Trials / Recruiting
RecruitingNCT06982469
High Dose Rate (HDR) Brachytherapy Salvage After Prostatectomy
Magnetic Resonance Imaging (MRI)/ Positron Emission Tomography (PET) Prostate-specific Membrane Antigen (PSMA) -Based Phase I-II Study of Salvage HDR Brachytherapy and External Beam Irradiation In Isolated Tumor Bed Relapses After Radical Prostatectomy
- Status
- Recruiting
- Phase
- —
- Study type
- Observational
- Enrollment
- 20 (estimated)
- Sponsor
- Clinica Universidad de Navarra, Universidad de Navarra · Academic / Other
- Sex
- Male
- Age
- 18 Years – 80 Years
- Healthy volunteers
- Not accepted
Summary
The goal of this observational study is to learn about the long-term effects of HDR Brachytherapy in men with isolated local relapses after radical prostatectomy. The main question it aims to answer is: Does HDR Brachytherapy increase control rates and decreases complications compared with conventional External Irradiation? Participants will be asked to receive HDR brachytherapy as part of their regular medical care for isolated local relapses after radical prostatectomy
Detailed description
HDR brachytherapy appears to be an ideal technique for dose escalation in PET/MRI+ (positron emission tomography) , small, well-defined IPBR that can be accessed and visualized through the perineal route with transrectal ultrasound (TRUS) guidance. Additionally, HDR brachytherapy can spare from high dose irradiation most of the vesicourethral anastomosis, the external urinary sphincter (EUS) and the penile bulb. This may be crucial in circular structures such as EUS that are particularly sensitive to whole-volume irradiation but tolerate well high small-volume doses provided that the rest of the EUS is spared. In this study, HDR brachytherapy will be combined with external beam radiation and 6 months of androgen deprivation therapy to decrease the prostate bed volume irradiated at high-doses while increasing the radiation dose in the PET/MRI+ areas.
Conditions
- Prostate Cancer
- Prostatectomy
- Local Recurrence of Malignant Tumor of Prostate
- Radiotherapy; Complications
- Brachytherapy
Interventions
| Type | Name | Description |
|---|---|---|
| RADIATION | Brachytherapy | HDR brachytherapy |
Timeline
- Start date
- 2020-05-05
- Primary completion
- 2026-05-01
- Completion
- 2030-05-01
- First posted
- 2025-05-21
- Last updated
- 2025-06-19
Locations
1 site across 1 country: Spain
Source: ClinicalTrials.gov record NCT06982469. Inclusion in this directory is not an endorsement.