Status:

COMPLETED

Radiotherapy of the Prostate and the Pelvic Lymph Nodes After Neoadjuvant Antihormonal Treatment

Lead Sponsor:

Heidelberg University

Collaborating Sponsors:

Klaus Tschira Stiftung gGmbH

Conditions:

Prostate Cancer

Eligibility:

MALE

18-75 years

Phase:

PHASE2

Brief Summary

For patients with prostate cancer and a high risk of lymph node involvement or confirmed pelvic lymph node metastases, radiotherapy of the whole pelvis is a treatment option. However, conventional rad...

Detailed Description

The PLATIN trial is designed as a prospective, non-randomized, five-arm trial. Arm 1: Definitive radiotherapy of the pelvic lymphatic drainage with integrated boost to the prostate. Arm 2: As arm 1, ...

Eligibility Criteria

Inclusion

  • histologically confirmed prostate cancer with Gleason Score
  • risk of lymph node involvement \>20% (according to Roach Formula), pelvic lymph node metastases in CT/MRI or histologically confirmed lymph node involvement
  • Karnofsky Index \>/= 70%
  • age 18-75 years
  • neoadjuvant antihormonal treatment for 2 months, continuation until the end of radiotherapy
  • written informed consent

Exclusion

  • stage IV (distant metastases)
  • lymph node metastases outside the pelvis
  • rising prostate-specific antigen (PSA) under antihormonal treatment
  • severe wound complications after laparatomy
  • severe lymph edema of the legs, elephantiasis, postthrombotic syndrome
  • decompensated comorbidity of the lungs, heart, metabolic system, hematopoetic system or kidneys, coagulopathy
  • history of other malignancy within the last 5 years (except for basal cell carcinoma or squamous carcinoma of the skin)
  • previous irradiation of the pelvic lymph nodes
  • concurrent participation in a clinical trial that might influence the results of either trial

Key Trial Info

Start Date :

May 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2020

Estimated Enrollment :

199 Patients enrolled

Trial Details

Trial ID

NCT01903408

Start Date

May 1 2009

End Date

May 1 2020

Last Update

February 1 2023

Active Locations (1)

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1

Department of Radiation Oncology, University Hospital Heidelberg

Heidelberg, Germany, 69120