assen, , Netherlands

Site Status RECRUITING

Rode Kruis Ziekenhuis

Beverwijk, , Netherlands

Site Status RECRUITING

Albert Schweitzer Ziekenhuis

Dordrecht, , Netherlands

Site Status RECRUITING

Catharina Ziekenhuis

Eindhoven, , Netherlands

Site Status RECRUITING

Admiraal de Ruyter Ziekenhuis

Goes, , Netherlands

Site Status RECRUITING

Martini ziekenhuis

Groningen, , Netherlands

Site Status RECRUITING

Universitair Medisch Centrum Groningen

Groningen, , Netherlands

Site Status RECRUITING

Saxenburgh Medisch Centrum

Hardenberg, , Netherlands

Site Status RECRUITING

St Jansdal

Harderwijk, , Netherlands

Site Status RECRUITING

Spaarne Gasthuis

Hoofddorp, , Netherlands

Site Status RECRUITING

Treant

Hoogeveen, , Netherlands

Site Status RECRUITING

Dijklander Ziekenhuis

Hoorn, , Netherlands

Site Status RECRUITING

Leids Universitair Medisch Centrum

Leiden, , Netherlands

Site Status RECRUITING

Canisius Wilhelmina Ziekenhuis

Nijmegen, , Netherlands

Site Status RECRUITING

Radboudumc

Nijmegen, , Netherlands

Site Status RECRUITING

Erasmus Medisch Centrum Rotterdam

Rotterdam, , Netherlands

Site Status RECRUITING

Franciscus Gasthuis & Vlietland

Rotterdam, , Netherlands

Site Status RECRUITING

Maasstad Ziekenhuis

Rotterdam, , Netherlands

Site Status RECRUITING

Ommelander Ziekenhuis

Scheemda, , Netherlands

Site Status RECRUITING

Haaglanden Medisch Centrum

The Hague, , Netherlands

Site Status RECRUITING

Verbeeten Instituut

Tilburg, , Netherlands

Site Status RECRUITING

Maxima Medisch Centrum

Veldhoven, , Netherlands

Site Status RECRUITING

Zaans Medisch Centrum

Zaandam, , Netherlands

Site Status RECRUITING

Countries

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Netherlands

Central Contacts

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Berdine Heesterman, MD, PhD

Role: CONTACT

316 39 27 71 73

Caroline van der Starre, MSc

Role: CONTACT

31 6 4320 2647

References

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van der Starre CM, Bangma CH, Bijlsma MJ, van den Bergh ACM, Kiemeney LALM, Kievit W, Vos K, Somford DM, Wildeman SM, Aben KKH, de Jong IJ, Pos FJ, Heesterman BL. External beam radiation therapy versus radical prostatectomy for high-risk prostate cancer: protocol of the RECOVER study. BMC Cancer. 2025 Jan 27;25(1):149. doi: 10.1186/s12885-025-13511-7.

Reference Type DERIVED
PMID: 39871169 (View on PubMed)

Other Identifiers

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2022-13682

Identifier Type: -

Identifier Source: org_study_id

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