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CompletedNCT02361515RPAH2Updated Mar 17, 2022

Hypofractionated Radiotherapy Versus Stereotactic Irradiation With Hyaluronic Acid

An interventional study of Moderate hypofractionated radiotherapy and Stereotactic radiotherapy in Prostatic Adenocarcinoma, sponsored by Hospices Civils de Lyon. Completed at 7 sites in France. Open to male participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2022-03-17.

Sponsored by Hospices Civils de Lyon · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
96
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
Male
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Study summary

The present randomized, open, multicentric Phase II trial, in parallel groups with two arms of treatment, compares the treatment A, moderate hypofractionated radiotherapy of 62Gy, to treatment B, stereotactic irradiation of 37.5 Gy with hyaluronic acid injection in the space between the prostate and the rectum to preserve the rectal-wall from high doses of irradiation. The study aims to assess the rates of late urinary toxicities of grade ≥ 2 induced by a moderate hypofractionated radiotherapy (62Gy in 20 fractions of 3.1Gy) and by a stereotactic radiotherapy (37.5Gy in 5 fractions of 7.5Gy), and the rectal toxicities after an injection of hyaluronic acid between the rectal wall and the prostate.

Ninety-six patients and 9 centers are included in the protocol.

02

Conditions studied

  • Prostatic Adenocarcinoma

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Keywords

  • Prostate
  • Hypofractionated radiotherapy
  • Stereotactic irradiation
  • Spacer
  • Rectal and bladder toxicities
03

In context

Adenocarcinoma

2,004 studies on the registry are indexed under Adenocarcinoma; 375 are open to participants now.

This study's enrollment of 96 is above the median of 45 across 1,553 interventional studies indexed under Adenocarcinoma.

Browse Adenocarcinoma studies →

Lead sponsor

Hospices Civils de Lyon is the lead sponsor of 1,826 studies on the registry; 439 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • age superior or equal to 18 years and inferior to 80 years.
  • patient with a low- to intermediate-risk prostate cancer, according to D'Amico classification, for an exclusive irradiation.
  • prostate cancer histologically proven.
  • performance index OMS (World Health Organization) of grade 0-2.
  • indication of external beam radiotherapy validate by the medical commission of the institution.
  • IPSS (International Prostate Symptom Score \< 15/35 (without alpha-blocker).
  • the signed consent form.

Exclusion criteria

Exclusion Criteria:

  • Rectal surgery antecedents.
  • prostate resection less than 6 mois.
  • Involvement of the seminal vesicles or of the capsule on MRI.
  • patient who can't cooperate during the treatment.
  • pelvic irradiation antecedents.
  • antecedents of inflammatory intestinal pathologies.
  • neoplasia.
  • patients treated with anti-neoplastic or anti-angiogenic or with other treatments used in rheumatology and which may include methotrexate (in order not to have a radiosensitizing effect).
  • patients receiving anticoagulant treatment.
  • other undergoing study that may interfere with the present study.
  • patient under legal protection measure.
  • hypersensitivity to hyaluronic acid.
  • patient with auto-immune disease.
  • patient receiving immunosuppressive medication.
  • severe allergies.
  • history of endocarditis.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
96 participants (actual)

Study arms

  • Active comparator
    Moderate Hypofractionated radiotherapy (62Gy)

    20 fractions of 3.1Gy

    Radiation: Moderate hypofractionated radiotherapy

  • Experimental
    Stereotactic radiotherapy (37.5Gy)

    5 fractions of 7.5Gy)

    Radiation: Stereotactic radiotherapy

Interventions

  • RadiationModerate hypofractionated radiotherapy

    Moderate hypofractionated radiotherapy of 62Gy in 20 fraction of 3.1Gy.

  • RadiationStereotactic radiotherapy

    Stereotactic radiotherapy of 37.5Gy in 5 fraction of 7.5Gy.

06

What researchers measure

Primary outcomes

  1. Number of patients with late urinary toxicities of grade ≥ 2 after moderate hypofractionated radiotherapy (62Gy in 20 fractions of 3.1Gy) and after stereotactic radiotherapy (37.5Gy in 5 fractions of 7.5Gy).

    Late urinary toxicities of grade ≥ 2 assessed using the Common Toxicity Criteria for Adverse Effects ( CTCAE) v 4.0 classification from 3 months to 3 years.

    Time frame: Follow-up at ≥ 3 months after the radiotherapy and up to 3 years.

Secondary outcomes

  1. Survival rates without biological relapse in both arms.

    Survival rates without biological relapse (increase of the PSA (prostate-specific antigen) beyond nadir + 2 ng/ml, using Phoenix definition).

    Time frame: 3 years.

  2. Evaluation and comparison of the acute urinary and rectal toxicities in both arms.

    all toxicities will be listed using Common Toxicity Criteria for Adverse Effects (CTCAE) v4.0.

    Time frame: 3 months: evaluation at 3 months.

  3. Evaluation and comparison of the sexual preservation rates in both arms.

    evaluation and comparison of the sexual preservation rates in both arms using International Index of Erectile Function (IIEF).

    Time frame: 3 years.

  4. Late rectal toxicities in both arms, for the evaluation of the hyaluronic acid efficacy to preserve the rectal wall in both approaches.

    Late rectal toxicities in both arms, for the evaluation of the hyaluronic acid efficacy to preserve the rectal wall in both approaches, using Common Toxicity Criteria for Adverse Effects (CTCAE) 4.0.

    Time frame: 3 years.

07

Study locations

7 sites
  • Clinique Claude Bernard Service de radiothérapie CMCO Claude Bernard
    Albi, 81000, France
  • Centre Georges Francois Leclerc
    Dijon, 21079, France
  • Institut Paoli Calmettes
    Marseille, 13009, France
  • Site Hospitalier Nord Boulevard Jacques Monod
    Nantes, 44805, France
  • Centre Hospitalier Lyon Sud
    Pierre-Bénite, 69495, France
  • Institut de Cancérologie de la Loire
    St Etienne, 42270, France
  • Groupe ONCORAD Clinique Pasteur
    Toulouse, 31300, France
08

References and documents

Publications

  • Jmour O, Benna M, Champagnol P, Ben Mrad M, Hamrouni A, Obeid L, Lahmamssi C, Bousarsar A, Vial N, Rehailia-Blanchard A, Sotton S, Lan M, Langrand-Escure J, Vallard A, Magne N. CBCT evaluation of inter- and intra-fraction motions during prostate stereotactic body radiotherapy: a technical note. Radiat Oncol. 2020 Apr 19;15(1):85. doi: 10.1186/s13014-020-01534-2. PubMed 32307017 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 17, 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
NCT02361515
Lead sponsor
Hospices Civils de Lyon
Responsible party
Sponsor
First posted
Feb 11, 2015
Start date
Mar 2015
Primary completion
Jan 2020
Completion
Jan 2020
Last update
Mar 17, 2022

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2022. You cannot join it, but the record below documents what was studied.

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