Pilot Trial Evaluating Stereotactic Body Radiotherapy With Integrated Boost for Clinically Localized Prostate Cancer (RAD 1203)
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Prostate Cancer, Cancer, Other Indications, Psychiatric |
| Therapuetic Areas: | Oncology, Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | 19 - Any |
| Updated: | 4/17/2018 |
| Start Date: | February 2013 |
| End Date: | February 2021 |
RAD 1203: Pilot Trial Evaluating Stereotactic Body Radiotherapy With Integrated Boost for Clinically Localized Prostate Cancer
This study will investigate the safety, tolerability, and effectiveness of giving a higher
dose to the part of the prostate which contains the cancer while giving a standard radiation
dose to the entire prostate. The investigators have hypothesized that this treatment
technique will effectively control the prostate cancer while minimizing the side effects.
dose to the part of the prostate which contains the cancer while giving a standard radiation
dose to the entire prostate. The investigators have hypothesized that this treatment
technique will effectively control the prostate cancer while minimizing the side effects.
Objectives:
Primary
-Clinically assess the early toxicity of SBRT with integrated boost for clinically localized
prostate cancer
Secondary
- Determine the technical feasibility of stereotactic body radiotherapy (SBRT) with
integrated boost for clinically localized prostate cancer
- Determine the treatment planning and dosimetric feasibility
- Evaluate the treatment delivery quality assurance
- Clinically assess early efficacy, late toxicity, and quality of life for patients
receiving SBRT with integrated boost for clinically localized prostate cancer
Patients will undergo 5 total radiation treatments over 7-17 day period.
Patients will be asked to complete American Urological Association Symptom Index (AUA SI),
Sexual Health Inventory of Men (SHIM), and the Expanded Prostate Index Composite
(EPIC)questionnaires. The EPIC assesses bowel, urinary, and sexual function. These
questionnaires will be completed at the following time points: Baseline, AUA SI will be
collected on the last day of treatment, and every 3 months for the first year following the
start of radiation, then every 6 months for year 2.
After completion of study therapy, patients are followed-up every 3 months for the first
year, then every 6 months for year 2.
Primary
-Clinically assess the early toxicity of SBRT with integrated boost for clinically localized
prostate cancer
Secondary
- Determine the technical feasibility of stereotactic body radiotherapy (SBRT) with
integrated boost for clinically localized prostate cancer
- Determine the treatment planning and dosimetric feasibility
- Evaluate the treatment delivery quality assurance
- Clinically assess early efficacy, late toxicity, and quality of life for patients
receiving SBRT with integrated boost for clinically localized prostate cancer
Patients will undergo 5 total radiation treatments over 7-17 day period.
Patients will be asked to complete American Urological Association Symptom Index (AUA SI),
Sexual Health Inventory of Men (SHIM), and the Expanded Prostate Index Composite
(EPIC)questionnaires. The EPIC assesses bowel, urinary, and sexual function. These
questionnaires will be completed at the following time points: Baseline, AUA SI will be
collected on the last day of treatment, and every 3 months for the first year following the
start of radiation, then every 6 months for year 2.
After completion of study therapy, patients are followed-up every 3 months for the first
year, then every 6 months for year 2.
Inclusion Criteria:
- All patients must have Histologically confirmed prostate adenocarcinoma, with biopsies
obtained within twelve months of patient registration
- NCCN risk category very low, low, or intermediate risk
- Combined Gleason score <7
- PSA within three months of enrollment < 20ng/ml
- Clinical stage T1a-c N0M0 or clinical stage T2aN0M0
- Life expectancy > 5 years
- Risk of malignant lymph node involvement < 15% as calculated on Partin tables
- Karnofsky performance status (KPS) > 60
- Age > 19 years
- Subjects given written informed consent
Exclusion Criteria:
- History of inflammatory bowel disease
- Prior radical prostate surgery, transurethral resection of the prostate(TURP), or
prostate cryotherapy
- Patients using immunosuppressive medications or other medications that may increase
radiation toxicity such as methotrexate, sirolimus, tacrolimus, or colchicine that are
unable to discontinue these medications during SBRT course. Use of corticosteroids are
not considered an exclusion criteria.
- Platelet count < 70
- Patients unable to discontinue anti-platelet or anti-coagulant medicine such as
clopidogrel, dabigatran, warfarin, or low molecular weight heparin. Use of aspirin is
not an exclusion criteria.
- Pre-SBRT prostate volume > 120 cc as estimated by trans-rectal ultrasound at time of
prostate biopsy (TRUS biopsy).
- Risk of malignant lymph node involvement > 15% as calculated on Partin tables.
We found this trial at
1
site
Birmingham, Alabama 35249
Principal Investigator: John Fiveash, MD
Phone: 205-975-2880
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