Unique ID issued by UMIN | UMIN000044546 |
---|---|
Receipt number | R000050893 |
Scientific Title | Stereotactic ablative radiation against metastatic lesion detected by DWIBS for High risk Prostate Cancer |
Date of disclosure of the study information | 2021/06/15 |
Last modified on | 2021/08/05 09:11:44 |
Stereotactic ablative radiation against metastatic lesion detected by DWIBS for High risk Prostate Cancer
STARCAP
Stereotactic ablative radiation against metastatic lesion detected by DWIBS for High risk Prostate Cancer
STARCAP
Japan |
Prostate cancer
Urology |
Malignancy
NO
Diffusion-weighted whole-body imaging with background body signal suppression will be applied to non-metastatic (with conventional radiographic analysis: CT scan and bone scintigraphy) high risk prostate cancer with radical prostatectomy. If the metastatic lesions will be pointed out, metastatic-directed radiotherapy after radical therapy will be performed. The aim of this study is to evaluate whether this early control of metastatic lesions will prolong diseases free survival and will be safe compared to historical control of the same kind of diseases.
Safety,Efficacy
Exploratory
Not applicable
3-year composite disease progression free survival rate
progression-free survival
the rate of adverse events
QOL
recurrence rate of metastatic lesion with SBRT
detection rate of DWIBS
time to CRPC
time to new metastatic lesion
rate of hormonal therapy 36-months after protocol therapy
rate of metastatic-directed therapy
Analysis of survival and other clinical parameters with historical control of high risk prostate cancer using propensity-score matching method
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Maneuver |
Metastatic-directed radiation therapy against DWIBS positive lesion after radical prostatectomy with extended pelvis lymph node dissection(if number of DWIBS positive lesion 4 or less)
Hormonal therapy (LHRH monotherapy)after radical prostatectomy with extended pelvis lymph node dissection (if number of DWIBS positive lesion 5 or more)
25 | years-old | <= |
80 | years-old | >= |
Male
1) Diagnosis of prostate adenocarcinoma as confirmed by a genitourinary pathologist
2) High risk prostate cancer according to NCCN classification (serum PSA >20 ng/mL OR ISUP Gleason grade group 4 or more OR cT>=3a )
3) No lymph node and distant metastasis confirmed by CT scan and bone scintigraphy
4) Patients who exhibited DWIBS positive (metastatic lesions detected) by two independent radiologists
5) Prostate cancer detected by Prostate 1.5T or higher sophisticated MRI before radical prostatectomy
6) Eastern Cooperative Oncology Group Performance Status (ECOG PS) grade of 0 or 1
7) Patient is suitable for radical prostatectomy with PLND and radiation/hormonal therapy
8) Ability to give voluntary written informed consent to participate in this study.
1) History of any prostate cancer therapy
2) Severe heart disease (NYHA criteria>=class 3)
3) Cerebral vascular disease with higher cerebral dysfunction
4) Liver disease (total bilirubin> 3*ULN OR ALT/AST>5* ULN)
5) Uncontrollable diabetes mellitus (HbA1c >8.0%)
6) Contraindication for MRI
7) Patient who is considered ineligible for enrolling the study by a principal investigator or sub-investigator
10
1st name | Takahiro |
Middle name | |
Last name | Inoue |
Mie University Hospital
Nephro-Urologic Surgery and Andrology
514-8507
2-174 Edobashi Tsu, Mie 514-8507 Japan
059-232-1111
tinoue28@med.mie-u.ac.jp
1st name | Takeshi |
Middle name | |
Last name | Sasaki |
Mie University Hospital
Nephro-Urologic Surgery and Andrology
514-8507
2-174 Edobashi Tsu, Mie
059-232-1111
t-sasaki@med.mie-u.ac.jp
Mie University
None
Self funding
Clinical Research Support Center, Mie University Hospital
2-174 Edobashi Tsu, Mie
059-231-504
kk-sien@med.mie-u.ac.jp
NO
2021 | Year | 06 | Month | 15 | Day |
Unpublished
Open public recruiting
2021 | Year | 06 | Month | 15 | Day |
2021 | Year | 06 | Month | 18 | Day |
2021 | Year | 08 | Month | 02 | Day |
2027 | Year | 03 | Month | 31 | Day |
2021 | Year | 06 | Month | 15 | Day |
2021 | Year | 08 | Month | 05 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000050893