Prostate Cancer
Conditions
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
Sponsors
Study design
Eligibility
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
| Measure | Time frame | Description |
|---|---|---|
| Acute GU and GI toxicities | Baseline to 3 months post treatment | Acute GU and GI toxicities as assessed using the Common Terminology for Adverse Events (CTCAE) v3.0 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Late GU and GI toxicities | > 6 months post treatment | Late GU and GI toxicities as assessed using RTOG grading schema |
| Quality of Life (QoL) | 5 years | Quality of life using the Expanded Prostate Cancer Index Composite (EPIC) questionnaire |
| Biochemical control | 5 years | Biochemical disease free survival |
| Disease free survival | 2 years | Prostate biopsy 2 years post ADT cessation |
Countries
Canada