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N/A Completed N=116 Randomized Single-blind Treatment

Intensity-Modulated Radiation Therapy With or Without Decreased Radiation Dose to Erectile Tissue in Treating Patients With Stage II Prostate Cancer

Prostate Cancer · Sexual Dysfunction · Sexuality and Reproductive Issues
Source: ClinicalTrials.gov NCT00084552 ↗
Enrolled (actual)
116
Serious AEs
0.0%
Results posted
Feb 2021
Primary outcomePrimary: Erectile Dysfunction Rates — 27; 36 Participants

Summary

RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. Intensity-modulated radiation therapy (radiation directed at the tumor more precisely than in standard radiation therapy) may reduce damage to healthy tissue near the tumor. It is not yet known whether reducing the dose of radiation to erectile tissue will help prevent erectile dysfunction. PURPOSE: This randomized phase III trial is studying intensity-modulated radiation therapy alone to see how well it works compared to intensity-modulated radiation therapy with reduced doses to erectile tissue in treating patients with stage II prostate cancer.

Outcome Measures

OutcomeResultp-value
PRIMARY
Erectile Dysfunction Rates
27; 36
SECONDARY
Percentage of Patients With Freedom From Biochemical Failure
90.7; 91.8
SECONDARY
Acute GI Toxicity
1; 6
SECONDARY
Acute GU Toxicity
20; 27

Eligibility Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed adenocarcinoma of the prostate
  • Clinical stage T1b-T2c by palpation
  • Pretreatment prostate-specific antigen ≤ 20 ng/mL
  • Gleason score ≤ 7
  • Suitable erectile function, defined as a response ≥ score 2 in question #1 of the International Index of Erectile Function Questionnaire
  • No clinical, radiographic, or pathologic evidence of nodal or distant metastatic disease

PATIENT CHARACTERISTICS:

Age

  • Not specified

Performance status

  • Zubrod 0-1

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Not specified

Other

  • Fertile patients must use effective contraception
  • No other active malignancy within the past 5 years except nonmetastatic skin cancer or early-stage chronic lymphocytic leukemia (well-differentiated small cell lymphocytic lymphoma)
  • No other medical condition that would preclude study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • Not specified

Chemotherapy

  • Not specified

Endocrine therapy

  • Prior androgen-ablation therapy allowed provided total calculated duration ≤ 4 months

Radiotherapy

  • No prior pelvic radiotherapy

Surgery

  • No prior or planned radical prostate surgery
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00084552). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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