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临床试验/2024-517666-41-00
2024-517666-41-00招募中3 期

Short versus long-term androgen deprivation therapy combined with salvage radiotherapy in prostate cancer patients with biochemical recurrence after prostatectomy: a multicentre phase III randomised controlled trial

Instituto De Investigacion En Oncología Radioterapica FEOR17 个研究点 分布在 1 个国家目标入组 534 人开始时间: 2024年11月8日最近更新:
适应症
相关药物

试验速览

阶段
3 期
状态
招募中
发起方
入组人数
534
试验地点
17
主要终点
Compared to short-term ADT (6 months), long-term ADT (24 months) could improve 5-year distant metastasis-free survival (MFS) in patients with biochemically-recurrent prostate cancer after radical prostatectomy who are candidates for salvage radiotherapy

研究概览

简要总结

To compare 5-year MFS rates in prostate cancer patients treated with long- versus short-term ADT in combination with salvage radiotherapy

研究设计

研究类型
Interventional

入排标准

年龄范围
18 years 至 64 years(18-64 Years)
性别
Male
接受健康志愿者

入选标准

  • Patients with histologically-confirmed prostate cancer treated with radical prostatectomy. Patients who have not undergone lymph node dissection are eligible for inclusion
  • Biochemical recurrence after prostatectomy: BCR is defined as a PSA value ≥ 0.2 ng/mL, with at least one confirmatory PSA determination ≥ two weeks after the first test (the confirmatory PSA level must be higher than the initial value). Patients with Gleason 8-10, pT3b or R1 are eligible for inclusion in the trial with PSA ≥ 0.15 ng/mL; however, in patients with PSA > 0.4 ng/mL, imaging tests (conventional CT and bone scans or advanced imaging techniques such as PSMA or choline PET/CT) should be performed to check for metastases. In patients with PSA levels between 0.15 and 0.4 ng/mL, no further tests are required to check for distant metastases prior to inclusion.
  • Intermediate and high-risk patients according to the classification criteria proposed by González San Segundo et al. (18) (Protocol page 8)
  • Testosterone level > 150 ng/dL at inclusion
  • Life expectancy > 5 years
  • Signed informed consent

排除标准

  • Presence of pN1 disease in the original surgical specimen
  • Presence of macroscopic disease on imaging tests. If the PSA at diagnosis is > 0.4 ng/mL, then imaging tests (CT and bone scan and/or PET/CT or body magnetic resonance imaging [MRI]) are required
  • PSA <0.2 or <0.15 ng/mL (if Gleason score=10, pT3b, or R1 in the radical prostatectomy specimen).
  • Previous pelvic radiotherapy
  • Radiotherapy contraindicated
  • Ongoing treatment with ADT or PSA-modulating drugs (e.g., finasteride, dutasteride, high dose steroids)
  • Inability to understand the treatment protocol or sign informed consent

结局指标

主要结局

Compared to short-term ADT (6 months), long-term ADT (24 months) could improve 5-year distant metastasis-free survival (MFS) in patients with biochemically-recurrent prostate cancer after radical prostatectomy who are candidates for salvage radiotherapy

Compared to short-term ADT (6 months), long-term ADT (24 months) could improve 5-year distant metastasis-free survival (MFS) in patients with biochemically-recurrent prostate cancer after radical prostatectomy who are candidates for salvage radiotherapy

次要结局

未报告次要终点

研究者

发起方
Instituto De Investigacion En Oncología Radioterapica FEOR
申办方类型
Laboratory/Research/Testing facility
责任方
Principal Investigator
主要研究者

Pablo Raña

Scientific

Instituto De Investigacion En Oncología Radioterapica FEOR

研究点 (17)

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