Prostate Cancer
Conditions
Keywords
prostate cancer, locally advanced, lymph node positive, radiation therapy, morbidity, early morbidity, late morbidity
Brief summary
This is a prospective, open label 1 arm study, multicentre, Phase I/II clinical safety study. The trial is designed to gain initial safety and efficacy data on pelvic lymph node radiation with simultaneous integrated boost to prostate in high risk prostate cancer patients.
Interventions
78(74)Gy/39(37) fractions to prostate, 56(55)GY /39(37) fractions to pelvic lymph nodes, 5 fractions per week.
Sponsors
Study design
Intervention model description
Patients are allocated for lymph node irradiation, either up front combined with prostate irradiation or lymph node irradiation after primary lymph adenectomy after combined with prostate irradiation.
Eligibility
Inclusion criteria
* adenocarcinoma * T3 tumor and either Gleason 8-10 and PSA ≤ 70,or PSA ≥ 30 and PSA ≤ 70, or T1-T3 and PSA ≤ 70 and N1 * no distant metastases
Exclusion criteria
* pelvic co-morbidity such as Crohns disease or ulcerative colitis * uncontrolled heart or lung morbidity * prior radiation treatment of pelvic region * age \> 75 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of late gastro-intestinal toxicity ≥ grade 2. | 3 years and beyond | based on CTCAE v.4.0 og in-house questionnaire. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| survival | 10 years | — |
| recurrence | 10 years | — |
| Incidence of late genito-urinary toxicity ≥ grade 2. | 3 years and beyond | Based on CTCAE vers. 4.0 and in-house questionnaire |
Countries
Denmark