INSPIRE: INnovative SABR for Prostate Cancer All IREland

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexMale
Age18+
SponsorCancer Trials Ireland

About this trial

This is a Phase II, single arm, multi-centre, prospective clinical trial evaluating next generation Stereotactic Ablative Radiotherapy (SABR) for low, intermediate, and eligible high-risk prostate cancer. Eligible patients will receive next generation prostate SABR incorporating toxicity reduction strategies

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Written informed consent obtained prior to any study-related procedures

Males ≥ 18 years of age

ECOG performance status (PS) 0-2

Biopsy-proven prostate adenocarcinoma without neuro-endocrine differentiation (within 18 months prior to registration, unless on active surveillance and re-biopsy not clinically indicated)

Disqualifiers

Previous malignancy within the last 2 years (except basal cell carcinoma (BCC) or squamous carcinoma of the skin), or if previous malignancy is expected to significantly compromise 5 year survival

Prior pelvic radiotherapy

Any prior active treatment for prostate cancer (with the exception of ADT). Patients previously on active surveillance are eligible if they continue to meet all other eligibility criteria.

Life expectancy <5 years.

Trial design

Design model

Single group

Treatments tested in this trial

  • Next generation Stereotactic Ablative Radiotherapy (SABR)

    Radiation

    Treatment will prioritise the dominant intraprostatic lesion (DIL) while sparing surrounding organs at risk (OARs).

Treatment groups

136 Participants
are divided into 1 treatment group
Group A: Next generation Stereotactic Ablative Radiotherapy (SABR)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Late GU toxicity

Rate of ≥ Grade 2 version 5 (v5) NCI CTCAE late GU toxicity in next-generation prostate SABR at 2 years.

Time frame
2 years after last fraction

Secondary outcomes

1

Acute GU Toxicity

Acute Grade ≥ 2 GU toxicity ≤12 weeks, using v5 NCI CTCAE

Time frame
≤12 weeks after last fraction
2

Acute GI Toxicity

Acute Grade ≥ 2 GI toxicity ≤12 weeks, using v5 NCI CTCAE

Time frame
≤12 weeks after last fraction
3

Late GU toxicity at 5 years

Late Grade ≥ 2 GU toxicity at 5 years, using v5 NCI CTCAE

Time frame
5 years after last fraction
4

Late GI toxicity at 5 years

Late Grade ≥ 2 GI toxicity at 5 years, using v5 NCI CTCAE

Time frame
5 years after last fraction

Other outcomes

1

Patient-Reported Outcomes (PRO) / Quality of Life (QoL) assessments for all patients via Penile Shortening and well being questionnaire (PSW E9).

PSW E9 will be reported at baseline, 6 months and 2 years post treatment. PSW E9 is a 9 item questionnaire using a Likert scale 0-4 where higher scores indicate lower satisfaction.

Time frame
Baseline, 6 months and 2 years post treatment.

Sponsors and contacts

Click on the lead sponsor to view all of their trials.