Status:

RECRUITING

Tumor-directed Radiation Therapy for Patients With the Highest Risk Category of Localized Prostate Cancer

Lead Sponsor:

Region Skane

Conditions:

Prostate Cancer

Eligibility:

MALE

18+ years

Phase:

NA

Brief Summary

HYPO-RT-PC boost is is an open-label, multicentre, phase II trial evaluating safety and efficacy of real-time image-guided tumor-directed ultra-hypofractionated radiation boost and lymph node irradiat...

Detailed Description

HYPO-RT-PC boost is is an open-label, multicentre, phase II trial evaluating safety and efficacy of real-time image-guided tumor-directed ultra-hypofractionated radiation boost and lymph node irradiat...

Eligibility Criteria

Inclusion

  • Life expectancy \>5 years
  • Age ≥18 years
  • World Health Organization (WHO) performance status 0-2
  • Histological evidence of prostate cancer
  • Classified as very high-risk according to national guidelines (2-3 of following high risk criteria: T3 / Gleason grade 8 /Prostate-specific antigen (PSA) 20-49 μg/L or and/or Gleason score 9-10 and/or PSA ≥40 μg/L
  • At least one Prostate Imaging-Reporting and Data System (PI-RADS) 4-5 lesion on diagnostic Magnetic resonance imaging (MRI)
  • Patients must be able to comply with the protocol
  • Signed informed consent
  • Adequate laboratory findings: haemoglobin (Hb) \>90 g/L, absolute neutrophil count \>1.0x10\^9/l, platelets \>75x10\^9/l, bilirubin \<2.0 x upper limit of normal (ULN), alanine aminotransferase (ALAT) \<5x ULN and creatinine \<2.0x ULN)

Exclusion

  • Regional or distant metastasis
  • Any contraindications for MRI
  • PSA \>150 ng/ml
  • Previous pelvic radiotherapy
  • Prior prostate surgery including transurethral resection of the prostate (TURP)
  • Endocrine treatment (past or present)
  • Other malignancies than prostate cancer and basalioma in the past five years
  • Serious disease state that makes study inclusion and treatment unsuitable
  • Severe lower urinary tract symptoms (International Prostate Symptom Score (IPSS) ≥20)

Key Trial Info

Start Date :

September 25 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2031

Estimated Enrollment :

76 Patients enrolled

Trial Details

Trial ID

NCT06220435

Start Date

September 25 2023

End Date

September 1 2031

Last Update

August 12 2025

Active Locations (2)

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Page 1 of 1 (2 locations)

1

Region Skåne, Skåne University Hospital

Lund, Sweden

2

Region Västerbotten, Umeå University Hospital

Umeå, Sweden