ClinicalTrials.gg
CompletedNCT03486821Updated May 5, 2026

Ultra-hypofractionated Radiation in Prostate Cancer

An interventional study of Hypofractionated Radiation in Early Stage Prostate Cancer, sponsored by University of Kansas Medical Center. Completed at 1 site in United States. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-05.

Sponsored by University of Kansas Medical Center · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
13
Allocation
Not applicable
Ages
18 Years and older
Sex
Male
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 59 studies in Financial Stress with a site in United States — 19 open to participants now, 26 under way, none of them phase 3. Financial Stress · United States.

Enrollment
49th of 51
13 · median 70
Started
2018
with 2 others
No phase
51 of 59
15 open now
Registered
5th of 59
by date

Among the 59 studies in Financial Stress with a site in United States, this one is the 49th largest by enrollment of the 51 interventional ones that give a count, is one of 3 that started in 2018, is one of 51 with no phase, and was the 5th registered.

Financial Stress

100 studies on the registry are indexed under Financial Stress; 34 are open to participants now.

Browse Financial Stress studies →

Open to participants now

19 of the 59 studies in Financial Stress with a site in United States are open now. Recruiting first, the newest first:

14 more — sign in →

All 19 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 24 Financial Stress studies recruiting now, 17 (71%) set no upper age limit and 6 (25%) stop at 75 or younger; 7 take children under 18; 5 take healthy volunteers.

This study: 18 Years and older · male · no healthy volunteers.

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02

Study summary

The primary objective of this study is to demonstrate that ultra-hypofractionation of prostate cancer does not increase urinary toxicity as defined by the EPIC-26 GU domain patient reported outcome.

Read the detailed description

This is a pilot clinical trial looking at 2 fraction SBRT radiation therapy as an alternative to standard of care. Data does not yet exist for the safety and efficacy of this regimen.

However, the feasibility of ultra-short radiation therapy treatments has already been demonstrated in an analogous treatment using high-dose rate (HDR) brachytherapy. HDR brachytherapy has been adopted at high volume cancers centers as a standard treatment for prostate cancer. Typical doses have been 26 - 27 Gy over 2 fractions (13 or 13.5 Gy per fraction). Overall, toxicity and efficacy of HDR brachytherapy have compared favorably to other treatment modalities.

Dosimetric planning models between SBRT and HDR brachytherapy suggest minor differences. HDR brachytherapy was able to achieve higher intraprostatic maximum doses and lower rectal doses, but target volume coverage and urethral dose was not significantly different. These data suggest that reducing SBRT treatments from 5 fractions to 2 fractions may be feasible, efficacious and tolerable.

Eligible patients include all patients who are otherwise eligible for standard 5 fraction SBRT prostate. Study population will be low and intermediate patients with good urinary function (as defined by small prostate volume and low IPSS score). SBRT treatment will be delivered to the prostate to 12.5 Gy x 2 fractions.

Hormonal therapy is permitted on this study. Permitted agents include: leuprolide (Lupron/Eligard), biclutamide (Casodex), and degarelix (Firmagon).

Rectal sparing with hydrogel spacer (SpaceOAR) will be encouraged.

All patients will be enrolled with interim safety analyses after every occurrence of a grade 3 acute or late toxicity. Interval safety analysis will also be performed for recurrence and decrease in EPIC GU domain quality of life. Biospecimen and financial toxicity data will also be collected.

03

Conditions studied

  • Early Stage Prostate Cancer

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Keywords

  • Radiation Therapy
  • ultra-short Radiation
  • SBRT
  • prostate
  • quality of life
  • financial toxicity
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Ability of participant to sign a written .
  • Diagnosed with prostate cancer, T1-T2bN0M0 GS6-7, PSA \< 20
  • IPSS score \< 15 (and \< 10 if on medication for benign prostatic hypertrophy such as tamsulosin) at time of enrollment (Appendix 21.4)
  • Prostate volume (by US, CT or MRI measurement) \< 50 cc at time of enrollment
  • Androgen deprivation therapy based on clinician judgment is permitted on study
  • > 10 years based on clinician's judgment
  • No other active
  • Age ≥ 18 years
  • Performance Status (ECOG) 0-1 (Appendix 21.5).
  • Other study-specific criteria:
  • Men of must not donate sperm while on this study and for 90 days after their last study treatment.

NOTE: Acceptable forms of are listed below:

  • One Barrier method (cervical cap with spermicide plus male condom; diaphragm with spermicide plus male condom) PLUS
  • Hormonal method (oral contraceptives, implants, or injections) or an intrauterine device (e.g., Copper-T).

Exclusion criteria

Exclusion Criteria:

  • Current or anticipated use of other agents while participating in this study.
  • Psychiatric illness/social situations that would limit compliance with study requirements
  • Prior pelvic radiation therapy
  • Prior prostatectomy
  • Inflammatory bowel disease or connective tissue disease requiring medical management
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

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

Study arms

  • Experimental
    Hypofrac Radiation Therapy

    All patients on this study will receive the same type of therapy, 2 treatment hypofractionated radiation therapy. Radiation treatment will start approximately 1-2 weeks after the simulation scan. Prior to each treatment, you will be asked to have a full bladder and empty rectum. You will be asked to take a liquid diet starting the afternoon prior to each treatment, and a laxative (such as Miralax) in the evening prior to each treatment. You will also be asked to take a Fleet's enema about 1 hours prior to the treatment time to ensure that the rectum is empty. To ensure full bladder, you will be asked to drink about 32 oz of water after the enema. This is the same procedure as above for the prep before the simulation scan. Each treatment should take about 10-20 minutes.

    Radiation: Hypofractionated Radiation

Interventions

  • RadiationHypofractionated Radiation

    All patients on this study will receive the same type of therapy, 2 treatment hypofractionated radiation therapy.

06

What researchers measure

Primary outcomes

  1. Toxicity Rates

    Patient reported urinary function, as defined by the EPIC-26 GU domain patient reported outcome for prostate cancer patients

    Time frame: up to 5 year post radiation

Secondary outcomes

  1. Biochemical Control Rate

    Biochemical freedom from progression as defined by ASTRO Phoenix criteria at 3 years

    Time frame: 1 month post-Radiation Therapy (RT), every 3 months- post RT for the first year and then every 6 months post RT for the next 4 years

  2. Radiation Therapy Oncology Group (RTOG) Late Toxicity Rate

    Rate of Grade 3+ gastrointestinal (GI) or genitourinary (GU) late toxicity at 3 years as defined by RTOG late toxicity scored on a 1 to 4 scale with a higher value representing a worse outcome.

    Time frame: 3 year

  3. RTOG Acute Toxicity Rate

    Rate of Grade 2+ GI or GU acute toxicity within 90 days of treatment as defined by RTOG acute toxicity scored on a 1 to 4 scale with a higher value representing a worse outcome.

    Time frame: 90 days

  4. Oxidative stress as a predictor of toxicity

    exploring the oxidative stress markers of the patient to use as a predictor of acute and late toxicty

    Time frame: 1 month post-RT, every 3 months- post RT for the first year and then every 6 months post RT for the next 4 years

  5. Financial Toxicity Measurement

    Determined by evaluation of patient completion of questionnaire

    Time frame: 3 months, 6 months, and 12 month visits only

07

Study locations

1 site
  • University of Kansas Medical Center/ Cancer Center
    Kansas City, Kansas 66190, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Mar 2026, 95 months.

Of 51 non-industry interventional studies with no phase under Financial Stress, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 40. This study's 95 months is above that.

Counting every sponsor, half of 51 studies reached it within 20 months; a quarter within 13 and three quarters within 40.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 27, 2018
First posted
Apr 3, 2018
StartActual
Mar 22, 2018
Primary completionActual
Mar 2, 2026
CompletionActual
Mar 2, 2026
Last update
May 5, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03486821
Responsible party
Xinglei Shen (Medical Doctor, University of Kansas Medical Center) — Principal investigator
First posted
Apr 3, 2018
Start date
Mar 22, 2018
Primary completion
Mar 2, 2026
Completion
Mar 2, 2026
Last update
May 5, 2026

Study contacts

Xinglei Shen, MD
principal investigator · University of Kansas Medical Center

Oversight

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

Not currently enrolling

This study is completed, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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