NCT01962324

Brief Summary

A single arm phase 2 study to study the outcome of dose-escalation with simultaneous integrated boost to intraprostatic lesion and positive lymph nodes. Prostate cancer patients with high risk of lymph node metastasis or oligo positive nodes in true pelvic area can be included. The boost volumes will be outlined by usin PET-CT and MRI data. Our hypothesis is that we will have fewer relapses in this very high risk patient group compared to matched historical controls with acceptable side effects.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
85

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Mar 2015

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 9, 2013

Completed
5 days until next milestone

First Posted

Study publicly available on registry

October 14, 2013

Completed
1.4 years until next milestone

Study Start

First participant enrolled

March 1, 2015

Completed
8.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 9, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 9, 2023

Completed
Last Updated

March 1, 2024

Status Verified

February 1, 2024

Enrollment Period

8.2 years

First QC Date

October 9, 2013

Last Update Submit

February 27, 2024

Conditions

Keywords

Quality of LifeRadiotherapyRadiotherapy, dose-escalation

Outcome Measures

Primary Outcomes (1)

  • PSA progression free survival

    PSA progression defined according to American Society for Therapeutic Radiology and Oncology (ASTRO) Phoenix definition: nadir PSA + 2 ng/mL (on three consecutive measurements with at least one month between each)

    36 months

Secondary Outcomes (4)

  • Genitourinary Quality of Life

    0 6 12 36 60 months

  • Gastrointestinal Quality of Life

    0 6 12 36 60 months

  • Overall Quality of Life

    0 6 12 36 60 months

  • Sexual Quality of Life

    0 6 12 36 60 months

Study Arms (1)

SIB Dose-Escalation radiotherapy

EXPERIMENTAL

Simultaneous integrated boost to intraprostatatic tumor and lymph nodes

Radiation: SIB Dose-Escalation Radiotherapy

Interventions

SIB Dose-Escalation radiotherapy

Eligibility Criteria

Age18 Years - 80 Years
Sexmale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically confirmed high risk prostate cancer with a risk of lymphatic spread \>15% according to the MSKCC nomogram (1) http://nomograms.mskcc.org/Prostate/PreTreatment.aspx
  • Written informed consent
  • \> 18 years
  • Fiducial gold markers implanted in the prostate (min 3)

You may not qualify if:

  • Non MR-safe implants or other contraindication to MRI
  • WHO PS\>1
  • Previous pelvic irradiation
  • TURP within 6 months
  • IPSS \>19
  • Metastatic disease in skeleton, parenchymal organs or lymph nodes outside the pelvis
  • Creatinin clearance \< 30ml/min according to http://www.fass.se/LIF/produktfakta/kreatinin.jsp

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Umeå University, Cancercenter

Umeå, 90185, Sweden

Location

MeSH Terms

Conditions

Prostatic NeoplasmsLymphatic Metastasis

Condition Hierarchy (Ancestors)

Genital Neoplasms, MaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsGenital Diseases, MaleGenital DiseasesUrogenital DiseasesProstatic DiseasesMale Urogenital DiseasesNeoplasm MetastasisNeoplastic ProcessesPathologic ProcessesPathological Conditions, Signs and Symptoms

Study Officials

  • Camilla Thellenberg Karlsson, MD

    Umea University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD, PhD

Study Record Dates

First Submitted

October 9, 2013

First Posted

October 14, 2013

Study Start

March 1, 2015

Primary Completion

May 9, 2023

Study Completion

May 9, 2023

Last Updated

March 1, 2024

Record last verified: 2024-02

Locations