Prostate Cancer
Conditions
Brief summary
This is a prospective multicentric phase-I-II pilot feasibility study. The main objective is to study early and late side effects of hypofractionated accelerated RT for prostate cancer with FFF (Free Flattened Filter) beam. The schedule will be \[ 4 x 9.5 Gy = 38 Gy \] delivered in 5 alternative days.
Interventions
hypofractionated accelerated RT for prostate cancer with FFF (Free Flattened Filter) beam. The schedule will be \[ 4 x 9.5 Gy = 38 Gy \] delivered in 5 alternative days, corresponding to an NTD2 between 95 and 119 Gy for an α/β estimate between 3 and 1.5 Gy.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≤ 85years. * WHO performance status ≤ 2. * PSA\>10 and ≤ 20 ng/ml or Gleason Score 7 or T2a-T2c. * Histologically proven prostate adenocarcinoma * No pathologic lymph nodes on CT/ MRI scan. * No distant metastases. * No previous prostate surgery other than TURP (at least 6 weeks interval before initiation of RT). * No malignant tumours in the previous 5 years. * IPSS 0-7. * Combined HT according to risk factors. * Informed consent.
Exclusion criteria
* Prostate size greater than 60cc. * Previous TURP less than 6 weeks before radiotherapy. * Previous prostate surgery other than TURP. * Diabetes \*. * Use of anticoagulants drugs \*. * Chronic inflammatory bowel disease \*. * Previous pelvic irradiation. * Inability to obtain written informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Toxicity assessment of 4 fractions SBRT in selected intermediate risk prostate cancer patients. | up to 5 years | Toxicity assessment: The presence and grading (CTAE v3/ EORTC-RTOG) of adverse events will be recorded. |
| Tumour response to local radiation therapy by assessing freedom from biochemical failure. | up to 5 years | Tumour response is evaluated on ASTRO DEFINITION of PSA relapse (+2 from Nadir of PSA). |