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临床试验/NCT01163448
NCT01163448撤回1 期

Phase I Feasibility and Safety Study Using Preoperative High-Dose Single-Fraction Image-Guided Radiotherapy for Men Undergoing Radical Prostatectomy at High-Risk for Extraprostatic Cancer

Memorial Sloan Kettering Cancer Center1 个研究点 分布在 1 个国家开始时间: 2010年7月最近更新:
适应症

试验速览

阶段
1 期
状态
撤回
试验地点
1
主要终点
To assess the feasibility and safety of single-fraction image-guided intensity modulated radiotherapy (IG-IMRT).

研究概览

简要总结

This study is being done to test the safety of a single high-dose of radiation therapy before radical prostatectomy (removal of the prostate). The investigators want to find out what effects, good and/or bad, the radiation will have on men undergoing prostatectomy. The investigators are especially interested in men who are at risk for having cancer cells that have spread outside the prostate.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Male
接受健康志愿者

入选标准

  • Biopsy-proven prostate cancer verified at MSKCC. The biopsy will include a minimum of 10 cores
  • Radical Prostatectomy (RP) chosen as the therapeutic method
  • The size of the prostate will be < 70 cc by transrectal ultrasound or endorectal MRI imaging
  • No radiographic evidence of lymph node metastases, bone metastases or soft tissue disease
  • Risk of extraprostatic cancer of > 40% based on the MSKCC surgical nomogram
  • Age > or = to 18 years
  • KPS > or = to 80
  • Able to tolerate immobilization cradle positioning

排除标准

  • Allergic reaction to intravenous CT contrast (if premedicated, pt will not be excluded)
  • Prior radiation to the planned target region
  • Patients receiving concurrent chemotherapy
  • Neoadjuvant hormonal therapy Luteinizing-hormone-releasing hormone(LHRH)agonist and/or antiandrogen)
  • Prior transurethral resection of the prostate
  • Normal tissue directly overlying target precluding ability to limit the bowel, bladder, rectum or other tissue to less than or equal to 15-16 Gy dose constraints
  • Dominant prostatic lesion within 3 mm from the anterior rectal wall by imaging studies
  • Creatinine clearance <60 ml/min/1.73m2

结局指标

主要结局

To assess the feasibility and safety of single-fraction image-guided intensity modulated radiotherapy (IG-IMRT).

时间窗: 1 year

Given prior to radical prostatectomy (RP) in men at high risk for extraprostatic cancer.

次要结局

  • To assess the effect of IG-IMRT on the anticipated positive margin rate at the time of RP.(1 year)
  • To assess the long-term toxicity of intensity modulated radiotherapy (IG-IMRT)(weeks 3, 6, 9, 12, 18, 24, 30, and 36 months after RP)
  • To analyze the changes in prostate perfusion induced by single-fraction IG-IMRT.(1 before radiation simulation, 1 after radiation treatment)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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