Feasibility Trial Of Image Guided External Beam Radiotherapy With Or Without High Dose Rate Brachytherapy Boost In Men With Intermediate-Risk Prostate Cancer
Randomized Phase II Feasibility Trial Of Image Guided External Beam Radiotherapy With Or Without High Dose Rate Brachytherapy Boost In Men With Intermediate-Risk Prostate Cancer
1 other identifier
interventional
57
1 country
9
Brief Summary
This research is being done because investigators involved in this study would like to compare image guided external beam radiation therapy (IGRT) to IGRT plus HDR brachytherapy boost to see which treatment is better and what the side effects of treatment are.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable prostate-cancer
Started Apr 2014
Typical duration for not_applicable prostate-cancer
9 active sites
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
November 6, 2013
CompletedFirst Posted
Study publicly available on registry
November 13, 2013
CompletedStudy Start
First participant enrolled
April 22, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 5, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
October 19, 2018
CompletedResults Posted
Study results publicly available
October 22, 2020
CompletedApril 13, 2026
March 1, 2017
2.2 years
November 6, 2013
March 30, 2017
March 24, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Feasibility of Ability to Accrue Patients
The ability to accrue 60 patients over an 18 month period to a study that randomizes men with intermediate-risk prostate cancer to curative intent treatment with image guided external beam radiotherapy (IGRT) or IGRT with high dose rate (HDR) brachytherapy boost within a Canadian multicentre setting.
21 months
Secondary Outcomes (3)
Number of Participants Reported Adverse Events
21 months
Treatment Compliance
21 months
Radiotherapy Quality Assurance -Timing
5 months
Study Arms (2)
Arm 1
ACTIVE COMPARATORIGRT\* 60 Gy in 20 fractions OR IGRT 78 Gy in 39 fractions
Arm 2
ACTIVE COMPARATORIGRT 37.5 Gy in 15 fractions \+ HDR brachytherapy boost 15 Gy
Interventions
image guided external beam radiotherapy (IGRT) or IGRT with high dose rate (HDR) brachytherapy boost
Eligibility Criteria
You may qualify if:
- Histologically confirmed prostate adenocarcinoma. The date of the last biopsy that verifies that the eligibility criterions have been met must be within 9 months prior to randomization. There must be no prior treatment.
- Intermediate-risk cancer patients based on the NCCN Guidelines (www.nccn.org):
- TNM classification:
- T2b-T2c and Gleason Score \< 8/10 and PSA \< 20 ng/ml; or
- T1c-T2a and Gleason Score 7/10 and PSA \< 20 ng/ml; or
- T1c-T2a and Gleason Score ≤ 6/10 and 10 ≤ PSA \< 20 ng/ml
- For patients who have been on alpha reductase inhibitors within the last 6 months, use the following guidelines:
- T2b-T2c and Gleason Score \< 8/10 and PSA ≤ 10 ng/ml; or
- T1c-T2a and Gleason Score 7/10 and PSA ≤ 10 ng/ml; or
- T1c-T2a and Gleason Score ≤ 6/10 and 5 ≤ PSA ≤ 10 ng/ml
- No alpha reductase inhibitors (i.e. avodart, proscar) use within 2 weeks of randomization. A washout period of 2 weeks is required prior to randomization.
- Prostate volume ≤ 75 cc.
- American Urological Association (AUA) Symptom Index score \< 20.
- Judged to be medically fit for IGRT and HDR brachytherapy boost by a radiation oncologist.
- ECOG Performance Status of 0 or 1.
- +5 more criteria
You may not qualify if:
- History of transurethral resection of the prostate (TURP).
- Patients with a history of other malignancies, except: adequately treated non-melanoma skin cancer, or other solid tumours curatively treated with no evidence of disease for ≥ 5 years.
- Prior or current bleeding diathesis.
- Prior pelvic or prostate radiotherapy.
- Previous history of (or planned) androgen deprivation therapy.
- Evidence of metastatic disease.
- Any serious active disease or co-morbid medical condition, laboratory abnormality, psychiatric illness, active or uncontrolled infections, or serious illnesses or medical conditions that would prevent the patient from participating or to be managed according to the protocol (according to investigator's decision).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (9)
Dr. H. Bliss Murphy Cancer Centre
St. John's, Newfoundland and Labrador, A1B 3V6, Canada
Royal Victoria Regional Health Centre
Barrie, Ontario, L4M 6M2, Canada
Lakeridge Health Oshawa
Oshawa, Ontario, L1G 2B9, Canada
Odette Cancer Centre
Toronto, Ontario, M4N 3M5, Canada
Univ. Health Network-Princess Margaret Hospital
Toronto, Ontario, M5G 2M9, Canada
Windsor Regional Cancer Centre
Windsor, Ontario, N8W 2X3, Canada
CHUM - Hopital Notre-Dame
Montreal, Quebec, H2L 4M1, Canada
McGill University - Dept. Oncology
Montreal, Quebec, H2W 1S6, Canada
CHUQ-Pavillon Hotel-Dieu de Quebec
Québec, Quebec, G1R 2J6, Canada
Related Publications (1)
Vigneault E, Morton G, Parulekar WR, Niazi TM, Springer CW, Barkati M, Chung P, Koll W, Kamran A, Monreal M, Ding K, Loblaw A. Randomised Phase II Feasibility Trial of Image-guided External Beam Radiotherapy With or Without High Dose Rate Brachytherapy Boost in Men with Intermediate-risk Prostate Cancer (CCTG PR15/ NCT01982786). Clin Oncol (R Coll Radiol). 2018 Sep;30(9):527-533. doi: 10.1016/j.clon.2018.05.007. Epub 2018 Jun 11.
PMID: 29903505RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Limitations and Caveats
Limited follow up time, delayed side effect might not be captured.
Results Point of Contact
- Title
- Dr. Keyue Ding
- Organization
- Canadian cancer trials group
Study Officials
- STUDY CHAIR
Eric Vigneault
CHUQ - Hotel Dieu de Quebec, Quebec QC
- STUDY CHAIR
Douglas Loblaw
Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto On
Publication Agreements
- PI is Sponsor Employee
- Yes
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- NETWORK
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 6, 2013
First Posted
November 13, 2013
Study Start
April 22, 2014
Primary Completion
July 5, 2016
Study Completion
October 19, 2018
Last Updated
April 13, 2026
Results First Posted
October 22, 2020
Record last verified: 2017-03
Data Sharing
- IPD Sharing
- Will not share