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This Study is Evaluating a New Radiation Treatment Technique for Patients Who Have Had Prostate Cancer, Undergone Surgery for Cancer, and Then Have Evidence That Their Prostate Cancer Has Returned.

RecruitingPhase 2Healthy volunteers welcome

Daily-Adaptive Stereotactic Body Radiation Therapy for Biochemically Recurrent, Radiologic Apparent Prostate Cancer After Radical Prostatectomy

Who can join

Ages 18 and older · Men · Healthy volunteers welcome

Full eligibility criteria
Inclusion Criteria:

* Adenocarcinoma of the prostate with previous surgical resection
* Radiologically detected prostate bed OR regional nodal recurrence defined as iliac, obturator, perirectal or pre-sacral node generally encompassing below the aortic bifurcation
* Prostate bed recurrence as occurring within the region of the prostate or RTOG consensus definition of the surgical field
* At least two serum detectable PSA levels defined as \>0.02 ng/dl at least 30 days apart.

Exclusion Criteria:

* Metastatic disease
* Prior radiation therapy to the pelvis region
* Inflammatory bowel disease
* Hospitalization for a gastrointestinal diagnosis in the preceeding 3 months
* Hospitalization for a urinary tract issue / diagnosis in the preceeding 3 months
* PSA \>10 ng/dl at study entry,

About the study

There is significant, proven use of radiation for recurrent prostate cancer after surgical resection. This treatment typically is delivered over seven and a half weeks of daily treatments, presenting a burden to patients and the health care system. Stereotactic body radiation (SBRT) is a radiation technique in which large doses are delivered over a short period of time. To date there is extremely limited evidence in SBRT for recurrent prostate cancer after surgery, with a significantly growing body of evidence for primary SBRT treatment of prostate cancer in men who opt for non-surgical upfront treatment. Additionally, advances in imaging have allowed better detection of the site of recurrence, and novel artificial intelligence aided daily-adaptive radiation therapy have allowed more precise delivery of radiation doses. This study seeks to evaluate the role of Daily-Adaptive with AI-assisted SBRT in the post operative setting utilizing Ethos Plan Adaptive technology in attempt to maintain control and minimize side effects.

What is being tested

Sponsor: University of Rochester · Participants: 80 · Started: Dec 14, 2023

Contact the study team

Official record on ClinicalTrials.gov — NCT05946824

Locations in the U.S.

New YorkWilmot Cancer Institute - Dept of Radiation Oncology, Rochester

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.