Androgen Suppression With Stereotactic Body or External Beam Radiation Therapy (ASSERT)
NCT02594072 · Status: ACTIVE_NOT_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 80
Last updated 2023-11-29
Summary
Two radiation therapy techniques are commonly used for the treatment of intermediate and high risk prostate cancer: brachytherapy and external beam radiation therapy (EBRT). However, both have limitations. Brachytherapy, in which radioactive seeds are inserted into the prostate, produces excellent outcomes but is invasive and not all patients are eligible or willing to receive this treatment. EBRT, while gentle at the time of delivery, tends to be very prolonged and may have poorer outcomes than brachytherapy. This study will examine the use of stereotactic ablative radiotherapy (SABR), in which patients are given only a few, high dose radiation treatments. Treatments are short, non-invasive, applicable to patients not able to do brachytherapy, and may be more effective than conventional EBRT. This study will compare SABR with EBRT in terms of the rates of acute and late toxicities for each treatment, disease-free survival, and health-related quality of life measures.
Conditions
Interventions
- RADIATION
-
stereotactic ablative radiotherapy
Linac-based prostate stereotactic radiotherapy, using Volumetric Modulated Arc Therapy planning and delivery, with fiducial marker and cone-beam CT based image guidance.
- RADIATION
-
external beam radiation therapy
Conventional intensity modulated radiotherapy, with fiducial marker or cone-beam CT based image guidance.
- DRUG
-
Zoladex ®
The preferred agent for the protocol is goserelin acetate (Zoladex ®) 3-month depot, but other LHRH agonists are permitted. The total duration of ADT will be 6 months for men with intermediate risk disease, and 18 months for those with high risk disease. ADT is to be initiated prior to the start of RT.
Sponsors & Collaborators
-
British Columbia Cancer Agency
collaborator OTHER -
University of British Columbia
lead OTHER
Principal Investigators
-
Abraham Alexander, MD · British Columbia Cancer Agency
-
Winkle Kwan, MD · British Columbia Cancer Agency
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-04-30
- Primary Completion
- 2024-12-31
- Completion
- 2024-12-31
Countries
- Canada
Study Locations
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