Intraprostatic MAXimal Simultaneous Boost

Prostate Cancer Clinical Trial

Official title:

A Dose-escalation Study Using a Maximal Simultaneous Intraprostatic Boost With RapidArc Intensity Modulated Radiotherapy in Intermediate Risk Prostate Cancer

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT00798837
• Other study ID #: IMAX
• Status: Terminated
• Phase: N/A
• Start date: December 2008
• Est. completion date: October 2016

Study information

• Verified date: July 2018
• Source: British Columbia Cancer Agency
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This trial uses a type of radiotherapy called intensity modulated radiotherapy (IMRT), which is able to deliver the radiation to the prostate while delivering less dose to the surrounding normal organs compared with standard 3D conformal radiotherapy presently used at the BCCA. This trial will use RapidArc IMRT, which is a new way of delivering IMRT, where the radiation dose is delivered in a single rotation of the radiotherapy machine around the patient. This new method of delivering IMRT has been shown to be at least as good as conventional IMRT at delivering the dose, and takes less time to do so.

The aim of this study is to deliver a higher radiation dose to the prostate gland than the standard treatment while not increasing dose to the normal organs. In this way, it is hoped that the likelihood of the cancer coming back will be reduced without causing an increase in side-effects.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 10
• Est. completion date: October 2016
• Est. primary completion date: October 2016
• Accepts healthy volunteers: No
• Gender: Male
• Age group: N/A and older

Eligibility

Inclusion Criteria:

1. Patients must have histologically proven adenocarcinoma of the prostate.

2. Registration must occur within 26 weeks of biopsy.

3. History and physical examination (including digital rectal examination (DRE)) within 8 weeks prior to registration.

4. Patients must have intermediate risk prostate cancer, as defined by:

• PSA = 20 ng/ml,

• Gleason = 7,

• Stage = T2c, and

• Do not meet criteria for low-risk prostate cancer (Low-risk = All of: PSA = 10 + Gleason = 6 + stage = T2b)

5. Patients must have the following blood tests within two weeks of registration:

• Prostate specific antigen (PSA), testosterone (TTT), complete blood count (CBC), electrolytes, creatinine.

• Patients with values for one or more of these tests (not including PSA) that fall outside the normal range will need to be reviewed by the oncologist to determine their eligibility for this study.

6. Patients must have an estimated life expectancy of at least 10 years.

7. Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 2.

8. Patients must have no contraindications to high dose pelvic irradiation.

9. Patients must not have received prior radiation therapy to the pelvis.

10. Patients must have no history of inflammatory bowel disease.

11. Patients must not have received prior hormonal therapy or chemotherapy.

12. Patients must not have any hormonal therapy planned as part of the therapeutic intervention.

13. Patients must have no contraindication to MRI scanning.

14. Patients should not have an artificial hip

15. Patients should not have a body mass index (BMI) of > 32. Note: BMI = weight in kg ÷ (height in metres)2

Exclusion Criteria:

1. Subjects that do not meet inclusion criteria.

Related Conditions & MeSH terms

• Prostate Cancer
• Prostatic Neoplasms

Intervention

Radiation:
• Intraprostatic maximal simultaneous boost
Each patient will undergo a course of intensity modulated external beam radiation therapy (IMRT) using RapidArc for optimization and delivery. Doses of radiotherapy are as follows: The prescription dose will be 73.7 Gy in 28 fractions A simultaneous intraprostatic boost will be given to as much of the CTV as possible without contravening OAR dose constraints.

Locations

Country	Name	City	State
Canada	British Columbia Cancer Agency - Vancouver Centre	Vancouver	British Columbia

Sponsors (1)

Lead Sponsor	Collaborator
British Columbia Cancer Agency

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Incidence of grade 2-4 gastrointestinal and genitourinary toxicity		No time frame (post-treatment)
Secondary	Quality of life (EPIC, IPSS and SHIM questionnaires)		Post-treatment; every 6 mos until 5 years - then annual
Secondary	Percentage of CTV treated to boost dose		Immediately post-treatment
Secondary	Time-cost analysis compared to external-beam radiotherapy with brachytherapy boost		No time frame
Secondary	Accuracy of surrogate urethra compared to T2-MRI localization		No time frame
Secondary	Quantification of dose received by lesions identified by diffusion-weighted and dynamic contrast enhanced MRI		No time frame