Curative Image Guided Radiotherapy for Prostate Cancer (RIC)
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Purpose
The clinical importance of cone beam computer tomography based image guided radiotherapy (CT- IGRT) has not been established. The primary aim of the present trial is to investigate whether CT- IGRT and consequently reduced safety margins reduces the rectal side effects from curative, high dose radiotherapy in prostate cancer. Any impact of the reduced planning target volume in the CT- IGRT arm on biochemical freedom from disease will be evaluated as secondary outcome.
An open randomised phase III trial. The included men will be randomised to receive curative radiotherapy to 78 Gy in 39 fractions with weekly orthogonal position verification and standard safety margins (10-15 mm) or 78 Gy in 39 fractions with daily CT position verification and reduced safety margins (7mm).
| Condition | Intervention |
|---|---|
|
Prostatic Neoplasms |
Radiation: radiotherapy daily verification reduced safety margins Radiation: radiotherapy weekly verification standard safety margins |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Randomised, Two Centre Trial on Daily Cone-beam vs Standard Weekly Orthogonal Image Guided Radiotherapy (IGRT) for Prostate Cancer |
- Acute rectal side effects [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]FWUO94
- Freedom from biochemical failure [ Time Frame: 3 years ] [ Designated as safety issue: No ]
- Overall survival [ Time Frame: up to 10 years ] [ Designated as safety issue: No ]
- Cancer specific survival [ Time Frame: up to 10 years ] [ Designated as safety issue: No ]
- Late genitourinary and rectal side effects [ Time Frame: up to 10 years ] [ Designated as safety issue: No ]
- Acute genitourinary side effects [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]
- quality of life [ Time Frame: up to 10 years ] [ Designated as safety issue: No ]HRQoL
| Estimated Enrollment: | 260 |
| Study Start Date: | October 2012 |
| Estimated Study Completion Date: | October 2014 |
| Estimated Primary Completion Date: | April 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: radiotherapy daily reduced
radiotherapy, with daily CT position verification and reduced safety margins
|
Radiation: radiotherapy daily verification reduced safety margins
curative radiotherapy to 78 Gy in 39 fractions with daily CT position verification and reduced safety margins (7mm)
|
|
Active Comparator: radiotherapy weekly standard
radiotherapy, with weekly orthogonal position verification and standard safety margins
|
Radiation: radiotherapy weekly verification standard safety margins
curative radiotherapy to 78 Gy in 39 fractions with weekly orthogonal position verification and standard safety margins (10-15 mm)
|
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Male |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Biopsy confirmed adenocarcinoma of prostate
- No evidence of nodal or distant metastases (N0M0)
- Intermediate or high risk based on T stage, PSA level and Gleason score
- Informed consent
Exclusion Criteria:
- Previous treatment for cancer last 5 years, except basal cell carcinoma of skin
- Any previous radiotherapy, except KV or electron treatment of skin tumors outside the pelvis
- Metallic hip joint replacement
- Pre-existing intestinal or genitourinary disease with increased risk of side effects
- Any pre-existing condition making the patient unsuitable for radiotherapy
- Any pre-existing condition making the patient unsuitable for hormonal therapy
- Any pre-existing condition making the patient unsuitable for MRI.
- ALAT, GT, ALP, creatinin > 1.5 x upper normal limit
Contacts and Locations| Contact: Jo Å Lund, MD PhD | +47 73867830 | jo-asmund.lund@stolav.no |
| Contact: A Solberg, MD | +47 72825359 | arne.solberg@ntnu.no |
| Norway | |
| St Olavs Hospital | Recruiting |
| Trondheim, Norway | |
| Contact: Arne Solberg, MD | |
| Contact: Jo Å Lund, MD PhD | |
| Ålesund Sykehus | Recruiting |
| Ålesund, Norway | |
| Contact: Bjørg Aksnesaether, MD | |
| Contact: O Klepp, MD PhD | |
| Principal Investigator: | Jo Å Lund, MD PhD | St Olavs Hospital, University Hospital, Trondheim, Norway |
More Information
No publications provided
| Responsible Party: | St. Olavs Hospital |
| ClinicalTrials.gov Identifier: | NCT01550237 History of Changes |
| Other Study ID Numbers: | 2011/710 |
| Study First Received: | March 7, 2012 |
| Last Updated: | October 26, 2012 |
| Health Authority: | Norway:National Committee for Medical and Health Research Ethics |
Keywords provided by St. Olavs Hospital:
|
radiotherapy, image-guided adverse effects position verification safety margins |
Additional relevant MeSH terms:
|
Neoplasms Prostatic Neoplasms Genital Neoplasms, Male Urogenital Neoplasms |
Neoplasms by Site Genital Diseases, Male Prostatic Diseases |
ClinicalTrials.gov processed this record on May 19, 2013