Prostate Cancer Clinical Trial
Official title:
A Prospective Phase II Trial of Transperineal Ultrasound-Guided Brachytherapy for Locally Recurrent Prostate Adenocarcinoma Following External Beam Radiotherapy
RATIONALE: Implant radiation therapy uses radioactive material placed directly into or near a tumor to kill tumor cells. PURPOSE: This phase II trial is studying the side effects and how well ultrasound-guided implant radiation therapy works in treating patients with locally recurrent prostate cancer previously treated with external-beam radiation therapy.
OBJECTIVES: Primary - Determine the late treatment-related gastrointestinal (GI) and genitourinary (GU) adverse events in patients with locally recurrent adenocarcinoma of the prostate previously treated with external-beam radiotherapy who are currently receiving transperineal ultrasound-guided iodine I 125 or palladium Pd 103 brachytherapy. Secondary - Determine the acute treatment-related GI and GU adverse events in patients treated with this regimen. - Determine the overall survival of patients treated with this regimen. - Determine the disease-free survival of patients treated with this regimen. - Determine the disease-specific survival of patients treated with this regimen. - Determine clinical patterns of tumor recurrence (time to local tumor progression or distant failure) in patients treated with this regimen. - Determine the time to biochemical failure in patients treated with this regimen. - Determine the post-brachytherapy dosimetric coverage in patients treated with this regimen. OUTLINE: This is a prospective, multicenter study. Patients undergo transperineal ultrasound-guided iodine I 125 or palladium Pd 103 brachytherapy. Patients are followed every 3 months for 1 year, every 6 months for 4 years, and then annually thereafter. PROJECTED ACCRUAL: A total of 96 patients will be accrued for this study. ;
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