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Radiation Therapy
Stereotactic Ablative Radiotherapy for Prostate Cancer (DAPPER Trial)
N/A
Recruiting
Led By Bradley J Stish
Research Sponsored by Mayo Clinic
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights
DAPPER Trial Summary
This trial evaluates the safety & effectiveness of radiation therapy (x-rays) to the prostate fossa & pelvic lymph nodes after prostatectomy to better target tumors & minimize exposure to normal tissue.
Who is the study for?
Men over 18 with prostate cancer who've had their prostate surgically removed and are now facing a rise in PSA levels, indicating potential remaining cancer. They must be able to handle daily activities with some limitations (ECOG PS ≤2), fill out questionnaires, give informed consent, and follow the study's check-up schedule. Men with untreated widespread cancer, recent chemotherapy, previous high-dose pelvic radiation, life expectancy under 5 years due to other diseases, decision-making impairments or non-adherence issues can't join.Check my eligibility
What is being tested?
The DAPPER Study is testing if using Stereotactic Ablative Radiotherapy (SABR) combined with daily adaptive techniques can safely target leftover tumor areas while minimizing damage to healthy tissue in men post-prostatectomy. This involves advanced imaging like MRI and PET/CT scans for precise treatment adjustments.See study design
What are the potential side effects?
Potential side effects include skin reactions in treated areas, fatigue from radiation therapy, bowel and bladder changes such as increased frequency or discomfort during use. There may also be risks associated with frequent imaging tests used for adapting the therapy.
DAPPER Trial 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
Observe Grade 3 genitourinary and gastrointestinal toxicity rate to demonstrate safety of daily adaptive online replanning
Secondary outcome measures
Assess patient reported changes in urinary, bowel, and sexual outcomes following protocol treatment with the Expanded Prostate Cancer Index Composite-26 (EPIC-26) instrument.
Biochemical failure
Change in patient reported urinary, bowel, and sexual outcomes following protocol treatment with the Expanded Prostate Cancer Index Composite-26 (EPIC-26) instrument.
+3 moreDAPPER Trial Design
2Treatment groups
Experimental Treatment
Group I: Group II (daily adaptive online replanning, SBRT)Experimental Treatment6 Interventions
Patients undergo daily adaptive online replanning for SBRT to the prostate fossa and pelvic lymph nodes on study. Patients also undergo MRI and may undergo PET/CT during screening.
Group II: Group I (daily adaptive online replanning, SBRT)Experimental Treatment6 Interventions
Patients undergo daily adaptive online replanning for SBRT to the prostate fossa on study. Patients also undergo MRI and may undergo PET/CT during screening.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Computed Tomography
2017
Completed Phase 2
~2720
Image-Guided Adaptive Radiation Therapy
2015
Completed Early Phase 1
~50
Magnetic Resonance Imaging
2017
Completed Phase 3
~1190
Positron Emission Tomography
2008
Completed Phase 2
~2240
Stereotactic Body Radiation Therapy
2012
Completed Phase 2
~780
Find a Location
Who is running the clinical trial?
Mayo ClinicLead Sponsor
3,207 Previous Clinical Trials
3,767,090 Total Patients Enrolled
34 Trials studying Prostate Cancer
8,388 Patients Enrolled for Prostate Cancer
Bradley J StishPrincipal InvestigatorMayo Clinic in Rochester
1 Previous Clinical Trials
45 Total Patients Enrolled
Bradley J. Stish, M.D.Principal InvestigatorMayo Clinic in Rochester
2 Previous Clinical Trials
194 Total Patients Enrolled
1 Trials studying Prostate Cancer
154 Patients Enrolled for Prostate Cancer
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I have a serious health condition that may limit my life to under 5 years.I have diabetes-related ulcers, bowel inflammation, or a connective tissue disorder.I am a man who can father children and refuse to use birth control.I have not had chemotherapy in the last 3 months.I have had surgery or needed treatment for issues with my bladder or urethra, but not including prostate removal.I am a man over 18 receiving radiation after prostate surgery due to cancer return.I can take care of myself but might not be able to do heavy physical work.My prostate cancer has spread to areas beyond the pelvis without treatment.I am able to understand and follow the study's requirements.I have had radiation therapy to my pelvis where the treatment area received 10 Gy or more.I am willing and able to follow the study's check-up schedule.
Research Study Groups:
This trial has the following groups:- Group 1: Group I (daily adaptive online replanning, SBRT)
- Group 2: Group II (daily adaptive online replanning, SBRT)
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.
Are there any vacancies currently available for enrolment in this research study?
"According to clinicaltrials.gov this study is no longer enrolling patients, having been first posted on May 30th 2023 and last updated April 13th of the same year. However, there are presently 1265 other medical trials actively seeking participants."
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