Prostate Cancer
Conditions
Keywords
neoplasm, prostate cancer,
Brief summary
This is a prospective, open, randomized phase II trial.
Detailed description
Patients will be randomized between SBRT alone (38 Gy in 4 fractions) or SBRT (same schedule) along with short course (6 months) androgen deprivation (STAD). All patients will be treated by intensity modulated radiotherapy. Regarding the combined modality approach, SBRT has to start within 3 months from the first injection of LHRH analogue.
Interventions
STAD androgen deprivation
Sponsors
Study design
Masking description
Subjects who meet all study eligibility criteria will be randomly assigned in a 1:1 ratio. Randomization is centralized at the promoter and takes place according to a specific procedure (in attachment). The randomization schedule will be generated by an independent group of the promoter. Patient study number and result of randomization will be given immediately by email.
Intervention model description
prospective, open, randomized phase 2 trial
Eligibility
Inclusion criteria
* Histologically proven prostate adenocarcinoma * IR or HR in the NCCN definition * N0M0 at staging with choline or (preferably) PSMA PET-CT; * ECOG performance status between 0 and 2;
Exclusion criteria
* Previous local treatment of the prostate with surgery (radical prostatectomy or cryotherapy) * Previous radiotherapy to the pelvis * Previous chemotherapy for malignancy in past 5 years * Impossibility to implant fiducials for tracking purposes * Impossibility to undergo MRI of the prostate * Contraindication to short term AD * Prostate volume \>90cc
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 3-yr bNED survival | 3 years | The primary objective of the study is 3-yr bNED survival. If bNED survival is not significantly different between the two experimental arms, the one without AD will be chosen in a future comparison with the standard of care. |
Countries
Italy