Prostate Cancer Clinical Trial
Official title:
Combined, Intensified and Modulated Adjuvant Therapy in Prostate Carcinoma: a Phase II Trial
Patients with high risk prostate cancer may benefit from radiotherapy after radical prostatectomy. The investigators postulated that adjuvant androgen deprivation therapy (ADT), radiation dose escalation, and selective pelvic irradiation may improve outcome. A phase II trial was designed to prove that combined-intensified-modulated-adjuvant (CIMA) treatment may improve 5-year biochemical relapse free survival (bRFS) from 75% to 90% in high risk patients. The delivered dose to tumor bed and pelvic nodes was 64.8-70.2 Gy and 45 Gy (57% of patients), respectively, and 69% received ADT.
Status | Completed |
Enrollment | 123 |
Est. completion date | January 2, 2017 |
Est. primary completion date | January 10, 2009 |
Accepts healthy volunteers | No |
Gender | Male |
Age group | 18 Years to 79 Years |
Eligibility |
Inclusion Criteria: - < 80 years old - histological diagnosis of prostate adenocarcinoma - no distant metastases - stage pT2-4 - N0-1 - ECOG performance status of 0-2 - One of these pathologic features: extracapsular extension, positive surgical margins, or seminal vesicle invasion. extracapsular extension, positive surgical margins or seminal vesicle invasion, or positive lymph-nodes - No surgical complications such as pelvic infections or lymphocele, intraoperative rectal injury or severe urinary incontinence - Preoperative and postoperative PSA test, bone scan and CT-scan or MRI of abdomen and pelvis prior to enrolment - Normal bone marrow function Exclusion Criteria: - Previously treated with Radiotherapy - Previously treated with androgen deprivation therapy - Previously treated with chemotherapy for prostate cancer. They also had to be free |
Country | Name | City | State |
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n/a |
Lead Sponsor | Collaborator |
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Azienda Ospedaliera Universitaria di Bologna Policlinico S. Orsola Malpighi | Catholic University of the Sacred Heart, Howard University, Michigan State University, University of Bologna |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Biochemical relapse free survival | Survival free from increase of PSA level exceeding 0.2 ng/mL for those with postsurgical PSA level of 0.2 ng/mL or lower, and as two consecutive PSA increases for patients with a postsurgical PSA level of > 0.2 ng/ml | Five years | |
Secondary | Incidence of early treatment-emergent adverse events | Adverse events after radiotherapy . Acute side effects were scored according to the Radiation Therapy Oncology Group (RTOG) scale. | < 90 days. | |
Secondary | Incidence of late treatment-emergent adverse events were assessed with Radiation Morbidity Scoring Scheme of the RTOG/European Organization for Research and Treatment of Cancer (EORT) | Late complications were assessed with the Late Radiation Morbidity Scoring Scheme of the RTOG/European Organization for Research and Treatment of Cancer (EORT) | 5 years | |
Secondary | First evidence of any pelvic recurrence | First evidence of any pelvic recurrence | 5 years | |
Secondary | Metastasis-free survival | The first evidence of any extra pelvic recurrence of disease. | 5 years |
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