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NCT07407608Recruiting

ABlative Radiotherapy (for) Unfavorable Prostate Tumors 2.0

Single-Dose Image-Guided Radiotherapy (IGRT) With Focal Boost to the MRI-defined Macroscopic Tumor Volume for Intermediate Unfavorable and High Risk Prostate Cancer

Source: ClinicalTrials.gov · Last updated 12 Feb 2026

Brief summary (registry, in English)

Published clinical evidence confirms that a single dose of 24 Gy provides unprecedented long-term local control in primary and metastatic prostate cancer with safe toxicity profiles, provided that exposure of surrounding healthy tissues is critically assessed with fulfillment of strict constraints and dose distribution is accomplished using image guidance and tracking tools. In the present trial, intermediate unfavorable and selected high-risk organ-confined prostate cancer patients will undergo Single Dose Radiation Therapy (SDRT) With Focal Boost to the MRI-defined Macroscopic Tumor Volume by means of image-guided volumetric intensity-modulated arc radiotherapy (IGRT-VMAT) and state-of-the-art treatment-planning and quality assurance procedures. Androgen Deprivation Therapy (ADT) type and duration has been set as per standard of care, in accordance with current recommendations and guidelines. The results of the study will enable us to find out if the new, shorter treatment (1 doses of radiotherapy), has a similar level of side effects as the 5 dose treatment and is suitable for further study.

Status (registry)
Recruiting
Study type
Observational
Enrollment
58 (estimated)
First submitted
29 Jan 2026
Start date
28 Jan 2026
Primary completion date
31 Jul 2029
Lead sponsor
University of Milano Bicocca
NCT number
NCT07407608

What you commit to

  • Study type: Observational
  • Planned participants: 58
  • From 28 Jan 2026 to the primary completion date, 31 Jul 2029
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • Previous local treatment of the prostate with surgery (radical prostatectomy or cryotherapy) or transurethral resection;
  • Previous radiotherapy to the pelvis;

Other illness

  • ≥T3b disease according to the 8th AJCC classification;
  • Previous invasive malignancy unless disease free for a minimum of 5 years;
  • Active Crohn's Disease or Ulcerative Colitis;

Other

  • PSA\>20 ng/ml;
  • Presence of a periurethral dominant lesion;
  • Presence of hip prostheses.

Who the study is looking for

  • Histologically proven prostate adenocarcinoma;
  • Intermediate and High risk disease, as per the NCCN definition;
  • a PI-RADS 3-5 dominant intraprostatic lesion on multiparametric MRI (mpMRI);
  • N0M0 at staging with standard techniques (Bone Scan and Abdominal CT) or (preferably) PSMA PET-CT;
  • World Health Organization performance status 0-1;
  • Life expectancy of \> 5 years, in the opinion of the investigator;
  • IPSS score must be ≤ 15 (alpha blockers allowed);
  • Prostate gland volume ≤100 g as estimated by computed tomography (CT), ultrasound, or MRI.

Age in the registry: 18 years to 90 years · Sex: Male · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Radiation Oncology, Fondazione IRCCS San Gerardo dei Tintori
Coordinator of this site? Confirm its status
MonzaItalyRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.