Oligometastatic Prostate Cancer
Conditions
Keywords
SBRT, Oligometastases, Prostate Cancer
Brief summary
This study aims to probe the effect of SBRT as a treatment oligometastases of prostate cancer, regardless of basal treatment received, and I know the response, biochemical control, the progression-free survival as well as their impact on quality of life. Primary Objective: Local and symptomatic oligometastases Control of prostate cancer treated by SBRT. Secondary Objectives: Analyzing biochemical progression rates, progression-free survival, chemotherapy-free survival and overall survival. Analyze toxicities and quality of life of patients before and after treatment
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with histologically confirmed prostate cancer, who are currently being oligometastases / oligorrecurrencia after primary treatment for their disease. * Aged ≥ 18 years * Time to biochemical recurrence more than 1 year * PSA doubling time\> 3 months * Less than 5 bone metastases location (including spinal) or lymph node. * Without other metastases or recurrences by Choline PET or / and NMR Diffusion Length. * Signed and dated written informed consent form.
Exclusion criteria
* Patients currently treatment with abiraterone, enzalutamide, chemotherapy, immunotherapy or radioisotopes. * Patients unwilling or unable to comply with protocol requirements and scheduled visits.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients without disease progression of prostate cancer treated by SBRT | 5 years | Number of patients without disease progression of local and symptomatic oligometastases of prostate cancer treated by SBRT expressed as total number and percentage |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall Survival measured with Kaplan-Meier method | patients will be followed up an average of 5 years | the time to death will be defined as the time between the date when the patient is treated with SBRT and the date of death, or the last follow-up visit. |
| Number of patients with an adverse events. | 3 months after the SBRT treatment | Analyze toxicities in every patient during the first 3 months after the treatment with SBRT. Every significant Adverse Event will be graded as CTC-AE v.4.03. For Pain related adverse events, visual analogic scale (VAS) will be used. |
| Free disease progression survival measured with Kaplan-Meier method | the patients will be followed up an expected average of 5 years | the time to disease progression will be defined as the time between the date when the patient is treated with SBRT and the date of biochemical (PSA increased upper to 2 ng/mL) o radiological progression or the last follow-up visit. |
| Quality of life questionnaire FACT-P | baseline and 3rd month after the SBRT treatment. | The Functional Assessment Of Cancer Therapy-Prostate Questionnaire (FACT-P) will be performed at baseline and 3 months after the SBRT treatment. |
Countries
Spain