What this study is
This study is being done to answer the following question: Is the strategy to give higher doses of radiotherapy treatment over a shorter period of time using special equipment and fewer treatments (also known as Stereotactic Body Radiation Therapy or SBRT) as effective as usual external radiation therapy given with a brachytherapy boost (which involves radiation sources inserted directly into the prostate)?
What's being tested
- Radiation
Intervention · RADIATION
46Gy / 23 fractions of EBRT to pelvis and prostate + LDR or HDR boost to prostate OR 25Gy / 5 fractions of EBRT to pelvis and prostate (ultrahypofractionation EBRT (SBRT)) + LDR or HDR boost to prostate. + Adjuvant ADT: Unfavourable Intermediate Risk: 6 months or High / Very High Risk: 24 months
- Radiation SBRT only
Intervention · RADIATION
25Gy / 5 fractions to pelvis + 40 Gy / 5 fractions to prostate (SBRT) (ultrahypofractionation EBRT (SBRT))
- ADT
Intervention · DRUG
Assigned at enrollment
Study details
- Official title
- Androgen Suppression Combined With Elective Nodal Irradiation and Dose Escalated Prostate Treatment: A Non-Inferiority, Phase III Randomized Controlled Trial of Stereotactic Body Radiation Therapy Versus Brachytherapy Boost in Patients With Unfavourable Risk Localized Prostate Cancer
- Sponsor
- Canadian Cancer Trials Group
- Conditions
- Prostate Cancer
- Enrolling
- 710 people
- Starts
- 2024-04-25
- Est. completion
- 2033-04-30
- Design
- Open-label, randomized, parallel groups, Phase 3
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 18 Years and overSex MALEHealthy volunteers Not acceptedYou may qualify if
- Histologically confirmed adenocarcinoma of the prostate diagnosed within the last 9 months
- Participants with unfavourable risk prostate cancer are eligible according to the following NCCN classification guidelines (Version 4.2022 - May 10, 2022):; Unfavourable-intermediate risk - has one or more of the following:; 2 or 3 Intermediate Risk Factors (IRFs): cT2b-cT2c, Gleason 7 (grade group 2 or 3), and/or PSA 10-20 ng/ml;
- Gleason 4+3 (grade group 3)
- > 50% biopsy cores positive; High risk - has one of the following:; cT3a
- Gleason 8-10 (grade group 4 or 5)
- PSA > 20 ng/ml; Very-high risk - has at least one of the following:; cT3b-cT4
- Primary Gleason pattern 5
- 2 or 3 high risk features: cT3a, Gleason 8-10 (grade group 4 or 5), and/or PSA > 20 ng/ml
- > 4 cores with Gleason 8-10 (grade group 4 or 5)
- ECOG performance status of 0, 1 or 2
- Participants must be ≥ 18 years of age
- Judged to be medically fit for brachytherapy
- Participant is able (i.e. sufficiently fluent) and willing to complete the quality of life and/or health utility questionnaires in either English, French or Spanish
- Participants consent must be appropriately obtained in accordance with applicable local and regulatory requirements. Each participant must sign a consent form prior to enrollment in the trial to document their willingness to participate
- Participants must be accessible for treatment and follow-up. Investigators must assure themselves the participants enrolled on this trial will be available for complete documentation of the treatment, adverse events, and follow-up
- In accordance with CCTG policy, protocol treatment is to begin within 12 weeks of participant enrollment
- Participants must be willing to take precautions to prevent pregnancy while on study
- ADT (LHRH agonists, antagonists, or anti-androgens) for prostate cancer is permitted for up to 30 days before study enrollment
- 5-alpha reductase inhibitors (5-ARI) are allowed, but baseline PSA will be corrected if 5-ARI use occurs within 6 months of enrollment
- Participants may NOT have received other therapies including chemotherapy, PARPi, radioligand or other investigational drugs for prostate cancer
- Participants with a prior or concurrent malignancy whose natural history or treatment does not have the potential to interfere with the safety or efficacy assessment of the investigational regimen are eligible for this trial
- Urinary function defined as International Prostate Symptom Score (IPSS) < 20. Alpha blockers are allowed to treat baseline urinary function
- HIV-infected patients on effective anti-retroviral therapy with undetectable viral load within 6 months are eligible for this trial
You can't join if
- Prior pelvic radiotherapy
- Contraindication to radical prostate radiotherapy (e.g. connective tissue disease or inflammatory bowel disease)
- Anticoagulation medication (if unsafe to discontinue for gold seed insertion or brachytherapy implant) and/or prior or current bleeding diathesis
- Prior steam vaporization (Rezum), transurethral resection of the prostate (TURP), prostatectomy (simple or radical), or any ablative therapy to the prostate (cryotherapy, HIFU, TULSA, focal laser ablation, photodynamic therapy)
- Prostate volume > 60cc before start of androgen deprivation therapy
- Anatomy that would preclude precise brachytherapy implant (such as arch interference or large median lobe)
- Evidence of castrate resistance (defined as a rising PSA > 3.0 ng/ml while testosterone is < 3.0 nmol/l)
- Hip prosthesis (unilateral hip replacement is allowed if dose constrains can be reasonably achieved.
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (53)
53 openKaiser Permanente-Deer Valley Medical Center
Antioch, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente Dublin
Dublin, California, United States
- Contact877-642-4691
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-Fremont
Fremont, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente Fresno Orchard Plaza
Fresno, California, United States
- Contact833-574-2273
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-Fresno
Fresno, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-Modesto
Modesto, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-Oakland
Oakland, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente- Marshall Medical Offices
Redwood City, California, United States
- Contact877-642-4691
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-Richmond
Richmond, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-Roseville
Roseville, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingThe Permanente Medical Group-Roseville Radiation Oncology
Roseville, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente Downtown Commons
Sacramento, California, United States
- Contact877-642-4691kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-South Sacramento
Sacramento, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-San Francisco
San Francisco, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-Santa Teresa-San Jose
San Jose, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente San Leandro
San Leandro, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser San Rafael-Gallinas
San Rafael, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente Medical Center - Santa Clara
Santa Clara, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-Santa Rosa
Santa Rosa, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-South San Francisco
South San Francisco, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-Stockton
Stockton, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente Medical Center-Vacaville
Vacaville, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-Vallejo
Vallejo, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingKaiser Permanente-Walnut Creek
Walnut Creek, California, United States
- Contact877-642-4691Kpoct@kp.org
- Samantha A. Seaward · Principal investigator
RecruitingMemorial Hospital East
Shiloh, Illinois, United States
- Contact314-747-9912dschwab@wustl.edu
- Lannis E. Hall · Principal investigator
RecruitingSiteman Cancer Center at Saint Peters Hospital
City of Saint Peters, Missouri, United States
- Contact800-600-3606info@siteman.wustl.edu
- Lannis E. Hall · Principal investigator
RecruitingSiteman Cancer Center at West County Hospital
Creve Coeur, Missouri, United States
- Contact800-600-3606info@siteman.wustl.edu
- Lannis E. Hall · Principal investigator
RecruitingWashington University School of Medicine
St Louis, Missouri, United States
- Contact800-600-3606info@siteman.wustl.edu
- Lannis E. Hall · Principal investigator
RecruitingSiteman Cancer Center-South County
St Louis, Missouri, United States
- Contact800-600-3606info@siteman.wustl.edu
- Lannis E. Hall · Principal investigator
RecruitingSiteman Cancer Center at Christian Hospital
St Louis, Missouri, United States
- Contact800-600-3606info@siteman.wustl.edu
- Lannis E. Hall · Principal investigator
RecruitingBillings Clinic Cancer Center
Billings, Montana, United States
- Contact800-996-2663research@billingsclinic.org
- John M. Schallenkamp · Principal investigator
RecruitingNorthwell Health/Center for Advanced Medicine
Lake Success, New York, United States
- Contact516-734-8896
- Sang E. Sim · Principal investigator
RecruitingManhattan Eye Ear and Throat Hospital
New York, New York, United States
- Contact212-434-4460
- Sang E. Sim · Principal investigator
RecruitingLenox Hill Hospital
New York, New York, United States
- Contact516-734-8896
- Sang E. Sim · Principal investigator
RecruitingSaint Vincent Hospital
Erie, Pennsylvania, United States
- Contact814-452-5000
- Zachary Horne · Principal investigator
RecruitingJefferson Hospital
Jefferson Hills, Pennsylvania, United States
- Contact412-359-3043ddefazio@wpahs.org
- Zachary Horne · Principal investigator
RecruitingForbes Hospital
Monroeville, Pennsylvania, United States
- Contact412-858-7746
- Zachary Horne · Principal investigator
RecruitingAllegheny General Hospital
Pittsburgh, Pennsylvania, United States
- Contact877-284-2000
- Zachary Horne · Principal investigator
RecruitingWest Penn Hospital
Pittsburgh, Pennsylvania, United States
- Contact412-578-5000
- Zachary Horne · Principal investigator
RecruitingWexford Health and Wellness Pavilion
Wexford, Pennsylvania, United States
- ContactDawnmarie.DeFazio@ahn.org
- Zachary Horne · Principal investigator
RecruitingBon Secours Saint Francis Medical Center
Midlothian, Virginia, United States
- Contact804-893-8978anne_carmellat@bshsi.org
- Joseph D. Pennington · Principal investigator
RecruitingBon Secours Cancer Institute at Reynolds Crossing
Richmond, Virginia, United States
- Contact804-893-8978Anne_caramella@bshsi.org
- Joseph D. Pennington · Principal investigator
RecruitingVCU Massey Comprehensive Cancer Center
Richmond, Virginia, United States
- Contact804-628-6430CTOclinops@vcu.edu
- Alfredo I. Urdaneta · Principal investigator
Recruiting
10 sites outside the US
Doctor H. Bliss Murphy Cancer Centre
St. John's, Newfoundland and Labrador, Canada
- Contact709-777-7589
- Asim Kamran · Principal investigator
RecruitingRoyal Victoria Regional Health Centre
Barrie, Ontario, Canada
- Contact705-739-5661
- Adam Gladwish · Principal investigator
RecruitingKingston Health Sciences Centre
Kingston, Ontario, Canada
- Contact613-549-6666cc-clinicaltrials@kgh.kari.net
- Martin Korzeniowski · Principal investigator
RecruitingWaterloo Regional Health Network
Kitchener, Ontario, Canada
- Contact519-749-4370research@wrhn.ca
- Darindra D. Gopaul · Principal investigator
RecruitingLondon Regional Cancer Program
London, Ontario, Canada
- Contact519-685-8600
- Lucas C. Mendez · Principal investigator
RecruitingTrillium Health Partners - Credit Valley Hospital
Mississauga, Ontario, Canada
- Contact905-813-4040
- Jasper Yuen · Principal investigator
RecruitingLakeridge Health Oshawa
Oshawa, Ontario, Canada
- Contact905-576-8711 ext. 4258
- Audrey Li · Principal investigator
RecruitingOdette Cancer Centre- Sunnybrook Health Sciences Centre
Toronto, Ontario, Canada
- Contact416-480-5000
- Douglas Andrew B. Loblaw · Principal investigator
RecruitingUniversity Health Network-Princess Margaret Hospital
Toronto, Ontario, Canada
- Contact416-946-4501clinical.trials@uhn.on.ca
- Rachel M. Glicksman · Principal investigator
RecruitingJewish General Hospital
Montreal, Quebec, Canada
- Contact514-340-8222 ext. 8248
- Mohammad T. Niazi · Principal investigator
Recruiting
Study team
Sponsor
Canadian Cancer Trials Group
Study ID CCTG-PR24
Study chair
Andrew Loblaw
Odette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.