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MR-linac guided radiotherapy for localized prostate cancer in adults

Tests MR-linac guided stereotactic radiotherapy in adults with localized prostate cancer.

Plain-language title generated from the registry record
Registry title: MR-linac Guided Ultra-hypofractionated RT for Prostate Cancer (SMART-P01 and SMART-P02)

Key facts

Where
Beijing, ChinaSee the site

Where in China

  • Radiotherapy Department of Cancer Hospital, Chinese Academy of Medical SciencesBeijing, ChinaTaking people

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Trial details

Who runs it
Cancer Institute and Hospital, Chinese Academy of Medical Sciences
Trial code
NCT05183074
Record updated
11 December 2025
Original description
1. To investigate the tolerability of MR-linac based stereotactic ablative radiotherapy (MRL-SBRT)for patients with localized prostate cancer 2. To assess the acute and late toxicities, efficacy and quality of life for patients treated by MRL-SBRT 3. To simulate the dose planning and assess the feasibility of simultaneous-boost for MR-prominent foci 4. To investigate the relationship between the changes of blood and tissue biomarkers and manifestations on mp-MRI pre-/post-MRL-SBRT, to further ascertain the predictive factors of local persisting and/or relapse diseaseRead full original descriptionShow less

Phase II Prospective Trial of MR-linac Based Stereotactic Ablative Radiotherapy for Patients With Localized (SAMRT-P01) and Oligo-metastatic (SMART-P02) Prostate Cancer

1. To investigate the tolerability of MR-linac based stereotactic ablative radiotherapy (MRL-SBRT)for patients with localized prostate cancer 2. To assess the acute and late toxicities, efficacy and quality of life for patients treated by MRL-SBRT 3. To simulate the dose planning and assess the feasibility of simultaneous-boost for MR-prominent foci 4. To investigate the relationship between the changes of blood and tissue biomarkers and manifestations on mp-MRI pre-/post-MRL-SBRT, to further ascertain the predictive factors of local persisting and/or relapse disease

Inclusion: Age≥18 years。; Histology confirmed prostate cancer; Risk stratification, localised disease including patients with low-risk(cT1-T2a,PSA <10ng/mL,Gleason score≤6) who refuse active surveillance, favorable or unfavorable intermediate-risk and selected high-risk(cT2b-T3a or minimally T3b,PSA 10-40ng/mL,Gleason score 7-8) disease; Oligo-metastatic disease including patients with prostate in-situ and oligometastatic disease (no limit to mets number and organs, with all metastatic foci can be safely treated by radical SBRT dose); ECOG 0-2; Postate gland volume ≤100cc; IPSS score of <18; Informed consent: All patients must sign a document of informed consent indicating their understanding of the investigational nature and risks of the study before any protocol related studies are performed.

Exclusion: Previous pelvic irradiation; Ulcerative colitis, Crohn's Disease, ataxia telangiectasia, or systemic lupus erythematosus; Contraindications to MRI; TURP within the past 6 months; Refuse contraception.

ClinicalTrials.gov NCT05183074