Unfavorable intermediate/high risk prostae cancer patients MedDRA version: 21.0 Level: LLT Classification code 10036946 Term: Prostatic cancer System Organ Class: 100000004864
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Histologically proven prostate adenocarcinoma - IR or HR in the NCCN definition - N0M0 at staging with choline or (preferably) PSMA PET-CT; - ECOG performance status between 0 and 2; Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 56 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 90
Exclusion criteria
Exclusion criteria: T3b disease according to the 8th AJCC classification; - PSA>20 ng/ml at any time point - Gleason Score of 9 or 10 (Grade Grouping V) - Previous local treatment of the prostate with surgery (radical prostatectomy or cryotherapy) - Previous radiotherapy to the pelvis - Previous chemotherapy for malignancy in past 5 years - Impossibility to implant fiducials for tracking purposes - Impossibility to undergo MRI of the prostate - Contraindication to short term AD - Prostate volume >90cc
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The primary objective of the study is 3-yr bNED survival. If bNED survival is not significantly different between the two experimental arms, the one without AD will be chosen in a future comparison with the standard of care.;Secondary Objective: Overall survival (OS) at 3 years - Prostate positive biopsy rates at 2 yrs - Metastases free survival at 3 yrs - Cumulative incidence of either GI/GU toxicity at 3 yrs (CTCAE v4.0) - Nadir PSA at various time points - Quality of Life at various time points (EORTC QLQ-C30 & FACT-P) - Erectile function at various time points (IIF-5) - Urinary Continence at various time points (ICIQ-Sf) - IPSS at various time points - Patient satisfaction with treatment at 3 yrs (FACIT-TS-G);Primary end point(s): The primary objective of the study is 3-yr bNED survival.;Timepoint(s) of evaluation of this end point: 3 years after randomization | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Overall survival;Timepoint(s) of evaluation of this end point: 3 years after randomization | — |
Countries
Italy
Contacts
ISTITUTI FISIOTERAPICI OSPITALIERI