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OncoMatch/Clinical Trials/NCT07325721

Hypofractionated Radiotherapy With a Focal Microboost for High-Risk and Locally Advanced Prostate Cancer

Is NCT07325721 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies non-drug interventions for prostate cancer.

Phase 2RecruitingMedical University of South CarolinaNCT07325721Data as of May 2026

This study is for adult men with previously untreated high risk, very high risk, or pelvic lymph node positive prostate cancer. The purpose of this study is to evaluate the safety and effectiveness of the combination of two emerging radiation treatment techniques (hypofractionated radiotherapy and microboost technique). Participation will include standard of care visits along with questionnaires and blood draws completed for research purposes. There is optional banking of blood and prostate biopsy tissue which will not require extra biopsies. Participation in this study is anticipated to last approximately 6 weeks with follow up every three months for two years then twice yearly for years 3-5.

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Extracted eligibility criteria

Cancer type

Prostate Cancer

Disease stage

Required: Stage LOCALIZED, III, N1M0 (NCCN)

Excluded: Stage METASTATIC DISEASE OUTSIDE OF THE PELVIC NODES

Grade: Gleason score 8-10grade group 4 or 5 (Gleason / grade group)

Localized or locally advanced prostate cancer meeting NCCN criteria for high risk, very high risk or non-metastatic, pelvic lymph node positive defined as having at least one or more of the following: PSA >20 ng/mL prior to starting ADT; cT3a-T4 by digital exam or imaging; Gleason score of 8-10 (grade group 4 or 5); Staged as N1M0 by the treating investigator (pelvic lymph node positive, below the aortic bifurcation) based on soft tissue imaging

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

No prior treatment (treatment-naive required)

Cannot have received: cytotoxic chemotherapy

Previously untreated prostate cancer (with cytotoxic chemotherapy, cryotherapy, ablative treatment, surgical or radiation therapy)

Cannot have received: cryotherapy

Previously untreated prostate cancer (with cytotoxic chemotherapy, cryotherapy, ablative treatment, surgical or radiation therapy)

Cannot have received: ablative treatment

Previously untreated prostate cancer (with cytotoxic chemotherapy, cryotherapy, ablative treatment, surgical or radiation therapy)

Cannot have received: surgical therapy

Previously untreated prostate cancer (with cytotoxic chemotherapy, cryotherapy, ablative treatment, surgical or radiation therapy)

Cannot have received: radiation therapy

Previously untreated prostate cancer (with cytotoxic chemotherapy, cryotherapy, ablative treatment, surgical or radiation therapy)

Cannot have received: pelvic radiotherapy

Prior pelvic radiotherapy [excluded]

Cannot have received: total prostatectomy

Prior total prostatectomy [excluded]

Cannot have received: cryotherapy

Prior cryotherapy [excluded]

Cannot have received: high-intensity focused ultrasound

Prior high-intensity focused ultrasound [excluded]

Cannot have received: irreversible electroporation

Prior irreversible electroporation [excluded]

Cannot have received: MRI ablation

Prior MRI ablation [excluded]

Cannot have received: laser ablation

Prior laser ablation [excluded]

Cannot have received: transurethral ultrasound ablation

Prior transurethral ultrasound ablation [excluded]

Cannot have received: aquablation

Prior aquablation directed towards the prostate [excluded]

Cannot have received: investigational prostate cancer therapy

Treatment with another investigational prostate cancer therapy within 12 months [excluded]

Lab requirements

Blood counts

hemoglobin >=9.0 g/dL independent of transfusion; platelet count >= 100,000 x 10^9/microliter independent of transfusion

Liver function

total bilirubin <2 x institutional upper limits of normal (ULN is 1.2 mg/dL). If labs are done at outside institution, total bilirubin should be <2.4.

Adequate hematologic function within 120 days prior to registration as defined by: hemoglobin >=9.0 g/dL independent of transfusion, and platelet count >= 100,000 x 10^9/microliter independent of transfusion. Adequate hepatic function within 120 days prior to registration defined as total bilirubin <2 x institutional upper limits of normal (ULN is 1.2 mg/dL). If labs are done at outside institution, total bilirubin should be <2.4.

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

US trial sites

  • Medical University of South Carolina Hollings Cancer Center · Charleston, South Carolina

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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