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Brachytherapy
Hyperthermia + Radiation for Recurrent Prostate Cancer
N/A
Waitlist Available
Led By Adam Mueller, MD
Research Sponsored by Sidney Kimmel Cancer Center at Thomas Jefferson University
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Histologically proven persistent or recurrent adenocarcinoma of the prostate following prior external beam radiation therapy or brachytherapy
Karnofsky performance status > 70%
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights
Study Summary
This trialstudies how to best combine radiation and heat to treat prostate cancer that has returned after prior radiation.
Who is the study for?
This trial is for men with prostate cancer that has returned after radiation. They must have a recent PSA test, biopsy, and scans showing no distant metastasis. Blood counts need to be within certain ranges, they should agree to use contraception if of childbearing potential, and not have had certain urological surgeries or thermal treatments for prostate cancer.Check my eligibility
What is being tested?
The study is testing the combination of hyperthermia treatment (heating tumor cells) with high dose rate brachytherapy (targeted internal radiation) in patients whose prostate cancer has recurred after previous radiation therapy. The goal is to see if this approach is more effective when the two are used together.See study design
What are the potential side effects?
Potential side effects may include discomfort from heat during hyperthermia treatment, typical risks associated with anesthesia and invasive procedures like brachytherapy such as bleeding or infection, and usual radiation side effects like fatigue, skin irritation at the treatment site, and urinary issues.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My prostate cancer has come back or continued after radiation treatment.
Select...
I am mostly independent and can care for myself.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 5 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Incidence of dose limiting toxicity defined as >= grade 3 per National Cancer Institute Common Toxicity Criteria version 4 occurring within 90 days of treatment and at least possibly attributed to radiation therapy and/or hyperthermia
Secondary outcome measures
Efficacy of combined salvage HDR brachytherapy and interstitial hyperthermia as defined by nadir PSA =< 0.5 mg/ml and freedom from biochemical failure per the Phoenix definition (nadir + 2)
Incidence of long-term toxicity associated with combined salvage high dose rate (HDR) brachytherapy and interstitial hyperthermia
Side effects data
From 2021 Phase 2 trial • 200 Patients • NCT0252649822%
Musculoskeletal and connective tissue disorders
20%
Injury, poisoning and procedural complications
18%
Reproductive system and breast disorder
15%
Breast Pain
14%
Dermatitis radiation
14%
Fibrosis deep connective tissue
10%
Superficial soft tissue fibrosis
6%
Seroma
5%
Skin and subcutaneous tissue disorders
100%
80%
60%
40%
20%
0%
Study treatment Arm
Treatment (APBI Using HDR Brachytherapy)
Trial Design
1Treatment groups
Experimental Treatment
Group I: Treatment (high dose rate brachytherapy, hyperthermia)Experimental Treatment3 Interventions
Patients undergo high dose rate brachytherapy for 15-30 minutes. Immediately after radiation therapy (no longer than 90 minutes), patients undergo interstitial hyperthermia treatment for up to 60 minutes.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
High-Dose Rate Brachytherapy
2004
Completed Phase 2
~530
Hyperthermia Treatment
2013
N/A
~10
Find a Location
Who is running the clinical trial?
Sidney Kimmel Cancer Center at Thomas Jefferson UniversityLead Sponsor
162 Previous Clinical Trials
10,908 Total Patients Enrolled
13 Trials studying Prostate Cancer
1,567 Patients Enrolled for Prostate Cancer
Adam Mueller, MDPrincipal InvestigatorThomas Jefferson University
2 Previous Clinical Trials
88 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- My cancer has spread to distant parts of my body.You are expected to live for at least 3 more years.I stopped hormone therapy or chemotherapy more than 30 days ago.My other health conditions won't affect or increase risks for my treatment, according to my doctor.I have had treatments like HIFU or cryoablation for prostate cancer.My recent scans show no cancer spread to bones.I am a man who can father a child and agree to use birth control during and for 3 months after treatment.My prostate cancer has come back or continued after radiation treatment.I had a prostate biopsy with a Gleason score and TNM staging done within the last year.I am mostly independent and can care for myself.I have had surgery or procedures on my urinary system that may affect radiation treatment.My recent scans show no cancer spread in my pelvis.I am not mentally competent or I am currently in jail.
Research Study Groups:
This trial has the following groups:- Group 1: Treatment (high dose rate brachytherapy, hyperthermia)
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Is there still an opportunity to participate in this research endeavor?
"The information hosted on clinicaltrials.gov suggests that this particular medical trial is no longer actively recruiting patients, as the study has not been modified since July 19th 2021. Nevertheless, there are 2360 other studies currently open for recruitment at this moment in time."
Answered by AI
Has the FDA signified acceptance of High-Dose Rate Brachytherapy?
"Considering the limited existing evidence supporting High-Dose Rate Brachytherapy's efficacy and safety, our team at Power gave it a score of 1."
Answered by AI
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