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CompletedNCT00941915SMARTUpdated Jan 24, 2022Results posted

Stereotactic Body Radiotherapy (SBRT) for Prostate Cancer

An interventional study of SBRT Prostate in Prostate Cancer, sponsored by Duke University. Completed at 1 site in United States. Open to male participants aged 40 Years to 82 Years. Per ClinicalTrials.gov, last updated 2022-01-24.

Sponsored by Duke University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Not applicable
Ages
40 Years to 82 Years
Sex
Male
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Study summary

The purpose of this study is to evaluate the incidence of urinary and gastrointestinal acute and late side effects in patients treated with stereotactic body radiotherapy (SBRT) to the prostate. Stereotactic radiation therapy is given as five treatments over a 2-3 week period. The prostate is localized and the plan is reoptimized as needed prior to each treatment.

Read the detailed description

This protocol requires radiation treatments to be performed with a stereotactic technique with the use of a 3-D coordinate system defined by implanted transponders (i.e. Calypso) or use of the ExacTrac system and/or use cone-beam CT (CBCT) with fiducial markers.

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Conditions studied

  • Prostate Cancer

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Keywords

  • CaP
  • SBRT
  • Prostate
  • ExacTrac
  • Calypso
  • IMRT
  • Radiation
  • Cancer of Prostate
  • Prostatic Neoplasms
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In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.

This study's enrollment of 60 is close to the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Duke University is the lead sponsor of 2,025 studies on the registry; 275 are open to participants now.

Of its 194 completed or terminated interventional studies of FDA-regulated products, 159 (82%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
40 Years to 82 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically confirmed diagnosis of adenocarcinoma of the prostate within 365 days of study enrollment
  • History/physical examination with digital rectal examination of the prostate within 8 weeks prior to study enrollment
  • Gleason score less than or equal to 7
  • Clinical Stage T1-T2c
  • PSA
  • less than or = 15 ng/ml prior to start of therapy if Gleason \< or = 6 or
  • less than or = 10 ng/ml prior to start of therapy if Gleason = 7
  • Zubrod Performance Status 0-1
  • Age > 40

Exclusion criteria

Exclusion Criteria:

  • Prior or concurrent invasive malignancy (except non-melanomatous skin cancer) or lymphomatous/hematogenous malignancy unless continually disease free for a minimum of 5 years. (Carcinoma in situ of the bladder or oral cavity is permissible)
  • Evidence of distant metastases
  • Regional lymph node involvement
  • Significant urinary obstruction
  • Estimated prostate gland > 100 grams
  • Previous radical surgery (prostatectomy) or cryosurgery for prostate cancer
  • Previous pelvic irradiation, prostate brachytherapy, or bilateral orchiectomy
  • Previous hormonal therapy, such as LHRH agonists (e.g. goserelin, leuprolide), anti-androgens (e.g., flutamide, bicalutamide), estrogens (e.g., DES), or surgical castration (bilateral orchiectomy) or planned concurrent androgen deprivation therapy
  • Previous or concurrent cytotoxic chemotherapy for prostate cancer
  • Prosthetic implants in the pelvic region that contain metal or conductive materials (e.g., an artificial hip).
  • Severe, active comorbidity
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    Stereotactic Radiotherapy

    Five fractions of 7.4 Gy each

    Radiation: SBRT Prostate

Interventions

  • RadiationSBRT Prostate

    Five fractions of 7.4 Gy. The total dose will be 37 Gy. A minimum of 36 hours and a maximum of 96 hours should separate each treatment. No more than 3 fractions will be delivered per week. The total duration of treatment will be no shorter than 10 days and no longer than 18 days.

    Also known as: Stereotactic body radiation therapy, External beam radiation therapy

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What researchers measure

Primary outcomes

  1. Number of Participants With Genitourinary Acute Toxicity

    Genitourinary Acute Toxicity is defined as Grade 3 or higher occurring within 90 days from the end of radiation treatment

    Time frame: </= 90 days post radiation treatment, a total of 90 days

  2. Number of Participants With Genitourinary Late Toxicity

    Genitourinary Late Toxicity is defined as Grade 3 or higher occurring \>90 days from the end of radiation treatment

    Time frame: >90 days from the end of treatment, up to 3 years

  3. Number of Participants With Gastrointestinal Acute Toxicity

    Gastrointestinal Acute Toxicity is defined as Grade 3 or higher occurring within 90 days of the end of radiation treatment

    Time frame: </= 90 days post radiation treatment, a total of 90 days

  4. Number of Participants With Gastrointestinal Late Toxicity

    Gastrointestinal Late Toxicity is defined as Grade 3 or higher occurring \> 90 days from the end of radiation treatment

    Time frame: >90 days from the end of treatment, up to 3 years

Secondary outcomes

  1. Disease Free Survival

    Time frame: 5 yrs

  2. Quality of Life, as Measured by the Expanded Prostate Cancer Index Composite (EPIC-26) Short Form

    The EPIC-26 Short Form is a 13-item questionnaire. Scores range from 0-100, with higher scores representing better quality of life.

    Time frame: 3 years post-treatment

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Results

Posted Jan 24, 2022

Participant flow

Participant flow — Overall Study
MilestoneStereotactic Radiotherapy
Started60
Completed60
Not completed0

Outcome measures

PrimaryNumber of Participants With Genitourinary Acute Toxicity

Genitourinary Acute Toxicity is defined as Grade 3 or higher occurring within 90 days from the end of radiation treatment

Time frame:
</= 90 days post radiation treatment, a total of 90 days
Reported as:
Count of participants · Participants
Number of Participants With Genitourinary Acute Toxicity
ParticipantsStereotactic Radiotherapy
Grade 144
Grade 215
Grade 30
Grade 40
Grade 50
PrimaryNumber of Participants With Genitourinary Late Toxicity

Genitourinary Late Toxicity is defined as Grade 3 or higher occurring \>90 days from the end of radiation treatment

Time frame:
>90 days from the end of treatment, up to 3 years
Reported as:
Count of participants · Participants
Number of Participants With Genitourinary Late Toxicity
ParticipantsStereotactic Radiotherapy
Grade 122
Grade 24
Grade 30
Grade 40
Grade 50
PrimaryNumber of Participants With Gastrointestinal Acute Toxicity

Gastrointestinal Acute Toxicity is defined as Grade 3 or higher occurring within 90 days of the end of radiation treatment

Time frame:
</= 90 days post radiation treatment, a total of 90 days
Reported as:
Count of participants · Participants
Number of Participants With Gastrointestinal Acute Toxicity
ParticipantsStereotactic Radiotherapy
Grade 119
Grade 23
Grade 30
Grade 40
Grade 50
PrimaryNumber of Participants With Gastrointestinal Late Toxicity

Gastrointestinal Late Toxicity is defined as Grade 3 or higher occurring \> 90 days from the end of radiation treatment

Time frame:
>90 days from the end of treatment, up to 3 years
Reported as:
Count of participants · Participants
Number of Participants With Gastrointestinal Late Toxicity
ParticipantsStereotactic Radiotherapy
Grade 115
Grade 25
Grade 31
Grade 40
Grade 50
SecondaryDisease Free Survival
Time frame:
5 yrs

No measurements were reported for this outcome.

SecondaryQuality of Life, as Measured by the Expanded Prostate Cancer Index Composite (EPIC-26) Short Form

The EPIC-26 Short Form is a 13-item questionnaire. Scores range from 0-100, with higher scores representing better quality of life.

Time frame:
3 years post-treatment
Reported as:
Mean · score on a scale
Quality of Life, as Measured by the Expanded Prostate Cancer Index Composite (EPIC-26) Short Form
score on a scaleStereotactic Radiotherapy
Urinary Domain94.1 ± 14.7
Sexual Domain77.7 ± 27.6
Bowel Domain90.2 ± 24.0
Hormonal Domain94.4 ± 8.6

Adverse events

Collected over 3 years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Stereotactic Radiotherapy4/60 (6.7%)1/60 (1.7%)51/60 (85%)
Most frequent serious events
Most frequent serious events
EventStereotactic Radiotherapy
ProctitisGastrointestinal disorders1/60
Most frequent other events
Most frequent other events
EventStereotactic Radiotherapy
Urinary frequencyRenal and urinary disorders51/60
Urinary retentionRenal and urinary disorders30/60
Urinary urgencyRenal and urinary disorders28/60
Urinary tract painRenal and urinary disorders22/60
DiarrheaGastrointestinal disorders17/60
Rectal hemorrhageGastrointestinal disorders14/60
ProctitisGastrointestinal disorders9/60
Rectal painGastrointestinal disorders5/60
Hemorrhoidal hemorrhageGastrointestinal disorders4/60

Baseline characteristics

Age, Continuous
Age, Continuous(years)Stereotactic Radiotherapy
Median66 (49 to 82)
Sex: Female, Male
Sex: Female, Male(Participants)Stereotactic Radiotherapy
Female0
Male60
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Stereotactic Radiotherapy
Hispanic or Latino0
Not Hispanic or Latino60
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Stereotactic Radiotherapy
American Indian or Alaska Native1
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American17
White41
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Stereotactic Radiotherapy
United States60
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Study locations

1 site
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
09

References and documents

Publications

  • Peeters ST, Heemsbergen WD, Koper PC, van Putten WL, Slot A, Dielwart MF, Bonfrer JM, Incrocci L, Lebesque JV. Dose-response in radiotherapy for localized prostate cancer: results of the Dutch multicenter randomized phase III trial comparing 68 Gy of radiotherapy with 78 Gy. J Clin Oncol. 2006 May 1;24(13):1990-6. doi: 10.1200/JCO.2005.05.2530. PubMed 16648499 ↗
  • Zietman AL, DeSilvio ML, Slater JD, Rossi CJ Jr, Miller DW, Adams JA, Shipley WU. Comparison of conventional-dose vs high-dose conformal radiation therapy in clinically localized adenocarcinoma of the prostate: a randomized controlled trial. JAMA. 2005 Sep 14;294(10):1233-9. doi: 10.1001/jama.294.10.1233. Erratum In: JAMA. 2008 Feb 27;299(8):899-900. PubMed 16160131 ↗
  • Madsen BL, Hsi RA, Pham HT, Fowler JF, Esagui L, Corman J. Stereotactic hypofractionated accurate radiotherapy of the prostate (SHARP), 33.5 Gy in five fractions for localized disease: first clinical trial results. Int J Radiat Oncol Biol Phys. 2007 Mar 15;67(4):1099-105. doi: 10.1016/j.ijrobp.2006.10.050. PubMed 17336216 ↗
  • Boyer MJ, Papagikos MA, Kiteley R, Vujaskovic Z, Wu J, Lee WR. Toxicity and quality of life report of a phase II study of stereotactic body radiotherapy (SBRT) for low and intermediate risk prostate cancer. Radiat Oncol. 2017 Jan 13;12(1):14. doi: 10.1186/s13014-016-0758-8. PubMed 28086825 ↗

Study documents

  • Protocol and statistical analysis plan · Jun 17, 2013

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 24, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00941915
Lead sponsor
Duke University
Responsible party
Sponsor
First posted
Jul 20, 2009
Start date
Nov 9, 2009
Primary completion
Feb 2017
Completion
Jul 17, 2020
Results posted
Jan 24, 2022
Last update
Jan 24, 2022

Study contacts

William R Lee, MD
principal investigator · Duke University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2021. You cannot join it, but the record below documents what was studied.

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