- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02572284
Dose Escalation Study of Preoperative SBRT for High Risk Prostate Cancer
January 18, 2023 updated by: H. Lee Moffitt Cancer Center and Research Institute
A Phase I Dose Escalation Study of Preoperative Stereotactic Body Radiation Therapy (SBRT) for High Risk Prostate Cancer
The purpose of this study is to compare the effects, good and/or bad, of different doses of SBRT given before prostatectomy.
Depending when participants enter the study, they will be treated with either 5 or 6 gray (Gy) per day of radiation.
A Gy is a measure of radiation dose.
The standard dose is 10Gy per day when SBRT is the only treatment to the prostate and no surgery is planned.
The researchers want to see which dose of radiation will work best with the least amount of side effects.
About 4-6 weeks after SBRT, participants will have a prostatectomy.
Study Overview
Status
Completed
Conditions
Study Type
Interventional
Enrollment (Actual)
7
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Florida
-
Tampa, Florida, United States, 33612
- H. Lee Moffitt Cancer Center and Research Institute
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Male
Description
Inclusion Criteria:
- Histologically-proven prostate adenocarcinoma.
- Clinical stage ≤T3a based on digital rectal exam and/or ≤T3a based on MRI (if done); N0-Nx; M0-Mx (AJCC 7th Edition)
- Prostate-specific antigen (PSA) ≤ 80 ng/ml, obtained within 3 months.
- Patients belonging in the National Comprehensive Cancer Network (NCCN) high recurrence risk group. High risk: Clinical stage T3a, or Gleason score = 8-10, or PSA >20 ng/mL.
- Prostate volume: ≤ 80 cc on transrectal ultrasound
- IPSS score ≤15
- Zubrod performance status 0-2 or equivalent
- No prior total prostatectomy or cryotherapy of the prostate. Prior transurethral resection or laser ablation is permitted.
- No prior radiotherapy to the prostate or lower pelvis
- No implanted hardware or other material that would prohibit appropriate treatment planning or treatment delivery, in the investigator's opinion
- No history of an invasive malignancy (other than this prostate cancer, or non-metastatic basal or squamous skin cancers) in the last 5 years
- No androgen deprivation therapy (ADT) can be prescribed prior to or during radiation therapy
- Must be able to have gold fiducial markers placed in the prostate or, if patient already has fiducial markers placed, they must be in accordance with the protocol specifications
- Ability to understand and the willingness to sign a written informed consent document
- Willingness to fill out IPSS, SHIM, and EPIC quality of life forms
- Age ≥18 years
- IPSS (AUA) score ≤15
Exclusion Criteria:
- Does not have a diagnosis of prostate adenocarcinoma
- Has very low risk, low risk, intermediate risk or very high risk disease as defined by the NCCN
- Has stage N1 or M1 (metastatic) disease
- Has a PSA of greater than 80 ng/ml obtained no greater than 3 months prior to randomization
- Prostate volume greater than 80 cc on transrectal ultrasound
- Zubrod performance status 3 or greater
- Prior total prostatectomy or cryotherapy of the prostate
- Prior radiation therapy to the pelvis
- Implanted hardware which limits treatment planning or delivery (determined by the investigator).
- Diagnosis of an invasive malignancy within 5 years (other than current prostate cancer or non-metastatic basal or squamous skin cancers)
- The use of androgen deprivation therapy (ADT) prior to registration or during radiation
- Inability to have gold fiducial markers placed in the prostate, or fiducial markers already placed, that are not in accordance with the protocol
- Unwilling or inability to give informed consent
- Not willing to fill out IPSS, SHIM, and EPIC quality of life questionnaires
- IPSS score >15
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Dose Escalation of SBRT
Stereotactic Body Radiation Therapy (SBRT) followed by prostatectomy and Quality of Life questionnaires.
The radiation will be given for only 5 days.
Conventional radiation to the prostate is given over 7-8 weeks.
|
The first group of patients to enter the study will receive 5 Gy of SBRT per day for 5 days, the second group will receive 6 Gy per day for 5 days.
Each treatment will take about 3 minutes and be given as an outpatient at Moffitt Cancer Center.
Other Names:
About 4-6 weeks after SBRT, participants will have a prostatectomy.
Other Names:
Patient assessed health-related quality of life (HRQOL).
Quality of Life (QOL) will be assessed using Prostate Symptom Score (IPSS), rectal assessment scale (RAS), sexual health inventory for men (SHIM), and Expanded Prostate Cancer Index Composite (EPIC) patient questionnaires: administered prior to SBRT, and at 2 weeks, 4 weeks, 2 months and then every 3 months up to 18 months post-prostatectomy.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Dose Limiting Toxicity
Time Frame: Up to 28 ± 5 days post-prostatectomy
|
Acute dose-limiting toxicity and quality of life due to preoperative SBRT followed by robotic-assisted laparoscopic radical prostatectomy at 14 ± 5 days and 28 ± 5 days post-prostatectomy in high risk prostate cancer patients.
In order to assess the toxicity of preoperative SBRT, the severity of specific events will be graded according to the NCI Common Terminology Criteria for Adverse Events (CTCAE) v4 form where a score of ≥3 is considered dose-limiting.
|
Up to 28 ± 5 days post-prostatectomy
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Occurrence of Late Toxicity
Time Frame: 90+ days after start of radiotherapy
|
Late (defined as occurring more than 90 days after the start of radiotherapy) toxicity that is grade 2 or more as defined by the Common Terminology Criteria for Adverse Events version 4.
|
90+ days after start of radiotherapy
|
Mean Catheterization Time for Study Participants
Time Frame: Up to 18 months post surgery
|
Mean catheterization time for study participants, compared to existing mean statistics for robotic-assisted laparoscopic radical prostatectomy.
|
Up to 18 months post surgery
|
Mean Hospital Stay for Study Participants
Time Frame: Up to 18 months post surgery
|
Mean hospital stay for study participants, compared to existing mean statistics for robotic-assisted laparoscopic radical prostatectomy.
|
Up to 18 months post surgery
|
Reoperation Rate for Study Participants
Time Frame: Up to 18 months post surgery
|
Mean reoperation rate for study participants, compared to existing mean statistics for robotic-assisted laparoscopic radical prostatectomy.
|
Up to 18 months post surgery
|
Patient-Assessed Changes in Health-Related Quality of Life (HRQOL) - Expanded Prostate Cancer Index Composite (EPIC)
Time Frame: Up to 18 months post surgery
|
Administered prior to SBRT, and at 2 weeks, 4 weeks, 2 months and then every 3 months up to 18 months post-prostatectomy.
The 26-item, short-form version of the Expanded Prostate Cancer Index Composite (EPIC) is a validated questionnaire used to assess HRQOL in prostate cancer patients.
EPIC includes 4 domains: urinary, bowel, sexual, and hormonal.
There are summary, i.e., overall, scores and function and bother subscale scores for each of the 4 domains.
The urinary domain has 2 additional subscales: incontinence and irritative/obstructive.
Domains and subscales are scored using a 0-100 grading system, with a higher score indicating a better quality of life.
|
Up to 18 months post surgery
|
Patient-Assessed Changes in HRQOL - International Prostate Symptom Score (IPSS)
Time Frame: Up to 18 months post surgery
|
Administered prior to SBRT, and at 2 weeks, 4 weeks, 2 months and then every 3 months up to 18 months post-prostatectomy.
The IPSS will be used to assess changes in urinary toxicity.
Scoring is 0, 1, 2, 3, 4, 5 per question, Total IPSS Score out of 35 points from 7 questions.
Descriptive summaries of scores at baseline and each subsequent follow up will include means and standard deviations.
|
Up to 18 months post surgery
|
Patient-Assessed Changes in HRQOL - Rectal Assessment Scale (RAS)
Time Frame: Up to 18 months post surgery
|
Administered prior to SBRT, and at 2 weeks, 4 weeks, 2 months and then every 3 months up to 18 months post-prostatectomy.
The RAS will be used to assess changes in rectal toxicity.
Scoring is 0, 1, 2, 3 per question, Total RAS Score out of 15 points from 5 questions.
Descriptive summaries of scores at baseline and each subsequent follow up will include means and standard deviations.
|
Up to 18 months post surgery
|
Patient-Assessed Changes in HRQOL - Sexual Health Inventory for Men (SHIM)
Time Frame: Up to 18 months post surgery
|
Administered prior to SBRT, and at 2 weeks, 4 weeks, 2 months and then every 3 months up to 18 months post-prostatectomy.
The SHIM will be used to assess changes in sexual toxicity.
Scoring is 0, 1, 2, 3, 4, 5 per question, Total SHIM score out of 25 points from 5 questions.
Descriptive summaries of scores at baseline and each subsequent follow up will include means and standard deviations.
|
Up to 18 months post surgery
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Julio Pow-Sang, M.D., H. Lee Moffitt Cancer Center and Research Institute
- Principal Investigator: Peter Johnstone, M.D., H. Lee Moffitt Cancer Center and Research Institute
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 27, 2016
Primary Completion (Actual)
July 5, 2018
Study Completion (Actual)
October 23, 2019
Study Registration Dates
First Submitted
October 7, 2015
First Submitted That Met QC Criteria
October 7, 2015
First Posted (Estimate)
October 8, 2015
Study Record Updates
Last Update Posted (Actual)
January 19, 2023
Last Update Submitted That Met QC Criteria
January 18, 2023
Last Verified
January 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- MCC-18201
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Prostate Cancer
-
Roswell Park Cancer InstituteRecruitingObesity | Overweight | Cancer Survivor | Prostate Adenocarcinoma | Stage I Prostate Cancer | Stage II Prostate Cancer | Stage III Prostate Cancer | Stage IV Prostate Cancer | Stage IIA Prostate Cancer | Stage IIB Prostate Cancer | Stage IVA Prostate Cancer | Stage IVB Prostate Cancer | Stage A Prostate Cancer | Stage... and other conditionsUnited States
-
Sidney Kimmel Cancer Center at Thomas Jefferson...Regeneron Pharmaceuticals; Prostate Cancer FoundationWithdrawnStage III Prostate Cancer | Stage IV Prostate Cancer | Stage IVA Prostate Cancer | Stage IVB Prostate Cancer | Stage IIIA Prostate Cancer | Stage IIIB Prostate Cancer | Stage IIIC Prostate Cancer
-
Jonsson Comprehensive Cancer CenterProgenics Pharmaceuticals, Inc.TerminatedRandomized Trial of PSMA PET Scan Before Definitive Radiation Therapy for Prostate Cancer (PSMA-dRT)Stage II Prostate Cancer AJCC v8 | Stage IIIA Prostate Cancer AJCC v8 | Stage IIIB Prostate Cancer AJCC v8 | Stage IIC Prostate Cancer AJCC v8 | Stage III Prostate Cancer AJCC v8 | Stage IIIC Prostate Cancer AJCC v8 | Stage IIA Prostate Cancer AJCC v8 | Stage IIB Prostate Cancer AJCC v8 | Stage I Prostate...United States
-
University of Southern CaliforniaNational Cancer Institute (NCI); SanofiTerminatedDiarrhea | Recurrent Prostate Cancer | Hormone-resistant Prostate Cancer | Stage I Prostate Cancer | Stage III Prostate Cancer | Stage IV Prostate Cancer | Stage IIA Prostate Cancer | Stage IIB Prostate CancerUnited States
-
Jonsson Comprehensive Cancer CenterNational Cancer Institute (NCI)CompletedRecurrent Prostate Cancer | Stage I Prostate Cancer | Stage III Prostate Cancer | Adenocarcinoma of the Prostate | Stage IV Prostate Cancer | Stage IIA Prostate Cancer | Stage IIB Prostate CancerUnited States
-
Ryan Kohlbrenner, MDRadiological Society of North AmericaCompletedProstate Adenocarcinoma | Stage IV Prostate Cancer AJCC v8 | Prostate Carcinoma | Stage IIIA Prostate Cancer AJCC v8 | Stage IIIB Prostate Cancer AJCC v8 | Stage IIC Prostate Cancer AJCC v8 | Stage III Prostate Cancer AJCC v8 | Stage IIIC Prostate Cancer AJCC v8 | Stage IVA Prostate Cancer AJCC v8 | Stage...United States
-
Ohio State University Comprehensive Cancer CenterRiverside Methodist HospitalCompletedStage I Prostate Cancer | Stage III Prostate Cancer | Stage IV Prostate Cancer | Stage IIA Prostate Cancer | Stage IIB Prostate CancerUnited States
-
Mayo ClinicNational Cancer Institute (NCI)WithdrawnStage I Prostate Cancer AJCC v8 | Stage II Prostate Cancer AJCC v8 | Stage IIIA Prostate Cancer AJCC v8 | Stage IIIB Prostate Cancer AJCC v8 | Stage IIC Prostate Cancer AJCC v8 | Stage III Prostate Cancer AJCC v8 | Stage IIIC Prostate Cancer AJCC v8 | Stage IIA Prostate Cancer AJCC v8 | Stage IIB Prostate...United States
-
University of California, IrvineCompletedRecurrent Prostate Cancer | Stage I Prostate Cancer | Stage III Prostate Cancer | Adenocarcinoma of the Prostate | Stage IIA Prostate Cancer | Stage IIB Prostate CancerUnited States
-
Barbara Ann Karmanos Cancer InstituteGenentech, Inc.CompletedRecurrent Prostate Cancer | Stage I Prostate Cancer | Stage III Prostate Cancer | Adenocarcinoma of the Prostate | Stage IIA Prostate Cancer | Stage IIB Prostate CancerUnited States
Clinical Trials on Stereotactic Body Radiation Therapy (SBRT)
-
Radiation Therapy Oncology GroupNational Cancer Institute (NCI); NRG OncologyCompletedLung CancerUnited States, Canada
-
Sidney Kimmel Comprehensive Cancer Center at Johns...Active, not recruitingPancreatic Cancer | Periampullary AdenocarcinomaUnited States
-
M.D. Anderson Cancer CenterNational Cancer Institute (NCI); Cancer Prevention Research Institute of TexasActive, not recruitingMetastatic Renal Cell Carcinoma | Stage IV Renal Cell Cancer AJCC v8 | Malignant Neoplasms of Urinary Tract | Oligometastatic Renal Cell CarcinomaUnited States
-
Sidney Kimmel Comprehensive Cancer Center at Johns...CompletedSarcoma | Metastatic Disease | Bony SitesUnited States
-
Virginia Commonwealth UniversityTerminatedProstate Adenocarcinoma | Stage I Prostate CancerUnited States
-
Centre Hospitalier Universitaire VaudoisActive, not recruitingProstate AdenocarcinomaSwitzerland
-
Centre Leon BerardTerminatedNon-small-cell Lung CarcinomaFrance
-
H. Lee Moffitt Cancer Center and Research InstituteWithdrawn
-
Washington University School of MedicineCompletedInoperable Stage I/II Non-small Cell Lung CancerUnited States
-
Campus Bio-Medico UniversityRecruitingStage IV Breast CancerItaly