Pilot Study of Dose Escalation in Prostate Radiotherapy Using the MR-Linac (DESTINATION-MRL)
NCT06177093 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 20
Last updated 2026-05-15
Summary
This study is a single centre feasibility trial. The trial will recruit men with intermediate risk localised prostate cancer who will all receive targeted dose (escalated/de-escalated dose directed by MRI) 5 fraction SBRT to the prostate.
Trial Objectives are:
1. Primary To develop a 5 fraction de-escalated dose SBRT protocol capable of reducing side effects
2. Secondary
* To assess levels of acute GU and GI toxicity (CTCAE)
* To assess levels of late GU and GI toxicity (CTCAE)
* To assess late sexual quality of life (expanded EPIC, IIEF-5)
* To assess biochemical relapse-free survival at 2
Conditions
Interventions
- RADIATION
-
MR Linac delivered Radiotherapy
All radiotherapy will be delivered on the MR-linac. The whole prostate will receive 30 Gy in 5 fractions and the dominant lesion plus intra-prostatic margin will receive an isotoxic 45 Gy prescription.
Sponsors & Collaborators
-
Sunnybrook Health Sciences Centre
lead OTHER
Principal Investigators
-
Danny Vesprini, M.D. · Sunnybrook Health Sciences Centre
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-12-11
- Primary Completion
- 2026-12-01
- Completion
- 2027-12-01
Countries
- Canada
Study Locations
More Related Trials
-
MRI-guided Stereotactic Body Radiotherapy (SBRT) With Simultaneous Integrated Boost for Prostate Cancer
NCT03664193 ·Status: COMPLETED ·Phase: NA
-
Phase I Study MR-guided SBRT to PCa
NCT03935308 ·Status: WITHDRAWN ·Phase: NA
-
Dose Escalation For INtraprostatic LEsions
NCT05851547 ·Status: RECRUITING ·Phase: PHASE2
-
Focal Therapy With Stereotactic Body Radiation Therapy (SBRT) for Patients With a Single Prostate Tumor
NCT05616650 ·Status: RECRUITING ·Phase: PHASE2
-
A Study of MRI-guided High-dose Radiation Therapy in Prostate Cancer
NCT04997018 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Post-Prostatectomy Linac-Based Ultrahypofractionated Radiotherapy for Patients With Localized Prostate Cancer
NCT04067570 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Stereotactic MRI-Guided Radiation for Localized Prostate Cancer
NCT03588819 ·Status: UNKNOWN ·Phase: NA
-
Pelvic Nodes Ultra-Hypo vs Conventionally Fractionated IMRT With HDR Boost in Prostate Cancer.
NCT05820633 ·Status: SUSPENDED ·Phase: NA
-
MR-linac Guided Ultra-hypofractionated RT for Prostate Cancer (SMART-P01 and SMART-P02)
NCT05183074 ·Status: RECRUITING ·Phase: NA
-
Two Fraction Prostate SBRT With DIL SIB
NCT05864196 ·Status: RECRUITING ·Phase: PHASE1
-
MRI-guided Ultrahypofractionated SBRT Prostate Program
NCT07132658 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
24 Gy in One Fraction Urethral-sparing "HDR Like" SBRT for Prostate Cancer
NCT05936736 ·Status: RECRUITING ·Phase: NA
-
Internal Radiation Therapy With or Without External-Beam Radiation Therapy in Treating Patients With Localized Prostate Cancer
NCT00714753 ·Status: COMPLETED ·Phase: PHASE2
-
Focal Salvage HDR Brachytherapy for the Treatment of Prostate Cancer
NCT01583920 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Fairly Brief Androgen Suppression and Stereotactic Radiotherapy for High Risk Prostate Cancer - Protocol 2
NCT02229734 ·Status: COMPLETED ·Phase: PHASE2
-
Prostate Cancer Subclinical Metastatic Ablative MR-guided Radiotherapy
NCT03160794 ·Status: RECRUITING ·Phase: NA
-
Stereotactic Body Radiation Therapy in Treating Patients With Prostate Cancer
NCT00547339 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Short-course Hypofractionated Radiotherapy for Localized Prostate Cancer
NCT00126165 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Phase III Adaptive Adaptive Stereostactic Body Radiotherapy (SBRT) With Dose Escalation for High-Risk Prostate Cancer
NCT07189598 ·Status: RECRUITING ·Phase: NA
-
Stereotactic Body Radiotherapy (SBRT) With Concurrent Boost for Low- and Intermediate-Risk Prostate Cancer
NCT01409473 ·Status: WITHDRAWN ·Phase: PHASE2
-
Molecular Imaging Informed Radiation Dose Escalation to Sites of Recurrent Disease and De-escalation to Uninvolved Areas in Salvage Radiotherapy for Prostate Cancer
NCT05328505 ·Status: RECRUITING ·Phase: NA
-
Safety and Efficacy Study of Dose-escalated Hypofractionated Radiotherapy For Prostate Cancer
NCT01146340 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Prostate Boost Irradiation With Stereotactic Body RT (SBRT)
NCT03380806 ·Status: UNKNOWN ·Phase: PHASE2
-
Short-term High Precision Radiotherapy for Early Prostate Cancer With Concomitant Boost on the Dominant Lesion
NCT01913717 ·Status: UNKNOWN ·Phase: NA
-
Intensity-Modulated Radiation Therapy in Treating Patients With Prostate Cancer
NCT00946543 ·Status: UNKNOWN ·Phase: PHASE1