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Ultra-hypofractionated Carbon-ion Therapy for Prostate Cancer Fase I 20 Seguimiento a largo plazo
Carbon-ion Therapy With Ultra-hypofractionated RadiothErapy for Localized Prostate Cancer (CURE-PC-1): Phase I Clinical Trial
- 4-2026-0055
| Grupo de participantes | Intervención/Tratamiento |
|---|---|
N/A | ultra-hypofractionated carbon ion therapy Participants will receive carbon ion radiotherapy with a total prescribed dose of 42 GyE, delivered as 7 GyE per fraction over six fractions, administered twice weekly (every other day) |
| Medida de resultado | Descripción de la medida | Periodo de tiempo |
|---|---|---|
acute treatment-related toxicity | Incidence of acute treatment-related toxicity of grade 3 or higher per Common Terminology Criteria for Adverse EventsCTCAE) v5.0 occurring within 90 days after completion of carbon ion therapy | 90 days after completion of carbon ion therapy |
| Medida de resultado | Descripción de la medida | Periodo de tiempo |
|---|---|---|
late treatment-related toxicity | Cumulative incidence of late treatment-related toxicity per Common Terminology Criteria for Adverse Events(CTCAE)v5.0 occurring beyond 90 days after completion of carbon ion radiotherapy up to 2 years | 2 years after completion of carbon ion radiotherapy |
Biochemical relapse-free surviva | Biochemical relapse-free survival (bRFS) at 2 and 5 years, defined by the Phoenix criteria (PSA nadir + 2.0 ng/mL) | 2 years and 5 years from the date of treatment initiation |
Patient-reported quality of life | Patient-reported quality of life assessed using the Expanded Prostate Cancer Index Composite-26 (EPIC-26). Scores range from 0 to 60, with higher scores indicating worse quality of life. | Before CIRT, and at 12 weeks, 24 weeks, 1 year, and 2 years after completion of carbon ion radiotherapy |
Patient-reported quality of life | Urinary symptom burden assessed using the International Prostate Symptom Score (IPSS). Scores range from 0 to 35, with higher scores indicating worse urinary symptoms. | Before CIRT, and at 12 weeks, 24 weeks, 1 year, and 2 years after completion of carbon ion radiotherapy. |
Male patients aged 19 years or older who are able to provide written informed consent
Histologically confirmed prostatic adenocarcinoma within 6 months prior to the first treatment (either carbon ion radiotherapy or androgen deprivation therapy, whichever comes first)
Documented pre-biopsy serum prostate-specific antigen (PSA) level available
Classified as one of the following risk groups based on NCCN Guidelines Version 2.2025:
- Low risk: PSA ≤10 ng/mL AND Gleason score 6 (Grade Group 1) AND cT1-T2a
- Intermediate risk: PSA 10-20 ng/mL OR Gleason score 7 (Grade Group 2-3) OR cT2b-T2c, without any high-risk features
No evidence of distant metastasis or regional lymph node metastasis
Adequate general condition for prostate cancer treatment as determined by ECOG Performance Status 0 or 1
Multiparametric prostate MRI performed prior to treatment initiation
- Prior history of pelvic radiotherapy or prostate surgery
- History of malignancy other than prostate cancer, except for the following: cervical carcinoma in situ, completely resected non-melanoma skin cancer, or any cancer with disease-free status maintained for 5 or more years after treatment
- Patients deemed inappropriate for carbon ion radiotherapy due to active infection, bleeding disorders, or severe cardiac, hepatic, or renal dysfunction, or patients who have undergone major surgery or experienced a major cardiovascular event (e.g., myocardial infarction, cerebral infarction, or cerebral hemorrhage) within the past 6 months
- Patients with psychiatric disorders or cognitive impairment that would preclude compliance with the treatment plan
- Patients currently enrolled in another investigational drug or medical device study concurrent with this trial
- Patients for whom carbon ion radiotherapy is physically not feasible due to artificial hip joints or other metallic implants.