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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00860652
Registration number
NCT00860652
Ethics application status
Date submitted
10/03/2009
Date registered
12/03/2009
Date last updated
18/11/2022
Titles & IDs
Public title
Radiotherapy - Adjuvant Versus Early Salvage
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Scientific title
Radiotherapy - Adjuvant Versus Early Salvage. A Phase III Multi-centre Randomised Trial Comparing Adjuvant Radiotherapy (RT) With Early Salvage RT in Patients With Positive Margins or Extraprostatic Disease Following Radical Prostatectomy.
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Secondary ID [1]
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TROG 08.03
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Universal Trial Number (UTN)
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Trial acronym
RAVES
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prostate Cancer
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Condition category
Condition code
Cancer
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Prostate
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Adjuvant Radiotherapy
Treatment: Other - Early Salvage Radiotherapy
Experimental: Adjuvant Radiotherapy (RT) - Adjuvant Radiotherapy (64Gy in 32 Fractions to the prostate bed)
Experimental: Active Surveillance with Early SalvageRT - Active Surveillance with Early Salvage Radiotherapy
Treatment: Other: Adjuvant Radiotherapy
Adjuvant RT (ART) commenced within 4 months of Radical Prostatectomy. 64Gy in 32 fractions to the prostate bed.
Treatment: Other: Early Salvage Radiotherapy
Active surveillance with early Salvage RT (SRT). SRT - 64Gy in 32 fractions to the prostate bed. RT should commence no later than 4 months following the first PSA measurement = 0.2ng/mL.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Biochemical failure: PSA = 0.4 ng/ml and rising following RT
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Assessment method [1]
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Timepoint [1]
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After 160 events have been observed, expected to be 5 years after recruitment closes
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Secondary outcome [1]
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Quality of Life
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Assessment method [1]
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Timepoint [1]
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Final Analysis will be after 160 events, estimated to be five years after the end of accrual
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Secondary outcome [2]
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Toxicity
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Assessment method [2]
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Timepoint [2]
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Final analysis will be after 160 events, estimated to be 5 years after end of accrual.
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Secondary outcome [3]
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Anxiety/Depression
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Assessment method [3]
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Timepoint [3]
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Final analysis will be after 160 events, estimated to be 5 years after end of accrual.
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Secondary outcome [4]
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Biochemical failure-free survival
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Assessment method [4]
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Timepoint [4]
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Final analysis will be after 160 events, estimated to be 5 years after end of accrual.
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Secondary outcome [5]
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Overall survival
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Assessment method [5]
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Timepoint [5]
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Final analysis will be after 160 events, estimated to be 5 years after end of accrual.
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Secondary outcome [6]
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Disease-specific survival
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Assessment method [6]
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Timepoint [6]
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Final analysis will be after 160 events, estimated to be 5 years after end of accrual.
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Secondary outcome [7]
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Time to distant failure
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Assessment method [7]
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Timepoint [7]
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Final analysis will be after 160 events, estimated to be 5 years after end of accrual.
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Secondary outcome [8]
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Time to local failure
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Assessment method [8]
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Timepoint [8]
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Final analysis will be after 160 events, estimated to be 5 years after end of accrual.
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Secondary outcome [9]
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Time to the initiation of androgen ablation
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Assessment method [9]
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Timepoint [9]
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Final analysis will be after 160 events, estimated to be 5 years after end of accrual.
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Secondary outcome [10]
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Quality adjusted life years
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Assessment method [10]
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Timepoint [10]
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Final analysis will be after 160 events, estimated to be 5 years after end of accrual.
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Secondary outcome [11]
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Cost-utility
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Assessment method [11]
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Timepoint [11]
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Final analysis will be after 160 events, estimated to be 5 years after end of accrual.
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Eligibility
Key inclusion criteria
* Prior Radical Prostatectomy (RP) for adenocarcinoma of the prostate.
* Histological confirmation of adenocarcinoma of the prostate with the Gleason score reported (Radical Prostatectomy specimen).
* Patients must have at least one of the following risk factors: 1) Positive margins, 2) Extraprostatic extension (EPE) with or without seminal vesicle involvement (pT3a or pT3b)
* Capable of starting RT within 4 months of RP (a requirement if randomised to adjuvant RT arm)
* Most recent PSA = 0.10 ng/ml following RP and prior to randomisation
* Eastern Cooperative Oncology Group (ECOG) performance status 0 - 1
* Patient able to adhere to the specified follow-up schedule and complete the Quality of Life and anxiety/depression self-assessments
* Written informed consent obtained prior to randomisation
* Completion of all pre-treatment evaluations
* 18 years and older
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Previous pelvic RT
* Androgen deprivation (AD) prior to or following RP
* Evidence of nodal or distant metastases
* Co-morbidities that would interfere with the completion of treatment and/or 5 years of follow-up
* Concurrent cytotoxic medication
* Hip prosthesis
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
3/03/2009
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/12/2026
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Actual
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Sample size
Target
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Accrual to date
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Final
333
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC,WA
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Recruitment hospital [1]
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Campbelltown Hopsital - Campbelltown
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Recruitment hospital [2]
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Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [3]
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Coffs Harbour Health Campus, NCCI - Coffs Harbour
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Recruitment hospital [4]
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Radiation Oncology Associates - Darlinghurst
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Recruitment hospital [5]
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St Vincent's Clinic - Darlinghurst
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Recruitment hospital [6]
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Nepean Hospital - Kingswood
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Recruitment hospital [7]
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St George Hospital - Kogarah
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Recruitment hospital [8]
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Liverpool Hospital - Liverpool
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Recruitment hospital [9]
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Calvary Mater Newcastle - Newcastle
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Recruitment hospital [10]
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Central West Cancer Services (Orange Health) - Orange
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Recruitment hospital [11]
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Port Macquarie Base Hospital, NCCI - Port Macquarie
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Recruitment hospital [12]
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Royal North Shore Hospital - St Leonards
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Recruitment hospital [13]
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Riverina Cancer Care Centre - Wagga Wagga
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Recruitment hospital [14]
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Sydney Adventist Hospital - Wahroonga
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Recruitment hospital [15]
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Westmead Hospital - Westmead
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Recruitment hospital [16]
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Radiation Oncology Gold Coast - Gold Coast
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Recruitment hospital [17]
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Royal Brisbane and Women's Hospital - Herston
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Recruitment hospital [18]
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Oceania Oncology - Nambour
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Recruitment hospital [19]
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Radiation Oncology - Mater Centre - South Brisbane
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Recruitment hospital [20]
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Toowoomba Cancer Research Centre - Toowoomba
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Recruitment hospital [21]
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Townsville Hospital - Townsville
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Recruitment hospital [22]
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Premion - Tugun
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Recruitment hospital [23]
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Princess Alexandra Hospital - Woolloongabba
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Recruitment hospital [24]
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Peter MacCallum Cancer Centre - East Melbourne
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Recruitment hospital [25]
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Austin Hospital - Heidelberg West
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Recruitment hospital [26]
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The Alfred/WBRC - Melbourne
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Recruitment hospital [27]
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Fiona Stanley Hospital - Murdoch
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Recruitment hospital [28]
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Sir Charles Gairdner Hospital - Nedlands
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Recruitment hospital [29]
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Royal Perth Hospital - Perth
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Recruitment hospital [30]
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Perth Radiation Oncology - Perth
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Recruitment postcode(s) [1]
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2170 - Campbelltown
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Recruitment postcode(s) [2]
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2050 - Camperdown
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Recruitment postcode(s) [3]
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2450 - Coffs Harbour
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Recruitment postcode(s) [4]
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2010 - Darlinghurst
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Recruitment postcode(s) [5]
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- Darlinghurst
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Recruitment postcode(s) [6]
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2747 - Kingswood
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Recruitment postcode(s) [7]
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2217 - Kogarah
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Recruitment postcode(s) [8]
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1871 - Liverpool
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Recruitment postcode(s) [9]
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2310 - Newcastle
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Recruitment postcode(s) [10]
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- Orange
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Recruitment postcode(s) [11]
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2444 - Port Macquarie
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Recruitment postcode(s) [12]
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2065 - St Leonards
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Recruitment postcode(s) [13]
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2650 - Wagga Wagga
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Recruitment postcode(s) [14]
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2076 - Wahroonga
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Recruitment postcode(s) [15]
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2145 - Westmead
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Recruitment postcode(s) [16]
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4217 - Gold Coast
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Recruitment postcode(s) [17]
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4029 - Herston
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Recruitment postcode(s) [18]
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4560 - Nambour
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Recruitment postcode(s) [19]
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4101 - South Brisbane
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Recruitment postcode(s) [20]
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4350 - Toowoomba
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Recruitment postcode(s) [21]
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4814 - Townsville
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Recruitment postcode(s) [22]
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4224 - Tugun
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Recruitment postcode(s) [23]
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4102 - Woolloongabba
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Recruitment postcode(s) [24]
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3002 - East Melbourne
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Recruitment postcode(s) [25]
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3081 - Heidelberg West
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Recruitment postcode(s) [26]
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3004 - Melbourne
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Recruitment postcode(s) [27]
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6150 - Murdoch
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Recruitment postcode(s) [28]
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6009 - Nedlands
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Recruitment postcode(s) [29]
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6000 - Perth
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Recruitment postcode(s) [30]
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6014 - Perth
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Country [2]
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New Zealand
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State/province [2]
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Wellington
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Country [3]
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New Zealand
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State/province [3]
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Christchurch
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Country [4]
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New Zealand
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State/province [4]
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Dunedin
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Country [5]
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New Zealand
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State/province [5]
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Palmerston North
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Funding & Sponsors
Primary sponsor type
Other
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Name
Trans Tasman Radiation Oncology Group
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Urological Society of Australia and New Zealand (USANZ)
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Address [1]
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Other collaborator category [2]
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Other
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Name [2]
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Australian and New Zealand Urogenital and Prostate Cancer Trials Group
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
Radical prostatectomy (RP) is the most common curative approach offered to men with newly diagnosed prostate cancer. Unfortunately, up to half of these patients will have factors placing them at high risk of their cancer recurring. Having radiotherapy after RP is known to improve cure rates, but what is not known is whether it should be given straight after the operation or only when there is a rising PSA after surgery indicating active cancer. Immediate RT may not benefit all men, and can cause serious side effects such as bladder and bowel problems and impotence. International lack of consensus on the optimal timing of RT has resulted in varied clinical practice. This phase 3 trial will compare the two approaches.
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Trial website
https://clinicaltrials.gov/study/NCT00860652
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Trial related presentations / publications
Kneebone A, Fraser-Browne C, Duchesne GM, Fisher R, Frydenberg M, Herschtal A, Williams SG, Brown C, Delprado W, Haworth A, Joseph DJ, Martin JM, Matthews JHL, Millar JL, Sidhom M, Spry N, Tang CI, Turner S, Wiltshire KL, Woo HH, Davis ID, Lim TS, Pearse M. Adjuvant radiotherapy versus early salvage radiotherapy following radical prostatectomy (TROG 08.03/ANZUP RAVES): a randomised, controlled, phase 3, non-inferiority trial. Lancet Oncol. 2020 Oct;21(10):1331-1340. doi: 10.1016/S1470-2045(20)30456-3.
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Public notes
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Contacts
Principal investigator
Name
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Maria Pearse, MBChB
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Address
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Trans Tasman Radiation Oncology Group
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00860652
Download to PDF