Daily Target Guided Radiation Therapy Using the Calypso 4D Localization System in Patients Who Have Had a Prostatectomy for Prostate Cancer
Post-prostatectomy Daily Target Guided Radiotherapy Using Real-Time, State-of-the-Art Motion Tracking With the Calypso 4D Localization System: A Feasibility Study
2 other identifiers
observational
20
1 country
1
Brief Summary
This study will evaluate the daily use of a unique daily organ tracking system on target localization in patients treated with radiation therapy after radical prostatectomy for prostate cancer. Improved coverage of the target volume with radiotherapy could result in improved cancer control rates and decreased coverage of surrounding structures potentially decreasing treatment toxicity.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Mar 2010
Longer than P75 for all trials
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
March 1, 2010
CompletedFirst Submitted
Initial submission to the registry
June 18, 2012
CompletedFirst Posted
Study publicly available on registry
June 20, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2016
CompletedSeptember 11, 2015
September 1, 2015
6.2 years
June 18, 2012
September 9, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Interfraction prostate bed motion
For each fraction, measurements from the registered CTV (clinical target volume) at the midline will be obtained to structures at 3 points to assess for the degree of motion. 1. Inferior (defined as 8 mm below VUA) 2. Superior (top of seminal vesicle remnant or superior most CTV slice) 3. Middle (defined as the slice equally distant from the inferior and superior slices above)
Approximately 7.5 weeks (36-39 fractions per pt.)
Intrafraction prostate bed motion
Calypso session reports measuring intrafraction motion in x,y,z axis will be recorded and analyzed.
Approximately 7.5 weeks (36-39 fractions per pt.)
Eligibility Criteria
This study will include high risk patients referred for adjuvant or salvage radiation therapy after radical prostatectomy based upon the presence of unfavorable characteristics after prostatectomy, which include positive surgical margins, extracapsular extension of disease, or immediately detectable PSA.
You may qualify if:
- Histologically confirmed adenocarcinoma of the prostate initially managed with prostatectomy with a detectable PSA, positive surgical margins, or extra-prostatic extension.
- Ability to comply with study schedule
- Age 40 or older
- Zubrod PS 0 or 1 (appendix 1)
- Signed informed consent
You may not qualify if:
- Node positive or metastatic prostate cancer
- History of prior pelvic radiotherapy
- History of abdominoperineal resection
- History of inflammatory bowel disease or connective tissue disease
- History of bleeding disorder or any active anticoagulant or anti-platelet medication which cannot be discontinued safely for transponder placement.
- PT or INR outside normal range for institution
- Active implanted devices such as cardiac pacemakers and automatic defibrillators.
- Prosthetic implants in the pelvic region that contain metal or conductive materials (eg., an artificial hip).
- Patients with maximum anterior-posterior separation through the torso minus the height of the center of the prostate greater than 17 cm (technical reason for Calypso System, see appendix 5).
- History of HIV infection
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Madigan Healthcare System
Tacoma, Washington, 98431, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Dusten Macdonald, MD
Department of the Army
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- FED
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD, MC
Study Record Dates
First Submitted
June 18, 2012
First Posted
June 20, 2012
Study Start
March 1, 2010
Primary Completion
May 1, 2016
Study Completion
August 1, 2016
Last Updated
September 11, 2015
Record last verified: 2015-09