Postoperative or Salvage Radiotherapy (RT) for Node Negative Prostate Cancer Following Radical Prostatectomy

Clinicaltrials.gov ID: NCT00969111
db-list-check Status RECRUITING
b-loader Phase NA
b-people Age ≥ 18 Years
b-bullseye-arrow Enrollments 70

Conditions

Prostate Cancer

Summary

The purpose of this study is to see what effects, good and/or bad, proton radiation, and/or conventional radiation and hormonal therapy (if applicable), has on prostate cancer that has already returned or the risk of prostate cancer returning.

Locations

3 locations Found with status Recruiting

Status

  • RECRUITING

Contact Person

  • Intake Coordinator
  • 877-686-6009

Principal Investigator

  • Randal H Henderson, MD

Status

  • RECRUITING

Contact Person

Principal Investigator

  • Randal H Henderson, MD

Status

  • RECRUITING

Contact Person

Principal Investigator

  • Randal H Henderson, MD

Eligibility Criteria

Inclusion Criteria:

* Prostate cancer treated primarily with open, laparoscopic or robotically assisted prostatectomy.
* Maximum PSA value of 20 ng/ml.

Exclusion Criteria:

* Evidence of distant metastasis (M1).
* Prior systemic chemotherapy for any reason.
* Previous irradiation to the pelvis that would compromise the ability to deliver the prescribed study treatment.
* Active inflammatory bowel disease (Crohn's disease, diverticulitis or ulcerative colitis) affecting the rectum. (Non-active diverticulitis and Crohn's disease not affecting the rectum are allowed).
* History of hip replacement.
* Prior or concurrent cancer, other than non-melanomatous skin cancer, unless disease free for at least 5 years.
* Taking Saw Palmetto or methotrexate and unable or unwilling to discontinue its use during radiation.

Study Plan

Postop Non-High Risk

EXPERIMENTAL

Proton to 66.6 CGE

  • RADIATION:

    Proton to 66.6 CGE

    Description:

    Post-Op Non High Risk

Postop High Risk

EXPERIMENTAL

IMRT to 45 Gy; prostate bed proton boost of 21.6 CGE

  • RADIATION:

    IMRT to 45 Gy; prostate bed proton boost of 21.6 CGE

    Description:

    Postop High Risk

Salvage Non-High Risk

EXPERIMENTAL

Proton to 70.2 CGE

  • RADIATION:

    Proton (prostate bed) to 70.2 CGE

    Description:

    Salvage Non-High Risk

Salvage High Risk

EXPERIMENTAL

IMRT to 45 Gy; proton boost to prostate bed to 25.2 CGE

  • RADIATION:

    IMRT to 45 Gy; proton boost to prostate bed to 25.2 CGE

    Description:

    Salvage High Risk

Outcome Measures

Primary Outcome Measures

The treatment-related rate of acute grade 3 gastrointestinal and genitourinary toxicity following treatment with proton based radiation therapy.

Time Frame: 6 months after the end of radiation therapy

Secondary Outcome Measures

Collect and analyze quality of life, treatment-related morbidity, disease control and survival outcome parameters

Time Frame: After radiation: every 6 months for 3 years, then annually for 20 years

Timeline

  • Last Updated
    June 3, 2024
  • Start Date
    August 31, 2009
  • Today
    January 16, 2025
  • Completion Date ( Estimated )
    August 1, 2050

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