Trial Outcomes & Findings for Radiation Therapy in Treating Patients With Stage II or Stage III Prostate Cancer (NCT NCT00091390)
NCT ID: NCT00091390
Last Updated: 2020-08-10
Results Overview
Adverse events (AE) were graded using the Common Terminology Criteria for Adverse Events (CTCAE) v3.0. Grade refers to the severity of the AE. The CTCAE v3.0 assigns Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1 Mild, Grade 2 Moderate, Grade 3 Severe, Grade 4 Life-threatening or disabling, Grade 5 Death related to AE. "Late" is defined as occurring after 9 months from the start of study treatment. Because of the lead time of 9 months, the percentage at 18-months was estimated by the 9-month rate using the cumulative incidence method starting at the 10th month. Death was treated as a competing risk.
COMPLETED
PHASE2
129 participants
From 9 to 18 months after start of study treatment
2020-08-10
Participant Flow
Participant milestones
| Measure |
External Beam Radiotherapy and High Dose Brachytherapy Boost
High Dose brachytherapy boost: 19 Gy in two fractions (on day of placement and 6-24 hours later) before or after external beam radiotherapy, such that all study treatment occurs within 8 weeks.
External beam radiotherapy: 45 Gy as 1.8 Gy five days a week for five weeks.
|
|---|---|
|
Overall Study
STARTED
|
129
|
|
Overall Study
Eligible and Started Study Treatment
|
125
|
|
Overall Study
Eligible, Started Treatment, Has AE Data
|
115
|
|
Overall Study
COMPLETED
|
125
|
|
Overall Study
NOT COMPLETED
|
4
|
Reasons for withdrawal
| Measure |
External Beam Radiotherapy and High Dose Brachytherapy Boost
High Dose brachytherapy boost: 19 Gy in two fractions (on day of placement and 6-24 hours later) before or after external beam radiotherapy, such that all study treatment occurs within 8 weeks.
External beam radiotherapy: 45 Gy as 1.8 Gy five days a week for five weeks.
|
|---|---|
|
Overall Study
Protocol Violation
|
1
|
|
Overall Study
No protocol treatment
|
3
|
Baseline Characteristics
Radiation Therapy in Treating Patients With Stage II or Stage III Prostate Cancer
Baseline characteristics by cohort
| Measure |
External Beam Radiotherapy and High Dose Brachytherapy Boost
n=125 Participants
High Dose brachytherapy boost: 19 Gy in two fractions (on day of placement and 6-24 hours later) before or after external beam radiotherapy, such that all study treatment occurs within 8 weeks.
External beam radiotherapy: 45 Gy as 1.8 Gy five days a week for five weeks.
|
|---|---|
|
Age, Continuous
|
68 years
n=39 Participants
|
|
Sex: Female, Male
Female
|
0 Participants
n=39 Participants
|
|
Sex: Female, Male
Male
|
125 Participants
n=39 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
3 Participants
n=39 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
99 Participants
n=39 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
23 Participants
n=39 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
1 Participants
n=39 Participants
|
|
Race (NIH/OMB)
Asian
|
2 Participants
n=39 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=39 Participants
|
|
Race (NIH/OMB)
Black or African American
|
32 Participants
n=39 Participants
|
|
Race (NIH/OMB)
White
|
86 Participants
n=39 Participants
|
|
Race (NIH/OMB)
More than one race
|
2 Participants
n=39 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
2 Participants
n=39 Participants
|
|
Zubrod Performance Scale
0 (Asymptomatic)
|
121 Participants
n=39 Participants
|
|
Zubrod Performance Scale
1 (Symptomatic but completely ambulatory)
|
4 Participants
n=39 Participants
|
|
Baseline Prostate-Specific Antigen (PSA)
≤10
|
87 Participants
n=39 Participants
|
|
Baseline Prostate-Specific Antigen (PSA)
>10 - ≤20
|
38 Participants
n=39 Participants
|
|
Gleason score
2-6
|
13 Participants
n=39 Participants
|
|
Gleason score
7
|
90 Participants
n=39 Participants
|
|
Gleason score
8-10
|
22 Participants
n=39 Participants
|
|
Prior hormone therapy
Yes
|
54 Participants
n=39 Participants
|
|
Prior hormone therapy
No
|
71 Participants
n=39 Participants
|
|
T Stage
T1c-T2c
|
114 Participants
n=39 Participants
|
|
T Stage
T3a-T3b
|
11 Participants
n=39 Participants
|
PRIMARY outcome
Timeframe: From 9 to 18 months after start of study treatmentPopulation: Eligible participants who started study treatment
Adverse events (AE) were graded using the Common Terminology Criteria for Adverse Events (CTCAE) v3.0. Grade refers to the severity of the AE. The CTCAE v3.0 assigns Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1 Mild, Grade 2 Moderate, Grade 3 Severe, Grade 4 Life-threatening or disabling, Grade 5 Death related to AE. "Late" is defined as occurring after 9 months from the start of study treatment. Because of the lead time of 9 months, the percentage at 18-months was estimated by the 9-month rate using the cumulative incidence method starting at the 10th month. Death was treated as a competing risk.
Outcome measures
| Measure |
External Beam Radiotherapy and High Dose Brachytherapy Boost
n=125 Participants
High Dose brachytherapy boost: 19 Gy in two fractions (on day of placement and 6-24 hours later) before or after external beam radiotherapy, such that all study treatment occurs within 8 weeks.
External beam radiotherapy: 45 Gy as 1.8 Gy five days a week for five weeks.
|
|---|---|
|
Percentage of Participants With Late Grade 3-5 Genitourinary (GU) and Gastrointestinal (GI) Adverse Events (AE) at 18 Months
|
2.56 percentage of participants
Interval 0.834 to 7.738
|
SECONDARY outcome
Timeframe: From treatment start to 9 monthsPopulation: Eligible participants who started study treatment
Adverse events (AE) were graded using the Common Terminology Criteria for Adverse Events (CTCAE) v3.0. Grade refers to the severity of the AE. The CTCAE v3.0 assigns Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1 Mild, Grade 2 Moderate, Grade 3 Severe, Grade 4 Life-threatening or disabling, Grade 5 Death related to AE. Acute is defined as occurring within 9 months from the start of study treatment.
Outcome measures
| Measure |
External Beam Radiotherapy and High Dose Brachytherapy Boost
n=125 Participants
High Dose brachytherapy boost: 19 Gy in two fractions (on day of placement and 6-24 hours later) before or after external beam radiotherapy, such that all study treatment occurs within 8 weeks.
External beam radiotherapy: 45 Gy as 1.8 Gy five days a week for five weeks.
|
|---|---|
|
Number of Participants With Acute Grade 3-5 Genitourinary (GU) and Gastrointestinal (GI) Adverse Events (AE)
|
2.61 percentage of participants
Interval 0.1 to 5.95
|
SECONDARY outcome
Timeframe: From registration to ten yearsPopulation: Eligible participants who started study treatment
The ASTRO criteria for biochemical failure is three consecutive rises in prostate-specific antigen (PSA) level above the nadir after radiation therapy. The PSA nadir is defined as as the lowest PSA value reached immediately before a biochemical failure. The date of failure is midway between the last non-rising PSA and the first rise in PSA. Time to failure is defined as time from registration to the date of first failure, last known follow-up (censored), or death without failure (competing risk). Failure rate is estimated using the cumulative incidence method.
Outcome measures
| Measure |
External Beam Radiotherapy and High Dose Brachytherapy Boost
n=125 Participants
High Dose brachytherapy boost: 19 Gy in two fractions (on day of placement and 6-24 hours later) before or after external beam radiotherapy, such that all study treatment occurs within 8 weeks.
External beam radiotherapy: 45 Gy as 1.8 Gy five days a week for five weeks.
|
|---|---|
|
Percentage of Participants With Biochemical Failure at 10 Years Using American Society for Therapeutic Radiation and Oncology (ASTRO) Definition
|
14.7 percentage of participants
Interval 8.9 to 21.9
|
SECONDARY outcome
Timeframe: From registration to ten yearsPopulation: Eligible participants who started study treatment
The Phoenix criteria for biochemical failure is a rise of 2 ng/mL or more above the nadir after radiation therapy. Time to failure is defined as time from registration to the date of first failure, last known follow-up (censored), or death without failure (competing risk). Failure rate is estimated using the cumulative incidence method.
Outcome measures
| Measure |
External Beam Radiotherapy and High Dose Brachytherapy Boost
n=125 Participants
High Dose brachytherapy boost: 19 Gy in two fractions (on day of placement and 6-24 hours later) before or after external beam radiotherapy, such that all study treatment occurs within 8 weeks.
External beam radiotherapy: 45 Gy as 1.8 Gy five days a week for five weeks.
|
|---|---|
|
Percentage of Participants With Biochemical Failure at 10 Years Using the Phoenix Definition
|
22.6 percentage of participants
Interval 15.3 to 30.6
|
SECONDARY outcome
Timeframe: From registration to 10 yearsPopulation: Eligible participants who started study treatment
Overall survival time is defined as time from registration to the date of death from any cause or last known follow-up (censored). Overall survival rate is estimated by the Kaplan-Meier method.
Outcome measures
| Measure |
External Beam Radiotherapy and High Dose Brachytherapy Boost
n=125 Participants
High Dose brachytherapy boost: 19 Gy in two fractions (on day of placement and 6-24 hours later) before or after external beam radiotherapy, such that all study treatment occurs within 8 weeks.
External beam radiotherapy: 45 Gy as 1.8 Gy five days a week for five weeks.
|
|---|---|
|
Percentage of Participants Alive at 10 Years
|
75.7 percentage of participants
Interval 67.2 to 84.1
|
SECONDARY outcome
Timeframe: From registration to ten yearsPopulation: Eligible participants who started study treatment
The following will be considered as death due to prostate cancer (failure): * Death certified as due to prostate cancer. * Death from other causes with active malignancy (clinical or biochemical progression). * Death due to complications of treatment, irrespective of the status of malignancy. Time to failure is defined as time from registration to the date of first failure, last known follow-up (censored), or death without failure (competing risk). Failure rate is estimated using the cumulative incidence method.
Outcome measures
| Measure |
External Beam Radiotherapy and High Dose Brachytherapy Boost
n=125 Participants
High Dose brachytherapy boost: 19 Gy in two fractions (on day of placement and 6-24 hours later) before or after external beam radiotherapy, such that all study treatment occurs within 8 weeks.
External beam radiotherapy: 45 Gy as 1.8 Gy five days a week for five weeks.
|
|---|---|
|
Percentage of Participants With Death Due to Prostate Cancer at 10 Years
|
6.4 percentage of participants
Interval 2.6 to 12.6
|
SECONDARY outcome
Timeframe: From registration to ten yearsPopulation: Eligible participants who started study treatment
Distant failure required documentation of regional nodal recurrence or distant disease relapse. Time to failure is defined as time from registration to the date of first failure, last known follow-up (censored), or death without failure (competing risk). Failure rate is estimated using the cumulative incidence method.
Outcome measures
| Measure |
External Beam Radiotherapy and High Dose Brachytherapy Boost
n=125 Participants
High Dose brachytherapy boost: 19 Gy in two fractions (on day of placement and 6-24 hours later) before or after external beam radiotherapy, such that all study treatment occurs within 8 weeks.
External beam radiotherapy: 45 Gy as 1.8 Gy five days a week for five weeks.
|
|---|---|
|
Percentage of Participants With Distant Failure at 10 Years
|
7.7 percentage of participants
Interval 3.5 to 14.0
|
SECONDARY outcome
Timeframe: From registration to ten yearsPopulation: Eligible participants who started study treatment
Local failure is defined as documented local progression as determined by clinical exam. Time to failure is defined as time from registration to the date of first failure, last known follow-up (censored), or death without failure (competing risk). Failure rate is estimated using the cumulative incidence method.
Outcome measures
| Measure |
External Beam Radiotherapy and High Dose Brachytherapy Boost
n=125 Participants
High Dose brachytherapy boost: 19 Gy in two fractions (on day of placement and 6-24 hours later) before or after external beam radiotherapy, such that all study treatment occurs within 8 weeks.
External beam radiotherapy: 45 Gy as 1.8 Gy five days a week for five weeks.
|
|---|---|
|
Percentage of Participants With Local Failure at 10 Years
|
1.7 percentage of participants
Interval 0.3 to 5.4
|
Adverse Events
EBRT and HDR Brachytherapy Boost
Serious adverse events
| Measure |
EBRT and HDR Brachytherapy Boost
n=115 participants at risk
External beam radiation therapy (EBRT) and high dose rate (HDR) brachytherapy boost.
|
|---|---|
|
Blood and lymphatic system disorders
Hemoglobin
|
0.87%
1/115
|
|
Gastrointestinal disorders
Diarrhea NOS
|
1.7%
2/115
|
|
Gastrointestinal disorders
Fecal incontinence
|
0.87%
1/115
|
|
Gastrointestinal disorders
Gastrointestinal - Other
|
0.87%
1/115
|
|
Gastrointestinal disorders
Rectal hemorrhage
|
1.7%
2/115
|
|
General disorders
Fatigue
|
1.7%
2/115
|
|
General disorders
Pain - Other
|
0.87%
1/115
|
|
Infections and infestations
Infection - Other
|
0.87%
1/115
|
|
Investigations
Blood creatinine increased
|
0.87%
1/115
|
|
Metabolism and nutrition disorders
Fanconi syndrome acquired
|
0.87%
1/115
|
|
Metabolism and nutrition disorders
Hyponatremia
|
0.87%
1/115
|
|
Musculoskeletal and connective tissue disorders
Arthritis NOS
|
0.87%
1/115
|
|
Musculoskeletal and connective tissue disorders
Musculoskeletal/soft tissue - Other
|
0.87%
1/115
|
|
Psychiatric disorders
Depression
|
0.87%
1/115
|
|
Psychiatric disorders
Libido decreased
|
1.7%
2/115
|
|
Renal and urinary disorders
Bladder pain
|
1.7%
2/115
|
|
Renal and urinary disorders
Pollakiuria
|
18.3%
21/115
|
|
Renal and urinary disorders
Renal/genitourinary - Other
|
2.6%
3/115
|
|
Renal and urinary disorders
Ureteric obstruction
|
0.87%
1/115
|
|
Renal and urinary disorders
Urethral obstruction
|
0.87%
1/115
|
|
Renal and urinary disorders
Urethral pain
|
5.2%
6/115
|
|
Renal and urinary disorders
Urethral stricture
|
2.6%
3/115
|
|
Renal and urinary disorders
Urinary bladder hemorrhage
|
1.7%
2/115
|
|
Renal and urinary disorders
Urinary incontinence
|
5.2%
6/115
|
|
Renal and urinary disorders
Urinary retention
|
2.6%
3/115
|
|
Renal and urinary disorders
Urogenital hemorrhage
|
1.7%
2/115
|
|
Reproductive system and breast disorders
Erectile dysfunction NOS
|
13.9%
16/115
|
|
Reproductive system and breast disorders
Penile pain
|
0.87%
1/115
|
|
Vascular disorders
Flushing
|
0.87%
1/115
|
|
Vascular disorders
Hot flushes NOS
|
1.7%
2/115
|
|
Vascular disorders
Hypertension NOS
|
0.87%
1/115
|
Other adverse events
| Measure |
EBRT and HDR Brachytherapy Boost
n=115 participants at risk
External beam radiation therapy (EBRT) and high dose rate (HDR) brachytherapy boost.
|
|---|---|
|
Blood and lymphatic system disorders
Hemoglobin
|
8.7%
10/115
|
|
Gastrointestinal disorders
Constipation
|
6.1%
7/115
|
|
Gastrointestinal disorders
Diarrhea NOS
|
26.1%
30/115
|
|
Gastrointestinal disorders
Proctitis NOS
|
10.4%
12/115
|
|
Gastrointestinal disorders
Rectal hemorrhage
|
20.0%
23/115
|
|
General disorders
Fatigue
|
20.0%
23/115
|
|
General disorders
Pain - Other
|
5.2%
6/115
|
|
Psychiatric disorders
Libido decreased
|
20.0%
23/115
|
|
Renal and urinary disorders
Bladder pain
|
8.7%
10/115
|
|
Renal and urinary disorders
Cystitis NOS
|
9.6%
11/115
|
|
Renal and urinary disorders
Pollakiuria
|
78.3%
90/115
|
|
Renal and urinary disorders
Renal/genitourinary - Other
|
18.3%
21/115
|
|
Renal and urinary disorders
Urethral obstruction
|
7.8%
9/115
|
|
Renal and urinary disorders
Urethral pain
|
16.5%
19/115
|
|
Renal and urinary disorders
Urethral stricture
|
6.1%
7/115
|
|
Renal and urinary disorders
Urinary incontinence
|
20.9%
24/115
|
|
Renal and urinary disorders
Urinary retention
|
40.0%
46/115
|
|
Renal and urinary disorders
Urogenital hemorrhage
|
19.1%
22/115
|
|
Reproductive system and breast disorders
Ejaculatory disorder NOS
|
6.1%
7/115
|
|
Reproductive system and breast disorders
Erectile dysfunction NOS
|
57.4%
66/115
|
|
Reproductive system and breast disorders
Penile pain
|
7.0%
8/115
|
|
Vascular disorders
Hot flushes NOS
|
12.2%
14/115
|
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee PI's are required to abide by the sponsor's publication guidelines which require review by coauthors and subsequent review and approval by the sponsor.
- Publication restrictions are in place
Restriction type: OTHER