Hypofractionated Radiosurgery for Localised Prostate Cancer (HYPOSTAT-III)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexMale
Age18+
SponsorUniversity Hospital Schleswig-Holstein

About this trial

Hypofractionated radiosurgery with 5 fractions is considered standard of care for localized prostate cancer. The investigators initiated this multicenter phase II prospective trial to analyse feasibility (toxicity) of hypofractionated radiosurgery with 3 fractions in patients with localised prostate cancer under the hypothesis that the ratio of patients with late GU and GI toxicity ≥ grade 2 after 1 year amounts to 8.4% and 1.3% and is significant lower than 16.4% and 5.7% currently.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Localised, histopathologically confirmed Prostate Cancer (cT1-T2c N0 M0)

Gleason-grade ≤7, ISUP Grade Group 1-3

Guideline-based staging

Age ≥ 18 years

Disqualifiers

History of prior pelvic radiotherapy

Previous transurethral resection, laser enucleation or prostate ablation

Contraindication to MRI or Fiducial marker implantation (e.g. gold allergy)

Relevant comorbidity thought to adversely affect treatment compliance

Trial design

Design model

Single group

Treatments tested in this trial

  • Hypofractionated Radiosurgery

    Radiation

    Image-guided stereotactic Linac based RT preferable with "dedicated radiosurgery system" such as CyberKnife

Treatment groups

175 Participants
are divided into 1 treatment group
Group A: Hypofractionated RadiosurgeryExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

GU and GI Toxicity

Late toxicity measured with Radiation Therapy Oncology Group-(RTOG)-Score

Time frame
12-15 months after radiotherapy

Secondary outcomes

1

Acute toxicity

Acute toxicity analysed by Adverse Event (AE)- and Serious Adverse Event (SAE)-reports

Time frame
Through study completion
2

PSA

Prostate Specific Antigen (PSA)

Time frame
At the time of inclusion and 1, 3, 6-9 and 12-15 months after radiotherapy
3

IPSS

International Prostate Symptom Score (IPSS) on a scale 0-35 with lower being better

Time frame
Screening and 3, 6-9 and 12-15 months after radiotherapy
4

Quality of Life Score

EORTC Quality of Life Questionnaire (QLQ) C30 on a scale 0-100 with higher being better

Time frame
At the time of inclusion and 12-15 months after radiotherapy

Other outcomes

Sponsors and contacts

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