Status:

RECRUITING

Multi-omic Approach to Study HDR Brachytherapy for Favorable Risk and Low Tier Intermediate Risk Prostate Cancer

Lead Sponsor:

British Columbia Cancer Agency

Collaborating Sponsors:

BC Cancer Foundation

University of British Columbia

Conditions:

Localized Prostate Carcinoma

Eligibility:

All Genders

18+ years

Brief Summary

This is an observational single-center trial for patients with localized prostate cancer suitable for High Dose Rate (HDR) brachytherapy as monotherapy. This study takes a multi-omics approach to stud...

Detailed Description

High Dose Rate (HDR) prostate brachytherapy is an effective and highly conformal means of delivering curative radiation to the prostate. Because of the high dose rate, initial studies applied this tre...

Eligibility Criteria

Inclusion

  • Favorable risk and intermediate-risk prostate cancer with estimated life expectancy of at least 10 years.
  • Clinical stage T1c-T2b, PSA \< 20, Gleason \< 8
  • ECOG 0-1
  • Low tier intermediate-risk prostate cancer is defined by: a single NCCN intermediate risk factor (either Gleason 7(3+4) and PSA \< 10 ng/ml OR Gleason 6 and PSA 10-20 ng/ml)
  • Extensive favorable-risk disease is defined as: clinical stage T1c-T2a, PSA \< 10, Gleason 6, ≥ 50% of biopsy cores containing cancer, PSA density \> 0.2 ng/cc,
  • Selected intermediate risk patients not defined above
  • T1c/T2a
  • PSA \< 10 and Gleason 4+3
  • PSA \> 10 and Gleason 3+4
  • PSA 10-15 ng/ml and Gleason 4+3 and \< 33% cores involved
  • Max tumor length in any core 10 mm
  • No androgen deprivation therapy (ADT)
  • Signed study specific informed consent.

Exclusion

  • Prior radical surgery for carcinoma of the prostate,
  • Prior pelvic radiation
  • Prior chemotherapy for prostate cancer,
  • Claustrophobic or unable to undergo MRI
  • Patients unsuitable for general anesthesia, on blood thinners which cannot be stopped for 24 hours, or who have contraindications to radiotherapy such as systemic sclerosis, or inflammatory bowel disease

Key Trial Info

Start Date :

February 1 2024

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

February 1 2038

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT06200974

Start Date

February 1 2024

End Date

February 1 2038

Last Update

April 15 2024

Active Locations (1)

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British Columbia Cancer Center for the Southern Interior

Kelowna, British Columbia, Canada, V1Y 5L3