Low Dose Hemi-body Radiation For Recurrent Prostate Cancer
Primary Purpose
Prostate Cancer
Status
Completed
Phase
Not Applicable
Locations
Canada
Study Type
Interventional
Intervention
Low Dose Radiotherapy
Sponsored by

About this trial
This is an interventional treatment trial for Prostate Cancer
Eligibility Criteria
Inclusion Criteria:
- A confirmed diagnosis of prostate cancer.
- Having undergone prior prostate surgery or radiotherapy or both.
- Evidence of recurrence of the disease as demonstrated by rising PSA levels. Patients are eligible if on androgen blockade or hormone naïve.
Exclusion Criteria:
- Prior treatment with chemotherapy and/or abiraterone and/or enzalutamide and/or radium-223.
- Receiving treatment with immunosuppressive medications.
- Platelet count below 50,000/µl (50 x 109/l) or leukocyte count below 3,000/µl (3 x 109/l) or granulocyte count below 2,000/µl (2 x 109/l).
- Other medical conditions or co-morbidities which, in the opinion of the Investigator, may interfere with the participant's ability to participate in the study.
- Language difficulties which may hinder the patient's ability to complete the trial.
- Inability of the potential participant to provide consent.
- Lack of independence in daily living activities and any other conditions which, in the opinion of the Investigator, will hinder the participant's ability to participate and complete the study obligations.
Sites / Locations
- Hamilton Health Sciences
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Low Dose Radiation
Arm Description
Subjects will receive low dose body radiation for 5 weeks.
Outcomes
Primary Outcome Measures
PSA response
Proportion of patients with a reduction of PSA levels by at least 50%
Secondary Outcome Measures
Immunological changes
Levels of CD8+ and CD16+ cells, cytokine levels
Adverse Events
NCI-CTCAE
Quality of Life
SF-36
Full Information
NCT ID
NCT03196778
First Posted
June 20, 2017
Last Updated
August 8, 2022
Sponsor
Juravinski Cancer Center
Collaborators
McMaster University, Mitacs, Northern Ontario School of Medicine
1. Study Identification
Unique Protocol Identification Number
NCT03196778
Brief Title
Low Dose Hemi-body Radiation For Recurrent Prostate Cancer
Official Title
Non-Targeted Low Dose Radiotherapy For Recurrent Prostate Cancer
Study Type
Interventional
2. Study Status
Record Verification Date
August 2022
Overall Recruitment Status
Completed
Study Start Date
September 25, 2017 (Actual)
Primary Completion Date
July 18, 2022 (Actual)
Study Completion Date
July 18, 2022 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Juravinski Cancer Center
Collaborators
McMaster University, Mitacs, Northern Ontario School of Medicine
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
Older studies in animals and humans have shown cancer responses to very low doses of whole-body or hemi-body radiation. To study the effects of low doses of radiation in patients with recurrent prostate cancer, investigators will enroll up to 21 patients for 10 fractions of low dose radiation, delivered over 5 weeks. Participants will be followed on study for 12 months, capturing PSA, CBC, QoL and blood samples for immunological analysis.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
21 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Low Dose Radiation
Arm Type
Experimental
Arm Description
Subjects will receive low dose body radiation for 5 weeks.
Intervention Type
Radiation
Intervention Name(s)
Low Dose Radiotherapy
Intervention Description
Patients will receive 10 fractions of very low dose hemi-body radiation, delivered, twice per week, over five weeks
Primary Outcome Measure Information:
Title
PSA response
Description
Proportion of patients with a reduction of PSA levels by at least 50%
Time Frame
Within 12 months of study treatment
Secondary Outcome Measure Information:
Title
Immunological changes
Description
Levels of CD8+ and CD16+ cells, cytokine levels
Time Frame
Within 12 months of study treatment
Title
Adverse Events
Description
NCI-CTCAE
Time Frame
Within 12 months of study treatment
Title
Quality of Life
Description
SF-36
Time Frame
Within 12 months of study treatment
10. Eligibility
Sex
Male
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
A confirmed diagnosis of prostate cancer.
Having undergone prior prostate surgery or radiotherapy or both.
Evidence of recurrence of the disease as demonstrated by rising PSA levels. Patients are eligible if on androgen blockade or hormone naïve.
Exclusion Criteria:
Prior treatment with chemotherapy and/or abiraterone and/or enzalutamide and/or radium-223.
Receiving treatment with immunosuppressive medications.
Platelet count below 50,000/µl (50 x 109/l) or leukocyte count below 3,000/µl (3 x 109/l) or granulocyte count below 2,000/µl (2 x 109/l).
Other medical conditions or co-morbidities which, in the opinion of the Investigator, may interfere with the participant's ability to participate in the study.
Language difficulties which may hinder the patient's ability to complete the trial.
Inability of the potential participant to provide consent.
Lack of independence in daily living activities and any other conditions which, in the opinion of the Investigator, will hinder the participant's ability to participate and complete the study obligations.
Facility Information:
Facility Name
Hamilton Health Sciences
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8V 5C2
Country
Canada
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
No plan to share IPD. Results to be reported as aggregate outcomes for the group.
Learn more about this trial
Low Dose Hemi-body Radiation For Recurrent Prostate Cancer
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