RecruitingPhase 2NCT04212715

Prostate SABR With Intra-Prostatic SABR Boost

Prostate SABR With Intra-Prostatic SABR Boost: A Phase II Study


Sponsor

King Saud University

Enrollment

30 participants

Start Date

Dec 26, 2019

Study Type

INTERVENTIONAL

Conditions

Summary

Stereotactic Ablative Radiation (SABR/SBRT) will be prescribed to a dose of 35 Gy in 5 fractions, once weekly to prostate with a simultaneous intra-prostatic boost to the MR detected nodule up to 50Gy. The pelvic lymph nodes and seminal vesicles will also receive 25 Gy in 5 weekly fractions.


Eligibility

Sex: MALEMin Age: 18 YearsMax Age: 99 Years

Inclusion Criteria3

  • Histologically confirmed prostate adenocarcinoma
  • High-risk prostate cancer, defined as at least one of: T3, Gleason 8-10, OR PSA \> 20 ng/mL
  • Willing to give informed consent to participate in this clinical trial

Exclusion Criteria5

  • Prior pelvic radiotherapy
  • Contraindication to radical prostate radiotherapy e.g. connective tissue disease or inflammatory bowel disease
  • Contraindication to prostate MRI
  • No evidence of castrate resistance (defined as PSA \< 3 ng/ml while testosterone is \< 0.7nmol/l. Patients could have been on combined androgen blockade but are excluded if this was started due to PSA progression.
  • Definitive extrapelvic nodal or distant metastatic disease on staging investigations.

Interventions

RADIATIONPelvic SABR with intra-prostatic SABR

SABR 25Gy / 5 fractions to pelvis; 35Gy / 5 fractions to prostate; up to 50Gy / 5 fractions to MR nodule


Locations(1)

King Saud University Medical City

Riyadh, Saudi Arabia

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NCT04212715


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