Status:

RECRUITING

SBRT Versus Hypofractionated Radiotherapy for Biochemically Recurrent or Oligometastatic Prostate Adenocarcinoma

Lead Sponsor:

Mayo Clinic

Conditions:

Biochemically Recurrent Prostate Carcinoma

Oligometastatic Prostate Carcinoma

Eligibility:

MALE

18+ years

Phase:

PHASE3

Brief Summary

This phase III trial tests the side effects of stereotactic body radiation therapy (SBRT) compared to hypofractionated radiotherapy for treating patients with prostate adenocarcinoma that has come bac...

Detailed Description

PRIMARY OBJECTIVE: I. To determine if salvage SBRT is non-inferior to moderately hypofractionated radiation therapy regarding treatment related rates of genitourinary (GU) and gastrointestinal (GI) g...

Eligibility Criteria

Inclusion

  • Histologically confirmed prostate adenocarcinoma at the time of surgery
  • Pathologic stages T2-T3b, Nx or N0-1, M0-1 as staged by the pathology report (American Joint Committee on Cancer \[AJCC\] Criteria 8th edition \[Ed.\])
  • PSA post radical prostatectomy ≥ 0.1 and \< 2.0 ng/mL ≤ 90 days prior to enrollment, obtained ≥ 6 weeks after surgery
  • Eastern Cooperative Oncology Group (ECOG) performance status 0, 1, or 2 assessed ≤ 90 days of enrollment
  • Patients must sign institutional review board (IRB) approved study specific informed consent
  • Patients must complete all required pre-entry tests within the specified time frames
  • Patients must be able to start treatment (ADT or radiation) ≤ 120 days of study registration
  • Patients must be ≥ 18 years old
  • Prostate cancer up to oligometastatic disease, up to 5 sites

Exclusion

  • Previous pelvic radiation
  • Prior androgen deprivation therapy for prostate cancer and PSA ≥ 0.1 ng/mL
  • Active rectal diverticulitis, Crohn's disease affecting the rectum, or ulcerative colitis (non-active diverticulitis and Crohn's disease not affecting the rectum are allowed)
  • Prior systemic chemotherapy for prostate cancer
  • History of proximal urethral stricture requiring dilatation
  • Major medical, addictive, or psychiatric illness which in the investigator's opinion, will prevent the consent process, completion of the treatment and/or interfere with follow-up. (Consent by legal authorized representative is not permitted for this study)
  • History of myocardial infarction or decompensated congestive heart failure (CHF) within the last 6 months
  • On a transplant list
  • More than oligometastatic disease \> 5 metastatic sites

Key Trial Info

Start Date :

January 22 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

January 22 2030

Estimated Enrollment :

118 Patients enrolled

Trial Details

Trial ID

NCT06205316

Start Date

January 22 2024

End Date

January 22 2030

Last Update

June 11 2025

Active Locations (6)

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Page 1 of 2 (6 locations)

1

Mayo Clinic in Arizona

Scottsdale, Arizona, United States, 85259

2

Mayo Clinic Health System in Albert Lea

Albert Lea, Minnesota, United States, 56007

3

Mayo Clinic Health System - Mankato

Mankato, Minnesota, United States, 56001

4

Mayo Clinic in Rochester

Rochester, Minnesota, United States, 55905

SBRT Versus Hypofractionated Radiotherapy for Biochemically Recurrent or Oligometastatic Prostate Adenocarcinoma | DecenTrialz