Clinical trial Recruiting at 7 sites Phase 2 Interventional

Radiation therapy options for high-risk prostate cancer

Official title: Balancing Radiation Intensification and Quality of Life in Higher-Risk Prostate Cancer (The BALANCE-RT Trial)

Run by Memorial Sloan Kettering Cancer Center · NCT07751159 · Data updated 2026-11-12

This trial tests different ways of giving radiation therapy to see which balance best controls the cancer with the fewest side effects in men with high-risk, non-metastatic prostate cancer.

Quick facts

PhasePhase 2
Study typeInterventional
SexAll
Enrollment126 (estimated)
SponsorMemorial Sloan Kettering Cancer Center
Academic / other
Drugs / interventionsradiation
Locations7 sites (Basking Ridge, New Jersey and 6 other locations)
StatusRecruiting
StartedJuly 31, 2026
Main results expectedJuly 31, 2030
Study endsJuly 31, 2030
Registry record updatedAugust 12, 2026
Trial IDNCT07751159 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Men with non-metastatic prostate cancer classified as unfavorable intermediate, high, or very high risk by NCCN guidelines who are suitable for both HDR brachytherapy boost and SBRT.

Probably not a fit

Patients with disease characteristics or comorbidities that make one radiation approach unsuitable may not benefit from the tested strategies.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 2 interventional trial compares standard of care radiation approaches, including HDR brachytherapy boost and SBRT, to determine effective strategies for tumor control while minimizing treatment-related toxicity in men with unfavorable intermediate to very high-risk, non-metastatic prostate cancer. Eligibility includes NCCN-classified high- or very high-risk disease, with eligibility potentially including MRI or PSMA PET findings. Participants are treated at Memorial Sloan Kimmel Cancer Center facilities in New Jersey, with limited protocol activities at select satellite sites. The study is sponsored by Memorial Sloan Kig Institute and collaborates with Palette Life Sciences, Inc.

Why it matters

Potential benefit: Participants may receive a treatment approach that provides good cancer control while reducing side effects compared with other radiation schedules.

How similar studies have gone: Prior studies in prostate cancer have explored HDR brachytherapy and SBRT separately, showing promise; this trial builds on that work to optimize combined approaches, with mixed generalizability pending results.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Non-metastatic prostate cancer.
* Classified as unfavorable intermediate-, high-, or very high-risk prostate cancer according to NCCN risk stratification guidelines. (Note: cT3a or T3b by MRI or PSMA PET allowed)
* Considered by the treating radiation oncologist as a suitable candidate for both HDR brachytherapy boost and SBRT

Exclusion Criteria:

* None

Where it's running

  • Memorial Sloan Kettering at Basking Ridge (Limited Protocol Activities)
    Basking Ridge, New Jersey, United States
    Recruiting
  • Memorial Sloan Kettering at Monmouth (Limited Protocol Activities)
    Middletown, New Jersey, United States
    Recruiting
  • Memorial Sloan Kettering at Bergen (Limited Protocol Activities)
    Montvale, New Jersey, United States
    Recruiting
  • Memorial Sloan Kettering Suffolk-Commack (Limited Protocol Activities)
    Commack, New York, United States
    Recruiting
  • Memorial Sloan Kettering at Westchester (Limited Protocol Activities)
    Harrison, New York, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center (All Protocol Activites)
    New York, New York, United States
    Recruiting
Show 1 more location
  • Memorial Sloan Kettering at Nassau (Limited Protocol Activities)
    Uniondale, New York, United States
    Recruiting

Study contacts

  • Principal investigator: Daniel Gorovets, MD — Memorial Sloan Kettering Cancer Center
  • Study coordinator: Daniel Gorovets, MD
  • Email: gorovetd@mskcc.org
  • Phone: 212-639-3983

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.