High-Dose-Rate Brachytherapy
NCT00913939 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 400
Last updated 2024-06-18
Summary
This pilot study initiates a research program testing the early technical and clinical performance of a novel procedure for MRI-guided high-dose-rate (HDR) prostate brachytherapy. Testing will proceed in two cohorts of patients. In Arm 1, patients with locally recurrent prostate cancer after radiotherapy will receive tumor-targeted salvage HDR brachytherapy. Arm 1 of the study will be coordinated and closely integrated with a separate concurrent study of MRI-guided prostate biopsy, which will be performed prior to accrual to Arm 1 of this trial (UHN 05-0641-C). In arm 2, patients with locally advanced prostate cancer will receive a boost of prostate-targeted HDR brachytherapy during external beam radiotherapy.
This technique will be prospectively evaluated in up to 100 patients. Preliminary data acquired in this pilot study will determine the technical limits of MRI guided HDR brachytherapy and will be critical for the judicious conduct of a subsequent phase II clinical trial.
This proposal is innovative in two fundamental ways: MRI-guidance, and specific tumor targeting for HDR brachytherapy. Successful completion of this study will further individualize local therapy, not only for the benefit of the proportion of cancer patients for whom initial radiotherapeutic interventions have failed, but also provide valuable technical and clinical validation that these novel image-guided (IG) approaches are clinically feasible and could be applied more broadly in prostate cancer therapy.
Conditions
- Patients With Prostate Cancer
Interventions
- PROCEDURE
-
MRI Guided Needles to deliver HDR Brachytherapy
Patients in this arm will receive two fractions (treatments) of brachytherapy over 14 days (+/- 7 days).
- PROCEDURE
-
MRI Guided Needles to deliver HDR Brachytherapy
Patients in this arm will receive 2 fractions (treatments) of brachytherapy before the start of RT, and 4-5 weeks towards the end of EBRT.
Sponsors & Collaborators
-
Princess Margaret Hospital, Canada
collaborator OTHER -
University Health Network, Toronto
lead OTHER
Principal Investigators
-
Peter Chung, MB ChB · University Health Network, Princess Margaret Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-05-31
- Primary Completion
- 2025-05-31
- Completion
- 2025-05-31
Countries
- Canada
Study Locations
More Related Trials
-
Salvage MR-guided High-Dose-Rate Brachytherapy for Prostate Bed Recurrence After Radiotherapy in the PSMA PET Scan Era
NCT06508567 ·Status: RECRUITING ·Phase: NA
-
LDR vs. HDR Brachytherapy for Prostate Cancer
NCT03426748 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Combined LDR Boost and HDR Whole Gland
NCT03323879 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Ultra Hypofractionnated Radiotherapy With HDR Brachytherapy Boost.
NCT05786742 ·Status: RECRUITING ·Phase: NA
-
HDR Brachytherapy as Monotherapy for Low and Intermediate Risk Prostate Cancer
NCT03424694 ·Status: COMPLETED ·Phase: NA
-
MRI Assisted Focal Boost With HDR Monotherapy for Prostate Cancer Patients
NCT02623933 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Feasibility Trial Of Image Guided External Beam Radiotherapy With Or Without High Dose Rate Brachytherapy Boost In Men With Intermediate-Risk Prostate Cancer
NCT01982786 ·Status: COMPLETED ·Phase: NA
-
Comparison of HDR vs. LDR Brachytherapy as Monotherapy for Intermediate Risk Prostate Cancer
NCT02692105 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Magnetic Resonance-Guided High-Dose Brachytherapy (Short-Range Radiation Therapy) for Prostate Cancer
NCT00039624 ·Status: COMPLETED ·Phase: PHASE2
-
Single Fraction HDR Brachytherapy Plus Hypofractionated EBRT for Low-risk Prostate Cancer: Phase II Trial
NCT02283346 ·Status: UNKNOWN ·Phase: PHASE2
-
Focal Versus Whole Gland High Dose-Rate Brachytherapy (HDR-BT) Boost to External Beam Radiotherapy in Localized Prostate Cancer: A Phase 2 Randomized Trial
NCT07300566 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2
-
High Dose Rate Prostate Brachytherapy as Salvage for Locally Recurrent Prostate Cancer Previously Treated With External Beam Radiotherapy
NCT00604526 ·Status: COMPLETED ·Phase: PHASE1
-
HDR Brachytherapy vs. LDR Brachytherapy Monotherapy in Localized Prostate Cancer
NCT02628041 ·Status: COMPLETED ·Phase: PHASE2
-
Multi-omic Approach to Study HDR Brachytherapy for Favorable Risk and Low Tier Intermediate Risk Prostate Cancer
NCT06200974 ·Status: RECRUITING
-
MRI Targeted Focal Laser Thermal Therapy of Prostate Cancer
NCT01094665 ·Status: COMPLETED ·Phase: NA
-
High Dose Rate (HDR) Brachytherapy Salvage After Prostatectomy
NCT06982469 ·Status: RECRUITING
-
Role of Magnetic Resonance Imaging (MRI) Perfusion to Detect Disease in Prostate Carcinoma
NCT00230386 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Pelvic Nodes Ultra-Hypo vs Conventionally Fractionated IMRT With HDR Boost in Prostate Cancer.
NCT05820633 ·Status: SUSPENDED ·Phase: NA
-
Safety and Efficacy of 21 Gy, 23 Gy and 25 Gy for High Dose Rate (HDR) Prostate Brachytherapy
NCT03424850 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Focal Salvage HDR Brachytherapy for the Treatment of Prostate Cancer
NCT01583920 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
CT-validation of Ultrasound Based Planning for High Dose Rate (HDR) Prostate Brachytherapy Using Vitesse
NCT01248741 ·Status: COMPLETED ·Phase: NA
-
Hypofractionated Intensity Modulated Radiation Therapy Plus Hormonal Therapy in Patients With High Risk Prostate Cancer
NCT02107287 ·Status: COMPLETED ·Phase: NA
-
Partial Prostate Salvage High Dose Rate Brachytherapy
NCT03246802 ·Status: RECRUITING ·Phase: NA
-
MRI Targeted Focal Laser Thermal Therapy of Biopsy Confirmed Prostate Cancer
NCT00448695 ·Status: COMPLETED ·Phase: PHASE1
-
Pilot Study of Whole Gland Salvage HDR Prostate Brachytherapy for Locally Recurrent Prostate Cancer
NCT02560181 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA