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Docetaxel, Androgen Deprivation and Proton Therapy for High Risk Prostate Cancer (PR05)

Primary Purpose

Prostate Cancer

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
< 15% risk of + LN
> 15% risk of + LN
Sponsored by
University of Florida
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostate Cancer focused on measuring Prostate Cancer, Proton Radiation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

* Adenocarcinoma of the prostate.

Exclusion Criteria:

  • Previous prostate cancer treatment such as chemotherapy and/or pelvic radiation.
  • Active inflammatory bowel disease (diverticulitis, Crohn's disease or ulcerative colitis) affecting the rectum. (Non-active diverticulitis and Crohn's disease not affecting the rectum are allowed.)
  • History of hip replacement.
  • Prior intrapelvic surgery. This includes the following:
  • Transrectal or rectal surgery other than polypectomy or hemorrhoid removal or banding
  • Transabdominal pelvic surgery
  • Bladder surgery
  • Prior myocardial infarction (MI) or congestive heart failure (CHF).
  • Taking Saw Palmetto or methotrexate and unable or unwilling to discontinue its use during radiation.

Sites / Locations

  • University of Florida Proton Therapy Institute

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

High-risk arm A (HR-A)

HR-B

Arm Description

< 15% risk of + lymph nodes (LN)

> 15% risk of + LN

Outcomes

Primary Outcome Measures

Acute Grade 3 or Higher Treatment-related Toxicity Rate.
Number of participants that experienced acute grade 3 or higher, treatment-related toxicity based on CTCAE version 3.0 criteria.

Secondary Outcome Measures

Collect and Analyze Quality of Life, Treatment-related Late Morbidity, Disease Control, and Survival Outcome Parameters.
Collect and Analyze Treatment, Biologic and Diagnostic Information That May Impact Quality of Life, Disease Control, Morbidity and/or Survival Outcomes.

Full Information

First Posted
December 24, 2009
Last Updated
September 14, 2023
Sponsor
University of Florida
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1. Study Identification

Unique Protocol Identification Number
NCT01040624
Brief Title
Docetaxel, Androgen Deprivation and Proton Therapy for High Risk Prostate Cancer
Acronym
PR05
Official Title
A Phase II Study of Proton-Based Radiation Therapy With Elective Pelvic Nodal Irradiation, Concomitant Docetaxel, and Adjuvant Androgen Deprivation for High-Risk Prostate Adenocarcinoma
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Completed
Study Start Date
December 2009 (undefined)
Primary Completion Date
January 2015 (Actual)
Study Completion Date
April 11, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Florida

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to see what effects, good and/or bad, proton based radiation combined with low dose chemotherapy and hormonal therapy, has on patients and their cancer.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer
Keywords
Prostate Cancer, Proton Radiation

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
77 (Actual)

8. Arms, Groups, and Interventions

Arm Title
High-risk arm A (HR-A)
Arm Type
Experimental
Arm Description
< 15% risk of + lymph nodes (LN)
Arm Title
HR-B
Arm Type
Experimental
Arm Description
> 15% risk of + LN
Intervention Type
Radiation
Intervention Name(s)
< 15% risk of + LN
Intervention Description
Total of 54 Cobalt gray equivalent (CGE) over 30 treatments to prostate + seminal vesicles (SV), then proton boost total of 23.4-27 CGE over 13-15 treatments to prostate +/- SV. Low dose docetaxel every week during radiation therapy (RT) followed by androgen deprivation therapy for 6 months.
Intervention Type
Radiation
Intervention Name(s)
> 15% risk of + LN
Intervention Description
Total of 45 Gy over 25 treatments to prostate + SV + LN, then proton boost total of 32.4-36 CGE over 18-20 treatments to prostate + SV. Low dose docetaxel every week during RT followed by androgen deprivation therapy for 6 months.
Primary Outcome Measure Information:
Title
Acute Grade 3 or Higher Treatment-related Toxicity Rate.
Description
Number of participants that experienced acute grade 3 or higher, treatment-related toxicity based on CTCAE version 3.0 criteria.
Time Frame
6 months after the completion of radiation therapy
Secondary Outcome Measure Information:
Title
Collect and Analyze Quality of Life, Treatment-related Late Morbidity, Disease Control, and Survival Outcome Parameters.
Time Frame
After radiation: every 6 months for 3 years, then annually for 20 years
Title
Collect and Analyze Treatment, Biologic and Diagnostic Information That May Impact Quality of Life, Disease Control, Morbidity and/or Survival Outcomes.
Time Frame
After radiation: every 6 months for 3 years, then annually for 20 years

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: * Adenocarcinoma of the prostate. Exclusion Criteria: Previous prostate cancer treatment such as chemotherapy and/or pelvic radiation. Active inflammatory bowel disease (diverticulitis, Crohn's disease or ulcerative colitis) affecting the rectum. (Non-active diverticulitis and Crohn's disease not affecting the rectum are allowed.) History of hip replacement. Prior intrapelvic surgery. This includes the following: Transrectal or rectal surgery other than polypectomy or hemorrhoid removal or banding Transabdominal pelvic surgery Bladder surgery Prior myocardial infarction (MI) or congestive heart failure (CHF). Taking Saw Palmetto or methotrexate and unable or unwilling to discontinue its use during radiation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nancy P Mendenhall, MD
Organizational Affiliation
University of Florida Proton Therapy Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Florida Proton Therapy Institute
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32206
Country
United States

12. IPD Sharing Statement

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Docetaxel, Androgen Deprivation and Proton Therapy for High Risk Prostate Cancer

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