Prostate Cancer Clinical Trial
Official title:
A Pilot Study of High Dose Rate Brachytherapy as Definitive Management for Intermediate Risk Prostate Cancer
RATIONALE: Internal radiation therapy uses radioactive material placed directly into or near
a tumor to kill tumor cells.
PURPOSE: This clinical trial is studying the side effects and how well internal radiation
therapy works in treating patients with prostate cancer.
OBJECTIVES:
Primary
- To assess the feasibility of high-dose rate (HDR) brachytherapy (without the use of
external-beam radiotherapy) as definitive treatment for patients with intermediate-risk
prostate cancer.
- To assess acceptable toxicity, defined as treatment related toxicity (urinary and
rectal), no worse than that seen by patients treated with conventional therapy (grade 3
urinary toxicity < 10% and grade 3 rectal toxicity < 10%).
Secondary
- To achieve adequate dosimetric coverage of the prostate comparable to current standards.
- To assess the effect of treatment on sexual function.
OUTLINE: Patients undergo 4 high-dose rate brachytherapy treatments over 2 days.
Patients complete bladder, bowel, sexual function, and quality of life questionnaires,
including the International Index of Erectile Function (IIEF) questionnaire, the
International Prostate Symptom Score Index (IPSS), and the MSKCC Prostate Quality of Life
questionnaire at baseline and then at every follow-up visit.
After completion of study treatment, patients are followed every 3 months for 1 year.
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