Health Condition 1: C61- Malignant neoplasm of prostate
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. HISTO-PATHOLOGICALLY PROVEN CASES OF ADENOCARCINOMA PROSTATE. 2. PATIENTS FULFILLING EITHER OF THE FOLLOWING CRITERIA: A) CLINICALLY PELVIC LYMPH NODE POSITIVE NON-METASTATIC DISEASE. B) STAGE M1A (PARA-AORTIC NODES/COMMON ILIAC NODAL INVOLVEMENT). C) PATHOLOGICAL NODE POSITIVITY AFTER RADICAL PROSTATECTOMY. D) POST OP CASES WITH RADIOLOGICALLY POSITIVE LYMPH NODES, TO BE PLANNED FOR SALVAGE RADIOTHERAPY. E) HIGH-RISK DISEASE WITH RISK OF LYMPH NODE INVOLVEMENT >15% BY ROACH FORMULA. (2/3 X PROSTATE-SPECIFIC ANTIGEN +(GLEASON SCORE-6) x10). 3. PATIENTS WITH GOOD PERFORMANCE STATUS ECOG 0-2. 4. PATIENTS WHO GIVE SIGNED INFORMED CONSENT.
Exclusion criteria
Exclusion criteria: 1. PROSTATE CANCER PATIENTS WITH ANY OF THE FOLLOWING. A) BONE OR VISCERAL METASTATIC DISEASE. B) POSITIVE NON-REGIONAL LYMPH NODES (CLINICAL/IMAGING/PATHOLOGY) OTHER THAN IN COMMON ILIAC OR PARA-AORTIC REGIONS. C) HISTORY OF PRIOR RADIOTHERAPY TO PELVIS AND/OR PARA-AORTIC REGION. 2. PATIENTS WITH POOR PERFORMANCE STATUS ECOG-3/4. 3. PATIENTS WITH LIFE EXPECTANCY LESS THAN 2 YEARS.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| TO ASSESS EXTENDED FIELD RADIOTHERAPY WITH VOLUMETRIC ARC THERAPY IN PROSTATE CANCER PATIENTS WITH OR AT HIGH RISK OF AT HIGH RISK OF PARA- AORTIC NODAL METASTASES IN TERMS OF ACUTE ADVERSE EVENTS OF: A) GASTROINTESTINAL SYSTEM B) GENITOURINARY SYSTEM C) HEMATOLOGICAL SYSTEM Timepoint: A) BASELINE B) WEEKLY DURING RADIATION C) MONTHLY AFTER COMPLETION OF RADIATION UPTO 3 MONTHS | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. TO ASSESS THE QUALITY OF LIFE USING EORTC QLQ C30 AND PROSTATE CANCER MODULE. 2. TO ASSESSE TREATMENT RESPONSE BY SERUM PSA AND GA68 PSMA PET/CT.Timepoint: QUALITY OF LIFE AT BASELINE, COMPLETION OF TREATMENT AND 3 MONTHS. TREATMENT RESPONSE AT 3 MONTHS AFTER COMPLETION OF RADIATION THERAPY. | — |
Countries
India
Contacts
PGIMER, CHANDIGARH