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Health Condition(s) or Problem
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Topic: National Cancer Research Network; Subtopic: Prostate Cancer; Disease: Prostate
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Lay Summary
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Dose Escalation to Intra-prostatic Tumour Nodules in Localised Prostate Cancer
Dose Escalation to Intra-prostatic Tumour Nodules in Localised Prostate Cancer
To assess the toxicity and feasibility of a dose escalated intensity-modulated radiotherapy boost to tumour nodules within the prostate using anatomical and functional MR imaging to identify tumour. The aim is to maintain current levels of late toxicity. (from UKCRN Portfolio) Additional lay summaries...
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Who can enter the trial
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1. Age more than or equal to 18 years
2. Histologically confirmed adenocarcinoma of the prostate
3. National Collaborative Cancer Network+ (NCCN) risk groups intermediate or high risk localised prostate cancer
4. Normal blood count [haemoglobin (Hb) > 11g/dl, white blood cell (WBC) > 4000/mm³, platelets > 100,000/mm³]
5. World Health Organisation (WHO) performance status 0 or 1
6. Life expectancy of 10 years or more
7. Written informed consent
8. Patients must be prepared to attend follow-up
9. For template biopsy sub-study must be considered fit for general / spinal anaesthetic; Target Gender: Male ; Lower Age Limit 18 no age limit or unit specified
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Who cannot enter the trial
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1. Prior radiotherapy to the prostate or pelvis
2. Bilateral hip replacement
3. Prior hormone therapy
4. Radical prostatectomy
5. Lymph Node Risk > 30%
6. National Collaborative Cancer Network+ (NCCN) Favourable Risk Group
7. Evidence of seminal vesicle invasion, nodal or metastatic disease
8. Any previous invasive cancer in the past 5 years, with the exception of non-melanoma skin cancer
9. Patients with medical contraindication to magnetic resonance imaging (MRI) scanning
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What will happen
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100 patients to be recruited and have MRI scans to diagnose intra-prostatic tumour nodules. 50% of patients expected to have lesions and so 50 patients to be treated with a radiotherapy boost
Radiotherapy boost: A dose escalated external beam radiotherapy boost to intraprostatic tumour nodules within the prostate gland; Follow Up Length: 60 month(s); Study Entry : Registration only
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Primary aim
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Late rectal toxicity; Timepoint(s): 12 months
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Secondary Aim
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1. Acute genitourinary (Gu) and gastrointestinal (GI) toxicity; Timepoint(s): 18 weeks
2. Biochemical Recurrence; Timepoint(s): 24 months
3. Late GU and GI toxicity; Timepoint(s): 12 months and 24 months
4. Quality of Life Scores; Timepoint(s): 24 months
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Participant Information Sheet
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Not available in web format, please use the contact details below to request a patient information sheet
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Website
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Sorry, not currently available
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Recruitment Status
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Recruiting
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Nation
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England
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Location
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Sutton
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