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SABR Including Regional Lymph Node Irradiation for Patients With High Risk Prostate Cancer (SATURN)

Phase II Study of Stereotactic Ablative Radiotherapy Including Regional Lymph Node Irradiation for Patients With High Risk Prostate Cancer (SATURN)

Status
UNKNOWN
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01953055
Acronym
SATURN
Enrollment
30
Registered
2013-09-30
Start date
2013-11-30
Completion date
2023-09-30
Last updated
2020-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prostate Cancer

Keywords

stereotactic ablative radiotherapy, androgen deprivation therapy

Brief summary

Current treatment options for high risk localized prostate cancer include radical prostatectomy +/- postoperative radiotherapy, radical radiotherapy with androgen deprivation therapy. Evidence has emerged that prostate cancer has a low α/β ratio in the range of 1-3 Gy. Even with high risk tumors, prostate cancer is hypothesized to have a greater sensitivity to large fraction sizes and high dose per fraction radiotherapy theoretically allows for biological dose escalation with fewer visits and no additional toxicity. Therefore, we hope to determine the toxicity, quality of life, biochemical and pathological control of SBRT for high risk prostate cancer incorporating ENI.

Interventions

RADIATIONStereotactic ablative radiotherapy

Sponsors

Sunnybrook Health Sciences Centre
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* informed consent obtained * men \> 18 years of age * histologically confirmed prostate adenocarcinoma (centrally reviewed) * high risk prostate cancer, defined as at least one of clinical stage T3 or Gleason 8-10, or PSA \> 20ng/mL

Exclusion criteria

* prior pelvic radiotherapy * anticoagulation medication (if unsafe to discontinue for gold seed insertion) * diagnosis of bleeding diathesis * large prostate (\>90cm3) on imaging at time of gold seed insertion * no evidence of castrate resistance (defined as PSA \< 3ng/mL while testosterone is \< 0.7nmol/L * definitive regional or distant metastatic disease on staging investigations

Design outcomes

Primary

MeasureTime frameDescription
Acute GU and GI toxicitiesBaseline to 3 months post treatmentAcute GU and GI toxicities as assessed using the Common Terminology for Adverse Events (CTCAE) v3.0

Secondary

MeasureTime frameDescription
Late GU and GI toxicities> 6 months post treatmentLate GU and GI toxicities as assessed using RTOG grading schema
Quality of Life (QoL)5 yearsQuality of life using the Expanded Prostate Cancer Index Composite (EPIC) questionnaire
Biochemical control5 yearsBiochemical disease free survival
Disease free survival2 yearsProstate biopsy 2 years post ADT cessation

Countries

Canada

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 21, 2026