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Trial registered on ANZCTR
Registration number
ACTRN12607000335493
Ethics application status
Approved
Date submitted
7/06/2007
Date registered
22/06/2007
Date last updated
8/09/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Implantation of marker seeds into the prostate; to improve quality of radiotherapy delivery and to allow dose escalation for men with localised prostate cancer
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Scientific title
Implantation of marker seeds into the prostate; to improve quality of radiotherapy delivery and to allow dose escalation for men with localised prostate cancer
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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:
Localised prostate cancer in men.
Inter-fraction prostate motion and motion of prostate relative to its position at simulation are potential sources of systematic treatment error.
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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
Nonrandomised study. Three marker seeds will be inserted into the prostate before radiation planning. Using sequential portal films, the seeds can be visualised and measurements will be performed to assess set-up errors over the course of radiation therapy.
The marker seeds will stay in the prostate permanently. The course of radiation therapy will be 7 weeks.
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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To assess the feasibility and potential implications for using fiducial markers rather than bony landmarks for realigning patients during treatment.
Every patient will have 7 weeks of radiation therapy treatment. During treatment, they will have daily portal films for the first 2 weeks and then twice per week for the remaining weeks. Measurements of the seeds position will be performed by a medical physicist.
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Assessment method [1]
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Timepoint [1]
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The feasibility outcome will be analysed after 20 patients' fiducial markers measurements have been collected.
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Secondary outcome [1]
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To measure organ motion and set-up errors over the course of radiation therapy from sequential portal films with fiducial seed markers implanted in the prostate.
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Assessment method [1]
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Timepoint [1]
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During the 7 weeks of radiotherapy, each patient will have daily sequential portal films for the first 2 weeks and then twice per week for the remaining weeks of treatment (i.e. 5 weeks). The portal films will be matched with the planning films to assess organ motion and set-up error.
Outcome will be analysed after 20 patients' fiducial markers measurements have been collected.
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Secondary outcome [2]
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To use the data collected to calculate the appropriate conformal margins for the treatment of localised prosate cancer and then allow for safe dose escalation
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Assessment method [2]
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Timepoint [2]
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After 20 patients' fiducial markers measurements have been collected
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Secondary outcome [3]
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During the 7 weeks of radiotherapy treatment, each patient will have daily sequential portal films for the first 2 weeks and then twice per week for the remaining weeks (i.e. 5 weeks). Measurements will be performed by a medical physicist.
Data will be used to calculate the appropriate conformal margins after 20 patients' fiducial markers measurements have been collected.
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Assessment method [3]
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Timepoint [3]
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After 20 patients' fiducial markers measurements have been collected
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Eligibility
Key inclusion criteria
all men with clinically localised prostate cancer consented for radiotherapy
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Minimum age
50
Years
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Maximum age
80
Years
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
on anti-coagulants where ceasing the medications are a cardiovascular risk
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
Single group
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/04/2007
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Actual
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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
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Department of Radiation Oncology, Royal Prince Alfred Hospital
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Address [1]
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Department of Radiation Oncology
Royal Prince Alfred Hospital Camperdown 2050
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Dr George Hruby
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Address
Department of Radiation Oncology
Royal Prince Alfred Hospital Camperdown 2050
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Michael Jackson
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Address [1]
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Department of Radiation Oncology
Royal Prince Alfred Hospital Camperdown 2050
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Country [1]
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Australia
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Secondary sponsor category [2]
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Individual
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Name [2]
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A/Prof Chris Milross
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Address [2]
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Department of Radiation Oncology
Royal Prince Alfred Hospital Camperdown 2050
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Country [2]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Royal Prince Alfred Hospital, Department of Radiation Oncology
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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19/03/2007
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Ethics approval number [1]
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X07-0007
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Summary
Brief summary
This is a study of implantation of marker seeds into the prostate to assess the feasibility of using marker seeds to locate the prostate before daily radiotherapy treatment for men with localised prostate cancer. Who is it for? You can join this study if you are a man aged 50–80 years with localised prostate cancer and you are going to have radiation therapy. Trial details Participants will have three marker seeds inserted under local anaesthetic into the prostate before radiotherapy. The seeds are like small rods inserted into the prostate gland and act as ‘landmarks’ so radiotherapy can be given as accurately as possible. All participants will have radiotherapy for 7 weeks. During the 7 weeks of therapy, X-rays will be taken daily for the first 2 weeks to measure the position of the seeds. After that, X-rays will be taken twice a week for 5 weeks to continue to measure the position of the marker seeds. These seeds will stay in your prostate permanently.
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Trial website
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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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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 public queries
Name
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Dr George Hruby
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Address
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Department of Radiation Oncology
Royal Prince Alfred Hospital
Camperdown NSW 2050
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Country
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Australia
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Phone
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+61 2 95158057
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Fax
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+61 2 95158070
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr George Hruby
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Address
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Department of Radiation Oncology
Royal Prince Alfred Hospital
Camperdown NSW 2050
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Country
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Australia
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Phone
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+61 2 95158057
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Fax
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+61 2 95158070
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Email
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[email protected]
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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
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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