Optimal Prostate Study

Royal North Shore Hospital

Status: Active, not recruiting

Conditions: Prostate Cancer

Treatments: Radiation: Optimal SBRT; Radiation: Optimal Booster

Study type: Interventional

Funder types: Other

Identifiers

NCT03386045

OPTIMAL

Details and patient eligibility

About

To compare the toxicity, rate of local control, biochemical failure rate and quality of life of three different radiotherapy techniques (moderate hypofractionation, stereotactic body radiotherapy (SBRT) and standard radiotherapy plus 2 fractions of SBRT (BOOSTER)

Full description

Participants must have histologically proven prostate adenocarcinoma, good performance status and suitable for high dose radiotherapy. There are two groups of participants:

Group 1: eligible participants will be randomised to have either moderate hypofractionation or standard radiotherapy plus SBRT (BOOSTER). Participants in this group must be able to have MRI, prostate fiducial markers (gold markers)and hydrogel insertion. Fiducial markers will be used to locate the prostate accurately during radiation treatment. Hydrogel is a temporary gel being injected into the space between the prostate and rectum to reduce the dose of radiation received by the rectum to minimise side effects from the treatment.

Group 2: eligible participants will be randomised to have either moderate hypofractionation or SBRT.

Participants will be reviewed for side effects. A Safety Committee will be formed containing multi-disciplinary team members. All serious adverse will be reported to the principal investigator and Human Research Ethics Committee within 24 hours.

Enrollment: 503 patients

Sex: Male

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria

• Histologically proven prostate adenocarcinoma
• PSA obtained within three months prior to enrolment
• ECOG performance status 0 to 2
• Ability to understand and the willingness to sign a written consent
• Suitable for high dose irradiation to the prostate

To be eligible for the arm containing Stereotactic Booster alone approach patient must have the following

• No contraindication to MRI such as pacemaker and severe claustrophobia
• Patient must be able to have fiducial markers placed in the prostate
• Patient must be able to have hydrogel insertion at the same time as fiducial markers
• Must have IPSS less than 15

Exclusion criteria

• Previous pelvic radiotherapy
• Prior total prostatectomy
• Unwilling or unable to give informed consent

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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503 participants in 2 patient groups

Optimal SBRT

Active Comparator group

Description:

Participants in this group will be randomised to either SBRT ( 36 to 45 GY in 5 fractions) or standard radiotherapy (60 Gy in 20 fractions). The allocation is 2 to 1. This means that two thirds of the participants on the trial will get the SBRT (5 treatments) and one third will get the standard fractions.

Treatment:

Radiation: Optimal SBRT

Optimal Booster

Active Comparator group

Description:

Participants in this group will be randomised to either standard radiotherapy plus SBRT (45 Gy in 20 fractions plus 20-30 Gy in 2 fractions-Booster) or standard radiotherapy (60 Gy in 20 fractions). The allocation is 2 to 1. This means that two thirds of the participants on the trial will get the Booster arm and one third will get the standard fractions.

Treatment:

Radiation: Optimal Booster