Proton therapy showdown: 5 sessions vs. 44 for prostate cancer
NCT ID NCT01230866
First seen Jun 24, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This phase 3 trial is testing whether a shorter course of proton radiation (5 sessions over 1-2 weeks) works as well as the standard longer course (44 sessions over 8-9 weeks) for men with low-risk prostate cancer. The study involves 150 participants and will compare how well each treatment controls the cancer over two years, as well as any side effects. If the shorter schedule proves effective, it could greatly reduce treatment burden for patients.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Proton radiation therapy
- What this could lead to
- If successful, this could offer men with low-risk prostate cancer a much shorter, more convenient radiation treatment option that is just as effective as the standard longer course.
- What could go wrong
- This is an early-stage comparison in a specific low-risk group, so results may not apply to all prostate cancer patients. There is also a risk that the shorter treatment could cause more side effects or be less effective in the long run.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Start date
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Nov 2010
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Male participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histologically confirmed prostate adenocarcinoma within 365 days prior to randomization. * History/physical examination with digital rectal examination of the prostate and baseline toxicity assessment within 90 days prior to randomization. * Histological evaluation of prostate biopsy with assignment of a Gleason score to the biopsy material;Gleason score must be in the range of 2-6. \> 6 cores are strongly recommended. * PSA values \< 10 ng/ml within 90 days prior to randomization. Either done prior to biopsy or at least 21 days after prostate biopsy. * Clinical stages T1a-T2a N0 M0 (AJCC Criteria 7th Ed.). Staging must be done by treating investigator. * No pelvic lymph nodes \> 1.5 cm in greatest dimension unless the enlarged lymph node is biopsied and negative. * Patients must be at least 18 years old. * ECOG performance status 0-1 (appendix I) documented within 90 days prior to randomization. * IPSS score \<= 16. * Patients must give IRB approved, study specific, informed consent. * Patients must complete all mandatory tests listed in section 4.0 within the specified time frames. * Patients must be able to start treatment within 56 days of randomization. Exclusion Criteria: * Previous prostate cancer surgery to include: prostatectomy, hyperthermia and cryosurgery. * Previous pelvic radiation for prostate cancer. * Androgen deprivation therapy prior to radiation is allowed. However, it is not acceptable if continued during radiation or as adjuvant therapy. * Active rectal diverticulitis, Crohn's disease affecting the rectum, or ulcerative colitis. * Prior systemic chemotherapy for prostate cancer. * History of proximal urethral stricture requiring dilatation. * Current and continuing anticoagulation with warfarin sodium (Coumadin, heparin, low-molecular weight heparin, Clopidogrel bisulfate (Plavix),or equivalent. (Unless it can be stopped to manage treatment related toxicity, to have a biopsy if needed, or for marker placement). * Any major medical, addictive or psychiatric illnesses which would affect the consent process, completion of treatment and/or interfere with follow-up. Consent by legal authorized representative is not permitted in this study. * Evidence of any other cancer within the past 5 years and \< 50% probability of a 5 year survival. (Prior or concurrent diagnosis of basal cell or non-invasive squamous cell cancer of the skin is allowed).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Hampton University Proton Therapy Institute
Hampton, Virginia, 23666, United States
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Maryland Proton Treatment Center
Baltimore, Maryland, 21201, United States
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Mayo Clinic Cancer Center
Phoenix, Arizona, 85054, United States
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Northwestern Medicine Chicago Proton Center
Warrenville, Illinois, 60555, United States
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Oklahoma Proton Center
Oklahoma City, Oklahoma, 73142, United States
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