New short radiation course aims to stop returning prostate cancer
NCT ID NCT05746806
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This trial is testing a new way to treat prostate cancer that returns after the prostate has been removed. It combines a very short course of highly targeted radiation (just 5 sessions) with 6 months of hormone therapy. The goal is to see if this approach can control the cancer with fewer side effects than standard treatments. The study involves 36 men whose cancer has come back only in the prostate bed, as shown by advanced imaging.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ultrahypofractionated salvage radiotherapy (targeted radiation in 5 sessions) plus short-term androgen deprivation therapy (hormone therapy for 6 months)
- What this could lead to
- If successful, this approach could offer a more precise, shorter treatment option for men whose prostate cancer returns after surgery, potentially delaying further progression.
- What could go wrong
- This is a small, early-phase trial with only 36 participants, so results may not apply to everyone. Side effects from radiation and hormone therapy, such as fatigue or urinary issues, are possible.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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36 people
The number who actually took part.
- Started
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Mar 2023
- Expected to finish
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Nov 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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 to 100 years
- 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: 1. Written informed consent according to ICH/GCP (International Council for Harmonisation/Good Clinical Practice) regulations before registration and prior to any trial specific procedures 2. Age ≥ 18 years at time of registration 3. WHO performance status 0-1 4. Lymph node negative adenocarcinoma of the prostate treated with radical prostatectomy (RP) at least 6 months before trial.Tumor stage pT2a-3b, R0-1, pN0 or cN0. according to the Union for International Cancer Control (UICC) TNM 2009. 5. Evidence of measurable local recurrence at the prostate bed detected by PSMA PET/CT and mpMRI within the last 3 months. In case of unclear local recurrence, a biopsy confirmation is recommended. 6. Patient must have non-metastatic (N0, M0) disease, as defined by a lack of nodal or distant metastases seen on PSMA PET/CT scan 7. Patients must have non-castrate levels of serum testosterone (≥50 ng/dL). 8. Patients must not have previously received hormonal therapy (LHRH agonists, antiandrogen, or both, or bilateral orchiectomy). 9. Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial Exclusion Criteria: 1. Persistent PSA (\> 0.4 ng/mL) 4 to 20 weeks after RP 2. Previous hematologic or primary solid malignancy within 3 years prior registration with the exception of curatively treated localized non-melanoma skin cancer 3. Usage of products known to affect PSA levels within 4 weeks prior to start of trial treatment phase including any form of androgen suppression agents and androgen deprivation therapy 4. Bilateral hip prosthesis 5. Severe or active co-morbidity likely to impact on the advisability of SRT 6. Treatment with any experimental drug or participation within a clinical trial within 30 days prior to registration (exception: concurrent participation in the biobank studies 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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Inselgruppe AG, Inselspital
Bern, 3010, Switzerland
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Istituto Oncologico della Svizzera Italiana-Ente Ospedaliero Cantonale (IOSI-EOC)
Bellinzona, 6500, Switzerland
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Kantonsspital Winterthur, Klinik für Radio-Onkologie
Winterthur, 8401, Switzerland
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Universitätsspital Basel
Basel, 4031, Switzerland
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Universitätsspital Zürich, Klinik für Radio-Onkologie
Zurich, 8091, Switzerland
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Other studies related to the condition(s) this trial covers.
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