Prostate Cancer, Radiotherapy Side Effect
Conditions
Keywords
Hypofractionated radiotherapy
Brief summary
The majority of all new prostate cancer cases are diagnosed in men aged \> 70 years, with the highest incidence in men aged \> 90 years. Management options for localized prostate cancer include active surveillance in patients with low-risk disease, radical prostatectomy or external beam radiation therapy. In previous studies, hypofractionated prostate cancer irradiation regimens have been shown to represent a highly effective treatment option for prostate cancer. However, patients aged 75 years or older were underrepresented in most trials resulting in the lack of a robust evidence base. The proposed study will evaluate radiation-induced toxicity as well as outcome after hypofractionated external beam radiotherapy in prostate cancer patients aged 75 years or older.
Interventions
Hypofractionated radiotherapy in prostate cancer patients
Sponsors
Study design
Eligibility
Inclusion criteria
* histologically confirmed prostate cancer adenocarcinoma * definitive radiotherapy for curative intent * low or intermediate risk prostate cancer * patient age ≥ 75 years * given informed consent
Exclusion criteria
* chronic inflammatory bowel disease * high risk prostate cancer * lymph node or distant metastases * unable to give informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acute radiation - induced toxicity | Measurement at the last 1 day of radiotherapy | Toxicity score using Common Terminology for Adverse Events (CTCAE) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | At 1, 2, 3 , 4, 5 years after completion of radiotherapy | Analysis of survival |
| Recurrence (biochemical) | At 1, 2, 3 , 4, 5 years after completion of radiotherapy | Assessed by measurement of prostate specific antigen (PSA) |
| Recurrence (local) | At 1, 2, 3 , 4, 5 years after completion of radiotherapy | Assessed by magnetic resonance imaging (MRI), positron emission tomography (optional) |
Countries
Austria