Prostate cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Pathological (histologically) proven diagnosis of prostatic adenocarcinoma. Patients must be between 20 years old and 84 years old. Eastern Cooperative Oncology Group(ECOG) Performance status 0-2. Clinical stage T1c-T4N0M0 (UICC 8th edition) ; absence of metastasis by CT, MRI, bone scan or metabolic images. Other radiation therapy (except for proton beam therapy), surgery or chemotherapy will not be used. Patient must be able to provide study specific informed consent.
Exclusion criteria
Exclusion criteria: Prior radiotherapy to the pelvic area Prior prostate cancer therapy such as: prostatectomy, radiation therapy, chemotherapy or high intensity focused ultrasound (HIFU) . Patients with previous Transurethral Resection of the Prostate (TURP) performed for urinary retention may be included. Second invasive malignancy (except of carcinoma in situ, treated by optimal therapy) if not controlled within last 5 years. It is clinically difficult to place fiducial markers into prostate. There is uncontrollable inflammation in pelvic lesion or inflammatory systemic disease. It is difficult to provide study-specific informed consent prior to study entry.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Genitourinary early adverse effects (at and up to 13 weeks: from the start of treatment) Genitourinary late adverse effects (at and up to 5 years: from 13 weeks after the start of treatment) | — |
Secondary
| Measure | Time frame |
|---|---|
| Genitourinary late adverse effects (at and up to 2 years: from 13 weeks after the start of treatment) Gastrointestinal early adverse effects (at and up to 13 weeks: from the start of treatment) Gastrointestinal late adverse effects (at and up to 2 years: from 13 weeks after the start of treatment) Gastrointestinal late adverse effects (at and up to 5 years: from 13 weeks after the start of treatment) Freedom from biochemical failure Freedom from biochemical or clinical failure Disease specific survival Overall survival Assessment of the quality of life and sexual function following proton therapy. [ Time Frame: Baseline, Months 3(+/- 0.5), 6(+/- 1.5), 12(+/- 1.5), 24(+/- 2.5), 36(+/- 2.5), 48(+/- 2.5), 60(+/- 2.5) ] EPIC (Expanded Prostate Cancer Index Composite) SF (Short Form Health Survey) -12 Assessment of IPSS (International Prostate Symptom Score) [ Time Frame: Baseline, Weeks 4(+/- 1), 8(+/- 1), Months 3(+/- 0.5), 6(+/- 1.5), 9(+/- 1.5), 12(+/- 1.5), 18(+/- 2.5), 24(+/- 2.5), 30(+/- 2.5), 36(+/- 2.5), 42(+/- 2.5), 48(+/- 2.5), 54(+/- 2.5), 60(+/- 2.5)] Assessment of SHIM (Sexual Health Inventory for Men) [ Time Frame: Baseline, Months 12(+/- 1.5), 24(+/- 2.5), 36(+/- 2.5), 48(+/- 2.5), 60(+/- 2.5) ] | — |
Countries
Japan
Contacts
Kyoto Prefectural University of Medicine Department of Radiology