UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000044546
Receipt number R000050893
Scientific Title Stereotactic ablative radiation against metastatic lesion detected by DWIBS for High risk Prostate Cancer
Date of disclosure of the study information 2021/06/15
Last modified on 2021/08/05 09:11:44

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Basic information

Public title

Stereotactic ablative radiation against metastatic lesion detected by DWIBS for High risk Prostate Cancer

Acronym

STARCAP

Scientific Title

Stereotactic ablative radiation against metastatic lesion detected by DWIBS for High risk Prostate Cancer

Scientific Title:Acronym

STARCAP

Region

Japan


Condition

Condition

Prostate cancer

Classification by specialty

Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Diffusion-weighted whole-body imaging with background body signal suppression will be applied to non-metastatic (with conventional radiographic analysis: CT scan and bone scintigraphy) high risk prostate cancer with radical prostatectomy. If the metastatic lesions will be pointed out, metastatic-directed radiotherapy after radical therapy will be performed. The aim of this study is to evaluate whether this early control of metastatic lesions will prolong diseases free survival and will be safe compared to historical control of the same kind of diseases.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

3-year composite disease progression free survival rate

Key secondary outcomes

progression-free survival
the rate of adverse events
QOL
recurrence rate of metastatic lesion with SBRT
detection rate of DWIBS
time to CRPC
time to new metastatic lesion
rate of hormonal therapy 36-months after protocol therapy
rate of metastatic-directed therapy
Analysis of survival and other clinical parameters with historical control of high risk prostate cancer using propensity-score matching method


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Metastatic-directed radiation therapy against DWIBS positive lesion after radical prostatectomy with extended pelvis lymph node dissection(if number of DWIBS positive lesion 4 or less)
Hormonal therapy (LHRH monotherapy)after radical prostatectomy with extended pelvis lymph node dissection (if number of DWIBS positive lesion 5 or more)

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

25 years-old <=

Age-upper limit

80 years-old >=

Gender

Male

Key inclusion criteria

1) Diagnosis of prostate adenocarcinoma as confirmed by a genitourinary pathologist
2) High risk prostate cancer according to NCCN classification (serum PSA >20 ng/mL OR ISUP Gleason grade group 4 or more OR cT>=3a )
3) No lymph node and distant metastasis confirmed by CT scan and bone scintigraphy
4) Patients who exhibited DWIBS positive (metastatic lesions detected) by two independent radiologists
5) Prostate cancer detected by Prostate 1.5T or higher sophisticated MRI before radical prostatectomy
6) Eastern Cooperative Oncology Group Performance Status (ECOG PS) grade of 0 or 1
7) Patient is suitable for radical prostatectomy with PLND and radiation/hormonal therapy
8) Ability to give voluntary written informed consent to participate in this study.

Key exclusion criteria

1) History of any prostate cancer therapy
2) Severe heart disease (NYHA criteria>=class 3)
3) Cerebral vascular disease with higher cerebral dysfunction
4) Liver disease (total bilirubin> 3*ULN OR ALT/AST>5* ULN)
5) Uncontrollable diabetes mellitus (HbA1c >8.0%)
6) Contraindication for MRI
7) Patient who is considered ineligible for enrolling the study by a principal investigator or sub-investigator

Target sample size

10


Research contact person

Name of lead principal investigator

1st name Takahiro
Middle name
Last name Inoue

Organization

Mie University Hospital

Division name

Nephro-Urologic Surgery and Andrology

Zip code

514-8507

Address

2-174 Edobashi Tsu, Mie 514-8507 Japan

TEL

059-232-1111

Email

tinoue28@med.mie-u.ac.jp


Public contact

Name of contact person

1st name Takeshi
Middle name
Last name Sasaki

Organization

Mie University Hospital

Division name

Nephro-Urologic Surgery and Andrology

Zip code

514-8507

Address

2-174 Edobashi Tsu, Mie

TEL

059-232-1111

Homepage URL


Email

t-sasaki@med.mie-u.ac.jp


Sponsor or person

Institute

Mie University

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Clinical Research Support Center, Mie University Hospital

Address

2-174 Edobashi Tsu, Mie

Tel

059-231-504

Email

kk-sien@med.mie-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 06 Month 15 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2021 Year 06 Month 15 Day

Date of IRB

2021 Year 06 Month 18 Day

Anticipated trial start date

2021 Year 08 Month 02 Day

Last follow-up date

2027 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 06 Month 15 Day

Last modified on

2021 Year 08 Month 05 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000050893


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name