Intensity-Modulated Radiation Therapy in Treating Patients With Prostate Cancer
Recruitment status was Recruiting
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Purpose
RATIONALE: Specialized radiation therapy that delivers a high dose of radiation directly to the tumor may kill more tumor cells and cause less damage to normal tissue.
PURPOSE: This phase I trial is studying the best dose of intensity-modulated radiation therapy in treating patients with prostate cancer.
| Condition | Intervention | Phase |
|---|---|---|
|
Prostate Cancer |
Radiation: hypofractionated radiation therapy Radiation: intensity-modulated radiation therapy |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Primary Purpose: Treatment |
| Official Title: | A Phase I Dose Escalation Study of the Use of Intensity Modulated Radiotherapy (IMRT) to Treat Prostate and Pelvic Nodes in Patients With Prostate Cancer - Pelvic IMRT for Prostate Cancer |
- Late RTOG radiotherapy toxicity as assessed at 6, 12, 18, and 24 months and then annually thereafter [ Designated as safety issue: Yes ]
- Overall survival [ Designated as safety issue: No ]
- Local control [ Designated as safety issue: No ]
- PSA control [ Designated as safety issue: No ]
- Acute side effects as assessed weekly by the RTOG scoring system [ Designated as safety issue: Yes ]
- Quality of life [ Designated as safety issue: No ]
- Patterns of recurrence [ Designated as safety issue: No ]
| Estimated Enrollment: | 198 |
| Study Start Date: | March 2000 |
| Estimated Primary Completion Date: | March 2010 (Final data collection date for primary outcome measure) |
OBJECTIVES:
- To test the feasibility of delivering hypofractionated intensity-modulated radiotherapy to the prostate and pelvic nodes of patients with prostate cancer.
- To determine the optimal dose level of this treatment regimen to be used in future studies.
OUTLINE: Patients are stratified according to small bowel total volume (low small bowel volume < 450 cc vs high small bowel volume ≥ 450 cc).
Patients undergo hypofractionated intensity-modulated radiotherapy to the prostate and pelvis for 4 weeks in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up every 6 months for 5 years and then annually thereafter.
Eligibility| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Diagnosis of prostate cancer meeting 1 of the following criteria:
- Stage T3b/T4 disease or radiological or pathological pelvic nodal metastases
- Localized disease (stage pT2-T4) with > 30% estimated risk of pelvic nodal metastases
- High-risk (Gleason score ≥ 8 or ≥ 2 risk factors) or very high-risk disease according to the National Collaborative Cancer Network (NCCN)
- Has undergone prostatectomy AND has stage T2-T3a, N0 disease with extensive high-risk disease (Gleason score ≥ 8) or seminal vesicle or lymph node involvement
- Candidate for radical radiotherapy
PATIENT CHARACTERISTICS:
- No inflammatory bowel disease or other small bowel disease
PRIOR CONCURRENT THERAPY:
- No prior pelvic radiotherapy or surgery (excluding prostatectomy)
Contacts and Locations| United Kingdom | |
| Institute of Cancer Research - Chelsea | Recruiting |
| London, England, United Kingdom, SW3 6JB | |
| Contact: Contact Person 44-20-7352-8133 | |
| Institute of Cancer Research - Sutton | Recruiting |
| Sutton, England, United Kingdom, SM2 5NG | |
| Contact: Contact Person 44-181-643-8901 | |
| Royal Marsden - Surrey | Recruiting |
| Sutton, England, United Kingdom, SM2 5PT | |
| Contact: David P. Dearnaley, MD, FRCP, FRCR 44-20-8661-3271 | |
| Principal Investigator: | David P. Dearnaley, MD, FRCP, FRCR | Royal Marsden NHS Foundation Trust |
More Information
Additional Information:
No publications provided
| ClinicalTrials.gov Identifier: | NCT00946543 History of Changes |
| Other Study ID Numbers: | CDR0000601695, RMNHS-1766, EU-20869 |
| Study First Received: | July 24, 2009 |
| Last Updated: | February 18, 2011 |
| Health Authority: | Unspecified |
Keywords provided by National Cancer Institute (NCI):
|
stage IIB prostate cancer stage IIA prostate cancer stage III prostate cancer stage IV prostate cancer |
Additional relevant MeSH terms:
|
Prostatic Neoplasms Genital Neoplasms, Male Urogenital Neoplasms Neoplasms by Site |
Neoplasms Genital Diseases, Male Prostatic Diseases |
ClinicalTrials.gov processed this record on May 23, 2013