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Clinical Trials in Germany / NCT04845503
Active, not recruiting Not applicable

Stereotactic MRI-guided Radiation Therapy for Localized prostatE Cancer

NCT04845503 · tracked via the Priya Life Science Germany tracker
Phase
Not applicable
Started
2021-03-25
Last updated
2026-03-10

Condition(s) studied

Prostate Cancer

Investigational drug(s) / intervention(s)

MR-guided Radiotherapy

MR-guided Radiotherapy: Total Dose 37,5 Gy, Single Dose 7,5 Gy, 5 Fractions applied in 1-2 weeks

Study summary

As the most common carcinoma in men, prostate cancer is a significant tumor entity in oncology. In addition to the surgical approach, definitive radiotherapy is an equivalent therapy alternative in the non-metastatic primary situation. However, radiotherapy usually stretches over a period of several weeks (7 to 8 weeks) during which the patient receives irradiation on a daily basis. For this reason and for radiobiological considerations the total treatment time is increasingly shortened. It has been shown in several randomized phase III studies that shorting radiotherapy to about 4 weeks by increasing the single dose (so-called hypofractionation) is possible. Meanwhile there is also more data on extreme hypofractionation (max. 10 radiation sessions) available, however often times, extensive preparations are necessary (such as the invasive introduction of markers into the prostate). The current, prospective, non-randomized, multicentric, Phase II SMILE study is now testing whether the MRI-guided radiotherapy with a greatly shortened radiotherapy of the prostate over 5 radiation sessions is possible and safe.

Eligibility

Sex
MALE
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Histologically confirmed prostate carcinoma with tissue classification according to Gleason score and PSA * low- or intermediate-risk carcinoma according to d'Amico criteria or early high-risk Carcinoma (cT3a and / or GS ≤ 8 and / or PSA ≤ 20ng / ml) * IPSS (International Prostate Symptom Score) max. 12 * Prostate volume \<80cm³ * Karnofsky index ≥ 70% * Age ≥ 18 years * Patient information provided and written consent * Ability of the patient to give consent Exclusion Criteria: * Previous radiotherapy in the pelvis * Previous local therapy of the prostate * lymphogenic metastasis * Stage IV (distant metastases) * Contraindication to MRI * Simultaneous participation in another clinical study which could influence results of either of the respective study

Primary outcome measure(s)

Trial sites (1)

FacilityCityRegionStatus
University Hospital of Heidelberg, Radiation Oncology Heidelberg Germany

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Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT04845503 on ClinicalTrials.gov ↗ ← All trials in Germany