ClinicalTrials.gg
RecruitingNCT07189598ORIONUpdated Apr 30, 2026

Phase III Adaptive Adaptive Stereostactic Body Radiotherapy (SBRT) With Dose Escalation for High-Risk Prostate Cancer

An interventional study of Adaptive Stereostatic Body RadioTherapy (SBRT) including both Whole Pelvic RadioTherapy (WPRT) and dose-escalation on the Dominant Intraprostatic Lesion (DIL) and conventional or a moderately hypofractionated in High Risk Prostate Cancer, sponsored by Center Eugene Marquis. Recruiting at 1 site in France. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-30.

Sponsored by Center Eugene Marquis · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
390
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

The aim of this clinical trial is to evaluate the efficacy of adaptive prostate Stereotatic Body RadioTherapy (SBRT), which integrates both Whole Pelvic RadioTherapy (WPRT) and dose escalation on the Dominant Intraprostatic Lesion (DIL), compared with standard radiotherapy. This will be assessed using a 5-year cost-utility analysis based on data from the clinical trial and the National Health Data System (NHDS).

02

Conditions studied

  • High Risk Prostate Cancer

Browse trials for

Keywords

  • phase III
  • stereotactic body radiotherapy
  • prostate cancer
  • high-risk
  • randomized clinical trial
03

In context

Prostatic Neoplasms

7,046 studies on the registry are indexed under Prostatic Neoplasms; 1,580 are open to participants now.

This study's planned enrollment of 390 is above the median of 60 across 5,348 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Center Eugene Marquis is the lead sponsor of 32 studies on the registry; 8 are open to participants now.

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

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

  • Male.
  • Age ≥ 18 years
  • (Eastern Cooperative Oncology Group) performance status 0-2
  • proven prostate adenocarcinoma, not previously treated
  • High-risk or very high-risk according to the National Comprehensive Cancer Network (NCCN) :

    • T3a / T3b (proximal extension only),
    • and/or ISUP (International Society of Urological Pathology) grade 4-5,
    • and/or PSA (Prostate-Specific Antigen) 20ng/mL
  • Non-, as proven by Prostate Specific Membrane Antigen (PSMA) positron emission tomography/computed tomography (PET/CT) and pelvic MRI (Magnetic Resonance Imaging) less than 2 months before starting hormone therapy
  • Normal testosterone levels prior to hormone therapy
  • Ability to give consent for inclusion in the study
  • Acceptance of treatment and monitoring modalities

Exclusion criteria

Exclusion Criteria:

  • Presence of nodal or distant
  • Stage T4.
  • Prostate volume > 80 cm3.
  • IPSS >19/35.
  • Previous local treatment of prostate adenocarcinoma (HIFU (High-Intensity Focused Ultrasound), cryotherapy)
  • Previous TransUrethral Resection of the prostate (PTUR)).
  • Previous pelvic radiotherapy.
  • Chronic inflammatory bowel disease.
  • Active cardiovascular comorbidities (e.g. myocardial infarction or ischemic stroke within the last 6 months).
Terms in these criteria, in plain language(3)

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.

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

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

Study arms

  • Experimental
    innovative arm

    Participants treated with Stereostatic Body RadioTherapy (SBRT) will be administered an adaptative stereostactic, ultra-fractionated radiotherapy every other day, for a total treatment time of 10 days. Total treatment time should not exceed 17 days

    Procedure: Adaptive Stereostatic Body RadioTherapy (SBRT) including both Whole Pelvic RadioTherapy (WPRT) and dose-escalation on the Dominant Intraprostatic Lesion (DIL)

  • Active comparator
    control arm

    Patients will be treated by Conventional fractionation in 39 fractions, 5 days a week or Moderate hypofractionation in 20 fractions , 5 days a week

    Procedure: conventional or a moderately hypofractionated

Interventions

  • ProcedureAdaptive Stereostatic Body RadioTherapy (SBRT) including both Whole Pelvic RadioTherapy (WPRT) and dose-escalation on the Dominant Intraprostatic Lesion (DIL)

    The doses delivered will be: * the prostate gland, at a dose of 36.25 Gray, in 5 fractions, * the dominant intraprostatic lesion, up to 50 Gray, in 5 fractions, * seminal vesicles, at a dose of 25 Gray in 5 fractions, * pelvic lymph nodes, at 25 Gray in 5 fractions

  • Procedureconventional or a moderately hypofractionated

    * Conventional fractionation includes the prescription of a total dose of 78 Gray in 39 fractions to the prostate gland (and seminal vesicles, in case of T3b disease), and a dose de 50Gy in 25 fractions to pelvic nodal areas. * Moderate hypofractionation includes the prescription of a total dose of 60 Gray to the prostate gland (and seminal vesicles, in case of T3b disease), and 44 Gray to pelvic nodal areas in 20 fractions using a simultaneous integrated boost (SIB)

06

What researchers measure

Primary outcomes

  1. Efficacy of adaptive prostate Stereostatic Body RadioTherapy (SBRT) integrating both Whole Pelvic RadioTherapy (WPRT) and dose-escalation on the Dominant Intraprostatic Lesion (DIL)

    The primary endpoint is incremental cost effectiveness ratio (ICER) expressed as the cost for each healthy life-year gained at 5 years, with costs estimated from the National Health Data System (NHDS), overall survival (defined as the time between the 1st day of treatment and death from any cause), and utility estimated from clinical trial data

    Time frame: Five years after radiotherapy

Secondary outcomes

  1. Biochemical recurrence-free survival

    defined as the time between date of randomization and date of biochemical recurrence, with biological recurrence defined according to Phoenix criteria.

    Time frame: Up to Year 5

  2. Metastatic recurrence-free survival

    Defined as the time from date of randomization to date of metastatic recurrence, metastatic recurrence being defined as the appearance of a lesion outside the target volume.

    Time frame: Up to Year 5

  3. Overall survival

    Defined as the time from date of randomization to date of death (from any cause)

    Time frame: Up to Year 5

  4. Quality of life

    defined with International Prostate Symptoms Score (IPSS)

    Time frame: Up to Year 5

  5. Quality of life

    Defined with Expanded Prostate Cancer Index Composite (EPIC) score

    Time frame: Up to Year 5

  6. Quality of life

    Defined with European Quality Of Life -5 Dimensions-5 Levels (EQ-5D-5L) scales

    Time frame: Up to Year 5

  7. Toxicity (GenitoUrea, GenitoIntestial, sexual) of the experimental arm

    graded according to the Common Terminology Criteria for Adverse Events (CTCAE) v5.0

    Time frame: Up to Year 5

07

Study locations

1 of 1 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 30, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07189598
Lead sponsor
Center Eugene Marquis
Responsible party
Sponsor
First posted
Sep 24, 2025
Start date
Mar 2, 2026
Primary completion
Apr 1, 2033 (estimated)
Completion
Apr 1, 2033 (estimated)
Last update
Apr 30, 2026

Study contacts

Jennifer LE GUEVELOU, DR
Contact
jennifer.leguevelou@gmail.com
0299253000 ext. +33
Renaud DE CREVOISIER, PR
Contact
r.de-crevoisier@rennes.unicancer.fr
0299253000 ext. +33

Oversight

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

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion