Neoplasm, Prostate
Conditions
Brief summary
For the treatment for intermediate- and high-risk prostate cancer, Cyberknife boost will be used after 4 weeks of intensity modulated radiotherapy to pelvis. The boost doses are 18 Gy and 21 Gy in 3 fractions, respectively. The investigators plan to evaluate the toxicity of two dose groups and decide the appropriate dose for Cyberknife boost. Also, PSA control will be evaluated.
Interventions
pelvis IMRT dose of 44 Gy/20 fx followed by Cyberknife boost 18 Gy/3 fx
pelvis IMRT dose of 44 Gy/20 fx followed by Cyberknife boost 21 Gy/3 fx
Sponsors
Study design
Eligibility
Inclusion criteria
* Pathologically confirmed intermediate- or high-risk prostate cancer within 6 months after enrollment * ECOG performance status 0-1 * Appropriate values of blood tests within 6 months after enrollment Absolute neutrophil count (ANC) ≥ 1500 cells/mm3 Platelets ≥ 50,000 cells/mm3 Hemoglobin ≥ 8.0 g/dl * Appropriate values of kidney function within 6 months after enrollment Creatinine \< 2.0 ng/dL * Appropriate values of liver function within 6 months after enrollment total bilirubin \< 1.5 X maximum normal value alanine aminotransferase or aspartate aminotransferase \< 2.5 X maximum normal value
Exclusion criteria
* Presence of distant metastasis * Presence of pelvic LN metastasis * History of androgen deprivation therapy within 6 months after enrollment * History of definitive treatment for prostate cancer (e.g., radical prostatectomy) * History of pelvic irradiation * Double primary cancer other than skin/thyroid cancer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acute toxicity assessment for 18 Gy and 21 Gy arm | 3 months | CTCAE v4.03, overactive bladder symptom score (OABSS), International Prostate Symptom Score (IPSS) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Biochemical control free survival | 3 years | PSA nadir + 2.0ng/ml or Start of salvage hormonal therapy |
| Late toxicity assessment for 18 Gy and 21 Gy arm | average 6 months | Late Effects of Normal Tissues (LENT) scoring system |
Countries
South Korea