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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03386045
Registration number
NCT03386045
Ethics application status
Date submitted
11/12/2017
Date registered
29/12/2017
Titles & IDs
Public title
Optimal Prostate Study
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Scientific title
Optimal Prostate Fractionation Study
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Secondary ID [1]
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OPTIMAL
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Universal Trial Number (UTN)
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Trial acronym
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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 - Optimal SBRT
Treatment: Other - Optimal Booster
Active comparator: Optimal SBRT - Participants in this group will be randomised to either SBRT ( 36 to 45 GY in 5 fractions) or standard radiotherapy (60 Gy in 20 fractions). The allocation is 2 to 1. This means that two thirds of the participants on the trial will get the SBRT (5 treatments) and one third will get the standard fractions.
Active comparator: Optimal Booster - Participants in this group will be randomised to either standard radiotherapy plus SBRT (45 Gy in 20 fractions plus 20-30 Gy in 2 fractions-Booster) or standard radiotherapy (60 Gy in 20 fractions). The allocation is 2 to 1. This means that two thirds of the participants on the trial will get the Booster arm and one third will get the standard fractions.
Treatment: Other: Optimal SBRT
Two thirds of the participants in this group will get the SBRT (5 treatments) and one third will get standard treatment (60 Gy in 20 treatments)
Treatment: Other: Optimal Booster
Two thirds of the participants in this group will get the two high precision radiotherapy plus 20 doses of standard external beam radiotherapy (ie the "Booster approach\|") and one third will get the standard treatment (60 Gy in 20 treatments)
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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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local control
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Assessment method [1]
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the rate of local control as determined on PSMA scanning
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Timepoint [1]
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12 months post radiotherapy
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Secondary outcome [1]
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Biological failure rate
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Assessment method [1]
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The rate of biochemical failure defined as Nadir+2.0 biochemical failure defined as Nadir+2.0
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Timepoint [1]
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3 year and 5 year
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Secondary outcome [2]
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late toxicity
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Assessment method [2]
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Late Gastrointestinal and Genitourinary Toxicity (modified RTOG scale)
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Timepoint [2]
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more than three months after treatment completion.
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Secondary outcome [3]
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Markerless tracking technology
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Assessment method [3]
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Markerless tracking algorithms will be assessed for accuracy against marker-based localisation by masking the markers and directly comparing the determined trajectories
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Timepoint [3]
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During radiotherapy treatment
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Secondary outcome [4]
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Accuracy of the various intrafraction guidance methods
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Assessment method [4]
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Accuracy of various intrafraction guidance methods will be determined against triangulation of kilovoltage (kV) and Megavoltage (MV) projections
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Timepoint [4]
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During radiotherapy treatment
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Eligibility
Key inclusion criteria
Inclusion criteria
* Histologically proven prostate adenocarcinoma
* PSA obtained within three months prior to enrolment
* ECOG performance status 0 to 2
* Ability to understand and the willingness to sign a written consent
* Suitable for high dose irradiation to the prostate
To be eligible for the arm containing Stereotactic Booster alone approach patient must have the following
* No contraindication to MRI such as pacemaker and severe claustrophobia
* Patient must be able to have fiducial markers placed in the prostate
* Patient must be able to have hydrogel insertion at the same time as fiducial markers
* Must have IPSS less than 15
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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
Exclusion criteria
* Previous pelvic radiotherapy
* Prior total prostatectomy
* Unwilling or unable to give informed consent
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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
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
2/10/2018
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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
1/08/2028
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Actual
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Sample size
Target
214
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Royal North Shore Hospital - St Leonards
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Recruitment postcode(s) [1]
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2065 - St Leonards
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Funding & Sponsors
Primary sponsor type
Other
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Name
Royal North Shore Hospital
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
To compare the toxicity, rate of local control, biochemical failure rate and quality of life of three different radiotherapy techniques (moderate hypofractionation, stereotactic body radiotherapy (SBRT) and standard radiotherapy plus 2 fractions of SBRT (BOOSTER)
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Trial website
https://clinicaltrials.gov/study/NCT03386045
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Andrew Kneebone, MBBS
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Address
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Northern Sydney Local Health District
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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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Carol Kwong
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Address
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Country
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Phone
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+61 2 9463 1339
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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)?
Yes
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What data in particular will be shared?
aim to present study data in conferences and medical journals
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When will data be available (start and end dates)?
end of trial after analysis
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Available to whom?
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Available for what types of analyses?
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How or where can data be obtained?
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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/NCT03386045