Skip to content

Highly Conformal, Hypofractionated, Focally Dose Escalated Post-Prostatectomy Radiotherapy

A Phase I Trial of Highly Conformal, Hypofractionated, Focally Dose Escalated Post-Prostatectomy Radiotherapy

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03388619
Enrollment
30
Registered
2018-01-03
Start date
2018-01-17
Completion date
2025-12-04
Last updated
2026-08-28

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

Conditions

Cancer Of Prostate, Neoplasms of Prostate, Prostate Cancer, Prostate Neoplasms, Prostatic Cancer

Keywords

Rising PSA, No evidence of metastatic disease, Entire Prostate Bed, Quality of Life, Irradiation

Brief summary

Background: Sometimes prostate cancer comes back after a person's prostate is removed. In this case, radiation is a common treatment. Radiation kills prostate cancer cells. It can be very effective. It is usually given in short doses almost every day for 6 or 7 weeks. Researchers want to see if a shorter schedule can be as effective. They want to see if that causes the same or fewer side effects. Usually, radiation is used to treat the entire area where the prostate was before surgery. In some patients, an area of tumor can be seen on scans. Researchers are also trying to see if they can give less dose to the area usually treated with radiation if the full dose is given to the tumor seen on scans. Objective: To find the shortest radiation schedule that people can tolerate without strong side effects. Eligibility: People at least 18 years old who have had a prostatectomy and will get radiation. Design: Participants will be screened with: * Medical history * Physical exam * Blood and urine tests * Scan that uses a small amount of radiation to make a picture of the body * Scan that uses a magnetic field to make an image of the body * Participants will provide documents that confirm their diagnosis. * Participants may have a scan of the abdomen and pelvis. Before they start treatment, participants will have another physical exam and blood tests. Participants will get radiation each day Monday through Friday. Treatment may last 2, 3, or 4 weeks. Participants may provide a tissue sample from a previous procedure for research. Participants will answer questions about their general well-being and function. About 4-5 weeks after they finish radiation treatment, participants will have a follow-up visit. They will be examined and give a blood sample. They will have 6 follow-up visits for the next 2 years.

Detailed description

BACKGROUND: Prostate cancer that recurs after prostatectomy (rising prostate-specific antigen (PSA) with no evidence of metastatic disease is often treated with radiation to the entire prostate bed to a dose of 66-72 Gray (Gy) over 6-7 weeks. This treatment can provide PSA control in approximately 75% of patients but may have associated genitourinary and gastrointestinal toxicity due to irradiation of the rectum, small bowel, and bladder. Imaging of prostate cancer has improved to the extent that recurrent disease is often identified in the prostate bed or in other pelvic sites. The current standard is to irradiate the entire prostate bed to the total dose. This trial will test the tolerability of accelerated treatment designed to yield a similar rate of late toxicity. In addition, in patients with visible tumor, it will test the feasibility of delivering a lower dose to the prostate bed and an integrated boost (simultaneous) to the visible tumor to allow a higher dose to visible tumor than can be delivered with standard approaches. OBJECTIVE: \- Define the maximum tolerated dose (MTD) hypofractionation of image guided, focally dose escalated post-prostatectomy radiation. ELIGIBILITY: * PSA recurrence after prostatectomy or indications for adjuvant radiation after prostatectomy. * No evidence of distant metastases of prostate cancer (pelvic lymph nodes are allowed). * Age greater than or equal to 18 years old * Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 1 DESIGN: This is a Phase I trial of hypofractionated focal dose escalation with reduced dose prostate bed irradiation using image and pathologic guidance. The prostate bed will be treated with hypofractionated radiation and areas in the prostate bed or pelvis shown to have tumor on biopsy or with advanced imaging studies will be treated with an integrated boost to visible tumor. The treatment duration will be decreased sequentially in three Dose Level groups. Quality of life and functional outcomes such as urine, bowel, and erectile function will be assessed with questionnaires. A maximum of 48 patients will be enrolled.

Interventions

RADIATIONProstate bed with integrated boost

Radiation will be delivered at an escalated dose to areas of recurrent prostate cancer identified on imaging and a reduced dose will be delivered to the entire prostate bed.

RADIATIONProstate bed irradiation only

Radiation will be delivered to the prostate bed only.

DIAGNOSTIC_TESTWhole Body Bone Scan

At screening, if required by clinician.

DIAGNOSTIC_TEST18F-NaF PET Imaging

At screening, if required by clinician.

DIAGNOSTIC_TESTCT

Computed tomography of the abdomen and pelvis if clinically indicated at screening, with oral and intravenous contrast.

DIAGNOSTIC_TESTmpMRI

mpMRI of the prostate bed at screening and 6 month follow up.

DRUGADT

After enrollment if clinically indicated (i.e., anti-androgen, gonadotropin releasing hormone agonist, or combination of both).

Sponsors

National Cancer Institute (NCI)
Lead SponsorNIH

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

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

Inclusion criteria

* INCLUSION CRITERIA: * Patients must have histologically or cytologically confirmed adenocarcinoma of the prostate. * Indications for post-prostatectomy radiation exist: * Disease progression (detectable prostate-specific antigen (PSA) on two measurements obtained at least one month apart) or * indications for adjuvant radiation exist (if undetectable PSA): pathologic T3, T4, N+ disease or positive margins (within 1 year of prostatectomy). * Age greater than or equal to 18 years. * Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 1 (Karnofsky greater than or equal to 60) * Ability of subject to understand and the willingness to sign a written informed consent document. * Radiation is teratogenic; thus, men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation and up to 120 days after the last radiation. Should a woman become pregnant or suspect she is pregnant while her partner is participating in this study, she should inform her treating physician immediately. * Human immunodeficiency virus (HIV) positive patients are included if CD4+ (cytotoxic T cells) T-cell count \> 200 cells/uL; on stable antiretroviral therapy for \> 1 year with HIV viral load \<200 copies/mL, and no history of opportunistic infections in \> 1 year.

Exclusion criteria

* Patients who are receiving any other investigational agents concurrently. * Documented metastases of prostate cancer outside of the pelvis (pelvic lymph nodes are allowed only if within the prostate bed region). * History of radiation that would overlap with the intended treatment to the prostate bed. * Known contraindications to radiation such as inflammatory bowel disease, active systemic lupus or scleroderma, or radiation hypersensitivity syndrome (Ataxia Telangiectasia or Fanconi's Anemia) * Subjects with any coexisting medical or psychiatric condition which, in the opinion of the Investigator likely to interfere with study procedures and/or results. * Medically indicated use of known radiosensitizing drugs (such as protease inhibitors)

Design outcomes

Primary

MeasureTime frameDescription
Maximum Tolerated Dose (MTD) of Radiation Dose to Prostate Bed and Dose to Tumor Reported in Gray (Gy)3 weeks after radiationMaximum tolerated dose (MTD) of image guided hypofractionated, focally dose escalated post-prostatectomy radiation is defined as the dose level at which no more than 1 of up to 6 participants experience dose limiting toxicity (DLT) during the DLT period, and the dose below that at which at least 2 (of ≤6) participants have DLT as a result of treatment. A DLT is defined as any of the following: Grade 3 rectal, small bowel, or urinary toxicity that does not resolve to Grade 2 or less within 4 days with appropriate medical management. Other grade 3 in-field toxicities attributable to radiation that does not resolve to Grade 2 or less within 4 days with appropriate medical management. And delays of more than one week in completing radiation treatment due to toxicity.
Maximum Tolerated Dose (MTD) of Radiation Dose to Prostate Bed and Dose to Tumor Reported in Fractions3 weeks after radiationMaximum tolerated dose (MTD) of image guided hypofractionated, focally dose escalated post-prostatectomy radiation is defined as the dose level at which no more than 1 of up to 6 participants experience dose limiting toxicity (DLT) during the DLT period, and the dose below that at which at least 2 (of ≤6) participants have DLT as a result of treatment. A DLT is defined as any of the following: Grade 3 rectal, small bowel, or urinary toxicity that does not resolve to Grade 2 or less within 4 days with appropriate medical management. Other grade 3 in-field toxicities attributable to radiation that does not resolve to Grade 2 or less within 4 days with appropriate medical management. And delays of more than one week in completing radiation treatment due to toxicity.

Secondary

MeasureTime frameDescription
Biochemical Progression Free Survival (bPFS)1 and 2 years after treatmentbPFS is defined as the percent of participants without evidence of (prostate-specific antigen) PSA progression or death. PSA progression (also known as biochemical failure) is defined based on elevation of PSA above 0.1 ng/dL. Kaplan-Meier survival analysis will be used to report bPFS.
Changes in Erectile Dysfunction QOL Scores During and After Treatment Measured by the Sexual Health Inventory for Men (SHIM)Baseline compared to 24 months after treatmentChanges before and after treatment with prostate bed radiation in participant reported outcomes (Sexual Health Inventory for Men (SHIM). The QOL scores will be summarized at baseline and after treatment. Linear mixed effects model will be used to model quality of life scores at baseline and during and after treatment in which random intercept and random slope are used to account for participant-specific trajectory of QOL scores. The SHIM is a 5-question quiz used to identify erectile dysfunction and assess its severity. The composite score is generated by adding the score for each question. The total score can range from 1-25. Higer values represent better erectile function.
Changes of American Urologic Association (AUA) Symptom Index Quality of Life (QOL) Scores During and After TreatmentBaseline compared to 24 months after treatmentChanges of QOL scores during and after treatment with prostate bed radiation in American Urologic Association (AUA) Symptom Index. The QOL scores will be summarized at baseline and for each visit. Linear mixed effects model will be used to model quality of life scores at baseline and during and after treatment in which random intercept and random slope are used to account for participant-specific trajectory of QOL scores. The AUA Symptom Index is a 7-question quiz used to identify urinary symptoms and assess severity. Each question is scored based on the frequency of different urinary symptoms. The composite score is generated by adding the score for each question. The total score can range from 0-35. Lower values represent less symptoms.
Changes of Expanded Prostate Cancer Index Composite (EPIC-26) Quality of Life (QOL) Scores During and After TreatmentBaseline compared to 24 months after treatmentChanges of QOL scores during and after treatment of focally dose escalated prostate stereotactic body radiation therapy on participant(pt) reported outcomes, EPIC-26 in pts previously treated with radiotherapy. The QOL scores will be summarized at baseline and for each visit. Linear mixed effects model will be used to model QOL scores at baseline and during and after treatment in which random intercept and random slope are used to account for pt-specific trajectory of QOL scores. The EPIC-26 is a shortened, validated questionnaire used to assess health related QOL in individuals with prostate cancer. EPIC26 measures sexual function, bowel function, hormone therapy side effects, urinary incontinence, and urinary irritative symptoms. The survey has 26 individual items that have 4 to 5 response options that reflect a range of function from poor to excellent. EPIC26 uses a Likert scale for each item, and scores are transformed to a 0-100 scale, with higher scores indicating better HRQOL.
Grade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to Research3 weeks after radiationGrade 2-5 serious and/or non-serious adverse events attributable to protocol treatment. A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. Grade 2 is moderate. Grade 3 is serious. Grade 4 is life-threatening. And Grade 5 is death related to adverse event.

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORDeborah E Citrin, M.D.

National Cancer Institute (NCI)

Participant flow

Participants by arm

ArmCount
LEVEL 1/ COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 20 Fractions
LEVEL 1/ COHORT 1: Recurrent tumor visible; prostate bed with integrated boost. 20 fractions: Dose to prostate bed 45.8 Gray (Gy) in 2.29 Gy fractions; Dose to tumor 60.4 Gy in 3.02 Gy fractions.
3
LEVEL 2/ COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 15 Fractions
LEVEL 2/ COHORT 1: Recurrent tumor visible, prostate bed with integrated boost. 15 fractions: Dose to prostate bed 41.85 Gray (Gy) in 2.79 Gy fractions; Dose to tumor 54.6 Gy in 3.64 Gy fractions.
3
LEVEL 3/ COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 Fractions
LEVEL 3/ COHORT 1: Recurrent tumor visible, prostate bed with integrated boost. 10 fractions: Dose to prostate bed 36.4 Gray (Gy) in 3.64 Gy fractions; Dose to tumor 47.1 Gy in 4.71 Gy fractions.
9
LEVEL 1/ COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 Fractions
LEVEL 1/ COHORT 2: Recurrent tumor NOT visible, prostate bed irradiation only. 20 fractions: Dose to prostate bed 56.4 Gray (Gy) in 2.82 Gy fractions.
3
LEVEL 2/ COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 Fractions
LEVEL 2/ COHORT 2: Recurrent tumor NOT visible, prostate bed irradiation only. 15 fractions: Dose to prostate bed 51.2 Gray (Gy) in 3.41 Gy fractions.
3
LEVEL 3/ COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 Fractions
LEVEL 3/ COHORT 2: Recurrent tumor NOT visible, prostate bed irradiation only. 10 fractions: Dose to prostate bed 44.2 Gray (Gy) in 4.42 Gy fractions.
9
Total30

Baseline characteristics

CharacteristicLEVEL 2/ COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 15 FractionsLEVEL 3/ COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsLEVEL 1/ COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsLEVEL 2/ COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsLEVEL 3/ COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsLEVEL 1/ COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 20 FractionsTotal
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
2 Participants6 Participants2 Participants3 Participants5 Participants2 Participants20 Participants
Age, Categorical
Between 18 and 65 years
1 Participants3 Participants1 Participants0 Participants4 Participants1 Participants10 Participants
Age, Continuous67.4 years
STANDARD_DEVIATION 3.02
67.04 years
STANDARD_DEVIATION 7.51
67.63 years
STANDARD_DEVIATION 9.87
70.87 years
STANDARD_DEVIATION 1.61
64.32 years
STANDARD_DEVIATION 10.4
65.63 years
STANDARD_DEVIATION 7.35
66.56 years
STANDARD_DEVIATION 7.78
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
3 Participants9 Participants3 Participants3 Participants8 Participants3 Participants29 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants3 Participants0 Participants1 Participants2 Participants2 Participants8 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
3 Participants6 Participants3 Participants2 Participants7 Participants1 Participants22 Participants
Region of Enrollment
United States
3 participants9 participants3 participants3 participants9 participants3 participants30 participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Sex: Female, Male
Male
3 Participants9 Participants3 Participants3 Participants9 Participants3 Participants30 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
deaths
Total, all-cause mortality
0 / 30 / 30 / 90 / 30 / 30 / 9
other
Total, other adverse events
3 / 33 / 38 / 93 / 33 / 39 / 9
serious
Total, serious adverse events
0 / 30 / 30 / 91 / 30 / 30 / 9

Outcome results

Primary

Maximum Tolerated Dose (MTD) of Radiation Dose to Prostate Bed and Dose to Tumor Reported in Fractions

Maximum tolerated dose (MTD) of image guided hypofractionated, focally dose escalated post-prostatectomy radiation is defined as the dose level at which no more than 1 of up to 6 participants experience dose limiting toxicity (DLT) during the DLT period, and the dose below that at which at least 2 (of ≤6) participants have DLT as a result of treatment. A DLT is defined as any of the following: Grade 3 rectal, small bowel, or urinary toxicity that does not resolve to Grade 2 or less within 4 days with appropriate medical management. Other grade 3 in-field toxicities attributable to radiation that does not resolve to Grade 2 or less within 4 days with appropriate medical management. And delays of more than one week in completing radiation treatment due to toxicity.

Time frame: 3 weeks after radiation

Population: 12/30 expansion group participants (6 in Recurrent Tumor Visible: Level 3 Cohort 1, and Recurrent Tumor NOT Visible: Level 3 Cohort 2) were not assessed for MTD and included in the analysis.

ArmMeasureGroupValue (NUMBER)
All Participants With Recurrent Tumor VisibleMaximum Tolerated Dose (MTD) of Radiation Dose to Prostate Bed and Dose to Tumor Reported in FractionsDose to prostate bed3.64 Fractions
All Participants With Recurrent Tumor VisibleMaximum Tolerated Dose (MTD) of Radiation Dose to Prostate Bed and Dose to Tumor Reported in FractionsDose to tumor4.71 Fractions
All Participants With Recurrent Tumor NOT VisibleMaximum Tolerated Dose (MTD) of Radiation Dose to Prostate Bed and Dose to Tumor Reported in FractionsDose to prostate bed4.42 Fractions
Primary

Maximum Tolerated Dose (MTD) of Radiation Dose to Prostate Bed and Dose to Tumor Reported in Gray (Gy)

Maximum tolerated dose (MTD) of image guided hypofractionated, focally dose escalated post-prostatectomy radiation is defined as the dose level at which no more than 1 of up to 6 participants experience dose limiting toxicity (DLT) during the DLT period, and the dose below that at which at least 2 (of ≤6) participants have DLT as a result of treatment. A DLT is defined as any of the following: Grade 3 rectal, small bowel, or urinary toxicity that does not resolve to Grade 2 or less within 4 days with appropriate medical management. Other grade 3 in-field toxicities attributable to radiation that does not resolve to Grade 2 or less within 4 days with appropriate medical management. And delays of more than one week in completing radiation treatment due to toxicity.

Time frame: 3 weeks after radiation

Population: 12/30 expansion group participants (6 in Recurrent Tumor Visible: Level 3 Cohort 1, and Recurrent Tumor NOT Visible: Level 3 Cohort 2) were not assessed for MTD and included in the analysis.

ArmMeasureGroupValue (NUMBER)
All Participants With Recurrent Tumor VisibleMaximum Tolerated Dose (MTD) of Radiation Dose to Prostate Bed and Dose to Tumor Reported in Gray (Gy)Dose to prostate bed36.4 Gray (Gy)
All Participants With Recurrent Tumor VisibleMaximum Tolerated Dose (MTD) of Radiation Dose to Prostate Bed and Dose to Tumor Reported in Gray (Gy)Dose to tumor47.1 Gray (Gy)
All Participants With Recurrent Tumor NOT VisibleMaximum Tolerated Dose (MTD) of Radiation Dose to Prostate Bed and Dose to Tumor Reported in Gray (Gy)Dose to prostate bed44.2 Gray (Gy)
Secondary

American Urologic Association Symptom Index Score (AUA-SI)

The AUA-SI is used to measure radiation morbidity and to make treatment decisions.

Time frame: 2 years after treatment

Secondary

Biochemical Progression Free Survival (bPFS)

bPFS is defined as the duration of time from start of treatment to time of prostate-specific antigen (PSA) progression or death, whichever occurs first. PSA progression (also known as biochemical failure) is defined based on elevation of PSA beyond 0.1 ng/dL. Kaplan-Meier survival analysis and effects of clinical variables on bPFS will be assessed by the Cox proportional hazards model.

Time frame: 1 and 2 years after treatment

Secondary

Decision Regret Scale (DRS)

The DRS is a 5-item scale measuring distress or remorse after a health case decision. The score correlated with satisfaction with the decision (r=-0.40 to -0.60), decisional conflict (r=0.31 to 0.52), and overall rated quality of life (r=-0.25 to -0.27).

Time frame: 2 years after treatment

Secondary

Grade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to Research

Grade 2-5 serious and/or non-serious adverse events attributable to protocol treatment. A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned. Grade 2 is moderate. Grade 3 is serious. Grade 4 is life-threatening. And Grade 5 is death related to adverse event.

Time frame: 3 weeks after radiation

ArmMeasureGroupValue (NUMBER)
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Testicular pain0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary urgency0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Hemorrhoids0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2-5 Serious0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Diarrhea0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Flatulence0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Definitely Related Flatulence0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Testicular disorder0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Cystitis noninfective0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Urinary tract obstruction0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related - Skin and subcutaneous tissue disorders - Other, specify1 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Urinary incontinence0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Flatulence0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Hemorrhoids0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Proctitis0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Diarrhea0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary incontinence0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Skin infection0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Definitely Related Proctitis0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Rectal hemorrhage0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary frequency0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related - Urinary urgency1 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Hemorrhoids0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Cystitis noninfective0 adverse events
All Participants With Recurrent Tumor VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Proctitis0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Flatulence0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Definitely Related Proctitis0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary frequency0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Urinary tract obstruction1 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Urinary incontinence1 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Rectal hemorrhage0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Testicular disorder0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related - Skin and subcutaneous tissue disorders - Other, specify0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Proctitis0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Hemorrhoids0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Cystitis noninfective0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Diarrhea0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Hemorrhoids1 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary urgency1 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary incontinence0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Proctitis2 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related - Urinary urgency0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Diarrhea0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2-5 Serious0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Flatulence0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Skin infection0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Definitely Related Flatulence0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Hemorrhoids0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Testicular pain0 adverse events
All Participants With Recurrent Tumor NOT VisibleGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Cystitis noninfective0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Diarrhea0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Testicular disorder0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Hemorrhoids1 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary frequency1 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Urinary incontinence0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Cystitis noninfective0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2-5 Serious0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Urinary tract obstruction0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Proctitis3 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Flatulence2 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary urgency0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Rectal hemorrhage1 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Hemorrhoids0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Flatulence1 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related - Urinary urgency0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Proctitis1 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Testicular pain0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Definitely Related Flatulence1 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Definitely Related Proctitis3 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Hemorrhoids0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related - Skin and subcutaneous tissue disorders - Other, specify0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Skin infection0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary incontinence0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Cystitis noninfective0 adverse events
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Diarrhea1 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Flatulence0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2-5 Serious0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related - Skin and subcutaneous tissue disorders - Other, specify0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Hemorrhoids0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Testicular pain0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Testicular disorder0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Urinary tract obstruction0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Flatulence0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Hemorrhoids0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Diarrhea1 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Skin infection0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Rectal hemorrhage0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related - Urinary urgency0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Proctitis0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary urgency0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Diarrhea0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Hemorrhoids0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Cystitis noninfective0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary frequency0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary incontinence1 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Proctitis0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Urinary incontinence0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Cystitis noninfective0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Definitely Related Flatulence0 adverse events
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Definitely Related Proctitis0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related - Urinary urgency0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Rectal hemorrhage0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Urinary tract obstruction0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Diarrhea0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2-5 Serious0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Urinary incontinence0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Definitely Related Flatulence0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Testicular disorder0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related - Skin and subcutaneous tissue disorders - Other, specify0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Testicular pain0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary incontinence0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Cystitis noninfective1 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Skin infection0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Hemorrhoids0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Hemorrhoids0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Cystitis noninfective1 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Flatulence0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Diarrhea0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Hemorrhoids0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Flatulence0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary frequency0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary urgency1 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Proctitis0 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Proctitis2 adverse events
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Definitely Related Proctitis0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary urgency0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Hemorrhoids5 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related - Urinary urgency1 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Rectal hemorrhage0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Cystitis noninfective1 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Skin infection1 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Definitely Related Flatulence0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary frequency0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Diarrhea1 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Hemorrhoids2 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Urinary incontinence0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Flatulence0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2-5 Serious0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Proctitis0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Possibly Related Urinary tract obstruction0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Testicular disorder1 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Urinary incontinence0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Testicular pain1 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Definitely Related Proctitis4 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 3 Probably Related Cystitis noninfective0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related Hemorrhoids1 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Unlikely Related - Skin and subcutaneous tissue disorders - Other, specify0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Diarrhea0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Flatulence0 adverse events
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsGrade 2-5 Serious and/or Non-serious Adverse Events Unlikely, Probably, Possibly and Definitely Attributable to ResearchGrade 2 Probably Related Proctitis6 adverse events
Secondary

Patient-Reported Outcomes Measurement Information System (PROMIS) - Anxiety Short Form (SF) 4a:

Participants complete a form and rate anxiety such as fear (fearfulness, panic), anxious misery (worry, dread), hyperarousal (tension, nervousness, restlessness), and somatic symptoms related to arousal (racing heart, dizziness).

Time frame: 2 years after treatment

Secondary

Patient-Reported Outcomes Measurement Information System (PROMIS) - Depression Short Form (SF) 4a:

Participants complete a form to assess negative mood (i.e., sadness, guilt), views of self (i.e., self-criticism, worthlessness) social cognition (loneliness, interpersonal alienation), decreased positive effect, and decreased engagement (loss of interest, meaning, and purpose) and are scored using item-level calibrations.

Time frame: 2 years after treatment

Secondary

Patient-Reported Outcomes Measurement Information System (PROMIS) - Psychosocial Impact Positive Short Form (SF) 4a

Participants complete a form to assess positive psychosocial (emotional and social) outcomes of illness.

Time frame: 2 years after treatment

Secondary

Proportion of Participants That Have Improvement in Quality of Life After Treatment

The quality-of-life scores will be summarized at baseline and for each visit. Linear mixed effects model will be used to model quality of life scores at baseline and during and after treatment in which random intercept and random slope are used to account for participant-specific trajectory of quality-of-life scores.

Time frame: 1 and 2 years after treatment

Secondary

Sexual Health Inventory for Men (SHIM)

Participants completed a 6-question questionnaire to assess erectile dysfunction.

Time frame: 2 years after treatment

Other Pre-specified

Number of Participants With a Dose-limiting Toxicity (DLT)

A DLT is defined as any of the following: Grade 3 rectal, small bowel, or urinary toxicity that does not resolve to Grade 2 or less within 4 days with appropriate medical management. Other grade 3 in-field toxicities attributable to radiation that does not resolve to Grade 2 or less within 4 days with appropriate medical management. And delays of more than one week in completing radiation treatment due to toxicity.

Time frame: 3 weeks after radiation

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
All Participants With Recurrent Tumor VisibleNumber of Participants With a Dose-limiting Toxicity (DLT)0 Participants
All Participants With Recurrent Tumor NOT VisibleNumber of Participants With a Dose-limiting Toxicity (DLT)0 Participants
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsNumber of Participants With a Dose-limiting Toxicity (DLT)0 Participants
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsNumber of Participants With a Dose-limiting Toxicity (DLT)0 Participants
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsNumber of Participants With a Dose-limiting Toxicity (DLT)0 Participants
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsNumber of Participants With a Dose-limiting Toxicity (DLT)0 Participants
Other Pre-specified

Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)

Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Time frame: Date treatment consent signed to date off study, an average of 25 months

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
All Participants With Recurrent Tumor VisibleNumber of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)3 Participants
All Participants With Recurrent Tumor NOT VisibleNumber of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)3 Participants
LEVEL 3/COHORT 1: Recurrent Tumor Visible; Prostate Bed With Integrated Boost - 10 FractionsNumber of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)8 Participants
LEVEL 1/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 20 FractionsNumber of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)3 Participants
LEVEL 2/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 15 FractionsNumber of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)3 Participants
LEVEL 3/COHORT 2: Recurrent Tumor NOT Visible; Prostate Bed Irradiation Only - 10 FractionsNumber of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0)9 Participants

Source: ClinicalTrials.gov · Data processed: Aug 29, 2026