Status:

ACTIVE_NOT_RECRUITING

MRI-Mapped Dose-Escalated Salvage Radiotherapy Post-Prostatectomy: The MAPS Trial

Lead Sponsor:

University of Miami

Conditions:

Prostate Cancer

Prostate Adenocarcinoma

Eligibility:

MALE

35-85 years

Phase:

NA

Brief Summary

1. The investigators hypothesize that increasing radiation dose to the functional MRI-defined lesion in the prostate bed will result in an improved initial complete response (reduction in prostate-spe...

Detailed Description

Phase 3 arms I (SSRT) and II (MTSRT) were closed. Study recruitment was suspended until re-opening as a single-arm Phase 2 (MTSRT) study.

Eligibility Criteria

Inclusion

  • Prostate cancer patients with a PSA after prostatectomy of at least 0.1 ng/mL and up to 4.0 ng/mL within 3 months prior to enrollment.
  • Patients with or without palpable abnormalities on digital rectal exam (DRE) are eligible.
  • Minimum of 3 months since prostatectomy to allow for return of urinary continence and healing.
  • Imaging detectable lesion or lesions in prostate bed or regional lymph node (LN). Each lesion should be at least 0.4 cc and a maximum of 6 cc and was obtained ≤ 3 months prior to protocol entry or enrollment.
  • No evidence of metastatic (distant) disease (pelvic nodes are allowed up to common iliac).
  • Negative bone scan if deemed necessary by treating physician obtained ≤ 4 months prior to protocol entry or enrollment.
  • No previous pelvic radiotherapy.
  • Serum total testosterone taken within 3 months prior to enrollment.
  • No concurrent, active malignancy, other than nonmetastatic skin cancer or early stage chronic lymphocytic leukemia (well-differentiated small cell lymphocytic lymphoma). If a prior malignancy is in remission for ≥ 3 years then the patient is eligible.
  • Ability to understand and the willingness to sign a written informed consent document.
  • Zubrod performance status \< 2.
  • Patients must agree to fill out quality of life/psychosocial questionnaires.
  • Age ≥ 35 and ≤ 85 years.

Exclusion

  • a. Prior androgen deprivation therapy is not permitted if it was within 6 months previous to signing consent form. (NOTE: Therapy given as part of the planned course of radiation is allowed).

Key Trial Info

Start Date :

July 12 2012

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

February 13 2028

Estimated Enrollment :

37 Patients enrolled

Trial Details

Trial ID

NCT01411345

Start Date

July 12 2012

End Date

February 13 2028

Last Update

April 8 2025

Active Locations (1)

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1

University of Miami

Miami, Florida, United States, 33136