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Phase 2 N=91 Treatment

Hypofractionated Adaptive Image-Guided Radiation Therapy for Localized Adenocarcinoma of the Prostate

Prostate Cancer

Enrolled (actual)
91
Serious AEs
1.1%
Results posted
Feb 2026
Primary outcome: Primary: Number of Participants With Grade 2 or Greater GU and GI Toxicity — 9; 2; 1; 1 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
hypofractionation (Radiation)
Age
Adult, Older Adult · 18+ yrs
Sex
Male
Sponsor
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Primary completion
Jul 2024

Outcome Measures

OutcomeResultp-value
PRIMARY
Number of Participants With Grade 2 or Greater GU and GI Toxicity
9; 2; 1; 1; 2; 1
PRIMARY
Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions) -IPSS
8.89; 12.9; 7.75; 7.00
PRIMARY
The Sexual Health Inventory for Men (SHIM) SCORE - Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions)
15.5; 12.9; 11.6; 15.5
PRIMARY
EPIC Sexual Score - Self-reported Quality of Life Data With Image-guided Radiation Therapy in Doses of 3.6 Gy Per Day to a Total Dose of 57.6Gy (16 Fractions)
80.1; 61.1; 60.3; 62.1
SECONDARY
Number of Patients With Biochemical Failure Associated With the Hypofractionated Dose Regimen

Summary

This will be a Phase II study evaluating the effectiveness and toxicity of a specific radiation therapy regimen. This choice of daily dose is based on the prior published experience showing safety and efficacy of hypofractionated regimens. The total dose is calculated to be effective for late effects which has been shown to be effective and safe in a large prospective Phase II study. If the hypothesis for the prostate is is true, then this regimen should be at least as effective or more effective for tumor control than the current conventional therapy.

Eligibility Criteria

Inclusion Criteria

  • Histologically confirmed, locally confined adenocarcinoma of the prostate
  • Clinical stages T1a to T2b PSA of less than 10 ng per ml
  • Gleason score of less than 3+4=7
  • The patient has decided to undergo external beam radiation as treatment choice for his prostate cancer
  • Signed study-specific consent form prior to registration

Exclusion Criteria

  • Stage T3 to 4 disease
  • Gleason 4+3=7 or higher score
  • PSA greater than 10 ng per ml
  • Clinical or Pathological Lymph node involvement N1
  • Evidence of distant metastases M1
  • Radical surgery for carcinoma of the prostate
  • Previous Chemotherapy or pelvic radiation therapy
  • Previous or concurrent cancers other than basal or squamous cell skin cancers or superficial bladder cancer unless disease free for at least 5 years
  • History of inflammatory bowel disease
  • Major medical or psychiatric illness which, in the investigator's opinion, would prevent completion of treatment and would interfere with follow up
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00809991). 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.

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