Optimal Prostate Study
Optimal Prostate Fractionation Study
1 other identifier
interventional
503
1 country
1
Brief Summary
To compare the toxicity, rate of local control, biochemical failure rate and quality of life of three different radiotherapy techniques (moderate hypofractionation, stereotactic body radiotherapy (SBRT) and standard radiotherapy plus 2 fractions of SBRT (BOOSTER)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable prostate-cancer
Started Oct 2018
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
First Submitted
Initial submission to the registry
December 11, 2017
CompletedFirst Posted
Study publicly available on registry
December 29, 2017
CompletedStudy Start
First participant enrolled
October 2, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 1, 2028
January 29, 2026
January 1, 2026
9.8 years
December 11, 2017
January 27, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
local control
the rate of local control as determined on PSMA scanning
12 months post radiotherapy
Secondary Outcomes (4)
Biological failure rate
3 year and 5 year
late toxicity
more than three months after treatment completion.
Markerless tracking technology
During radiotherapy treatment
Accuracy of the various intrafraction guidance methods
During radiotherapy treatment
Study Arms (2)
Optimal SBRT
ACTIVE COMPARATORParticipants in this group will be randomised to either SBRT ( 36 to 45 GY in 5 fractions) or standard radiotherapy (60 Gy in 20 fractions). The allocation is 2 to 1. This means that two thirds of the participants on the trial will get the SBRT (5 treatments) and one third will get the standard fractions.
Optimal Booster
ACTIVE COMPARATORParticipants in this group will be randomised to either standard radiotherapy plus SBRT (45 Gy in 20 fractions plus 20-30 Gy in 2 fractions-Booster) or standard radiotherapy (60 Gy in 20 fractions). The allocation is 2 to 1. This means that two thirds of the participants on the trial will get the Booster arm and one third will get the standard fractions.
Interventions
Two thirds of the participants in this group will get the SBRT (5 treatments) and one third will get standard treatment (60 Gy in 20 treatments)
Two thirds of the participants in this group will get the two high precision radiotherapy plus 20 doses of standard external beam radiotherapy (ie the "Booster approach\|") and one third will get the standard treatment (60 Gy in 20 treatments)
Eligibility Criteria
You may qualify if:
- Histologically proven prostate adenocarcinoma
- PSA obtained within three months prior to enrolment
- ECOG performance status 0 to 2
- Ability to understand and the willingness to sign a written consent
- Suitable for high dose irradiation to the prostate
- To be eligible for the arm containing Stereotactic Booster alone approach patient must have the following
- No contraindication to MRI such as pacemaker and severe claustrophobia
- Patient must be able to have fiducial markers placed in the prostate
- Patient must be able to have hydrogel insertion at the same time as fiducial markers
- Must have IPSS less than 15
You may not qualify if:
- Previous pelvic radiotherapy
- Prior total prostatectomy
- Unwilling or unable to give informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Royal North Shore Hospital
St Leonards, New South Wales, 2065, Australia
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Andrew Kneebone, MBBS
Northern Sydney Local Health District
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Masking Details
- no masking
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 11, 2017
First Posted
December 29, 2017
Study Start
October 2, 2018
Primary Completion (Estimated)
August 1, 2028
Study Completion (Estimated)
August 1, 2028
Last Updated
January 29, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will share
- Time Frame
- end of trial after analysis
aim to present study data in conferences and medical journals