CancerPhase 2CKNO-PRONCT01596816
Hypofractionated Stereotactic Boost in Prostate Cancer
A Phase 2 study testing First part of treatment : Conformal irradiation, Fiducials placement and Second part : hypofractionated stereotactic boost in people with Cancer, run by Centre Oscar Lambret at 7 sites in France.
Trial summary
hypofractionated stereotactic boost radiation (prostate) after normofractionated radiotherapy (prostate + seminal vesicles). Read more about this study
- Who is it for?
- Ages 18 years and older, men only
- Conditions the study is for
- Cancer
- What is being tested?
- First part of treatment : Conformal irradiation, Fiducials placement and Second part : hypofractionated stereotactic boost
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 76 participants
- Where
- 7 sitesFrance
- Study dates
- 31 Aug 2010to 1 Sep 2018
- Phase
- Phase 2
- 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 years and older
- Men only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Prostate adenocarcinoma proved by histology
- With at least one of this intermediate-risk criterias:
- T2b
- and/or PSA between 10 et 20 ng/ml
- and/or Gleason score = 7
- Prostatic volume ≤ 80 cc
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- No adenopathy(lymph node < 1.5 cm on scanner or MRI and/or in lymph node dissection)
- No metastasis (bone scan)
- Age >= 18 ans
- No prior pelvic irradiation
- No prior anticancer treatment (prostatectomy, chemotherapy, hormonotherapy > 3 months)
- Performance status (ECOG) < 1
- No contraindication of fiducials implantation, hemostasis disorders must be treated before the implantation
- Life expectancy >= 10 weeks
- Patient affiliated to health insurance
- Informed consent signed by the patient
Who cannot join
- Cancer no histologically proved
- Unfavorable-risk(T2c and/or PSA > 20 ng/ml and/or Gleason > 7)
- Favorable-risk(T1c T2a and PSA < 10 ng/ml and Gleason < 7)
- T3 and T4
- History of cancer uncontrolled and/or treated since less of 5 years (except basal cell carcinoma of the skin)
- Contraindication to MRI
Show all 11Show fewer
- IPSS score > 10
- Recurrent or metastatic disease
- Allergy to gold
- Patient already included in another therapeutic trial with an experimental molecule
- Unable for medical follow-up (geographic, social or mental reasons)
Trial locations and contacts
7 sites in 1 country.
7 sites in 1 country
France7 sites
Centre Paul Papin
Angers, 49933
Centre Georges François Leclerc
Dijon, 21079
Centre Oscar LAMBRET
Lille, 59020
Centre Léon Bérard
Lyon, 69373
Val d'Aurelle-Paul Lamarque
Montpellier, 34298
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69310
Centre Alexis Vautrin
Vandœuvre-lès-Nancy, 54500
About this study
Official title: Intermediate-risk Prostate Cancer : Assessment of Hypofractionated Stereotactic Boost - Prospective Phase II Study
hypofractionated stereotactic boost radiation (prostate) after normofractionated radiotherapy (prostate + seminal vesicles).
Read the detailed description
The aim of this study is to assess the safety of hypofractionated stereotactic boost radiation (prostate) after normofractionated radiotherapy (prostate + seminal vesicles).
- Conditions
- Cancer
- Being tested
- First part of treatment : Conformal irradiation, Fiducials placement, Second part : hypofractionated stereotactic boost
- Keywords
- prostate cancer
- Medical subject headings
- Neoplasms, Prostatic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
First part of treatment : Conformal irradiationRadiation
23 fractions (2 Gy/session), are delivered over 42 days maximum, for a total dose of 46 Gy
Fiducials placementProcedure or surgery
Placement of intra-prostatic markers for the tracking
Second part : hypofractionated stereotactic boostRadiation
3 fractions (6Gy/session) are delivered over 5 to 9 days (at least 48 hours between sessions) for a total dose of 18 Gy
| Study group | Role | What they receive |
|---|---|---|
| Boost by CyberKnife | Experimental | Not described Receives: Radiation: First part of treatment : Conformal irradiation; Procedure: Fiducials placement; Radiation: Second part : hypofractionated stereotactic boost |
| Boost by linear accelerator | Experimental | Not described Receives: Radiation: First part of treatment : Conformal irradiation; Procedure: Fiducials placement; Radiation: Second part : hypofractionated stereotactic boost |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in rectal functions
- Assessment of rectal toxicity according to the NCI-CTCAE v4.0 scale.
- Acute toxicities are defined as all toxicities occurring within 6 months after the start of radiotherapy, late toxicities are those that occur beyond this period.
Measured: Every 3 months after boost irradiation during 1 year and then every 6 months during 2 years
Change from baseline in urinary function.
- Assessment of urinary toxicity according to the NCI-CTCAE v4.0 scale.
- Acute toxicities are defined as all toxicities occurring within 6 months after the start of radiotherapy, late toxicities are those that occur beyond this period.
Measured: Every 3 months after boost irradiation during 1 year and then every 6 months during 2 years
Secondary outcomes (9)
Local control of prostate cancer
Local control is defined as:
- Non progressive PSA according to Phoenix criteria
- Non progressive clinical examination (DRE)
- No pathological findings on MRI
Measured: 3 years
Global and metastase-free survival
Time measurement between the inclusion and the date of death/metastatic progression
Measured: Up to 5 years after treatment
PSA kinetics
Comparison of the PSA dosage before, at the end of treatment then every 3 months. The PSA dosage evolution will be correlate with the local control treatment.
Measured: Between radiotherapy and boost, and after treatment : every 3 months
Sexual toxicity
According to IIEF5 questionnaire ( International Index of Erectile Function )
Measured: Up to 5 years after treatment
Technical criteria : Fiducial placement (yes/no)
Measured: During the time of treatment
Urinary discomfort
According to IPSS questionnaire ( International Prostate Symptom Score)
Measured: Up to 5 years after treatment
Technical criteria : Cumulative dosimetry (1 time/ 2 times)
Measured: During the time of treatment
Technical criteria : boost schedule (yes/no)
Measured: During the time of treatment
Technical criteria : duration of boost
Time between patient's entry and exit of the radiotherapy treatment room
Measured: During the treatment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 May 2012 (estimated)
- Study start31 Aug 2010
- Primary completionSep 2016
- Study completion1 Sep 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 76 participants (actual)
Sponsor and investigators
- Lead sponsor
- Centre Oscar Lambret
- Sponsor type
- University, hospital or other
- Collaborators
- National Cancer Institute, France
- Responsible party
- Sponsor
- Investigators
- Eric LARTIGAU, MD, PhD, Principal investigator, Centre Oscar Lambret
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01596816
- Sponsor's protocol ID
- CKNO-PRO-0901
- Other IDs
- 2010-A00237-32
- Acronym
- CKNO-PRO
- Status last verified
- Mar 2026
- First submitted
- 15 Jun 2011
- Last updated
- 13 Mar 2026
- Results posted
- No
- Data monitoring committee
- Yes
- Individual data sharing
- No
Publications
Pasquier D, Nickers P, Peiffert D, Maingon P, Pommier P, Lacornerie T, Martinage G, Tresch E, Lartigau E. Hypofractionated stereotactic boost in intermediate risk prostate carcinoma: Preliminary results of a multicenter phase II trial (CKNO-PRO). PLoS One. 2017 Nov 30;12(11):e0187794. doi: 10.1371/journal.pone.0187794. eCollection 2017.
PubMed 29190707
Study at a glance
From the registry record, last updated by the sponsor on 13 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Intermediate-risk Prostate Cancer : Assessment of Hypofractionated Stereotactic Boost - Prospective Phase II Study
- ClinicalTrials.gov ID
- NCT01596816
- Acronym / sponsor ID
- CKNO-PRO / CKNO-PRO-0901
- Conditions
- Cancer
- Keywords
- prostate cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 76 participants (actual)
- Lead sponsor
- Centre Oscar LambretUniversity, hospital or other
- Collaborators
- National Cancer Institute, France
- Study start
- 31 Aug 2010 (actual)
- Primary completion
- Sep 2016 (actual)
- Study completion
- 1 Sep 2018 (actual)
- First posted
- 11 May 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
hypofractionated stereotactic boost radiation (prostate) after normofractionated radiotherapy (prostate + seminal vesicles).
Detailed description
The aim of this study is to assess the safety of hypofractionated stereotactic boost radiation (prostate) after normofractionated radiotherapy (prostate + seminal vesicles).
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Boost by CyberKnife | Experimental | Radiation: First part of treatment : Conformal irradiation, Procedure: Fiducials placement, Radiation: Second part : hypofractionated stereotactic boost |
| Boost by linear accelerator | Experimental | Radiation: First part of treatment : Conformal irradiation, Procedure: Fiducials placement, Radiation: Second part : hypofractionated stereotactic boost |
Who may qualify
- Ages
- 18 years and older
- Sex
- Male only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (16 listed)
- Prostate adenocarcinoma proved by histology
- With at least one of this intermediate-risk criterias:
- Prostatic volume ≤ 80 cc
- No adenopathy(lymph node < 1.5 cm on scanner or MRI and/or in lymph node dissection)
- No metastasis (bone scan)
Key exclusion criteria (11 listed)
- Cancer no histologically proved
- Unfavorable-risk(T2c and/or PSA > 20 ng/ml and/or Gleason > 7)
- Favorable-risk(T1c T2a and PSA < 10 ng/ml and Gleason < 7)
- T3 and T4
- History of cancer uncontrolled and/or treated since less of 5 years (except basal cell carcinoma of the skin)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| First part of treatment : Conformal irradiation23 fractions (2 Gy/session), are delivered over 42 days maximum, for a total dose of 46 Gy | Radiation | Boost by CyberKnife, Boost by linear accelerator |
| Fiducials placementPlacement of intra-prostatic markers for the tracking | Procedure or surgery | Boost by CyberKnife, Boost by linear accelerator |
| Second part : hypofractionated stereotactic boost3 fractions (6Gy/session) are delivered over 5 to 9 days (at least 48 hours between sessions) for a total dose of 18 Gy | Radiation | Boost by CyberKnife, Boost by linear accelerator |
Primary outcome
Change from baseline in rectal functions
Time frame: Every 3 months after boost irradiation during 1 year and then every 6 months during 2 years
* Assessment of rectal toxicity according to the NCI-CTCAE v4.0 scale. * Acute toxicities are defined as all toxicities occurring within 6 months after the start of radiotherapy, late toxicities are those that occur beyond this period.
Change from baseline in urinary function.
Time frame: Every 3 months after boost irradiation during 1 year and then every 6 months during 2 years
* Assessment of urinary toxicity according to the NCI-CTCAE v4.0 scale. * Acute toxicities are defined as all toxicities occurring within 6 months after the start of radiotherapy, late toxicities are those that occur beyond this period.
9 secondary outcomes
Local control of prostate cancer
Time frame: 3 years
Global and metastase-free survival
Time frame: Up to 5 years after treatment
PSA kinetics
Time frame: Between radiotherapy and boost, and after treatment : every 3 months
Sexual toxicity
Time frame: Up to 5 years after treatment
Technical criteria : Fiducial placement (yes/no)
Time frame: During the time of treatment
Urinary discomfort
Time frame: Up to 5 years after treatment
Technical criteria : Cumulative dosimetry (1 time/ 2 times)
Time frame: During the time of treatment
Technical criteria : boost schedule (yes/no)
Time frame: During the time of treatment
Technical criteria : duration of boost
Time frame: During the treatment
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Mar 2026.
- Derived from this study: PubMed 29190707Pasquier D, Nickers P, Peiffert D, Maingon P, Pommier P, Lacornerie T, Martinage G, Tresch E, Lartigau E. Hypofractionated stereotactic boost in intermediate risk prostate carcinoma: Preliminary results of a multicenter phase II trial (CKNO-PRO). PLoS One. 2017 Nov 30;12(11):e0187794. doi: 10.1371/journal.pone.0187794. eCollection 2017.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Eric LARTIGAU, MD, PhD principal investigator
Centre Oscar Lambret
7 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing First part of treatment : Conformal irradiation, Fiducials placement and Second part : hypofractionated stereotactic boost in people with Cancer, run by Centre Oscar Lambret at 7 sites in France.
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 16 inclusion and 11 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 13 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 7 sites in France. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
Change from baseline in rectal functions (time frame: Every 3 months after boost irradiation during 1 year and then every 6 months during 2 years). The study lists 2 primary outcomes in all. 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 NCT01596816, which also lists 1 linked publication.
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 13 Mar 2026.