Study Summary
This trial is testing a treatment for prostate cancer that has come back after prior radiotherapy, which involves the placement of a radioactive material in the affected area of the prostate temporarily, and then is subsequently removed using a minimally invasive technique. Participants will also receive external radiation for 5 weeks targeting the pelvis and giving a higher dose each day to the suspicious lymph nodes on PET scan.
- Prostate Cancer Recurrence
Treatment Effectiveness
Phase-Based Effectiveness
Study Objectives
1 Primary · 0 Secondary · Reporting Duration: 24 months
Trial Safety
Phase-Based Safety
Awards & Highlights
Trial Design
1 Treatment Group
HDR Brachytherapy + EBRT + STAD
1 of 1
Experimental Treatment
24 Total Participants · 1 Treatment Group
Primary Treatment: HDR Brachytherapy + EBRT + STAD · No Placebo Group · Phase 1 & 2
Trial Logistics
Trial Timeline
Who is running the clinical trial?
Eligibility Criteria
Age 18 - 99 · Male Participants · 1 Total Inclusion Criteria
Mark “Yes” if the following statements are true for you:- Zumsteg, Zachary S., Daniel E. Spratt, Paul B. Romesser, Xin Pei, Zhigang Zhang, Marisa Kollmeier, Sean McBride, Yoshiya Yamada, and Michael J. Zelefsky. 2015. “Anatomical Patterns of Recurrence Following Biochemical Relapse in the Dose Escalation Era of External Beam Radiotherapy for Prostate Cancer”. Journal of Urology. Ovid Technologies (Wolters Kluwer Health). doi:10.1016/j.juro.2015.06.100.
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- Chen, Chien Peter, Vivian Weinberg, Katsuto Shinohara, Mack Roach III, Marc Nash, Alexander Gottschalk, Albert J. Chang, and I-Chow Hsu. 2013. “Salvage HDR Brachytherapy for Recurrent Prostate Cancer After Previous Definitive Radiation Therapy: 5-year Outcomes”. International Journal of Radiation Oncology*biology*physics. Elsevier BV. doi:10.1016/j.ijrobp.2013.01.027.
- Peduzzi, Peter, John Concato, Elizabeth Kemper, Theodore R. Holford, and Alvan R. Feinstein. 1996. “A Simulation Study of the Number of Events Per Variable in Logistic Regression Analysis”. Journal of Clinical Epidemiology. Elsevier BV. doi:10.1016/s0895-4356(96)00236-3.
- Rigatti, Patrizio, Nazareno Suardi, Alberto Briganti, Luigi F. Da Pozzo, Manuela Tutolo, Luca Villa, Andrea Gallina, et al.. 2011. “Pelvic/retroperitoneal Salvage Lymph Node Dissection for Patients Treated with Radical Prostatectomy with Biochemical Recurrence and Nodal Recurrence Detected by [11c]choline Positron Emission Tomography/computed Tomography”. European Urology. Elsevier BV. doi:10.1016/j.eururo.2011.07.060.
- Beyer, David C. 1999. “Permanent Brachytherapy as Salvage Treatment for Recurrent Prostate Cancer”. Urology. Elsevier BV. doi:10.1016/s0090-4295(99)00241-1.
- Yamada, Yoshiya, Marisa A. Kollmeier, Xin Pei, Chu Cheng Kan, Gil'ad N. Cohen, Sherri M. Donat, Brett W. Cox, and Michael J. Zelefsky. 2014. “A Phase II Study of Salvage High-dose-rate Brachytherapy for the Treatment of Locally Recurrent Prostate Cancer After Definitive External Beam Radiotherapy”. Brachytherapy. Elsevier BV. doi:10.1016/j.brachy.2013.11.005.
- Savir-Baruch, Bital, Lucia Zanoni, and David M. Schuster. 2017. “Imaging of Prostate Cancer Using Fluciclovine”. PET Clinics. Elsevier BV. doi:10.1016/j.cpet.2016.11.005.
- Wirth, Manfred P., Oliver W. Hakenberg, and Michael Froehner. 2007. “Antiandrogens in the Treatment of Prostate Cancer”. European Urology. Elsevier BV. doi:10.1016/j.eururo.2006.08.043.
- Meng, Mao-Bin, Huan-Huan Wang, Nicholas G. Zaorsky, Xian-Zhi Zhao, Zhi-Qiang Wu, Bo Jiang, Yong-Chun Song, et al.. 2015. “Clinical Evaluation of Stereotactic Radiation Therapy for Recurrent or Second Primary Mediastinal Lymph Node Metastases Originating from Non-small Cell Lung Cancer”. Oncotarget. Impact Journals, LLC. doi:10.18632/oncotarget.3704.
- Simon, Richard. 1989. “Optimal Two-stage Designs for Phase II Clinical Trials”. Controlled Clinical Trials. Elsevier BV. doi:10.1016/0197-2456(89)90015-9.
- Zelefsky, Michael J., Deborah A. Kuban, Larry B. Levy, Louis Potters, David C. Beyer, John C. Blasko, Brian J. Moran, et al.. 2007. “Multi-institutional Analysis of Long-term Outcome for Stages T1–T2 Prostate Cancer Treated with Permanent Seed Implantation”. International Journal of Radiation Oncology*biology*physics. Elsevier BV. doi:10.1016/j.ijrobp.2006.08.056.
- Henríquez, Iván, Gemma Sancho, Asunción Hervás, Benjamin Guix, Joan Pera, Cristina Gutierrez, Oscar Abuchaibe, Rafael Martínez-Monge, Alejandro Tormo, and Alfredo Polo. 2014. “Salvage Brachytherapy in Prostate Local Recurrence After Radiation Therapy: Predicting Factors for Control and Toxicity”. Radiation Oncology. Springer Science and Business Media LLC. doi:10.1186/1748-717x-9-102.
- Grado, Gordon L., Joseph M. Collins, J.Scott Kriegshauser, Carrie S. Balch, Mary M. Grado, Gregory P. Swanson, Thayne R. Larson, Mahlon M. Wilkes, and Roberta J. Navickis. 1999. “Salvage Brachytherapy for Localized Prostate Cancer After Radiotherapy Failure”. Urology. Elsevier BV. doi:10.1016/s0090-4295(98)00492-0.
- Parekh, Arti, Powell L. Graham, and Paul L. Nguyen. 2013. “Cancer Control and Complications of Salvage Local Therapy After Failure of Radiotherapy for Prostate Cancer: A Systematic Review”. Seminars in Radiation Oncology. Elsevier BV. doi:10.1016/j.semradonc.2013.01.006.
- Daneshmand, Siamak, and Hamed Ahmadi. 2014. “Androgen Deprivation Therapy for Prostate Cancer: Long-term Safety and Patient Outcomes”. Patient Related Outcome Measures. Informa UK Limited. doi:10.2147/prom.s52788.
- Tward, Jonathan D., Kristine E. Kokeny, and Dennis C. Shrieve. 2013. “Radiation Therapy for Clinically Node-positive Prostate Adenocarcinoma Is Correlated with Improved Overall and Prostate Cancer-specific Survival”. Practical Radiation Oncology. Elsevier BV. doi:10.1016/j.prro.2012.11.011.
- Parks, Jason, Goetz Kloecker, Shiao Woo, and Neal E. Dunlap. 2016. “Stereotactic Body Radiation Therapy as Salvage for Intrathoracic Recurrence in Patients with Previously Irradiated Locally Advanced Non–small Cell Lung Cancer”. American Journal of Clinical Oncology. Ovid Technologies (Wolters Kluwer Health). doi:10.1097/coc.0000000000000039.
- Demanes, D. Jeffrey, Alvaro A. Martinez, Michel Ghilezan, Dennis R. Hill, Lionel Schour, David Brandt, and Gary Gustafson. 2011. “High-dose-rate Monotherapy: Safe and Effective Brachytherapy for Patients with Localized Prostate Cancer”. International Journal of Radiation Oncology*biology*physics. Elsevier BV. doi:10.1016/j.ijrobp.2010.10.015.
- Hearn, Jason W.D., Gregory M.M. Videtic, Toufik Djemil, and Kevin L. Stephans. 2014. “Salvage Stereotactic Body Radiation Therapy (SBRT) for Local Failure After Primary Lung SBRT”. International Journal of Radiation Oncology*biology*physics. Elsevier BV. doi:10.1016/j.ijrobp.2014.05.048.
- Shipley, William U., Howard D. Thames, Howard M. Sandler, Gerald E. Hanks, Anthony L. Zietman, Carlos A. Perez, Deborah A. Kuban, Steven L. Hancock, and Cyndi D. Smith. 1999. “Radiation Therapy for Clinically Localized Prostate Cancer”. Jama. American Medical Association (AMA). doi:10.1001/jama.281.17.1598.
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- Peduzzi P, Concato J, Kemper E, Holford TR, Feinstein AR. A simulation study of the number of events per variable in logistic regression analysis. J Clin Epidemiol. 1996 Dec;49(12):1373-9. doi: 10.1016/s0895-4356(96)00236-3.
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- Beyer DC. Permanent brachytherapy as salvage treatment for recurrent prostate cancer. Urology. 1999 Nov;54(5):880-3. doi: 10.1016/s0090-4295(99)00241-1.
- Ahmadi H, Daneshmand S. Androgen deprivation therapy for prostate cancer: long-term safety and patient outcomes. Patient Relat Outcome Meas. 2014 Jul 5;5:63-70. doi: 10.2147/PROM.S52788. eCollection 2014.
- Simon R. Optimal two-stage designs for phase II clinical trials. Control Clin Trials. 1989 Mar;10(1):1-10. doi: 10.1016/0197-2456(89)90015-9.
- Grado GL, Collins JM, Kriegshauser JS, Balch CS, Grado MM, Swanson GP, Larson TR, Wilkes MM, Navickis RJ. Salvage brachytherapy for localized prostate cancer after radiotherapy failure. Urology. 1999 Jan;53(1):2-10. doi: 10.1016/s0090-4295(98)00492-0.
- Meng MB, Wang HH, Zaorsky NG, Zhao XZ, Wu ZQ, Jiang B, Song YC, Zhuang HQ, Li FT, Zhao LJ, Wang CL, Li K, Wang P, Yuan ZY. Clinical evaluation of stereotactic radiation therapy for recurrent or second primary mediastinal lymph node metastases originating from non-small cell lung cancer. Oncotarget. 2015 Jun 20;6(17):15690-703. doi: 10.18632/oncotarget.3704.
- Henriquez I, Sancho G, Hervas A, Guix B, Pera J, Gutierrez C, Abuchaibe O, Martinez-Monge R, Tormo A, Polo A. Salvage brachytherapy in prostate local recurrence after radiation therapy: predicting factors for control and toxicity. Radiat Oncol. 2014 Apr 30;9:102. doi: 10.1186/1748-717X-9-102.
- Wirth MP, Hakenberg OW, Froehner M. Antiandrogens in the treatment of prostate cancer. Eur Urol. 2007 Feb;51(2):306-13; discussion 314. doi: 10.1016/j.eururo.2006.08.043. Epub 2006 Sep 11.
- Parekh A, Graham PL, Nguyen PL. Cancer control and complications of salvage local therapy after failure of radiotherapy for prostate cancer: a systematic review. Semin Radiat Oncol. 2013 Jul;23(3):222-34. doi: 10.1016/j.semradonc.2013.01.006.
- Abhishek A. Solanki 2018. "BEACON: HDR Brachytherapy, EBRT and STAD for the Treatment of Local and Pelvic Recurrence of Prostate Cancer After Radiation Therapy". ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT03553602.
Frequently Asked Questions
Is there still an opportunity to participate in this research endeavor?
"According to the clinicaltrials.gov website, this research endeavour is currently recruiting participants and was initially made public on May 29th 2018 with a recent update transpired in 2020 of that same month." - Anonymous Online Contributor
Is the age criteria for this medical trial limited to those over 85 years old?
"This trial is open to participants between 18 and 99 years old. For those under the age of 18, there are 231 different clinical trials available, while 2110 exams can be found for individuals over 65." - Anonymous Online Contributor
How many subjects are being monitored for the current clinical investigation?
"Affirmative. The clinical trial registry on clinicaltrials.gov confirms that this experiment, which was first listed in May 2018, is actively recruiting participants. 24 people need to be recruited from one medical centre for the completion of this research project." - Anonymous Online Contributor
Who is the ideal candidate for participation in this research project?
"This clinical trial is seeking 24 individuals with [recurrent prostate cancer](https://www.withpower.com/clinical-trials/recurrent-prostate-cancer) aged between 18 and 99. Eligibility criteria include: biopsy-proven adenocarcinoma of the prostate, Mx or M0 stages cT1 to T3a, Nx or N0 status, external beam radiotherapy using photons/protons, definitive brachytherapy, stereotactic body radiotherapy (SBRT), F18-fluciclovine positive pelvic nodes without distal metastasis nor lymph node involvement beyond this area; also a candidate for hormonal therapy plus an ECOG performance score ranging from 0 to 2 on the" - Anonymous Online Contributor