Locally Recurrent Prostate Cancer Clinical Trial
Official title:
Phase I Feasibility Trial of Stereotactic Re-irradiation of Prostate Cancer Recurrence Within the Definitively Irradiated Prostate
To examine the feasibility, safety and toxicity of focal stereotactic radiation treatment (SBRT) for locally recurrent prostate cancer.
Status | Recruiting |
Enrollment | 36 |
Est. completion date | March 31, 2027 |
Est. primary completion date | March 31, 2027 |
Accepts healthy volunteers | No |
Gender | Male |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Men > 4yrs from external beam radiotherapy (EBRT) meeting the Phoenix definition of biochemical failure or men > 5yrs from EBRT if neo-adjuvant and/or adjuvant androgen deprivation therapy (ADT) also used - Recurrence localised to less than 1 lobe of prostate on both PMSA and multi-parametric MRI (less than equal to cT2a) - Recurrence must be biopsy proven, with positive biopsies limited to the PET and MRI suspicious region. - Life expectancy at least 10yrs from time of SBRT - PSA < 10 Exclusion Criteria: - Recurrence in immediate proximity to rectum (unless able to have hydrogel) - Grade 3 or more toxicity from previous EBRT - Contra-indicated for fiducial insertion - GS 8,9 or 10 disease previously (relative - consider if decent disease free interval) |
Country | Name | City | State |
---|---|---|---|
Australia | Royal North Shore Hospital | St Leonards | New South Wales |
Lead Sponsor | Collaborator |
---|---|
Royal North Shore Hospital |
Australia,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | feasibility of SBRT dose escalation. This will be assessed by the number of participants with grade 3 acute toxicity according to CTCAE version 4.3 | acute toxicity will be assessed weekly during treatment period to check whether dose escalation can be achieved | at weekly review through completion of each radiothrapy dose level, approximately one year | |
Primary | safety of SBRT dose escalation. This will be assessed by the number of participants with grade 3 acute toxicity according to CTCAE version 4.3 | outcome will be assessed by reviewing toxicity weekly during the treatment period and at the end of each dose escalation | at weekly review through completion of each radiothrapy dose level, approximately one year | |
Primary | Toxicity. This will be assessed by the number of participants with grade 3 acute toxicity according to CTCAE version 4.3 and RTOG toxicity score. | outcome will be assessed by reviewing toxicity weekly and at the end of each dose escalation | at weekly review through completion of each radiothrapy dose level, approximately one year | |
Secondary | Tolerability of conservation dose escalation in this cohort of patients | outcome will be assessed by reviewing toxicity weekly or secondly weekly and at the end of each dose escalation | After each group of patients have completed radiotherapy and at 12 and 24 months follow-up. Patients will have routine follow-up 6 monthly for 1 year and then yearly for 10 years post treatment. But study outcomes will only be collected for 2 years. |
Status | Clinical Trial | Phase | |
---|---|---|---|
Active, not recruiting |
NCT03350529 -
MRI Guided Transurethral HIFU for Various Prostate Diseases
|
N/A | |
Not yet recruiting |
NCT06202248 -
A Study to Assess Alpha DaRT224 for the Treatment of Men With Non-metastatic Locally Recurrent Prostate Cancer
|
N/A | |
Completed |
NCT00686088 -
An Open-Label, Multi-Center, Phase IIa Trial of PRX302 Treatment of Patients With Locally Recurrent Prostate Cancer After Primary Radiation Therapy
|
Phase 2 | |
Recruiting |
NCT03312972 -
Focal Salvage HDR Brachytherapy for Locally Recurrent Prostate Cancer in Patients Treated With Prior Radiotherapy
|
Phase 1/Phase 2 |