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OncoMatch/Clinical Trials/NCT04654338

2 Ablative RadioTherapy Treatments for Prostate Cancer

Is NCT04654338 recruiting? Yes, currently enrolling (May 2026). This Phase 2/3 trial studies non-drug interventions for prostate cancer.

Phase 2/3RecruitingSunnybrook Health Sciences CentreNCT04654338Data as of May 2026

Favorable-risk prostate cancer represent a large proportion of patients diagnosed with prostate cancer and image guided radiation therapy (IGRT) is commonly used to treat these patients using protracted courses of up to 39 treatments over 8 weeks. Stereotactic ablative body radiotherapy (SABR) protocols hold the promise of more convenience, less side effects, less cost and improved system capacity without sacrificing excellent cancer control rates. By the same token, prostate high-dose rate (HDR) brachytherapy boost has been shown to be superior to standard external beam radiation. While two HDR fractions appear to optimize patient convenience and outcomes while minimizing costs, we wanted to determine the tolerability of combining one MR-guided HDR treatment with one SABR treatment to further reduce HDR resource use while maintaining favourable treatment outcomes.

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Extracted eligibility criteria

Cancer type

Prostate Cancer

Disease stage

Required: Stage T2C (TNM)

Grade: grade group 1grade group 2 (ISUP)

Low risk disease: T1-T2c, grade group 1, PSA < 10 ng/ml or Favorable intermediate risk disease: One of T2c, grade group 2, or PSA 10-20 ng/ml

Prior therapy

Cannot have received: pelvic radiotherapy

Previous pelvic radiotherapy

Cannot have received: transurethral resection of prostate

previous transurethral resection of prostate

Cannot have received: prostatectomy

previous prostatectomy

Cannot have received: HIFU

previous HIFU

Cannot have received: androgen deprivation therapy

Exception: Use of 5-alpha-reductase inhibitors permitted

Use of androgen deprivation therapy. Use of 5-alpha-reductase inhibitors permitted

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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