Stereotactic MRI-Guided Radiation for Localized Prostate Cancer
2SMART
Two Stereotactic MRI-Guided Ablative Adaptive Radiotherapy Treatments for Localized Prostate Cancer (2SMART)
1 other identifier
interventional
30
1 country
1
Brief Summary
This single arm, prospective study will determine the prostate-specific quality of life (QOL) of patients undergoing undergoing a 2 fraction MRI-guided stereotactic ablative body radiation (SABR) protocol. We propose prescribing a prostate dose of 26 Gy in 2 fractions and a dose of up to 32 Gy to the dominant intraprostatic lesion (DIL) in 2 fractions over one week.
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 Apr 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
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 23, 2018
CompletedFirst Submitted
Initial submission to the registry
July 2, 2018
CompletedFirst Posted
Study publicly available on registry
July 17, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 23, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
April 23, 2024
CompletedJune 14, 2022
June 1, 2022
5.8 years
July 2, 2018
June 12, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
QOL
To determine the prostate-specific quality of life (QOL) using the Expanded Prostate Cancer Index Composite (EPIC)
5 years
Secondary Outcomes (7)
Acute Toxicity
3months
Late Toxicity
5 Years
PSA
5 years
Biochemical Recurrance
5 years
Salvage Therapy
5 years
- +2 more secondary outcomes
Study Arms (1)
2-fraction SABR
EXPERIMENTALInterventions
26 Gy in 2 fractions to the prostate and DIL dose of up to 32 Gy in 2 fractions of MR-guided SABR delivered 1 week apart
Eligibility Criteria
You may qualify if:
- Informed consent obtained
- Men \>18 years
- Histologically confirmed prostate adenocarcinoma (centrally reviewed)
- Favorable risk prostate cancer, defined as clinical stage T1-2c, Gleason Sum less than or equal to 7, and PSA less than or equal to 20 ng/mL (patients can have only one of T2c, Gleason Sum 7 and PSA 10-20 ng/ml)
You may not qualify if:
- Androgen deprivation therapy (LHRH-agonists or antiandrogens) \> 6 mo
- Prior pelvic radiotherapy
- Anticoagulation medication (if unsafe to discontinue for gold seed insertion)
- Diagnosis of bleeding diathesis
- Large prostate (\>90cm3) on imaging
- Immunosuppressive medications
- Inflammatory bowel disease
- Presence of a hip prosthesis
- Contraindications to having MRI
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5, Canada
Related Publications (1)
Ong WL, Cheung P, Chung H, Chu W, Detsky J, Liu S, Morton G, Szumacher E, Tseng CL, Vesprini D, Davidson M, Ravi A, McGuffin M, Zhang L, Mamedov A, Deabreu A, Kulasingham-Poon M, Loblaw A. To Boost or Not to Boost: Pooled Analyses From 2-Fraction SABR Trials for Localized Prostate Cancer. Int J Radiat Oncol Biol Phys. 2023 Dec 1;117(5):1153-1162. doi: 10.1016/j.ijrobp.2023.06.250. Epub 2023 Jul 5.
PMID: 37419394DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Andrew Loblaw, MD, FRCPC
Sunnybrook Health Sciences Centre, University of Toronto
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
- GU Radiation Oncology Team Lead
Study Record Dates
First Submitted
July 2, 2018
First Posted
July 17, 2018
Study Start
April 23, 2018
Primary Completion
January 23, 2024
Study Completion
April 23, 2024
Last Updated
June 14, 2022
Record last verified: 2022-06
Data Sharing
- IPD Sharing
- Will not share