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Active, not recruitingNCT01352429Updated Jul 22, 2026

Mild Hypofractionation With Proton Therapy or IMRT for Intermediate-Risk Prostate Cancer

An observational study in Prostate Adenocarcinoma, sponsored by Abramson Cancer Center at Penn Medicine. Active, not recruiting at 2 sites in United States. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-22.

Sponsored by Abramson Cancer Center at Penn Medicine · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
303
Ages
18 Years and older
Sex
Male
01

Study summary

This is a study to first establish feasibility of the study and then to register the treatment data of adult patients with a diagnosis of intermediate risk of prostate cancer presenting for definitive radiation treatment with either proton radiotherapy or Intensity Modulated Radiation Therapy (IMRT). The investigators propose to employ a hypofractionated strategy with our image guided treatment to further improve cancer control and decrease toxicity.

Read the detailed description

This study will be done in two phases, first, a feasibility study and then a registration study. In the first, feasibility will be established using the primary objectives set below. The second phase will begin no earlier than 30 days after the last patient in the initial phase has completed treatment and once safety and feasibility has been verified. The secondary objectives will serve as the objectives for the second phase of the study.

02

Conditions studied

  • Prostate Adenocarcinoma

Keywords

  • adult
  • histologically confirmed
03

In context

Lead sponsor

Abramson Cancer Center at Penn Medicine is the lead sponsor of 446 studies on the registry; 86 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 14 (44%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

Patients with non-metastatic adenocarcinoma of the prostate, presenting for definitive proton or photon radiotherapy of the prostate.

Inclusion criteria

  • Histologically confirmed prostate adenocarcinoma within 365 days of registration.
  • Clinical stages T1a-T2c N0 M0 (AJCC Criteria 6th Ed). For any suspicious pelvic lymph node > 1.5cm (as exhibited on pelvic imaging), biopsy of the lymph node is suggested.
  • Histological evaluation of prostate biopsy with assignment of a Gleason score to the biopsy material; Gleason score must be in the range 2-7. Biopsy with > 6 cores is strongly recommended. (The highest Gleason Score in any core reported on the pathology report will be used for determining inclusion.)
  • PSA values \<20 ng/ml within 90 days prior to registration, and done either prior to prostate biopsy, or at least 21 days after prostate biopsy.
  • Zubrod (ECOG) status 0-1 documented within 90 days of registration.
  • Androgen deprivation is at the discretion of the treating radiation oncologist.
  • Subjects must give IRB-approved study-specific informed consent. Subjects must complete all required tests within the specified time frames.
  • Subjects must be at least 18 years old.
  • Members of all races and ethnic groups are eligible for this trial.

Exclusion criteria

Exclusion Criteria

  • Clinical stages T3 or greater (AJCC Criteria 6th Ed).
  • PSA of 20 ng/ml or greater.
  • Gleason score 8 or higher.
  • Evidence of distant metastasis. (Determined by CT scan, MRI, and/or bone scan prior to the simulation appointment; imaging results from UPHS will supercede results from similar scans from an outside facility.)
  • Evidence of lymph node involvement.
  • Previous prostate cancer surgery to include: prostatectomy, hyperthermia, and cryosurgery.
  • Previous pelvic radiation for prostate cancer.
  • Active rectal diverticulitis, Crohn's disease, or ulcerative colitis.
  • Prior systemic chemotherapy for prostate cancer.
  • History of proximal urethral stricture requiring dilatation.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
303 participants (actual)
Patient registry
No

Groups and cohorts

  • Phase 1 Feasibility

    Radiation: Proton Therapy · Radiation: IMRT

  • Phase 2 Registration

    Radiation: Proton Therapy · Radiation: IMRT

Interventions

  • RadiationProton Therapy
  • RadiationIMRT
06

What researchers measure

Primary outcomes

  1. Number of Participants with Adverse Events

    Unable to tolerate 10% of treatments using proton radiotherapy. Unable to complete all treatments. Cannot be given treatment because anatomy is such that a dosimetrically satisfactory treatment plan cannot be devised.

    Time frame: Within 10 days

  2. Acute Toxicity

    Any grade 2 or higher GI or GU toxicity, other than GI or GU toxicity or any grade 3 or higher toxicity, other than GI or GU. In the feasibility phase of this trial, the observation window for acute toxicty is extended to 60 days from completion of radiotherapy, as a feasibility precaution.

    Time frame: Within 60 days of completion of radiotherapy

Secondary outcomes

  1. Late toxicity

    Any grade 2 or higher GI or GU toxicity or any grade 3 or higher toxicity, other than GI or GU which occurs beyond 60 days from completion of radiotherapy. Late toxicities will be graded according to the RTOG/EORTC late morbidity scoring system.

    Time frame: open-ended

  2. Biochemical/clinicalprogression-free survival

    The time from start of radiotherapy to either documented increase in PSA or clinical progression of disease (based on CT, MRI, or bone scan), death due to any cause or last patient contact alive.

    Time frame: 5 years

07

Study locations

2 sites
  • Walter Reed National Military Medical Center
    Bethesda, Maryland 20889, United States
  • Abramson Cancer Center of the University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01352429
Lead sponsor
Abramson Cancer Center at Penn Medicine
Responsible party
Sponsor
First posted
May 11, 2011
Start date
Aug 2009
Primary completion
Dec 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Jul 22, 2026

Study contacts

Neha Vapiwala, MD
principal investigator · Abramson Cancer Center at Penn Medicine

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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