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Focused stereotactic radiation treatment of localized prostatic adenocarcinoma. in order to quantify the delay between the focused treatment and the salvage procedure.
Focused stereotactic radiation treatment of localized prostatic adenocarcinoma. in order to quantify the delay between the focused treatment and the salvage procedure.
Second objectives : objectives: prostate-specific antigen (PSA) response, MRI response, toxicity (CTCAEv4), quality of life (International Prostate Symptom Score (IPSS) and The International Index of Erectile Function (IIEF5) scores).
Method At first: Multiparametric Magnetic resonance imaging (MRI) - 12 biopsies within the whole gland.
Placement under endorectal ultrasound control of 4 fiducials at least 2 cm spaced.
Treatment : CyberKnife radiation treatment delivering 36.25 Gy in 5 fractions, in 10 days. Tracking using the 4 fiducials. Critical organs: Rectal and bladder wall: V35<2cc. Bladder neck and urethra: V35<1cc.
Salvage treatments: in such a context, salvage surgery or salvage intensity modulation radiation therapy (IMRT) treatments can in theory remain valid and safe options.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cyberknife | Radiation |
| Measure | Description | Time Frame |
|---|---|---|
| Delay between the initial diagnosis and date of salvage treatment | Delay between the initial diagnosis and date of salvage treatment | through study completion, up to 36 months |
| Measure | Description | Time Frame |
|---|---|---|
| PSA evaluation | PSA dosage | 3, 6, 12, 18, 24, 30, 36 months |
| Birads score evaluation | Multiparametric prostatic MRI | 12, 24, 36 months |
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Inclusion Criteria:
Exclusion Criteria:
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Prostatic adenocarcinoma Capra≤2
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| Name | Affiliation | Role |
|---|---|---|
| Philippe Nickers, MD, PhD | Centre Francois Baclesse | Study Chair |
| Michel Untereiner, MD | Centre Francois Baclesse | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Francois Baclesse | Esch-sur-Alzette | 4005 | Luxembourg |
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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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| ID | Term |
|---|---|
| D016634 | Radiosurgery |
| ID | Term |
|---|---|
| D011878 | Radiotherapy |
| D013812 | Therapeutics |
| D013238 | Stereotaxic Techniques |
| D019635 | Neurosurgical Procedures |
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| Acute and late toxicity | Acute and late toxicity using the CTCAEv4 | 3, 6, 12, 18, 24, 30, 36 months |
| IPSS evaluation | IPSS score | 12, 24, 36 months |
| IIEF5 evaluation | IIEF5 score | 12, 24, 36 months |
| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |
| D013514 |
| Surgical Procedures, Operative |
| D008919 | Investigative Techniques |