Immediate Curative vs Conservative Treatment in Older Men With M0, High-risk Prostate Cancer
NCT05448547 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 980
Last updated 2025-07-01
Summary
It is currently unclear if immediate curative treatment (radiotherapy or surgery) of high-risk prostate cancer without metastasis in older men (\>=75 years) generates the same survival benefits as in younger patients or if the harms/ side-effects of immediate curative treatment outweigh the benefits. In this study the investigators randomize older patients with high-risk, non-metastatic high-risk prostate cancer to either immediate curative therapy or to conservative, more problem-oriented therapy to investigate if immediate curative treatment prolongs life, improves quality of life and is cost-effective.
Conditions
Interventions
- RADIATION
-
Radiotherapy or surgery
see arm/ group description
- OTHER
-
initial observation
see arm/ group description
- DRUG
-
Hormone therapy
androgen depression therapy (ADT) by either LHRH agonist or antagonist or androgen monotherapy
Sponsors & Collaborators
-
Oslo University Hospital
collaborator OTHER -
Klinbeforsk
collaborator OTHER -
Sven Löffeler
lead OTHER
Principal Investigators
-
Sven Loffeler, MD, PhD · The Hospital of Vestfold
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 75 Years
- Sex
- MALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2022-11-04
- Primary Completion
- 2029-12-31
- Completion
- 2036-12-31
Countries
- Denmark
- Finland
- Norway
- Sweden
Study Locations
More Related Trials
-
Health Status, Quality of Life and Function in Survivors After Radical Treatment for Prostate Cancer. Part IIB
NCT05200039 ·Status: COMPLETED
-
Effectiveness of Localized Prostate Cancer Treatments
NCT01492751 ·Status: ACTIVE_NOT_RECRUITING
-
Comparison of Radiation Therapy Regimens in Treating Patients With Localized Prostate Cancer
NCT00010244 ·Status: COMPLETED ·Phase: PHASE3
-
Protons Vs. Photons for High-risk Prostate Cancer
NCT05350475 ·Status: RECRUITING ·Phase: NA
-
Hypofractionated Intensity Modulated Radiation Therapy Plus Hormonal Therapy in Patients With High Risk Prostate Cancer
NCT02107287 ·Status: COMPLETED ·Phase: NA
-
Hypofractionated Proton Radiation Therapy for Low and Intermediate Risk Prostate Cancer
NCT01368055 ·Status: COMPLETED ·Phase: NA
-
Cardiovascular Risk and Preventive Care in Prostate Cancer Patients Receiving Radiation and Hormone Therapy
NCT02003417 ·Status: COMPLETED
-
Cryotherapy With or Without Short-term Adjuvant Androgen-Deprivation Therapy in Prostate Cancer
NCT01398657 ·Status: UNKNOWN ·Phase: PHASE3
-
Adjuvant Radiation Therapy vs. Watchful Waiting Following Radical Prostatectomy in High Risk Prostate Cancer
NCT02668718 ·Status: UNKNOWN ·Phase: PHASE3
-
Hypofractionated Radiotherapy in Prostate Cancer Patients Aged 75 Years or Older.
NCT04535908 ·Status: TERMINATED ·Phase: NA
-
Randomized Trial of PSMA PET Scan Before Definitive Radiation Therapy for Prostate Cancer
NCT04457245 ·Status: TERMINATED ·Phase: PHASE3
-
A Prospective Comparative Study of Outcomes With Proton and Photon Radiation in Prostate Cancer
NCT03561220 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Hypofractionated Whole Pelvic Radiotherapy of the Prostate
NCT02546427 ·Status: WITHDRAWN ·Phase: NA
-
Assessing the Potential for Reduced Toxicity Using Focal Brachytherapy in Early Stage, Low Volume Prostate Cancer
NCT01354951 ·Status: TERMINATED ·Phase: PHASE2
-
Preoperative Radiation Therapy for High Risk Prostate Cancer
NCT01041326 ·Status: COMPLETED ·Phase: PHASE1
-
Hypo-fractionated Radiation Therapy With or Without Androgen Suppression for Intermediate Risk Prostate Cancer
NCT01492972 ·Status: RECRUITING ·Phase: PHASE3
-
The Long Term Effect of MRI Before Radical Prostatectomy.
NCT06429878 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
LDR Brachytherapy Versus SBRT for Low and Intermediate Risk Prostate Cancer Patients
NCT02895854 ·Status: UNKNOWN ·Phase: NA
-
99mTc-MIP-1404 SPECT/CT in Primary Staging of Prostate Cancer
NCT06219746 ·Status: RECRUITING ·Phase: NA
-
Feasibility and Safety Study Using Preoperative High-Dose Single-Fraction Image-Guided Radiotherapy for Men Undergoing Radical Prostatectomy at High-Risk for Extraprostatic Cancer
NCT01163448 ·Status: WITHDRAWN ·Phase: PHASE1
-
Internal Radiation Therapy With or Without External-Beam Radiation Therapy in Treating Patients With Localized Prostate Cancer
NCT00714753 ·Status: COMPLETED ·Phase: PHASE2
-
Prostate Accurately Targeted Radiotherapy Investigation of Overall Treatment Time
NCT01423474 ·Status: COMPLETED ·Phase: NA
-
Radical Prostatectomy Without Prostate Biopsy Following PSMA PET/CT Based on Diagnostic Model
NCT05587192 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Postoperative or Salvage Radiotherapy (RT) for Node Negative Prostate Cancer Following Radical Prostatectomy
NCT00969111 ·Status: RECRUITING ·Phase: NA
-
PRostate Evaluation for Clinically Important Disease: Sampling Using Image-guidance Or Not?
NCT02380027 ·Status: COMPLETED ·Phase: PHASE3