II 期或 III 期前列腺癌患者的放射治疗
使用三维适形放射治疗前列腺腺癌的 I/II 期剂量递增研究
基本原理:放射疗法使用高能 X 射线破坏肿瘤细胞,可能是治疗前列腺癌的有效方法。
目的:I/II 期试验研究放射治疗在治疗先前未经治疗的 II 期或 III 期前列腺癌患者中的有效性。
研究概览
详细说明
目的:I. 确定 3 维适形放疗对前列腺和紧邻 II 期或 III 期前列腺腺癌患者周围组织的最大耐受剂量。 二。 确定该方案在这些患者的直肠和膀胱中的正常组织毒性率。 三、 通过临床和病理检查以及用该方案治疗的患者的 PSA 测定确定局部控制。 四、 确定接受该方案治疗的患者的远距离失败和总生存期。
大纲:这是一项剂量递增研究。 根据以下 3 个预后组中的 1 个对患者进行分层: 第 1 组:T1b-c 或 T2a-b 联合 PSA/Gleason (CPG) 评分为 15 及低于第 2 组:T1b-c 或 T2a-b,CPG 评分超过15,或 PSA 低于 70 ng/mL 的任何 T2c 第 3 组:前列腺特异性抗原 (PSA) 低于 70 ng/mL 的 T3 患者每周接受 3 维 (3-D) 适形放疗 5 天,持续 7.6、8.2 , 或 8.8 周。 120-270 名患者的队列接受剂量递增的 3-D 适形放疗,直到确定最大耐受剂量 (MTD)。 MTD 定义为 20% 的患者出现剂量限制性毒性之前的剂量。 患者每 3 个月随访 1 年,每 4 个月随访 1 年,每 6 个月随访 3 年,之后每年随访一次。
预计应计入组:本研究将在 4.75 年内累计入组 549-801 名患者(第一个剂量水平为 120-204 名患者,第二个剂量水平为 237-321 名患者,第三个剂量水平为 192-276 名患者)到 5.25 岁。
研究类型
注册 (实际的)
阶段
- 阶段2
- 阶段1
联系人和位置
学习地点
-
-
Alberta
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Calgary、Alberta、加拿大、T2N 4N2
- Tom Baker Cancer Center - Calgary
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Edmonton、Alberta、加拿大、T6G 1Z2
- Cross Cancer Institute
-
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New Brunswick
-
Moncton、New Brunswick、加拿大、E1C 8X3
- Doctor Leon Richard Oncology Centre
-
Saint John、New Brunswick、加拿大、E2L 4L2
- Saint John Regional Hospital
-
-
Nova Scotia
-
Halifax、Nova Scotia、加拿大、B3H 1V7
- Nova Scotia Cancer Centre
-
-
Ontario
-
Hamilton、Ontario、加拿大、L8V 5C2
- Cancer Care Ontario-Hamilton Regional Cancer Centre
-
Kingston、Ontario、加拿大、K7L 5P9
- Kingston Regional Cancer Centre
-
London、Ontario、加拿大、N6A 4L6
- Cancer Care Ontario-London Regional Cancer Centre
-
Ottawa、Ontario、加拿大、K1Y 4K7
- Ottawa Regional Cancer Centre - Civic Campus
-
Sudbury、Ontario、加拿大、P3E 5J1
- Northeastern Ontario Regional Cancer Centre, Sudbury
-
Thunder Bay、Ontario、加拿大、P7A 7T1
- Northwestern Ontario Regional Cancer Centre, Thunder Bay
-
Toronto、Ontario、加拿大、M4N 3M5
- Toronto Sunnybrook Regional Cancer Centre
-
Toronto、Ontario、加拿大、M5G 2M9
- Princess Margaret Hospital
-
-
Quebec
-
Montreal、Quebec、加拿大、H2W 1S6
- McGill University Department of Oncology
-
-
Saskatchewan
-
Saskatoon、Saskatchewan、加拿大、S7N 4H4
- Saskatoon Cancer Centre
-
-
-
-
Alabama
-
Birmingham、Alabama、美国、35294
- University of Alabama Comprehensive Cancer Center
-
Huntsville、Alabama、美国、35801
- Comprehensive Cancer Institute of Huntsville
-
Mobile、Alabama、美国、36688
- MBCCOP - University of South Alabama
-
Mobile、Alabama、美国、36640-0460
- Mobile Infirmary Medical Center
-
Montgomery、Alabama、美国、36106-2801
- Alabama Oncology, LLC
-
Tuscaloosa、Alabama、美国、35401
- Radiation Oncology Associates of West Alabama
-
-
Alaska
-
Anchorage、Alaska、美国、99508
- Providence Cancer Therapy Center
-
-
Arizona
-
Tucson、Arizona、美国、85724
- Arizona Cancer Center
-
-
California
-
Concord、California、美国、94524-4110
- Mount Diablo Medical Center
-
Fresno、California、美国、93720
- California Cancer Center
-
Fresno、California、美国、93720
- Saint Agnes Cancer Center
-
Glendale、California、美国、91204
- Glendale Memorial Hospital and Health Center
-
Greenbrae、California、美国、94904
- Sutter Health Western Division Cancer Research Group
-
Loma Linda、California、美国、92354
- Loma Linda University Medical Center
-
Long Beach、California、美国、90822
- Veterans Affairs Medical Center - Long Beach
-
Los Angeles、California、美国、90033-0800
- USC/Norris Comprehensive Cancer Center
-
Los Angeles、California、美国、90095-1781
- Jonsson Comprehensive Cancer Center, UCLA
-
Los Angeles、California、美国、91010
- Beckman Research Institute, City of Hope
-
Los Angeles、California、美国、90027
- Kaiser Permanente Medical Center - Los Angeles
-
Oakland、California、美国、94609-3305
- CCOP - Bay Area Tumor Institute
-
Pomona、California、美国、91767
- Cancer Care Center
-
Sacramento、California、美国、95816
- Radiation Oncology Center - Sacramento
-
San Francisco、California、美国、94115-0128
- UCSF Cancer Center and Cancer Research Institute
-
San Jose、California、美国、95128
- O'Connor Hospital
-
Santa Rosa、California、美国、95403
- CCOP - Santa Rosa Memorial Hospital
-
Stanford、California、美国、94305
- Stanford University
-
-
Colorado
-
Colorado Springs、Colorado、美国、80909
- Memorial Hospital Cancer Center
-
Denver、Colorado、美国、80262
- University of Colorado Cancer Center
-
-
Connecticut
-
Bridgeport、Connecticut、美国、06610
- Bridgeport Hospital
-
Norwalk、Connecticut、美国、06856
- Whittingham Cancer Center
-
-
Delaware
-
Wilmington、Delaware、美国、19899
- CCOP - Christiana Care Health Services
-
-
District of Columbia
-
Washington、District of Columbia、美国、20307-5000
- Walter Reed Army Medical Center
-
-
Florida
-
Daytona Beach、Florida、美国、32114
- Halifax Medical Center
-
Fort Myers、Florida、美国、33901
- Radiation Therapy Associates - Fort Myers
-
Gainesville、Florida、美国、32610-0296
- University of Florida Health Science Center
-
Melbourne、Florida、美国、32901
- Health First Holmes Regional Medical Center
-
Miami、Florida、美国、33136
- Sylvester Cancer Center, University of Miami
-
Miami、Florida、美国、33176-2197
- Baptist Hospital of Miami
-
Miami Beach、Florida、美国、33140
- CCOP - Mount Sinai Medical Center
-
Orange Park、Florida、美国、32073
- Florida Radiation Oncology Group
-
Orlando、Florida、美国、32806
- MD Anderson Cancer Center Orlando
-
Panama City、Florida、美国、32405-4587
- Gulf Coast Cancer Treatment Center
-
Pensacola、Florida、美国、32514
- West Florida Cancer Institute - Pensacola
-
Saint Petersburg、Florida、美国、33701
- Bayfront Medical Center
-
Sarasota、Florida、美国、34233
- Sarasota Radiation and Medical Oncology Center
-
Tampa、Florida、美国、33612
- H. Lee Moffitt Cancer Center and Research Institute
-
-
Georgia
-
Atlanta、Georgia、美国、30322
- Emory University Hospital - Atlanta
-
Atlanta、Georgia、美国、30342-1701
- CCOP - Atlanta Regional
-
Columbus、Georgia、美国、31902
- Medical Center/John B. Amos Community Cancer Center
-
Rome、Georgia、美国、30161
- InterCommunity Cancer Center at Rome
-
-
Illinois
-
Arlington Heights、Illinois、美国、60005
- Northwest Community Hospital
-
Chicago、Illinois、美国、60611
- Northwestern Memorial Hospital
-
Chicago、Illinois、美国、60637
- University of Chicago Cancer Research Center
-
Decatur、Illinois、美国、62526
- CCOP - Central Illinois
-
Harvey、Illinois、美国、60426
- Ingalls Memorial Hospital
-
Maywood、Illinois、美国、60153
- Loyola University Medical Center
-
Park Ridge、Illinois、美国、60068
- Lutheran General Cancer Care Center
-
Peoria、Illinois、美国、61636
- Methodist Medical Center of Illinois
-
-
Indiana
-
Anderson、Indiana、美国、46016
- St. John's Medical Center
-
Indianapolis、Indiana、美国、46206-1367
- Clarion Health Partners Inc.
-
Indianapolis、Indiana、美国、46219
- Community Hospitals of Indianapolis - Regional Cancer Center
-
Muncie、Indiana、美国、47303-3499
- Ball Memorial Hospital
-
South Bend、Indiana、美国、46601
- Memorial Hospital of South Bend
-
South Bend、Indiana、美国、46617
- St. Joseph's Radiation Oncology Center
-
-
Iowa
-
Dubuque、Iowa、美国、52001
- Wendt Regional Cancer Center of Finley Hospital
-
Iowa City、Iowa、美国、52242
- University of Iowa Hospitals and Clinics
-
-
Kentucky
-
Lexington、Kentucky、美国、40511-1093
- Veterans Affairs Medical Center - Lexington
-
Lexington、Kentucky、美国、40536-0084
- Albert B. Chandler Medical Center, University of Kentucky
-
Louisville、Kentucky、美国、40202
- James Graham Brown Cancer Center
-
Louisville、Kentucky、美国、40215
- Louisville Radiation Oncology
-
Madisonville、Kentucky、美国、42431
- Merle M. Mahr Cancer Center
-
Paducah、Kentucky、美国、42001
- Western Baptist Hospital
-
-
Louisiana
-
Baton Rouge、Louisiana、美国、70809
- Mary Bird Perkins Cancer Center
-
Lafayette、Louisiana、美国、70501
- Romagosa Radiation Oncology Center
-
New Orleans、Louisiana、美国、70112
- Tulane University School of Medicine
-
New Orleans、Louisiana、美国、70112
- MBCCOP - LSU Medical Center
-
New Orleans、Louisiana、美国、70121
- CCOP - Ochsner
-
-
Maine
-
Portland、Maine、美国、04102
- Maine Medical Center
-
-
Maryland
-
Annapolis、Maryland、美国、21401
- Anne Arundel Oncology Center
-
Baltimore、Maryland、美国、21204
- Greater Baltimore Medical Center and Cancer Center
-
Baltimore、Maryland、美国、21225
- Harbor Hospital Center
-
Baltimore、Maryland、美国、21237
- Radiation Oncology Affiliates of Maryland, P.A.
-
Baltimore、Maryland、美国、21231
- Johns Hopkins Oncology Center
-
-
Massachusetts
-
Hyannis、Massachusetts、美国、02601
- Cape Cod Hospital
-
Jamaica Plain、Massachusetts、美国、02130
- Veterans Affairs Medical Center - Boston (Jamaica Plain)
-
-
Michigan
-
Ann Arbor、Michigan、美国、48109-0752
- University Of Michigan Comprehensive Cancer Center
-
Ann Arbor、Michigan、美国、48106
- CCOP - Ann Arbor Regional
-
Detroit、Michigan、美国、48201
- Barbara Ann Karmanos Cancer Institute
-
Detroit、Michigan、美国、48202
- Henry Ford Hospital
-
Flint、Michigan、美国、48503
- Hurley Medical Center
-
Flint、Michigan、美国、48432
- McLaren Regional Cancer Center
-
Kalamazoo、Michigan、美国、49007-3731
- CCOP - Kalamazoo
-
Marquette、Michigan、美国、49855
- Marquette General Hospital
-
Midland、Michigan、美国、48670
- MidMichigan Regional Medical Center
-
Saginaw、Michigan、美国、48601
- St. Mary's Medical Center
-
-
Minnesota
-
Rochester、Minnesota、美国、55905
- Mayo Clinic Cancer Center
-
Saint Louis Park、Minnesota、美国、55416
- CCOP - Metro-Minnesota
-
-
Missouri
-
Columbia、Missouri、美国、65203
- Ellis Fischel Cancer Center - Columbia
-
Kansas City、Missouri、美国、64131
- CCOP - Kansas City
-
Saint Louis、Missouri、美国、63110-0250
- St. Louis University Health Sciences Center
-
Saint Louis、Missouri、美国、63110
- Mallinckrodt Institute of Radiology
-
Springfield、Missouri、美国、65807
- CCOP - Cancer Research for the Ozarks
-
Springfield、Missouri、美国、65807
- Cancer Research for the Ozarks
-
-
Montana
-
Billings、Montana、美国、59101
- CCOP - Montana Cancer Consortium
-
-
Nebraska
-
Omaha、Nebraska、美国、68114
- Methodist Cancer Center - Omaha
-
-
Nevada
-
Las Vegas、Nevada、美国、89106
- CCOP - Southern Nevada Cancer Research Foundation
-
-
New Hampshire
-
Lebanon、New Hampshire、美国、03756
- Norris Cotton Cancer Center
-
Manchester、New Hampshire、美国、03103
- Elliot Regional Cancer Center
-
-
New Jersey
-
East Orange、New Jersey、美国、07018-1095
- Veterans Affairs Medical Center - East Orange
-
Edison、New Jersey、美国、08818
- John F. Kennedy Medical Center
-
Elizabeth、New Jersey、美国、07201
- Trinitas Hospital - Jersey Street Campus
-
Millville、New Jersey、美国、08332
- South Jersey Hospital - Millville
-
Mount Holly、New Jersey、美国、08060
- Fox Chase Cancer Center at Virtua-Memorial Hospital Burlington County
-
Newark、New Jersey、美国、07112
- Newark Beth Israel Medical Center
-
Toms River、New Jersey、美国、08755
- Community Medical Center
-
Trenton、New Jersey、美国、08629
- St. Francis Medical Center
-
-
New Mexico
-
Albuquerque、New Mexico、美国、87102
- Saint Joseph Medical Center
-
-
New York
-
Albany、New York、美国、12208
- Cancer Center of Albany Medical Center
-
Bronx、New York、美国、10461
- Albert Einstein Comprehensive Cancer Center
-
Brooklyn、New York、美国、11203
- State University of New York Health Science Center at Brooklyn
-
Brooklyn、New York、美国、11215-3609
- New York Methodist Hospital
-
Buffalo、New York、美国、14263-0001
- Roswell Park Cancer Institute
-
Clifton Springs、New York、美国、14432
- Finger Lakes Radiation Oncology, P.C.
-
Manhasset、New York、美国、11030
- CCOP - North Shore University Hospital
-
New York、New York、美国、10021
- Memorial Sloan-Kettering Cancer Center
-
New York、New York、美国、10003
- Beth Israel Medical Center
-
New York、New York、美国、10016
- Kaplan Cancer Center
-
Plattsburgh、New York、美国、12901
- Champlain Valley Physicians Hospital Medical Center
-
Poughkeepsie、New York、美国、12601
- Vassar Brothers Hospital
-
Rochester、New York、美国、14642
- University of Rochester Cancer Center
-
Valhalla、New York、美国、10595
- New York Medical College
-
-
North Carolina
-
Chapel Hill、North Carolina、美国、27599-7295
- Lineberger Comprehensive Cancer Center, UNC
-
Concord、North Carolina、美国、28025
- Northeast Medical Center
-
Greenville、North Carolina、美国、27858-4354
- East Carolina University School of Medicine
-
Hickory、North Carolina、美国、28601
- Catawba Memorial Hospital
-
Winston-Salem、North Carolina、美国、27104-4241
- CCOP - Southeast Cancer Control Consortium
-
Winston-Salem、North Carolina、美国、27157-1082
- Comprehensive Cancer Center of Wake Forest University Baptist Medical Center
-
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North Dakota
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Fargo、North Dakota、美国、58122
- Meritcare Roger Maris Cancer Center
-
Minot、North Dakota、美国、58701
- UNIMED Medical Center
-
-
Ohio
-
Akron、Ohio、美国、44302
- Akron General Medical Center
-
Akron、Ohio、美国、44309
- Akron City Hospital
-
Cincinnati、Ohio、美国、45219
- Christ Hospital
-
Cleveland、Ohio、美国、44195
- Cleveland Clinic Cancer Center
-
Cleveland、Ohio、美国、44106
- University Hospitals of Cleveland
-
Cleveland、Ohio、美国、44106-5065
- Ireland Cancer Center
-
Columbus、Ohio、美国、43206
- CCOP - Columbus
-
Columbus、Ohio、美国、43210
- Arthur G. James Cancer Hospital - Ohio State University
-
Kettering、Ohio、美国、45429
- CCOP - Dayton
-
Toledo、Ohio、美国、43623-3456
- CCOP - Toledo Community Hospital Oncology Program
-
-
Oklahoma
-
Tulsa、Oklahoma、美国、74104
- St. John Medical Center
-
-
Oregon
-
Portland、Oregon、美国、97213
- CCOP - Columbia River Program
-
-
Pennsylvania
-
Allentown、Pennsylvania、美国、18103
- LeHigh Valley Hospital
-
Danville、Pennsylvania、美国、17822-2001
- Penn State Geisinger Medical Center
-
Darby、Pennsylvania、美国、19023
- Mercy Catholic Medical Center, Mercy Fitzgerald Divison
-
Drexel Hill、Pennsylvania、美国、19026
- Delaware County Memorial Hospital
-
Hershey、Pennsylvania、美国、17033
- Penn State Geisinger Cancer Center
-
Philadelphia、Pennsylvania、美国、19111
- Fox Chase Cancer Center
-
Philadelphia、Pennsylvania、美国、19104
- University of Pennsylvania Cancer Center
-
Philadelphia、Pennsylvania、美国、19104
- Veterans Affairs Medical Center - Philadelphia
-
Philadelphia、Pennsylvania、美国、19107
- Kimmel Cancer Center of Thomas Jefferson University - Philadelphia
-
Philadelphia、Pennsylvania、美国、19141
- Albert Einstein Cancer Center
-
Philadelphia、Pennsylvania、美国、19102-1192
- Hahnemann University Hospital
-
Pittsburgh、Pennsylvania、美国、15224
- Western Pennsylvania Hospital
-
Pittsburgh、Pennsylvania、美国、15213
- University of Pittsburgh Cancer Institute
-
Pittsburgh、Pennsylvania、美国、15219
- Mercy Hospital of Pittsburgh
-
Reading、Pennsylvania、美国、19612-6052
- Reading Hospital and Medical Center
-
Scranton、Pennsylvania、美国、18501
- Mercy Hospital Cancer Center - Scranton
-
Wilkes-Barre、Pennsylvania、美国、18764
- Wilkes Barre General Hospital
-
Wynnewood、Pennsylvania、美国、19096
- CCOP - MainLine Health
-
York、Pennsylvania、美国、17315
- York Hospital
-
-
Rhode Island
-
Providence、Rhode Island、美国、02908-4735
- Roger Williams Medical Center/BUSM
-
-
South Carolina
-
Charleston、South Carolina、美国、29425-0721
- Medical University of South Carolina
-
Greenville、South Carolina、美国、29615
- CCOP - Greenville
-
Spartanburg、South Carolina、美国、29303
- CCOP - Upstate Carolina
-
-
Tennessee
-
Jackson、Tennessee、美国、38301
- Jackson-Madison County General Hospital
-
Knoxville、Tennessee、美国、37901
- Baptist Regional Cancer Center - Knoxville
-
Memphis、Tennessee、美国、38117
- CCOP - Baptist Cancer Institute
-
Memphis、Tennessee、美国、38163
- University of Tennessee, Memphis Cancer Center
-
Nashville、Tennessee、美国、37232-6838
- Vanderbilt Cancer Center
-
-
Texas
-
Amarillo、Texas、美国、79106
- Harrington Cancer Center
-
Beaumont、Texas、美国、77701
- Julie and Ben Rogers Cancer Institute
-
Galveston、Texas、美国、77555-1329
- University of Texas Medical Branch
-
Lackland Air Force Base、Texas、美国、78236-5300
- Wilford Hall - 59th Medical Wing
-
Lubbock、Texas、美国、79410-1894
- Joe Arrington Cancer Research and Treatment Center
-
Pasadena、Texas、美国、77504
- Bayshore Medical Center
-
Tyler、Texas、美国、75701
- East Texas Medical Center - Cancer Institute
-
-
Utah
-
Saint George、Utah、美国、84770
- Dixie Regional Medical Center
-
Salt Lake City、Utah、美国、84143
- LDS Hospital
-
-
Vermont
-
Bennington、Vermont、美国、05201
- CCOP - Southwestern Vermont Regional Cancer Center
-
Burlington、Vermont、美国、05401-3498
- Vermont Cancer Center
-
Rutland、Vermont、美国、05701
- Green Mountain Oncology Group
-
-
Virginia
-
Charlottesville、Virginia、美国、22901
- Martha Jefferson Hospital
-
Charlottesville、Virginia、美国、22908
- Cancer Center, University of Virginia HSC
-
Lynchburg、Virginia、美国、24503
- Virginia Baptist Hospital
-
Portsmouth、Virginia、美国、23708-2197
- Naval Medical Center, Portsmouth
-
-
Washington
-
Seattle、Washington、美国、98104
- Swedish Cancer Institute
-
Seattle、Washington、美国、98111
- Virginia Mason Medical Center
-
Spokane、Washington、美国、99210-0248
- Deaconess Medical Center
-
Yakima、Washington、美国、98902
- Yakima Valley Memorial Hospital
-
-
West Virginia
-
Wheeling、West Virginia、美国、26003
- Schiffler Cancer Center
-
-
Wisconsin
-
Green Bay、Wisconsin、美国、54307-3508
- St. Vincent Hospital
-
La Crosse、Wisconsin、美国、54601
- Gundersen Lutheran Medical Foundation
-
Madison、Wisconsin、美国、53792
- University of Wisconsin Comprehensive Cancer Center
-
Madison、Wisconsin、美国、53713
- Southern Wisconsin Radiotherapy Center
-
Marshfield、Wisconsin、美国、54449
- Marshfield Clinic
-
Menomonee Falls、Wisconsin、美国、53051
- Community Memorial Hospital
-
Milwaukee、Wisconsin、美国、53226
- Medical College of Wisconsin
-
Milwaukee、Wisconsin、美国、53210
- St. Joseph's Hospital
-
Milwaukee、Wisconsin、美国、53211
- Columbia Hospital
-
Milwaukee、Wisconsin、美国、53215
- St. Luke's Medical Center
-
Milwaukee、Wisconsin、美国、53295
- Veterans Affairs Medical Center - Milwaukee (Zablocki)
-
Racine、Wisconsin、美国、53405
- Southeastern Wisconsin Regional Cancer Center
-
Waukesha、Wisconsin、美国、53188
- Waukesha Memorial Hospital
-
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
疾病特征:既往未治疗的前列腺 T1b-c 或 T2a-b 腺癌,格里森评分超过 5 分且 PSA 大于 4 ng/mL 或任何 T3 PSA 在入组前 3 周内低于 70 ng/mL,并且至少 10前列腺活检后数天 无活检证明区域淋巴结受累 无远处转移
患者特征: 年龄:18 岁及以上 体能状态:Karnofsky 80-100% 造血:白细胞 (WBC) 计数至少 4,000/mm3 血小板计数至少 100,000/mm3 血红蛋白至少 11 g/dL 肝脏:未指定 肾脏:未指定 其他:没有会妨碍研究的重大医学或精神疾病 在过去 5 年内没有其他恶性肿瘤
既往同步治疗:生物疗法:未指定 化疗:无既往或同步化疗 内分泌治疗:允许既往激素治疗 放疗:无既往盆腔照射 手术:无既往前列腺切除术或前列腺癌冷冻手术
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:非随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:第 1 组
PSA + ([Gleason -6] x 10) ≤ 15 的临床分期 T1b-c 或 T2a-b。
逐步增加三维适形放射治疗 (3D-CRT) 的剂量,直至确定最大耐受剂量 (MTD)。
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3维适形放射治疗
其他名称:
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实验性的:第 2 组
PSA + ([Gleason -6]x10)>15 的临床分期 T1b-c 或 T2a-b。
PSA < 70 的任何临床 T2c。
必须是淋巴结阴性。
逐步增加三维适形放射治疗 (3D-CRT) 的剂量,直至确定最大耐受剂量 (MTD)。
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3维适形放射治疗
其他名称:
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实验性的:第 3 组
PSA < 70 的临床 T3 期。
必须是淋巴结阴性。
逐步增加三维适形放射治疗 (3D-CRT) 的剂量,直至确定最大耐受剂量 (MTD)。
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3维适形放射治疗
其他名称:
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研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
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使用三维适形放射治疗 (3D-CRT) 确定前列腺癌患者的前列腺和周围组织的最大放射耐受剂量 (MTD)。
大体时间:从注册到开始治疗大约 18 个月
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从注册到开始治疗大约 18 个月
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次要结果测量
结果测量 |
大体时间 |
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使用 3D-CRT 量化直肠和膀胱的正常组织毒性率(正常组织并发症概率 (NTCP))
大体时间:从注册到开始治疗大约 18 个月
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从注册到开始治疗大约 18 个月
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通过临床、病理和 PSA(稳定在正常范围内)测定来评估局部控制
大体时间:从注册到疾病进展或最后一次随访的日期。分析将在主要终点分析之后进行。
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从注册到疾病进展或最后一次随访的日期。分析将在主要终点分析之后进行。
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远处转移和生存
大体时间:从登记到死亡或最后一次随访的日期。分析将在主要终点分析之后进行。
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从登记到死亡或最后一次随访的日期。分析将在主要终点分析之后进行。
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合作者和调查者
调查人员
- 学习椅:James D. Cox, MD、M.D. Anderson Cancer Center
出版物和有用的链接
一般刊物
- Du KL, Bae K, Movsas B, Yan Y, Bryan C, Bruner DW. Impact of marital status and race on outcomes of patients enrolled in Radiation Therapy Oncology Group prostate cancer trials. Support Care Cancer. 2012 Jun;20(6):1317-25. doi: 10.1007/s00520-011-1219-4. Epub 2011 Jul 1.
- Roach M, Moughan J, Movsas B, et al.: Socio-demographic predictors of biochemical failure and survival among high risk patients treated on Radiation Therapy Oncology Group (RTOG) prostate cancer trials: a meta-analysis. [Abstract] Int J Radiat Oncol Biol Phys 66 (3 Suppl 1): A-1127, S204, 2006.
- Michalski J, Winter K, Roach M, Markoe A, Sandler HM, Ryu J, Parliament M, Purdy JA, Valicenti RK, Cox JD. Clinical outcome of patients treated with 3D conformal radiation therapy (3D-CRT) for prostate cancer on RTOG 9406. Int J Radiat Oncol Biol Phys. 2012 Jul 1;83(3):e363-70. doi: 10.1016/j.ijrobp.2011.12.070.
- Tucker SL, Dong L, Michalski JM, Bosch WR, Winter K, Cox JD, Purdy JA, Mohan R. Do intermediate radiation doses contribute to late rectal toxicity? An analysis of data from radiation therapy oncology group protocol 94-06. Int J Radiat Oncol Biol Phys. 2012 Oct 1;84(2):390-5. doi: 10.1016/j.ijrobp.2011.11.073. Epub 2012 Feb 17.
- Tucker SL, Michalski JM, Bosch WR, Mohan R, Dong L, Winter K, Purdy JA, Cox JD. Use of fractional dose-volume histograms to model risk of acute rectal toxicity among patients treated on RTOG 94-06. Radiother Oncol. 2012 Jul;104(1):109-13. doi: 10.1016/j.radonc.2012.04.023. Epub 2012 Jun 5.
- Tucker SL, Thames HD, Michalski JM, Bosch WR, Mohan R, Winter K, Cox JD, Purdy JA, Dong L. Estimation of alpha/beta for late rectal toxicity based on RTOG 94-06. Int J Radiat Oncol Biol Phys. 2011 Oct 1;81(2):600-5. doi: 10.1016/j.ijrobp.2010.11.080. Epub 2011 Mar 4.
- Valicenti RK, Bae K, Michalski J, Sandler H, Shipley W, Lin A, Cox J. Does hormone therapy reduce disease recurrence in prostate cancer patients receiving dose-escalated radiation therapy? An analysis of Radiation Therapy Oncology Group 94-06. Int J Radiat Oncol Biol Phys. 2011 Apr 1;79(5):1323-9. doi: 10.1016/j.ijrobp.2010.01.009.
- Michalski JM, Bae K, Roach M, Markoe AM, Sandler HM, Ryu J, Parliament MB, Straube W, Valicenti RK, Cox JD. Long-term toxicity following 3D conformal radiation therapy for prostate cancer from the RTOG 9406 phase I/II dose escalation study. Int J Radiat Oncol Biol Phys. 2010 Jan 1;76(1):14-22. doi: 10.1016/j.ijrobp.2009.01.062.
- Tucker SL, Dong L, Bosch WR, Michalski J, Winter K, Mohan R, Purdy JA, Kuban D, Lee AK, Cheung MR, Thames HD, Cox JD. Late rectal toxicity on RTOG 94-06: analysis using a mixture Lyman model. Int J Radiat Oncol Biol Phys. 2010 Nov 15;78(4):1253-60. doi: 10.1016/j.ijrobp.2010.01.069. Epub 2010 Jul 2.
- Cheung MR, Tucker SL, Dong L, et al.: Dose-volume analyses of grade ≥ 2 late rectal toxicity among patients treated on protocol RTOG 94-06. [Abstract] Int J Radiat Oncol Biol Phys 69 (3 Suppl): A-16, S9, 2007.
- Tucker SL, Dong L, Bosch WR, et al.: Fit of a generalized Lyman normal-tissue complication probability (NTCP) model to grade ≥ 2 late rectal toxicity data from patients treated on protocol RTOG 94-06. [Abstract] Int J Radiat Oncol Biol Phys 69 (3 Suppl): A-15, S8-9, 2007.
- Valicenti RK, Bae K, Michalski J, et al.: Does adjuvant hormonal therapy improve freedom from biochemical relapse in prostate cancer patients receiving dose- escalated radiation therapy? An analysis of RTOG 94-06. [Abstract] American Society of Clinical Oncology 2007 Prostate Cancer Symposium, 22-24 February 2007, Orlando, FL. A-297, 2007.
- Michalski JM, Winter K, Purdy JA, Parliament M, Wong H, Perez CA, Roach M, Bosch W, Cox JD. Toxicity after three-dimensional radiotherapy for prostate cancer on RTOG 9406 dose Level V. Int J Radiat Oncol Biol Phys. 2005 Jul 1;62(3):706-13. doi: 10.1016/j.ijrobp.2004.11.028.
- Michalski JM, Winter K, Purdy JA, Perez CA, Ryu JK, Parliament MB, Valicenti RK, Roach M 3rd, Sandler HM, Markoe AM, Cox JD. Toxicity after three-dimensional radiotherapy for prostate cancer with RTOG 9406 dose level IV. Int J Radiat Oncol Biol Phys. 2004 Mar 1;58(3):735-42. doi: 10.1016/S0360-3016(03)01578-5.
- Roach M, Winter K, Michalski JM, Cox JD, Purdy JA, Bosch W, Lin X, Shipley WS. Penile bulb dose and impotence after three-dimensional conformal radiotherapy for prostate cancer on RTOG 9406: findings from a prospective, multi-institutional, phase I/II dose-escalation study. Int J Radiat Oncol Biol Phys. 2004 Dec 1;60(5):1351-6. doi: 10.1016/j.ijrobp.2004.05.026.
- Michalski JM, Winter K, Purdy JA, Wilder RB, Perez CA, Roach M, Parliament MB, Pollack A, Markoe AM, Harms W, Sandler HM, Cox JD. Preliminary evaluation of low-grade toxicity with conformal radiation therapy for prostate cancer on RTOG 9406 dose levels I and II. Int J Radiat Oncol Biol Phys. 2003 May 1;56(1):192-8. doi: 10.1016/s0360-3016(03)00072-5.
- Michalski J, Winter K, Purdy JA, et al.: Toxicity following 3D radiation therapy for prostate cancer on RTOG 9406 dose level V. [Abstract] Int J Radiat Oncol Biol Phys 57 (2 Suppl): S151, 2003.
- Valicenti RK, Winter K, Cox JD, Sandler HM, Bosch W, Vijayakumar S, Michalski J, Purdy J. RTOG 94-06: is the addition of neoadjuvant hormonal therapy to dose-escalated 3D conformal radiation therapy for prostate cancer associated with treatment toxicity? Int J Radiat Oncol Biol Phys. 2003 Nov 1;57(3):614-20. doi: 10.1016/s0360-3016(03)00640-0.
- Michalski JM, Purdy JA, Winter K, Roach M 3rd, Vijayakumar S, Sandler HM, Markoe AM, Ritter MA, Russell KJ, Sailer S, Harms WB, Perez CA, Wilder RB, Hanks GE, Cox JD. Preliminary report of toxicity following 3D radiation therapy for prostate cancer on 3DOG/RTOG 9406. Int J Radiat Oncol Biol Phys. 2000 Jan 15;46(2):391-402. doi: 10.1016/s0360-3016(99)00443-5.
- Roach M, Winter K, Michalski J, et al.: Mean dose of radiation to the bulb of penis correlates with risk of impotence at 24 months: preliminary analysis of Radiation Therapy Oncology Group (RTOG) phase I/II dose escalation trial 94-06. Int J Radiat Oncol Biol Phys 48(3 suppl): A-2104, 316, 2000.
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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