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Radiation Therapy

Bladder Management for Prostate Cancer Radiotherapy

N/A
Recruiting
Led By Bradley J. Stish, M.D.
Research Sponsored by Mayo Clinic
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Planned definitive dose radiotherapy to the prostate
Histological confirmation of prostate cancer
Must not have
Planned delivery of radiotherapy to pelvic lymph nodes
Significant urinary incontinence that precludes standard bladder filling
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline, 3 months, 1 and 2 years post radiation therapy (rt)
Awards & highlights
No Placebo-Only Group

Summary

This trial looks at effects of emptying bladder vs. having a full bladder before radiation therapy for prostate cancer. Patients may experience increased stress and longer treatment times with full bladder.

Who is the study for?
Men over 18 with prostate cancer who can consent, have an ECOG performance status of 0-2, and can fill out questionnaires. They should be set for radiotherapy but not have significant urinary incontinence, bladder metastases, use catheters, need pelvic lymph node radiation or brachytherapy, or had prior pelvic radiotherapy above 5 Gy.
What is being tested?
The RELIEF trial is testing whether having an empty or full bladder during CT simulation affects the treatment experience for prostate cancer patients receiving radiation therapy. It looks at how this impacts patient comfort and the precision of targeting the tumor while sparing normal tissues.
What are the potential side effects?
Radiation therapy may cause side effects like skin irritation near treated areas, fatigue, urinary symptoms such as increased frequency or urgency to urinate and bowel changes including diarrhea.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am scheduled for targeted radiation therapy to my prostate.
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My prostate cancer has been confirmed through a biopsy.
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I can take care of myself and am up and about more than half of my waking hours.
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I am 18 years old or older.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I am scheduled for radiation therapy targeting my pelvic lymph nodes.
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I have severe urinary incontinence that prevents normal bladder filling.
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My prostate cancer has spread to my bladder.
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My prostate was exposed to more than 5 Gy of radiation.
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I am scheduled for a specific radiation treatment for my prostate.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline, 3 months, 1 and 2 years post radiation therapy (rt)
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline, 3 months, 1 and 2 years post radiation therapy (rt) for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Patient-reported urinary symptoms
Secondary study objectives
Incidence of physician reported gastrointestinal (GI) and genitourinary (GU) adverse events
Patient-reported bowel quality of life
Patient-reported severity of urinary tract symptoms

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

2Treatment groups
Experimental Treatment
Active Control
Group I: Arm II (bladder emptying, CT, radiation)Experimental Treatment5 Interventions
Patients perform bladder emptying and then undergo CT and radiation therapy in 2-39 fractions at the discretion of the treating clinician on study.
Group II: Arm I (bladder filling, CT, radiation)Active Control5 Interventions
Patients perform SOC bladder filling and then undergo CT and radiation therapy in 2-39 fractions at the discretion of the treating clinician on study.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Computed Tomography
2017
Completed Phase 2
~2790
Imaging Procedure
2003
N/A
~70
Radiation Therapy
2017
Completed Phase 3
~7250

Find a Location

Who is running the clinical trial?

Mayo ClinicLead Sponsor
3,362 Previous Clinical Trials
3,065,956 Total Patients Enrolled
27 Trials studying Prostate Cancer
6,970 Patients Enrolled for Prostate Cancer
Bradley J. Stish, M.D.Principal InvestigatorMayo Clinic
3 Previous Clinical Trials
265 Total Patients Enrolled
~112 spots leftby Sep 2028