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Not yet recruitingNCT07888283Updated Oct 22, 2026

SURPASS: Stereotactic Ultra-hypofractionated Radiotherapy for Post-prostatectomy Patients: Adaptive Salvage SBRT

An interventional study of Adaptive stereotactic body radiotherapy (SBRT) in Prostate Adenocarcinoma, sponsored by NYU Langone Health. Not yet recruiting at 1 site in United States. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-22.

Sponsored by NYU Langone Health · Not applicable, Interventional, and Treatment

Updated Oct 22, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
18 Years and older
Sex
Male
01

Study summary

The purpose of the study is to evaluate the safety and feasibility of daily-adaptive post-prostatectomy stereotactic body radiotherapy (SBRT) to the prostate fossa in men undergoing salvage radiotherapy after radical prostatectomy.

Read the detailed description

Patients will have a computed tomography (CT) or Magnetic resonance imaging (MRI) simulation visit as part of the standard of care (SOC), which will be used for treatment planning. Approximately two weeks after the simulation visit, patients will receive adaptive stereotactic body radiation (SBRT) to the prostate fossa at 35 Gy in 5 fractions on the Unity (MR-linac) or Ethos (CT-linac) as SOC. The radiation treatment used in this study is SOC, however, the doses used are investigational and well supported with evidence from clinical trials.

02

Conditions studied

  • Prostate Adenocarcinoma

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Keywords

  • prostate cancer
03

In context

Prostatic Neoplasms

6,484 studies on the registry are indexed under Prostatic Neoplasms; 1,415 are open to participants now.

This study's planned enrollment of 30 is below the median of 58 across 4,908 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

NYU Langone Health is the lead sponsor of 1,421 studies on the registry; 254 are open to participants now.

Of its 231 completed or terminated interventional studies of FDA-regulated products, 195 (84%) 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

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

  1. Patients at or over 18 years old.
  2. Have a histologically confirmed diagnosis of prostate adenocarcinoma status post radical prostatectomy who are candidates for salvage postoperative radiotherapy. This includes patients whose Prostate-Specific Antigen (PSA) does not fall to undetectable levels after prostatectomy or that have undetectable PSA after prostatectomy with a subsequent detectable PSA that increases on > 2 determinations or increases to PSA > 0.1 ng/ml. It also includes patients with adverse pathologic features at the time of prostatectomy (e.g. positive surgical margin, pathologic T-stage 3-4 disease, pathologic Gleason score 8-10 disease, presence of tertiary Gleason grade 5 disease) or an intermediate- or high-risk Decipher genomic classifier score.
  3. No evidence of metastatic disease
  4. Eastern Cooperative Oncology Group (ECOG) performance status 0-2
  5. Can complete EPIC-26/IPSS assessments and provide informed consent

Exclusion criteria

Exclusion Criteria:

  1. Distant metastatic disease
  2. Neuroendocrine or small cell histology
  3. Prior pelvic radiotherapy which in the opinion of the treating radiation oncologist precludes safe radiation therapy.
  4. Has a diagnosis of inflammatory bowel disease, active scleroderma, lupus, or other rheumatologic disease which in the opinion of the treating radiation oncologist precludes safe radiation therapy.
  5. Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.
05

Study design

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

Study arms

  • Experimental
    Adaptive SBRT

    Patients will receive stereotactic postoperative radiotherapy to the prostate bed to 35 Gy in 5 fractions over approximately 2 weeks, with elective pelvic nodal irradiation to 25 Gy in 5 fractions for patients with higher-risk features as defined per protocol, and boosting of gross prostatic bed or nodal disease to 40 Gy in 5 fractions if possible.

    Radiation: Adaptive stereotactic body radiotherapy (SBRT)

Interventions

  • RadiationAdaptive stereotactic body radiotherapy (SBRT)

    35 Gy / 5 fx to prostate fossa every other day * 25 Gy nodes ± 40 Gy boost * short-course Androgen Deprivation therapy (ADT)

06

What researchers measure

Primary outcomes

  1. Treatment completion rate

    Time frame: Day 15

  2. Incidence of grade ≥3 treatment-related GU/GI toxicity

    As per Common Terminology Criteria for Adverse Events (CTCAE) version 6.0 respectively.

    Time frame: Month 1

Secondary outcomes

  1. Time till onset of physician reported acute and late grade ≥2 and grade ≥3 GU/GI toxicity rates (CTCAE)

    Time frame: From Day 0 (start of treatment) until Day 15 (end of treatment)

  2. Change in Expanded Prostate Cancer Index Composite-26 (EPIC-26)

    The EPIC-26 is a 26-item patient-reported outcome questionnaire developed to evaluate health-related quality of life and side-effect burden in men treated for localized prostate cancer. Scores range from 0-100. Higher scores indicate better functioning and lower symptom bother (fewer side effects), while lower scores reflect severe functional impairment or high symptom burden.

    Time frame: Baseline, Month 24

  3. Change in International Prostate Symptom Score (IPSS)

    The International Prostate Symptom Score (I-PSS) total score ranges from 0 to 35.0 to 7: Mild symptoms, 8 to 19: Moderate symptoms, 20 to 35: Severe symptoms

    Time frame: Baseline, Month 24

  4. Biochemical recurrence free survival

    Time frame: Month 12

  5. Biochemical recurrence free survival

    Time frame: Month 24

  6. Distant metastasis free survival

    Time frame: Month 12

  7. Distant metastasis free survival

    Time frame: Month 24

07

Study locations

1 site
  • NYU Langone Health
    New York, New York 10016, United States
08

References and documents

Individual participant data

Plan to share: Yes — The de-identified participant data from the final research dataset will be shared upon reasonable request beginning 9 to 36 months after publication or as required by a condition of awards or supporting agreements, provided the requesting investigator executes a data use agreement with NYU Langone Health. This instance of data sharing will also require separate IRB review as well as review from NYU Langone's Data Sharing Strategy Board (DSSB). Requests should be directed to: Nicholas.Colangelo@nyulangone.org. The protocol and statistical analysis plan will be posted on Clinicaltrials.gov only as required by federal regulation or supporting awards and agreements.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research.

Access criteria: The investigator who proposed to use the data will be granted access upon reasonable request. Requests should be directed to Nicholas.Colangelo@nyulangone.org. To gain access, data requestors will need to sign a data access agreement. This instance of data sharing will also require separate IRB review as well as review from NYU Langone's DSSB.

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Start is estimated for Nov 2026; primary completion for Nov 2028, 24 months later.

Of 1,018 non-industry interventional studies with no phase under Prostatic Neoplasms, half reached primary completion within 45 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 87. This study's planned 24 months is below that.

Counting every sponsor, half of 1,063 studies reached it within 45 months; a quarter within 22 and three quarters within 87.

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

Registered
Oct 15, 2026
First posted
Oct 22, 2026
StartEst.
Nov 2026
Primary completionEst.
Nov 2028
CompletionEst.
Nov 2030
Last update
Oct 22, 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.
Registered
First appeared on the registry. No changes since
Oct 22, 2026
Show all 1 update
  1. Oct 22, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07888283
Lead sponsor
NYU Langone Health
Responsible party
Sponsor
First posted
Oct 22, 2026
Start date
Nov 2026 (estimated)
Primary completion
Nov 2028 (estimated)
Completion
Nov 2030 (estimated)
Last update
Oct 22, 2026

Study contacts

Nicholas Colangelo, MD, PhD
Contact
Nicholas.Colangelo@nyulangone.org
212-731-5003
Nicholas Colangelo, MD, PhD
principal investigator · NYU Langone Health

Oversight

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

Not currently enrolling

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

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