Moderate Hypofractionated Boost to the Prostate With Pelvic RT in High Risk Prostate Cancer
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Prostate Cancer
- Sponsor
- University Health Network, Toronto
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Acute Grade >2 Gastrointestinal Toxicity
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
This is a single-arm phase II prospective trials that is recruiting 100 participants. The study population that is being investigated are patients with localized high-risk or node-positive prostate cancer. Participants will receive external beam radiotherapy as a moderately hypofractionated boost to the prostate with pelvic radiation therapy. Androgen deprivation therapy will be prescribed at the discretion of the treating physician as per standard of care.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age \> 18 years.
- •Able to provide informed consent.
- •Histologic diagnosis of prostate adenocarcinoma.
- •ECOG performance status 0-
- •High-risk localized disease by NCCN criteria (\>cT3, Grade group \>4, or PSA \>20 ng/mL) or clinical N1 disease.
- •Clinical M0 by conventional imaging (computed tomography (CT) and bone scan (BS)) and/or molecular imaging (prostate specific membrane antigen (PSMA)- positron emission tomography (PET))
Exclusion Criteria
- •Prior pelvic radiotherapy.
- •Contraindications to radiotherapy
Outcomes
Primary Outcomes
Acute Grade >2 Gastrointestinal Toxicity
Time Frame: Baseline to 5-year follow-up
Acute (less than or equal to 90 days) toxicity will be evaluated by using prospective follow-up and grading according to the latest version of the Common Terminology Criteria for Adverse Events (CTCAE) v5.0.
Secondary Outcomes
- Overall survival(Baseline to 5-year Follow-up)
- Patient-reported quality-of-life assessed by EPIC-26(Baseline to 5-year Follow-up)
- Graded criteria based on CTCAE version 5.0 for acute genitourinary toxicity and late genitourinary and gastrointestinal toxicity(Baseline to 5-year Follow-up)
- Measure of oncologic outcomes(Baseline to 5-year Follow-up)
- Measure the severity of lower urinary tract symptoms during the study(Baseline to 5-year Follow-up)
- Prostate cancer specific survival based on death from prostate cancer(Baseline to 5-year Follow-up)
- Measure of onocologic outcomes(Baseline to 5-year Follow-up)