About this trial

The purpose of this prostate cancer research study is to learn about:

1. Improving control of prostate cancer using radiation therapy, delivered to the para-aortic and pelvic lymph nodes, in addition to systemic androgen suppression therapy; 2. Preserving quality of life after radiation therapy; 3. Leveraging imaging results from prostate-specific membrane antigen (PSMA) positron emission tomography (PET)/computed tomography (CT) scans to evaluate and manage disease progression.

Eligibility criteria

Qualifiers

Histologically proven prostate adenocarcinoma

Male, ≥ 18 years old

Oligorecurrent disease limited to the sub-diaphragmatic region with or without pelvic lymph nodes

a. No more than a total of 5 lesions on PSMA PET/CT scan (each lesion defined as positive with standardized uptake value (SUV) > liver uptake and CT scan correlate)

Disqualifiers

No pathological diagnosis of prostate adenocarcinoma

Patient has more than 5 sites of metastatic disease

Patient has history of bone and/or visceral metastasis

No evidence of disease in the para-aortic or pelvic lymph nodes

Trial design

Treatments tested in this trial

  • Para Aortic Radiation Therapy: Photon Therapy
  • Para Aortic Radiation Therapy: Proton Therapy
  • Androgen Deprivation Therapy
  • Androgen Receptor Signaling Inhibitor

Treatment groups

34 Participants
are divided into 1 treatment group

Locations

1
University of Miami33136, MiamiFlorida, United States

Sponsors and collaborators

University of Miami

Lead sponsor