Status:

RECRUITING

Towards Optimal Treatment for High Risk Prostate Cancer

Lead Sponsor:

Haaglanden Medical Centre

Collaborating Sponsors:

Tata Memorial Centre

Conditions:

High Risk Prostate Carcinoma

Eligibility:

MALE

18+ years

Phase:

NA

Brief Summary

The goal of this clinical trial is to combine several optimized treatments of high risk prostate cancer. The main question to answer is: is it safe to combine these optimized treatments. * patients w...

Detailed Description

Rationale: Recently several randomized trial have shown benefits of changes made to radiotherapy of (high risk) localized prostate cancer patients: A focal boost was shown to improve outcome in men wi...

Eligibility Criteria

Inclusion

  • Men (aged ≥18 years of age) diagnosed within 6 months before inclusion with high risk prostate cancer:
  • T3 based on digital rectal examination AND/OR
  • Grade \>= 4 AND/OR
  • PSA \>=20 ug/L
  • Indication for elective lymph node irradiation (based on current clinical guidelines) OR N1 on imaging (with a maximum of 4 suspect lymph nodes)

Exclusion

  • Prior pelvic radiotherapy
  • TransUrethral Resection of the Prostate (TURP) \< 3 months ago
  • Prostatectomy or other primary treatment for prostate cancer (e.g. HIFU, cryotherapy, etc)
  • contraindications to MRI
  • no visible lesion on MRI in prostate for boost
  • no PSMA-PET scan
  • inflammatory bowel disease
  • metastatic disease (M1)
  • PSA \>50
  • unsuitable for SBRT or WPRT
  • medical history of cancer other than basal cell carcinoma of the skin

Key Trial Info

Start Date :

January 2 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 18 2032

Estimated Enrollment :

207 Patients enrolled

Trial Details

Trial ID

NCT06204341

Start Date

January 2 2024

End Date

December 18 2032

Last Update

September 19 2024

Active Locations (1)

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1

Haaglanden Medical Centre

Leidschendam, South Holland, Netherlands, 2262 BA