About this trial
The goal of this clinical trial is to combine several optimized treatments of high risk prostate cancer. The main question to answer is: is it safe to combine these optimized treatments.
* patients will be irradiated on the prostate and (elective) lymph nodes more concentrated but with fewer hospital visits (hypofractionation) * the tumor will get a higher dose * androgen deprivation therapy will be reduced as much al possible preventing side effects
Researchers will compare oncological outcome and toxicity.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
T3 based on digital rectal examination AND/OR
Grade >= 4 AND/OR
PSA >=20 ug/L
Indication for elective lymph node irradiation (based on current clinical guidelines) OR N1 on imaging (with a maximum of 4 suspect lymph nodes)
Disqualifiers
Prior pelvic radiotherapy
TransUrethral Resection of the Prostate (TURP) < 3 months ago
Prostatectomy or other primary treatment for prostate cancer (e.g. HIFU, cryotherapy, etc)
contraindications to MRI
Trial design
Single group
Treatments tested in this trial
HYPOPRIME treatment
RadiationHypo fractionated pelvic radiotherapy with boost to primary tumour in the prostate with elective lymph node irradiation and minimized androgen deprivation therapy
Treatment groups
Trial outcomes
Primary outcomes
Biochemical recurrence free survival
rise of PSA 2 ng/ml above nadir
Late gastrointestinal and genito-urinary toxicity, and erectile dysfunction
according to CTC-AE v5
Secondary outcomes
Metastasis free survival
Metastasis free survival
Overall survival
Overall survival
Pattern of failure
based on PSMA in case of biochemical recurrence
Sponsors and contacts
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Haaglanden Medical Centre
Lead sponsor
Tata Memorial Centre
Collaborator