Status:

ACTIVE_NOT_RECRUITING

Hypofractionated Stereotactic Body Radiation Therapy as a Boost to the Prostate

Lead Sponsor:

Boston Medical Center

Conditions:

Prostate Cancer

Eligibility:

MALE

18+ years

Phase:

NA

Brief Summary

In this study, participants will have standard Androgen Deprivation Therapy and undergo standard external beam radiation therapy to the prostate and at-risk lymph nodes by Intensity Modulated Radiatio...

Detailed Description

In this study, participants will have standard androgen deprivation therapy and undergo standard radiation therapy to the prostate and at-risk lymph nodes by intensity-modulated radiation therapy (IMR...

Eligibility Criteria

Inclusion

  • Histologically proven adenocarcinoma of the prostate
  • Gleason score (2-10)
  • Biopsy within six months of date of registration
  • Patient age \>18 years
  • Clinical stage (American Joint Committee on Cancer 7th Edition)
  • a. T-stage determined by physical exam (Digital Rectal Exam Required)
  • i. MRI findings (e.g. extracapsular extension) can be used to determine T-staging
  • b. N-stage determined using abdominopelvic CT scan and/or MRI
  • c. M-stage determined by physical exam, CT and/or MRI, and bone scan (must be M0, excepting Lymph nodes)
  • Please note: a SPECT bone scan including a CT of the abdomen and pelvis or an F18 Fluciclovine PET/CT fulfills protocol criteria for both the abdominopelvic CT and bone scan.
  • Patients must belong to one of the following risk groups:
  • PSA \> 20 and \< 150 and/or
  • Gleason 8-10 and/or
  • \> clinical T3a and/or
  • Clinical N1
  • OR
  • PSA 10 - 20 AND
  • Gleason 7 AND
  • Clinical T2b - T2c
  • Patient is receiving, or planning to receive standard androgen deprivation therapy and initial IMRT to the prostate and positive or at-risk lymph nodes.
  • Prostate volume greater than 20 cc and less than 100 cc
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • Patient has agreed to complete questionnaires
  • Signed IRB approved informed consent
  • Patient eligible to have an MRI
  • Must be able to tolerate the confinement of an MRI procedure

Exclusion

  • No prior prostate surgery (including TURP) or prostate cancer treatment with the exception of androgen deprivation therapy
  • No prior radiotherapy to the pelvis
  • No implanted hardware (including metal) or other material that would prohibit appropriate treatment planning or treatment delivery
  • No metastatic disease, with the exception of lymph node positive disease
  • No chemotherapy for a malignancy in the last 5 years.
  • No history of an invasive malignancy (other than basal or squamous skin cancers) in the last 5 years.
  • No heart pacemaker, No metallic foreign body (metal sliver) in the eye, No aneurysm clip in the brain
  • No history of a pelvic or horseshoe kidney
  • No diagnosis of inflammatory bowel disease

Key Trial Info

Start Date :

June 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2027

Estimated Enrollment :

35 Patients enrolled

Trial Details

Trial ID

NCT01508390

Start Date

June 1 2011

End Date

December 1 2027

Last Update

June 26 2025

Active Locations (1)

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1

Boston Medical Center

Boston, Massachusetts, United States, 02118