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Prospective Evaluation of Hypofractionated Stereotactic RT Using CyberKnife for Patients With Prostate Cancer (CYBERPROST)

Primary Purpose

Prostate Cancer

Status
Recruiting
Phase
Not Applicable
Locations
Poland
Study Type
Interventional
Intervention
SBRT
Sponsored by
The Greater Poland Cancer Centre
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Prostate Cancer focused on measuring Prostate cancer, SBRT, Ultrafractionation, CyberKnife

Eligibility Criteria

40 Years - 75 Years (Adult, Older Adult)MaleDoes not accept healthy volunteers

Inclusion Criteria:

  • men from 40 to 75 years of age with a confirmed adenocarcinoma prostate, prostate biopsy will be performed <180 days prior to the randomization date,
  • completed assessment of tumor differentiation according to Gleason grading allows to perform stratification;
  • general Performance Status according to the Eastern Cooperative Oncology Group (ECOG) classification ( 0 -1),
  • belonging to the group of low and intermedium risk of progression; (cT1-cT2c, Gleason 7, PSA to 19.9 ng / ml), cT specified by AJCC 7 Edition (appendix 2),
  • PSA marked at least 10 days after or before the biopsy, and for patients taking phytosterol 30 days after discontinuation,
  • no distant metastases,
  • signing informed consent,
  • morphological and biochemical blood parameters within the normal limits.

Exclusion Criteria:

  • the presence of active cancer, except skin cancer preceding period 5 years prior to randomization,
  • surgical treatment (radical prostatectomy) or RT in the pelvic area,
  • co-morbidities that may significantly affect the expectancy life of the patients
  • do not meet the criteria for inclusion.

Sites / Locations

  • Greater Poland Cancer CentreRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Hypofractionated Stereotactic SBRT

Arm Description

By assuming a hypofractionated irradiation scheme, it is assumed that between the fractions sublethal radiation damage is being treated and the time factor does not significantly affect RT result. The SBRT fractional dose was determined on the basis of a Biologically Effective Dose (BED) calculation using a linear-square model, which assumes that α / β takes the following values for: tumor (RS) = 1.5 Late rectal and bladder complications = 3.0 early rectal and bladder complications = 10.0.

Outcomes

Primary Outcome Measures

survival time without biochemical recurrence,
Phoenix definition of biochemical failure

Secondary Outcome Measures

survival time specific for prostate cancer,
the period of time from randomization until death from prostate cancer

Full Information

First Posted
May 19, 2017
Last Updated
February 4, 2020
Sponsor
The Greater Poland Cancer Centre
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1. Study Identification

Unique Protocol Identification Number
NCT03225235
Brief Title
Prospective Evaluation of Hypofractionated Stereotactic RT Using CyberKnife for Patients With Prostate Cancer
Acronym
CYBERPROST
Official Title
Prospective Evaluation of Hypofractionated Stereotactic RT (SBRT) Using CyberKnife for Patients With Low and Intermediate Risk of Progression Prostate Cancer.
Study Type
Interventional

2. Study Status

Record Verification Date
February 2020
Overall Recruitment Status
Recruiting
Study Start Date
August 26, 2013 (Actual)
Primary Completion Date
December 2020 (Anticipated)
Study Completion Date
August 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The Greater Poland Cancer Centre

4. Oversight

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

5. Study Description

Brief Summary
The main purpose of study is to evaluate hypofractionated stereotactic radiotherapy (SBRT) using CyberKnife for Patients with low and intermediate risk of progression prostate cancer.
Detailed Description
Evaluation of the usefulness expression of selected proteins (PTEN, SMAD4, Cyclin D1, SPP1) as prognostic and predictive factors.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Prostate Cancer
Keywords
Prostate cancer, SBRT, Ultrafractionation, CyberKnife

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
600 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Hypofractionated Stereotactic SBRT
Arm Type
Experimental
Arm Description
By assuming a hypofractionated irradiation scheme, it is assumed that between the fractions sublethal radiation damage is being treated and the time factor does not significantly affect RT result. The SBRT fractional dose was determined on the basis of a Biologically Effective Dose (BED) calculation using a linear-square model, which assumes that α / β takes the following values for: tumor (RS) = 1.5 Late rectal and bladder complications = 3.0 early rectal and bladder complications = 10.0.
Intervention Type
Radiation
Intervention Name(s)
SBRT
Intervention Description
hypofractionated stereotactic radiotherapy (SBRT) using CyberKnife for Patients With Low and Intermediate Risk of Progression Prostate Cancer
Primary Outcome Measure Information:
Title
survival time without biochemical recurrence,
Description
Phoenix definition of biochemical failure
Time Frame
5 years
Secondary Outcome Measure Information:
Title
survival time specific for prostate cancer,
Description
the period of time from randomization until death from prostate cancer
Time Frame
5 years
Other Pre-specified Outcome Measures:
Title
QoL-EORTC quality of life
Description
For QoL the EORTC questionnaire (C30 with PR25) is used.
Time Frame
5 years

10. Eligibility

Sex
Male
Minimum Age & Unit of Time
40 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: men from 40 to 75 years of age with a confirmed adenocarcinoma prostate, prostate biopsy will be performed <180 days prior to the randomization date, completed assessment of tumor differentiation according to Gleason grading allows to perform stratification; general Performance Status according to the Eastern Cooperative Oncology Group (ECOG) classification ( 0 -1), belonging to the group of low and intermedium risk of progression; (cT1-cT2c, Gleason 7, PSA to 19.9 ng / ml), cT specified by AJCC 7 Edition (appendix 2), PSA marked at least 10 days after or before the biopsy, and for patients taking phytosterol 30 days after discontinuation, no distant metastases, signing informed consent, morphological and biochemical blood parameters within the normal limits. Exclusion Criteria: the presence of active cancer, except skin cancer preceding period 5 years prior to randomization, surgical treatment (radical prostatectomy) or RT in the pelvic area, co-morbidities that may significantly affect the expectancy life of the patients do not meet the criteria for inclusion.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Piotr Milecki, PhD., MD
Phone
+48618850878
Email
piotr.milecki@wco.pl
First Name & Middle Initial & Last Name or Official Title & Degree
Sylwia Krąkowska, MD
Phone
+48 61 885 08 78
Email
sylwia.krakowska@wco.pl
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Piotr Milecki, PhD., MD
Organizational Affiliation
Greater Poland Cancer Centre
Official's Role
Principal Investigator
Facility Information:
Facility Name
Greater Poland Cancer Centre
City
Poznan
State/Province
Wielkopolska
ZIP/Postal Code
61-866
Country
Poland
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Piotr Milecki, MD PhD
Phone
+48 61 885 08 78
Email
piotr.milecki@wco.pl
First Name & Middle Initial & Last Name & Degree
Sylwia Krąkowska, MA
Phone
+48 61 885 08 78
Email
sylwia.krakowska@wco.pl
First Name & Middle Initial & Last Name & Degree
Piotr Milecki, MD PhD

12. IPD Sharing Statement

Plan to Share IPD
Yes

Learn more about this trial

Prospective Evaluation of Hypofractionated Stereotactic RT Using CyberKnife for Patients With Prostate Cancer

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