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Prospective Outcomes-analysis for localised Prostate Adenocarcinoma after Radiotherapy Treatment

Phase 4
Recruiting
Conditions
Prostate cancer
Cancer - Prostate
Registration Number
ACTRN12606000157572
Lead Sponsor
Department of radiation oncology, St George Hospital, Kogarah 2217
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Male
Target Recruitment
78
Inclusion Criteria

All Study groups:· Histologically confirmed adenocarcinoma of the prostate eligible for curative treatment · N0M0 i.e. cancer confined to the prostate only with no lymph nodes or other organ involvement· Good performance status (ECOG 0-1)· Patient is mentally, physically and geographically capable of undergoing treatment and follow-up. No significant co-morbidity limiting life expectancy to < 5 years· No diabetes mellitus or other significant neurological disorders that may affect pelvic nerve function· No other malignancy diagnosed within the last 5 years, except non-melanotic skin cancers· Informed consent signed.Brachytherapy groups:Specific Inclusion criteria· No previous TURP (surgical urethral scraping)· Prostate volume < 50cc for LDR and < 75cc prior to hormonal therapy for HDR· Stage T1c to T2a for LDR (i.e. prostate cancer confined to 1 lobe of prostate) and stage T1c-T4 for HDR provided the tumour volumes are encompassable within a radiation portal.· Able to undergo general anaesthetics and obtain dorso-lithortomy position· PSA <10ng/ ml for LDR· No bilateral total hip replacement as this interferes with obtaining CT images for radiotherapy planning (unless pre-procedure CT performed demonstrates adequate visualisation of the prostate target volume)· Ability to assume dorso-lithotomy position· No bleeding disorders or on anti-coagulations that increases patients’ risk of intra-operative bleeding.

Exclusion Criteria

Prior radiation therapy to the pelvis. Poor performance status (ECOG 2 or above).

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Anorectal Function following curative radiotherapy[Measured at baseline, then 6 weeks and 12 months after radiotherapy.];Lower urinary tract function following curative radiotherapy[Measured at baseline, then 6 weeks and 12 months after radiotherapy.];Quality of life following curative radiotherapy[Measured at baseline, then 6 weeks and 12 months after radiotherapy.]
Secondary Outcome Measures
NameTimeMethod
Sexual function[At baseline, 6 weeks and 12 months after treatment of radiotherapy.];Relapse-free survival[At 2 years after treatment.]
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