Salvage radiation therapy for prostate cancer recurrence
Official title: Salvage Ultrahypofractionated Postoperative External Radiotherapy For Biochemical Recurrence
Run by University of Milano Bicocca · NCT06941363 · Data updated 2026-11-12
This study is testing if a precise type of radiation therapy can help men with prostate cancer who have had surgery but are seeing signs of cancer return.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 90 Years |
| Sex | Men only |
| Enrollment | 50 (estimated) |
| Sponsor | University of Milano Bicocca Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Monza, Italy) |
| Status | Recruiting |
| Started | May 2, 2025 |
| Main results expected | May 2033 |
| Study ends | May 2033 |
| Registry record updated | February 2, 2026 |
| Trial ID | NCT06941363 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are men aged 18 and older with detectable PSA levels post-prostatectomy and no evidence of metastatic disease.
✕Probably not a fit
Patients with advanced metastatic prostate cancer or those with significant comorbidities may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational trial focuses on patients with prostate cancer who experience biochemical recurrence after radical prostatectomy. Participants will receive a single session of stereotactic body radiotherapy (SBRT) targeting the prostate bed, utilizing advanced image-guided techniques to ensure precision and minimize damage to surrounding tissues. The study aims to evaluate the oncological outcomes and toxicity profiles associated with this treatment approach. Patients will be monitored for toxicity and PSA levels over a follow-up period of up to 24 months.
Why it matters
Potential benefit: If successful, this treatment could provide a more effective and less toxic option for managing prostate cancer recurrence.
How similar studies have gone: Other studies utilizing similar SBRT approaches have shown promising results, indicating potential for success in this trial.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Subjects of male sex ≥ 18 years of age. * Subjects have freely signed the pertinent informed consent before the beginning of the study * Adenocarcinoma of the prostate treated with radical prostatectomy (any type of radical prostatectomy is permitted including retropubic, perineal, laparoscopic or robotically assisted; there is no time limit for the date of radical prostatectomy) * Detectable post-prostatectomy PSA of ≥ 0.1 - \< 2.0 ng/mL either (1) persistently detectable post-operatively or (2) developing biochemical recurrence after prostatectomy (initially undetectable) * No evidence of N1 and/or M1 disease assessed by PSMA PET-CT within 90 days prior to registration * Negative Magnetic Resonance Imaging (MRI) of the pelvis in case of equivocal evidence of local relapse on PSMA PET-CT * Androgen deprivation therapy (ADT) allowed as per physician's discretion * ECOG performance status of 0-1 * Ability to complete the questionnaires Exclusion Criteria: * N1 and or M1 patients * Macroscopic local relapse at pelvic MRI. * Prior radiation of any kind to the prostate gland or pelvis * Prior brachytherapy * History of inflammatory colitis or other active severe comorbidities * Patients who are on immunosuppressant medication
Where it's running
-
Radiation Oncology, Fondazione IRCCS San Gerardo dei Tintori (University of Milan Bicocca)
Monza, Italy, Italy Recruiting
Study contacts
- Study coordinator: Stefano Arcangeli, MD
- Email: stefano.arcangeli@unimib.it
- Phone: +39 0392333663
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Rezvilutamide as adjuvant therapy after radical prostatectomy for high-risk prostate cancer
This study tests whether switching to rezvilutamide after prostatectomy helps high-risk patients see fewer recurrences.
-
Rectal indomethacin after prostate surgery to see if it lowers CRBD
This study tests whether a 50 mg rectal indomethacin suppository given after laparoscopic radical prostatectomy can reduce catheter-related bladder discomfort in adults.
-
Mobile perioperative education with video pelvic floor training after radical prostatectomy
This test checks whether a smartphone app that provides perioperative education, reminders, and video-guided pelvic floor exercises helps men undergoing radical prostatectomy have less urinary leakage and better erectile function.
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Early postoperative PSA after prostate removal as a predictor of cancer outcomes
We will test whether early PSA levels after prostate removal can help predict long-term cancer outcomes in men undergoing radical prostatectomy.
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Epidemiology, diagnosis, and treatment patterns of prostate cancer in Algeria
This project collects medical and treatment information to see how prostate cancer is diagnosed and managed in Algerian men with confirmed disease.
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Shorter Salvage Radiotherapy after Prostate Surgery for Recurrent Prostate Cancer
This study tests whether a shorter, 4-week salvage radiotherapy schedule is as safe and effective as the standard 5-week schedule for men with prostate cancer that has come back after surgery.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.