Clinical trial

Study of Stereotactic Body Radiotherapy (SBRT) for High-Risk Localized Prostrate Cancer

Name
13-001427
Description
This clinical trial studies stereotactic body radiation therapy in treating patients with high-risk prostate cancer that has not spread to nearby lymph nodes or to other parts of the body. Stereotactic body radiation therapy is a specialized radiation therapy that delivers a single, high dose of radiation directly to the tumor and may kill more tumor cells and cause less damage to normal tissue. Studying quality of life in patients undergoing stereotactic body radiation therapy may help identify the long-term effects of treatment on patients with prostate cancer.
Trial arms
Trial start
2014-01-27
Estimated PCD
2025-01-27
Trial end
2026-01-27
Status
Active (not recruiting)
Treatment
stereotactic body radiation therapy
Undergo SBRT
Arms:
Treatment (SBRT)
Other names:
SBRT, stereotactic radiation therapy, stereotactic radiotherapy
quality-of-life assessment
Ancillary studies
Arms:
Treatment (SBRT)
Other names:
quality of life assessment
laboratory biomarker analysis
Correlative studies
Arms:
Treatment (SBRT)
androgen deprivation therapy
up to 9 months at the discretion of the treating physician
Arms:
Treatment (SBRT)
Other names:
androgen suppression therapy
Size
220
Primary endpoint
Biochemical progression free survival
At 3 years
Biochemical progression free survival
At 5 years
Incidence of patient-reported genitourinary (GU) and gastrointestinal (GI) toxicity based on the Common Terminology Criteria for Adverse Events (CTCAE) version 4
At 4 months
Incidence of patient-reported GU and GI toxicity based on the CTCAE version 4
Up to 5 years
Changes in health related quality of life based on Expanded Prostate Cancer Index Composite questionnaire
Baseline to up to 5 years
Eligibility criteria
Inclusion Criteria: * Histologically confirmed primary non-metastatic adenocarcinoma of the prostate * Risk-group classification into the D’Amico or National Comprehensive Cancer Network (NCCN) ‘high-risk’ group, as defined by the presence of any one of the following high-risk factors: * Pre-biopsy prostate-specific antigen (PSA) \>= 20 * Biopsy Gleason score 8-10 * Clinical stage T3 * No pelvic nodal metastases (based on computed tomography \[CT\] or magnetic resonance imaging \[MRI\] findings) * No distant metastases, based upon: * CT scan or MRI of the pelvis within 120 days prior to registration * Bone scan within 120 days prior to registration; if the bone scan is suspicious, a plain x-ray and/or MRI must be obtained to rule out metastasis * Karnofsky performance status (KPS) \>= 70 * Ability to understand, and willingness to sign, the written informed consent * Patient will have opted for SBRT among definitive treatment choices Exclusion Criteria: * Patients with any evidence of distant metastases * Hormonal therapy (luteinizing hormone-releasing hormone \[LHRH\] agonist or oral anti-androgen) exceeding 4 months prior to registration * Prior cryosurgery, high intensity focused ultrasound (HIFU) or brachytherapy of the prostate * Prior pelvic radiotherapy * History of Crohn’s disease or Ulcerative colitis
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['NA'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 220, 'type': 'ESTIMATED'}}
Updated at
2024-01-19

1 organization

1 drug

2 indications

Indication
Prostate Cancer