Internal Radiation Therapy in Treating Patients With Prostate Cancer
A Pilot Study of High Dose Rate Brachytherapy as Definitive Management for Intermediate Risk Prostate Cancer
2 other identifiers
interventional
23
1 country
1
Brief Summary
RATIONALE: Internal radiation therapy uses radioactive material placed directly into or near a tumor to kill tumor cells. PURPOSE: This clinical trial is studying the side effects and how well internal radiation therapy works in treating patients with prostate cancer.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable prostate-cancer
Started Nov 2007
Longer than P75 for not_applicable prostate-cancer
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 1, 2007
CompletedFirst Submitted
Initial submission to the registry
December 13, 2007
CompletedFirst Posted
Study publicly available on registry
December 14, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2014
CompletedResults Posted
Study results publicly available
October 20, 2017
CompletedOctober 20, 2017
September 1, 2017
6.8 years
December 13, 2007
December 21, 2015
September 19, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Number of Patients With an Acceptable Level of Severe Toxicity as Defined at < Grade 3 CTC Toxicity
Feasibility will be defined as an acceptable level of severe toxicity (both acute and late effects), and adequate dosimetric coverage. Severe toxicity will be defined as \> or = grade 3 NCI CTC toxicity
At scheduled 3 month intervals for one year
Number of Patients With an Acceptable Level of Treatment Related Urinary and Rectal Toxicity as Defined at < Grade 3 CTC Toxicity
urinary and rectal toxicity-see the adverse event tables
Within 90 days of treatment (early toxicities) or after 90 days (late toxicities)
Other Outcomes (2)
Number of Participants Having an International Index of Erectile Function - Erectile Function (IIEF-EF) Domain Score Greater Than or Equal to 26 Through 12-Week Endpoint
week 12 reported
Median International Prostate Symptom Total Score
week 12 reported
Study Arms (1)
HDR Brachytherapy
EXPERIMENTAL9.5 Gy HDR Brachytherapy for 4 fractions given over 2 days
Interventions
Eligibility Criteria
You may qualify if:
- Intermediate-risk adenocarcinoma of the prostate, defined by 1of the following criteria:
- PSA 10-20 ng/mL
- Gleason score ≥ 7
- Stage ≥ T2b AND \< T3
- Less than 20% risk of seminal vesicle involvement or lymph node involved based upon the Kattan nomogram (pre-treatment risk with IMRT)
- Prostate size \< 60 cc by MRI or CT imaging
- International Prostate Symptom Score Index ≤ 15
You may not qualify if:
- Evidence of definitive extracapsular extension/seminal vesicle invasion or pelvic adenopathy by MRI (endorectal coil) and DRE (digital rectal examination)
- PSA \> 20 ng/mL
- Presence of distant metastases
- PATIENT CHARACTERISTICS:
- WBC ≥ 3,500/mm³
- Platelet count ≥ 75,000/mm³
- Hemoglobin ≥ 10 g/dL
- Creatinine ≤ 1.5 mg/dL
- Liver function tests ≤ 1.5 times normal
- INR ≤ 2.5
- Able to complete quality of life questionnaires
- Able to give informed consent
- No active perineal infections
- No history of urethral stricture
- No prior history of pelvic malignancy
- +7 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Memorial Sloan-Kettering Cancer Center
New York, New York, 10065, United States
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Josh Yoshiya Yamada, Assistant Attending
- Organization
- Memorial Sloan Kettering Cancer Center
Study Officials
- PRINCIPAL INVESTIGATOR
Josh Yamada, MD
Memorial Sloan Kettering Cancer Center
- PRINCIPAL INVESTIGATOR
Michael J. Zelefsky, MD
Memorial Sloan Kettering Cancer Center
- PRINCIPAL INVESTIGATOR
Sherri M. Donat, MD
Memorial Sloan Kettering Cancer Center
- PRINCIPAL INVESTIGATOR
Marco Zaider, PhD
Memorial Sloan Kettering Cancer Center
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 13, 2007
First Posted
December 14, 2007
Study Start
November 1, 2007
Primary Completion
September 1, 2014
Study Completion
September 1, 2014
Last Updated
October 20, 2017
Results First Posted
October 20, 2017
Record last verified: 2017-09