Prostate Cancer
Conditions
Keywords
Prostatic Neoplasms, Radiotherapy, Hypofractionation, Low and Intermediate Risk Prostate Cancer
Brief summary
The purpose of this study is to determine the safety and efficacy of a short course of radiotherapy (40 Gy / 5 fractions / 29 days) for the treatment of low- and intermediate-risk prostate cancer.
Interventions
40 Gy / 5 fractions / 29 days
Sponsors
Study design
Eligibility
Inclusion criteria
* Men \>18 years * Histologically confirmed prostate adenocarcinoma * Low or low-intermediate risk prostate cancer, defined as Clinical stage T1-2b, Gleason Score \<=6, and PSA \<15 ng/mL, OR Clinical stage T1-2b, Gleason Score 7, and PSA \<=10 ng/mL
Exclusion criteria
* Prior pelvic radiotherapy * Anticoagulation medication (if unsafe to discontinue for gold seed insertion) * Diagnosis of bleeding diathesis * Presence of a hip prosthesis * Pelvic girth \>40cm - Large prostate (\>90cm3) on imaging * Severe lower urinary tract symptoms (International Prostate Symptom Score \>19 or nocturia \>3)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of grade 3+ rectal toxicity | Acute period (<3 months) | Common Terminology Criteria for Adverse Events (CTCAE) v3.0 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of grade 3+ urinary toxicity | Acute (<3 months) and Late (>6 months) | Common Terminology Criteria for Adverse Events (CTCAE) v3.0 |
| Quality of Life | 5 years | Expanded Prostate Cancer Index Composite (EPIC) |
| Biochemical (ie. prostate specific antigen) disease free survival | 5 year | — |
| Incidence of grade 3+ rectal toxicity | Late (>6 months) | Common Terminology Criteria for Adverse Events (CTCAE) v3.0 |
Countries
Canada