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The aim of this trial is to find out if there are any differences in the profiles of acute and late adverse effects among men with low and intermediate risk prostate cancer treated either with low dose-rate brachytherapy or hypofractionated external radiotherapy (CyberKnife). Also the prostate specific antigen (PSA) responses and cost utility of each treatment will be analysed.
Prostate cancer (PC) is the most common solid malignancy among the men in the Western world. The classification to low, intermediate and high risk groups is determined by the PSA, Gleason score and clinical TNM status at the moment of diagnosis. There are several treatment options available for patients with low and intermediate risk PC and generally their prognosis is good. The men live long after their radical treatments and they have to live with the possible adverse effects caused by the treatment.
In this prospective, randomised clinical trial we are comparing two radiotherapy modalities to find out if there are differences in the acute and late adverse effects among men treated either by low dose-rate (LDR) brachytherapy or hypofractionated external radiotherapy. Also the PSA-responses and cost utilities will be analysed. The number of patients recruited for the study is 60 and the patients will be randomised 1:1 to each treatment arm.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| LDR-brachytherapy with I125 seeds | Active Comparator | Low-dose rate-brachytherapy with I125 permanent seeds in prostate cancer. |
|
| Hypofractionated RT 5 x 7,25 Gy | Active Comparator | Hypofractionated stereotactic radiotherapy 5 x 7,25 Gy delivered every second day in prostate cancer. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hypofractionated RT 5 x 7,25 Gy | Radiation |
| ||
| LDR-brachytherapy with I125 seeds |
| Measure | Description | Time Frame |
|---|---|---|
| Differences in acute adverse effects | questionnaires | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Time to PSA response | 6 months | |
| Time to PSA nadir | 2 years | |
| Biological progression free survival (bPFS) |
| Measure | Description | Time Frame |
|---|---|---|
| Cost utility | 3 years |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kristiina Vuolukka, MD | Cancer Center, KUH | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kuopio University Hospital | Kuopio | 70210 | Finland |
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| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| Radiation |
|
| 3 years |
| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |