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Prostate CancerPhase 3NCT01272050

Radiation Therapy in Treating Patients With Relapsed Prostate Cancer After Surgery

A Phase 3 study testing radiation therapy in people with Prostate Cancer, run by Swiss Cancer Institute at 28 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. It is not yet known which radiation therapy regimen is more effective in treating patients with relapsed prostate cancer. Read more about this study

Who is it for?
Ages 18 to 75 years, men only
Conditions the study is for
Prostate Cancer
What is being tested?
radiation therapy
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
350 participants
Where
28 sitesin 3 countries
Study dates
6 Jan 2011to 31 May 2024
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient must give written informed consent before randomization.
  • Lymph node negative adenocarcinoma of the prostate treated with radical prostatectomy at least 12 weeks before randomization. Tumor stage pT2a-3b, R0-1, pN0 or cN0 according to the UICC TNM 2009 (see Appendix 1), Gleason score available.
  • PSA progression after prostatectomy defined as two consecutive rises with the final PSA > 0.1 ng/mL or three consecutive rises. The first value must be measured earliest 4 weeks after radical prostatectomy.
  • PSA at randomization ≤ 2 ng/mL.
  • WHO performance status 0-1 at randomization.
  • Age at randomization between 18 and 75 years.
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  • Baseline QoL questionnaire (QLQ) has been completed.
  • Patient agrees not to father a child during salvage RT and during 6 months thereafter.
  • Patient compliance and geographic proximity allow proper staging and follow-up.
  • The responsible pathologist has agreed to provide sample material for central pathological review (see Section 16) and tissue banking (only if patient gave informed consent) within the specified timelines.

Who cannot join

  • Persistent PSA 4-20 weeks after radical prostatectomy > 0.4 ng/mL
  • Palpable prostatic fossa mass suggestive of recurrence, unless an ultrasound guided biopsy is non-malignant.
  • Pre-salvage RT pelvic lymph node enlargement > 1 cm in short axis diameter of the abdomen and pelvis (cN1), unless the enlarged lymph node is sampled and negative, and/or evidence of macroscopic local recurrence or metastatic disease on pre-salvage RT MRI (magnetic resonance imaging; with i.v. contrast) or multislice computed tomography (CT; with i.v. and oral contrast) of the abdomen and pelvis assessed within 16 weeks prior to randomization.
  • Presence or history of bone metastases. Bone scan must be performed in case of clinical suspicion (e.g. bone pain).
  • Prior invasive malignancy, except non-melanomatous skin cancer or other malignancies with a documented disease-free survival for a minimum of 5 years.
  • Hormonal treatment or bilateral orchiectomy prior to or following prostatectomy.
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  • Bilateral hip prosthesis.
  • Prior pelvic radiotherapy.
  • The use of products known to affect PSA levels within 4 weeks prior to start of trial treatment (e.g. PC Calm, PC Plus, PC SPES, finasteride, fluconazole).
  • Severe or active co-morbidity likely to impact on the advisability of dose intensified salvage RT.
  • Psychiatric disorder precluding understanding of information on trial related topics, giving informed consent or filling out QoL questionnaires.
  • Concurrent treatment with other experimental drugs or other anti-cancer therapy, treatment in a clinical trial within 30 days prior to trial entry.

Trial locations and contacts

28 sites in 3 countries.

28 sites in 3 countries

Switzerland14 sites
  • Kantonsspital Aarau

    Aarau, 5001

  • Universitaetsspital-Basel

    Basel, CH-4031

  • Istituto Oncologico della Svizzera Italiana - Ospedale Regionale Bellinzona e Valli

    Bellinzona, 6500

  • Inselspital Bern

    Bern, 3010

  • Radio-Onkologiezentrum Biel-Seeland-Berner Jura AG

    Biel, 2503

  • Kantonsspital Graubuenden

    Chur, 7000

  • Kantonsspital Luzern

    Lucerne, 6000

  • Kantonsspital Muensterlingen

    Münsterlingen, 8596

  • Kantonsspital - St. Gallen

    Sankt Gallen, 9007

  • Hopital de Sion

    Sion, 1951

  • Radio-Onkologie Berner Oberland AG

    Thun, 3600

  • Klinik Hirslanden

    Zurich, 8032

  • City Hospital Triemli

    Zurich, 8063

  • UniversitaetsSpital Zuerich

    Zurich, 8091

Other trials in Switzerland

Germany11 sites
  • Universitaetsklinikum Aachen, Klinik für Strahlentherapie

    Aachen, 52074

  • Charite University Hospital - Campus Virchow Klinikum

    Berlin, 13353

  • University Hospital and Medical Faculty Technical University of Dresden

    Dresden, D-01307

  • Universitaetsklinikum Essen, Klinik für Strahlentherapie

    Essen, 45147

  • Universitätsklinikum Saarland

    Homburg, 66421

  • Klinikum der LMU Muenchen

    Munich, D-81377

  • Technische Universitaet Muenchen

    Munich, D-81675

  • Klinikum der Universitaet Regensburg

    Regensburg, 93051

  • Klinik und Poliklinik fuer Strahlentherapie - Universitaetsklinikum Rostock

    Rostock, 18059

  • Universitaet Tuebingen

    Tübingen, 72076

  • Klinik fuer Strahlentherapie Universitaet Wuerzburg

    Würzburg, 97080

Other trials in Germany

Belgium3 sites
  • Ziekenhuis Netwerk Antwerpen Middelheim

    Antwerp, 2020

  • Ghent University Hospital

    Ghent, 9000

  • St. Lukas Hospital Ghent

    Ghent, 9000

Other trials in Belgium

About this study

Official title: Dose Intensified Salvage Radiotherapy in Biochemically Relapsed Prostate Cancer Without Macroscopic Disease. A Randomized Phase III Trial.

RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. It is not yet known which radiation therapy regimen is more effective in treating patients with relapsed prostate cancer.

PURPOSE: This randomized phase III trial is studying the side effects of radiation therapy and comparing two radiation therapy regimens in treating patients with relapsed prostate cancer after surgery.

Read the detailed description

OBJECTIVES:

  • To determine the tumor control in patients with biochemically relapsed prostate cancer without macroscopic disease treated with dose-intensive salvage radiotherapy.
  • To determine the toxicity in these patients.
  • To determine the quality of life of these patients.

OUTLINE: This is a multicenter study. Patients are stratified according to Gleason score (≥ 8 vs 7 vs ≤ 6), pathological tumor classification (pT3b vs others), lymphadenectomy performed (yes [pN0] vs no [cN0]), persistent PSA after prostatectomy (detectable [≥ 0.1 ng/mL] vs undetectable [< 0.1 ng/mL]), PSA at randomization (> 0.5 ng/mL vs ≤ 0.5 ng/mL), participating center, and radiotherapy technique (3-dimensional conformal radiation therapy [3D-CRT] vs intensity-modulated radiation therapy [IMRT]/rotational techniques). Patient are randomized to 1 of 2 treatment arms.

  • Arm A: Beginning at least 12 weeks after surgery, patients undergo radiotherapy* once a day, 5 days a week, for 6.4 weeks for a total dose of 64 Gy (in 32 fractions of 2 Gy over 6.4 weeks).
  • Arm B: Patients undergo radiotherapy* once a day, 5 days a week, for 7 weeks for a total dose of 70 Gy (in 35 fractions of 2 Gy over 7 weeks).

NOTE: *3-dimensional conformal radiation therapy, rotational techniques such as Tomotherapy®, Rapidarc®, or intensity-modulated arc technique and volumetric-modulated arc therapy are all eligible.

Patients complete quality-of-life questionnaires at baseline and at 3, 12, 24, 36, 48, and 60 months after completing study therapy.

After completion of study treatment, patients are followed every 6 months for 3 years and then every 12 months for up to 10 years.

Conditions
Prostate Cancer
Being tested
radiation therapy
Keywords
adenocarcinoma of the prostate, recurrent prostate cancer, stage IIA prostate cancer, stage IIB prostate cancer, stage III prostate cancer
Medical subject headings
Prostatic Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • radiation therapyRadiation

    RT in the standard arm A will be administered to a total dose of 64 Gy in 32 fractions of 2 Gy over 6.4 weeks. RT in the experimental arm B will be administered to a total dose of 70 Gy in 35 fractions of 2 Gy over 7 weeks.

    Megavoltage equipments with nominal photon energies ≥ 6 MV are required. Rotational techniques such as Tomotherapy®, Rapidarc®, intensity-modulated arc technique (IMAT) and volumetric-modulated arc therapy (VMAT) will also be eligible. The patient will be treated in an isocentric setting and all fields will be applied for 5 days per week for the total RT duration.

Study groups in NCT01272050
Study groupRoleWhat they receive
Arm A: 64 Gy - Radiation TherapyActive comparatorArm A: 64 Gy (32 x 2 Gy) without hormonal treatment
Receives: Radiation: radiation therapy
Arm B: 70 Gy - Radiation TherapyActive comparatorArm B: 70 Gy (35 x 2 Gy) without hormonal treatment
Receives: Radiation: radiation therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Freedom from biochemical progression

    Measured: from the day of trial randomization to the day of either first recorded biochemical progression, clinical progression or death due to clinical progression up to 10 years.

Secondary outcomes (5)
  1. Clinical progression-free survival

    Measured: from the day of randomization to the day of the first record of either local or regional recurrence, distant recurrence, start of hormonal treatment, or death due to any cause up to 10 years.

  2. Time to hormonal treatment

    Measured: time from trial randomization to start of hormonal treatment up to 10 years.

  3. Prostate cancer-specific survival

    Measured: time from trial randomization to the date of death due to prostate cancer up to 10 years.

  4. Overall survival

    Measured: time from trial randomization to the date of death from any cause up to 10 years.

  5. Acute and late gastrointestinal and genitourinary toxicity according to CTCAE v 4.0

    Measured: occurring during treatment and up to 3 months after completion of treatment. Late toxicity is defined as occurring later than 3 months after end of treatment.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Jan 2011 (estimated)
  2. Study start6 Jan 2011
  3. Primary completion3 Jul 2020
  4. Study completion31 May 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Factorial
Masking
None (open label)
Enrolment
350 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01272050
Sponsor's protocol ID
SAKK 09/10
Other IDs
SWS-SAKK-09/10, EU-21088, CDR0000691926
Status last verified
Aug 2024
First submitted
6 Jan 2011
Last updated
28 Aug 2024
Results posted
No
Data monitoring committee
Yes
Individual data sharing
No

Publications

  • Ghadjar P, Hayoz S, Zwahlen DR, Holscher T, Arnold W, Polat B, Hildebrandt G, Hoffmann E, Plasswilm L, Papachristofilou A, Schar C, Sumila M, Zaugg K, Guckenberger M, Ost P, Reuter C, Bosetti DG, Khanfir K, Riesterer O, Beck M, Thalmann GN, Aebersold DM; Swiss Group for Clinical Cancer Research (SAKK). Dose-intensified Versus Conventional-dose Salvage Radiotherapy for Biochemically Recurrent Prostate Cancer After Prostatectomy: Long-term Data from the SAKK 09/10 Randomised Phase 3 Trial. Eur Urol. 2026 Mar;89(3):199-203. doi: 10.1016/j.eururo.2025.12.020. Epub 2026 Jan 5.

    PubMed 41494929
  • Zwahlen DR, Schroder C, Holer L, Bernhard J, Holscher T, Arnold W, Polat B, Hildebrandt G, Muller AC, Martin Putora P, Papachristofilou A, Schar C, Hayoz S, Sumila M, Zaugg K, Guckenberger M, Ost P, Giovanni Bosetti D, Reuter C, Gomez S, Khanfir K, Beck M, Thalmann GN, Aebersold DM, Ghadjar P. Erectile function preservation after salvage radiation therapy for biochemically recurrent prostate cancer after prostatectomy: Five-year results of the SAKK 09/10 randomized phase 3 trial. Clin Transl Radiat Oncol. 2024 Apr 25;47:100786. doi: 10.1016/j.ctro.2024.100786. eCollection 2024 Jul.

    PubMed 38706726
  • Beck M, Sassowsky M, Schar S, Mathier E, Halter M, Zwahlen DR, Holscher T, Arnold W, Polat B, Hildebrandt G, Muller AC, Putora PM, Papachristofilou A, Hayoz S, Schar C, Li Q, Sumila M, Zaugg K, Guckenberger M, Ost P, Bosetti DG, Reuter C, Gomez S, Khanfir K, Aebersold DM, Ghadjar P, Pra AD. Adherence to Contouring and Treatment Planning Requirements Within a Multicentric Trial: Results of the Quality Assurance of the SAKK 09/10 trial. Int J Radiat Oncol Biol Phys. 2022 May 1;113(1):80-91. doi: 10.1016/j.ijrobp.2021.12.174. Epub 2022 Jan 3.

    PubMed 34990777
  • Ghadjar P, Hayoz S, Bernhard J, Zwahlen DR, Holscher T, Gut P, Polat B, Hildebrandt G, Muller AC, Plasswilm L, Papachristofilou A, Schar C, Sumila M, Zaugg K, Guckenberger M, Ost P, Reuter C, Bosetti DG, Khanfir K, Gomez S, Wust P, Thalmann GN, Aebersold DM; Swiss Group for Clinical Cancer Research (SAKK). Dose-intensified Versus Conventional-dose Salvage Radiotherapy for Biochemically Recurrent Prostate Cancer After Prostatectomy: The SAKK 09/10 Randomized Phase 3 Trial. Eur Urol. 2021 Sep;80(3):306-315. doi: 10.1016/j.eururo.2021.05.033. Epub 2021 Jun 14.

    PubMed 34140144
  • Ghadjar P, Hayoz S, Bernhard J, Zwahlen DR, Holscher T, Gut P, Guckenberger M, Hildebrandt G, Muller AC, Plasswilm L, Papachristofilou A, Stalder L, Biaggi-Rudolf C, Sumila M, Kranzbuhler H, Najafi Y, Ost P, Azinwi NC, Reuter C, Bodis S, Kaouthar K, Wust P, Thalmann GN, Aebersold DM. Acute Toxicity and Quality of Life After Dose-Intensified Salvage Radiation Therapy for Biochemically Recurrent Prostate Cancer After Prostatectomy: First Results of the Randomized Trial SAKK 09/10. J Clin Oncol. 2015 Dec 10;33(35):4158-66. doi: 10.1200/JCO.2015.63.3529. Epub 2015 Nov 2.

    PubMed 26527774

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing radiation therapy in people with Prostate Cancer, run by Swiss Cancer Institute at 28 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 28 sites in Switzerland, Germany, Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Freedom from biochemical progression (time frame: from the day of trial randomization to the day of either first recorded biochemical progression, clinical progression or death due to clinical progression up to 10 years.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01272050, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Aug 2024.

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