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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02397317
Registration number
NCT02397317
Ethics application status
Date submitted
9/03/2015
Date registered
24/03/2015
Titles & IDs
Public title
Stereotactic Prostate Adaptive Radiotherapy Utilising Kilovoltage Intrafraction Monitoring
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Scientific title
Stereotactic Prostate Adaptive Radiotherapy Utilising Kilovoltage Intrafraction
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Secondary ID [1]
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TROG 15.01
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Secondary ID [2]
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TROG 15.01 SPARK
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Universal Trial Number (UTN)
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Trial acronym
SPARK
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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 - Multi-fraction SABR
Experimental: Multi-fraction SABR - All participants will receive Multi-Fraction SABR; 36.25 Gy (PTV D95) in 5 Fractions within 2-5 weeks
Treatment: Other: Multi-fraction SABR
All participants will receive Multi-Fraction SABR; 36.25 Gy (PTV D95) in 5 Fractions within 2-5 weeks
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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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Accumulated patient dose distributions will be determined via paired controls by comparing the measured treatment accuracy and dose with KIM and those that would have been delivered in the absence of KIM
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Assessment method [1]
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Timepoint [1]
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up to 36 months
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Secondary outcome [1]
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Patient treatment outcomes determined by assessing Biochemical-clinical failure (BCF)
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Assessment method [1]
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Timepoint [1]
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up to a maximum of 36 months.
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Secondary outcome [2]
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Patient treatment outcomes determined by assessing acute and late toxicity grade 3 or higher (using CTCAE version 4)
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Assessment method [2]
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Timepoint [2]
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Weekly during treatment, then two weeks, six weeks and 6 months post treatment
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Secondary outcome [3]
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Patient treatment outcomes determined by assessing patient-reported outcomes
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Assessment method [3]
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Timepoint [3]
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12 and 24 months after treatment
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Secondary outcome [4]
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The patient's perception of KIM will be quantified using an adapted SAT-RAR survey, an instrument that has previously been used to assess patient perceptions on technological innovations in radiotherapy and respiratory gating.
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Assessment method [4]
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Timepoint [4]
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up to 36 months
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Secondary outcome [5]
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Targeting accuracy through measuring the final geometric accuracy with and without the KIM gating procedure
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Assessment method [5]
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Timepoint [5]
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up to 36 months
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Secondary outcome [6]
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Radiation therapists feedback on KIM will be quantified using a survey which will obtain specific information about the impact of the KIM system and SPARK on education, patient workflow, clinical impact and user confidence
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Assessment method [6]
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Timepoint [6]
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up to 36 months
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Eligibility
Key inclusion criteria
1. Histologically proven prostate adenocarcinoma
2. Low or intermediate risk disease as defined by:
* Low Risk: All of PSA<10 ng/mL, Gleason Grade 6 AND Stage T1 or T2a
* Intermediate Risk: Any or all of PSA 10-20 ng/mL, Gleason Grade 7 OR Stage T2b-c
* Absence of high risk features (PSA>20, T3-4, N1 or M1 disease, Gleason score 8-10) (PSA must be within 3 months prior to enrolment)
3. ECOG Performance status 0-2
4. Suitable for definitive external beam radiotherapy (IMRT or VMAT)
5. Ability to have three gold fiducial markers placed in the prostate
6. Six month course of androgen deprivation therapy allowed at clinician discretion.
7. Available for follow up for a minimum of 2 years (up to 3 years)
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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
1. Lymph node irradiation
2. Any other systemic anti-prostate cancer therapy (i.e. non-ADT) both proven in the metastatic setting and investigational (e.g. docetaxel, enzalutamide)
3. Artificial hip(s) (Unable to visualise markers through prosthesis)
4. Prostate volume > 90 cm3 measured from the CT scan
5. Patient lateral dimension >40cm as measured at the level of the prostate from the CT scan
6. Suboptimal fiducial markers placement for treatment utilising KIM as assessed by a medical physicist by measuring marker positions from the CT scan
7. Fiducial migration or fewer than 3 fiducials present in the CT scan
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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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
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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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
1/02/2016
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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
1/12/2020
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Actual
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Sample size
Target
48
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC
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Recruitment hospital [1]
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Calvary Mater Newcastle - Newcastle
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Recruitment hospital [2]
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Liverpool Cancer Therapy Centre - Sydney
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Recruitment hospital [3]
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Royal North Shore Hospital - Sydney
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Recruitment hospital [4]
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The Crown Princess Mary Cancer Centre Westmead - Sydney
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Recruitment hospital [5]
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Peter MacCallum Cancer Centre - Melbourne
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Recruitment postcode(s) [1]
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2298 - Newcastle
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Recruitment postcode(s) [2]
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1871 - Sydney
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Recruitment postcode(s) [3]
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2065 - Sydney
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Recruitment postcode(s) [4]
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2145 - Sydney
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Recruitment postcode(s) [5]
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3000 - Melbourne
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Sydney
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Trans Tasman Radiation Oncology Group
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
Brief summary
The SPARK trial is testing the use of Kilovoltage Intrafraction Monitoring in prostate cancer patients being treated with Stereotactic Prostate Adaptive Radiotherapy. The researchers expect this trial to result in better targeted prostate cancer patient outcomes with lower toxicity. The potential application of Kilovoltage Intrafraction Monitoring to other tumour sites will pave the way for additional trials with Australasian radiation oncology leading the world.
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Trial website
https://clinicaltrials.gov/study/NCT02397317
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Trial related presentations / publications
Hewson EA, Nguyen DT, O'Brien R, Poulsen PR, Booth JT, Greer P, Eade T, Kneebone A, Hruby G, Moodie T, Hayden AJ, Turner SL, Hardcastle N, Siva S, Tai KH, Martin J, Keall PJ. Is multileaf collimator tracking or gating a better intrafraction motion adaptation strategy? An analysis of the TROG 15.01 stereotactic prostate ablative radiotherapy with KIM (SPARK) trial. Radiother Oncol. 2020 Oct;151:234-241. doi: 10.1016/j.radonc.2020.08.010. Epub 2020 Aug 20. Keall P, Nguyen DT, O'Brien R, Booth J, Greer P, Poulsen P, Gebski V, Kneebone A, Martin J. Stereotactic prostate adaptive radiotherapy utilising kilovoltage intrafraction monitoring: the TROG 15.01 SPARK trial. BMC Cancer. 2017 Mar 8;17(1):180. doi: 10.1186/s12885-017-3164-1.
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Public notes
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Contacts
Principal investigator
Name
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Paul Keall
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Address
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University of Sydney
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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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Paul Keall
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Address
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Country
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Phone
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+61 2 9351 3590
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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/NCT02397317