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Radiation Therapy

Hypofractionated Radiation Therapy for Prostate Cancer

Phase 1
Recruiting
Research Sponsored by University of Maryland, Baltimore
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
ECOG Performance Status 0-1
Clinically negative lymph nodes as established by imaging (pelvic ± abdominal CT or MR), (but not by nodal sampling, or dissection) within 120 days prior to registration.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 1 month after completion of treatment, every 3 months for year 1, and every 6 months during year 2
Awards & highlights

Study Summary

This trial is testing if it is safe to give three different schedules of radiation therapy to the pelvis and prostate to see if it kills cancer cells while not harming normal cells too much.

Who is the study for?
Men over 18 with intermediate to high-risk prostate cancer, without bone metastases or previous chemotherapy for prostate cancer. They must have a good performance status and be able to consent. Excluded are those with prior pelvic radiation, certain blood thinners, autoimmune diseases that could worsen with radiation, or any severe condition that might complicate participation.Check my eligibility
What is being tested?
This phase I trial tests the safety of three different schedules of Hypofractionated Radiation Therapy targeting the pelvic lymph nodes and prostate. The therapy aims to increase the dose to the cancer while keeping it safe for normal tissues.See study design
What are the potential side effects?
Potential side effects may include skin reactions in treated areas, fatigue, gastrointestinal issues like diarrhea or discomfort, urinary problems such as increased frequency or urgency, and possibly inflammation in nearby organs.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am fully active or can carry out light work.
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My recent scans showed no signs of cancer in my lymph nodes.
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I have prostate cancer that needs radiation treatment for both the prostate and pelvic area.
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I am 18 years old or older.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~1 month after completion of treatment, every 3 months for year 1, and every 6 months during year 2
This trial's timeline: 3 weeks for screening, Varies for treatment, and 1 month after completion of treatment, every 3 months for year 1, and every 6 months during year 2 for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
HypoFx RT schedule that results in <33% acute dose-limiting toxicity with accelerated, HypoFx pelvic nodal RT
Secondary outcome measures
Dose volume histogram (DVH) parameters
Evaluate the duration of biochemical progression-free survival
Acute Coryza
+2 more

Side effects data

From 2022 Phase 2 trial • 107 Patients • NCT03324802
80%
Dermatitis radiation
54%
Skin hyperpigmentation
48%
Pain
35%
Lymphedema
22%
Superficial soft tissue fibrosis
7%
Skin hypopigmentation
6%
Edema limbs
2%
Device related infection
100%
80%
60%
40%
20%
0%
Study treatment Arm
Arm 1 (Radiation Therapy, 15 Fractions)
Arm 2 (Hypofractionated Radiation Therapy, 5 Fractions)

Trial Design

3Treatment groups
Experimental Treatment
Group I: Dose Level 3Experimental Treatment1 Intervention
Dose schedules were calculated to maintain similar BED for late normal tissue injury (α/β= 3.0 Gy), with an increased BED for PC (α/β= 1.5Gy). Patients be treated with 12 fractions. A total of 6 patients will be treated at the dose that is determined to be Maximum Tolerated Dose.
Group II: Dose Level 2Experimental Treatment1 Intervention
Dose schedules were calculated to maintain similar BED for late normal tissue injury (α/β= 3.0 Gy), with an increased BED for PC (α/β= 1.5Gy). Patients be treated with 16 fractions. A total of 6 patients will be treated at the dose that is determined to be Maximum Tolerated Dose.
Group III: Dose Level 1Experimental Treatment1 Intervention
Dose schedules were calculated to maintain similar BED for late normal tissue injury (α/β= 3.0 Gy), with an increased BED for PC (α/β= 1.5Gy). Patients be treated with 20 fractions. A total of 6 patients will be treated at the dose that is determined to be Maximum Tolerated Dose.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Hypofractionated Radiation Therapy
2016
Completed Phase 2
~130

Find a Location

Who is running the clinical trial?

University of Maryland, BaltimoreLead Sponsor
688 Previous Clinical Trials
374,638 Total Patients Enrolled
12 Trials studying Prostate Cancer
581 Patients Enrolled for Prostate Cancer

Media Library

Hypofractionated Radiation Therapy (Radiation Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT04486755 — Phase 1
Prostate Cancer Research Study Groups: Dose Level 3, Dose Level 1, Dose Level 2
Prostate Cancer Clinical Trial 2023: Hypofractionated Radiation Therapy Highlights & Side Effects. Trial Name: NCT04486755 — Phase 1
Hypofractionated Radiation Therapy (Radiation Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04486755 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

To what magnitude is the current participant pool of this trial?

"Affirmative, clinicaltrials.gov records indicate that this trial has been actively recruiting since November 19th 2020 and is currently in search of 18 patients to be enrolled at 1 medical centre."

Answered by AI

Is Hypofractionated Radiation Therapy a reliable approach for ensuring safety?

"As this is an initial stage trial, the safety of Hypofractionated Radiation Therapy was scored a 1 due to limited clinical data indicating its efficacy and safety."

Answered by AI

Is the recruitment process for this research endeavor still ongoing?

"Per clinicaltrials.gov, the researchers are actively seeking participants for this experiment, which was posted on November 19th 2020 and most recently updated April 26th 2022."

Answered by AI
~1 spots leftby Aug 2024