Trial Outcomes & Findings for Hypofractionated Adaptive Image-Guided Radiation Therapy for Localized Adenocarcinoma of the Prostate (NCT NCT00809991)

NCT ID: NCT00809991

Last Updated: 2026-02-18

Results Overview

Assess the number of participants of grade 2 or greater GU and GI toxicity

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

91 participants

Primary outcome timeframe

Up to 5 years

Results posted on

2026-02-18

Participant Flow

Participant milestones

Participant milestones
Measure
Hypofractionated Radiation Therapy in Prostate Adenocarcinoma
Participants with histologically confirmed, locally confined adenocarcinoma of the prostate receive 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). hypofractionation: 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). T
Overall Study
STARTED
91
Overall Study
COMPLETED
91
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Hypofractionated Adaptive Image-Guided Radiation Therapy for Localized Adenocarcinoma of the Prostate

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hypofractionated Radiation Therapy in Prostate Adenocarcinoma
n=91 Participants
Participants with histologically confirmed, locally confined adenocarcinoma of the prostate receive 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). hypofractionation: 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). T
Age, Categorical
<=18 years
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
43 Participants
n=4 Participants
Age, Categorical
>=65 years
48 Participants
n=4 Participants
Sex: Female, Male
Female
0 Participants
n=4 Participants
Sex: Female, Male
Male
91 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
79 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
12 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
1 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
29 Participants
n=4 Participants
Race (NIH/OMB)
White
60 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=4 Participants
Region of Enrollment
United States
91 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Up to 5 years

Assess the number of participants of grade 2 or greater GU and GI toxicity

Outcome measures

Outcome measures
Measure
Hypofractionated Radiation Therapy in Prostate Adenocarcinoma
n=91 Participants
Participants with histologically confirmed, locally confined adenocarcinoma of the prostate receive 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). hypofractionation: 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). T
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Erectile Dysfunction
9 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Cystitis
2 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Dysuria
1 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Diarrhea
1 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Fecal Incontinence
2 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Hematuria
1 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Hemorrhoids
2 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Hydronephrosis
1 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Proctitis
4 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Cystitis Noninfective
1 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Urinary Incontinence
1 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Urinary Frequency
1 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Urinary Urgency
1 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Urinary Tract Infection
1 Participants
Number of Participants With Grade 2 or Greater GU and GI Toxicity
Anal Hemorrhage
1 Participants

PRIMARY outcome

Timeframe: Baseline, 12 -, 24 -, and 36-month follow-up

The International Prostate Symptom Score (IPSS) is a useful subjective assessment tool for BPH patients; it is a modification of the American Urological Association (AUA) Symptom Index. The questionnaire assesses degree of LUTS and quality of life. Patients can fill out the IPSS form before examinations, but minimal interference from health care providers must be ensured. Total score range 0-35; A score of 7 or less is mildly symptomatic, 8 to 19 is moderately symptomatic, and 20 to 35 is severely symptomatic.

Outcome measures

Outcome measures
Measure
Hypofractionated Radiation Therapy in Prostate Adenocarcinoma
n=91 Participants
Participants with histologically confirmed, locally confined adenocarcinoma of the prostate receive 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). hypofractionation: 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). T
Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions) -IPSS
Baseline
8.89 score on a scale
Standard Deviation 5.54
Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions) -IPSS
12 Month Follow-up
12.9 score on a scale
Standard Deviation 8.86
Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions) -IPSS
24 Month Follow-up
7.75 score on a scale
Standard Deviation 4.44
Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions) -IPSS
36 Month Follow-up
7.00 score on a scale
Standard Deviation 4.99

PRIMARY outcome

Timeframe: Baseline, 12 months, 24 months, and 36-month follow-up

The SHIM serves several key functions within clinical and research settings. Its core purpose involves screening for and evaluating the severity of erectile dysfunction. Total score range 5 to 25; higher scores indicate better erectile function. A total score of 21 or less indicates erectile dysfunction. 22-25: No erectile dysfunction, 17-21: Mild ED, 12-16: Mild-to-moderate ED, 8-11: Moderate ED, 5-7: Severe ED.

Outcome measures

Outcome measures
Measure
Hypofractionated Radiation Therapy in Prostate Adenocarcinoma
n=91 Participants
Participants with histologically confirmed, locally confined adenocarcinoma of the prostate receive 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). hypofractionation: 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). T
The Sexual Health Inventory for Men (SHIM) SCORE - Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions)
Baseline
15.5 score on a scale
Standard Deviation 8.21
The Sexual Health Inventory for Men (SHIM) SCORE - Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions)
12 Month Follow-up
12.9 score on a scale
Standard Deviation 8.86
The Sexual Health Inventory for Men (SHIM) SCORE - Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions)
24 Month Follow-up
11.6 score on a scale
Standard Deviation 9.38
The Sexual Health Inventory for Men (SHIM) SCORE - Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions)
36 Month follow-up
15.5 score on a scale
Standard Deviation 9.94

PRIMARY outcome

Timeframe: Baseline, 12 months, 24 months, and 36-month follow-up

The EPIC-26 (Expanded Prostate Cancer Index Composite-Short Form) is a validated questionnaire for measuring health related quality of life. Score range from 1 to 100, with higher scores better score.

Outcome measures

Outcome measures
Measure
Hypofractionated Radiation Therapy in Prostate Adenocarcinoma
n=91 Participants
Participants with histologically confirmed, locally confined adenocarcinoma of the prostate receive 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). hypofractionation: 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). T
EPIC Sexual Score - Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions)
Baseline
80.1 score on a scale
Standard Deviation 27.0
EPIC Sexual Score - Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions)
12 Month Follow-up
61.1 score on a scale
Standard Deviation 32.5
EPIC Sexual Score - Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions)
24 Month Follow-up
60.3 score on a scale
Standard Deviation 31.5
EPIC Sexual Score - Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions)
36 Month Follow-up
62.1 score on a scale
Standard Deviation 34.0

SECONDARY outcome

Timeframe: Up to 5 years

Biochemical control rate (Failure Free Rate-BFFR) is defined as a binary indicator whether PSA has increased by 2 ng/ml or more above the nadir PSA any time before the end of 5 years. Patients with biochemical failure are reported.

Outcome measures

Outcome measures
Measure
Hypofractionated Radiation Therapy in Prostate Adenocarcinoma
n=91 Participants
Participants with histologically confirmed, locally confined adenocarcinoma of the prostate receive 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). hypofractionation: 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). T
Number of Patients With Biochemical Failure Associated With the Hypofractionated Dose Regimen
0 Participants

Adverse Events

Hypofractionated Radiation Therapy in Prostate Adenocarcinoma

Serious events: 1 serious events
Other events: 53 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Hypofractionated Radiation Therapy in Prostate Adenocarcinoma
n=91 participants at risk
Participants with histologically confirmed, locally confined adenocarcinoma of the prostate receive 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). hypofractionation: 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). T
Cardiac disorders
Cardiac Arrest
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Renal and urinary disorders
Cystitis noninfective
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Musculoskeletal and connective tissue disorders
flank pain
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Renal and urinary disorders
urinary tract infection
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years

Other adverse events

Other adverse events
Measure
Hypofractionated Radiation Therapy in Prostate Adenocarcinoma
n=91 participants at risk
Participants with histologically confirmed, locally confined adenocarcinoma of the prostate receive 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). hypofractionation: 3.6 Gy per day to a total dose of 57.6 Gy (16 fractions). T
Gastrointestinal disorders
Fecal Incontinence
2.2%
2/91 • Number of events 3 • From the time of enrollment up to 5 years
Cardiac disorders
Cardiac Arrest
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Cardiac disorders
Chest pain - cardiac
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
General disorders
Chills
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Respiratory, thoracic and mediastinal disorders
Cough
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Renal and urinary disorders
Cystitis
2.2%
2/91 • Number of events 2 • From the time of enrollment up to 5 years
Gastrointestinal disorders
Diarrhea
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Renal and urinary disorders
Dysuria
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Reproductive system and breast disorders
Erectile Dysfunction
9.9%
9/91 • Number of events 9 • From the time of enrollment up to 5 years
General disorders
Fever
1.1%
1/91 • Number of events 2 • From the time of enrollment up to 5 years
Renal and urinary disorders
Hematuria
1.1%
1/91 • From the time of enrollment up to 5 years
Gastrointestinal disorders
Anal Hemorrhage
1.1%
1/91 • From the time of enrollment up to 5 years
Gastrointestinal disorders
Hemorrhoids
2.2%
2/91 • From the time of enrollment up to 5 years
Renal and urinary disorders
Hydronephrosis
1.1%
1/91 • From the time of enrollment up to 5 years
Psychiatric disorders
insomnia
1.1%
1/91 • From the time of enrollment up to 5 years
Musculoskeletal and connective tissue disorders
Myalgia
1.1%
1/91 • From the time of enrollment up to 5 years
Musculoskeletal and connective tissue disorders
Musculoskelatal and connective tissue disorder- other, body aches
1.1%
1/91 • From the time of enrollment up to 5 years
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
1.1%
1/91 • Number of events 2 • From the time of enrollment up to 5 years
Respiratory, thoracic and mediastinal disorders
Hypoxia
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
General disorders
Pain - left flank pain
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Blood and lymphatic system disorders
Lymph Node Pain
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Musculoskeletal and connective tissue disorders
Musculoskeletal disorders - Other, degenerative changes of thoracic spine
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Psychiatric disorders
Depression
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Respiratory, thoracic and mediastinal disorders
pneumonitis
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Respiratory, thoracic and mediastinal disorders
allergic rhinitis
1.1%
1/91 • Number of events 2 • From the time of enrollment up to 5 years
Respiratory, thoracic and mediastinal disorders
Dyspnea
1.1%
1/91 • From the time of enrollment up to 5 years
General disorders
Pain NCL
2.2%
2/91 • Number of events 2 • From the time of enrollment up to 5 years
Cardiac disorders
sinus Bradycardia
1.1%
1/91 • From the time of enrollment up to 5 years
Gastrointestinal disorders
Proctitis
4.4%
4/91 • Number of events 4 • From the time of enrollment up to 5 years
Renal and urinary disorders
Cystitis Noninfective
1.1%
1/91 • Number of events 1 • From the time of enrollment up to 5 years
Respiratory, thoracic and mediastinal disorders
Sore throat
1.1%
1/91 • From the time of enrollment up to 5 years
Renal and urinary disorders
urinary frequency
1.1%
1/91 • From the time of enrollment up to 5 years
Renal and urinary disorders
Urinary Incontinence
1.1%
1/91 • From the time of enrollment up to 5 years
Respiratory, thoracic and mediastinal disorders
Wheezing
2.2%
2/91 • Number of events 2 • From the time of enrollment up to 5 years
Renal and urinary disorders
Flank Pain
1.1%
1/91 • From the time of enrollment up to 5 years
Renal and urinary disorders
Urinary tract infection
1.1%
1/91 • From the time of enrollment up to 5 years
Renal and urinary disorders
urinary urgency
1.1%
1/91 • From the time of enrollment up to 5 years

Additional Information

Dr. Daniel Song

Johns Hopkins Department of Radiation Oncology

Phone: 410-502-5875

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place