FORT Study

  • Research type

    Research Study

  • Full title

    Randomized Trial of Five or Two MRI-Guided Adaptive Radiotherapy Treatments for Prostate Cancer

  • IRAS ID

    317471

  • Contact name

    Himanshu Nagar

  • Contact email

    hnagar@med.cornell.edu

  • Sponsor organisation

    Weill Cornell Medicine

  • Clinicaltrials.gov Identifier

    NCT04984343

  • Duration of Study in the UK

    7 years, 8 months, 1 days

  • Research summary

    This is a randomised study in men aged over 18 with low or medium-risk prostate cancer.

    The purpose of this study is to assess the potential benefit of limiting radiation dose received by normal tissues, namely bladder and rectum, with advanced MR (magnetic resonance) image guidance, and to compare urinary and bowel side effects of radiotherapy in 5 treatments to 2 treatments. The investigators are also looking at progression-free survival (prostate cancer cure and control) and the quality of life (health scores). The trial is important because it lays the foundation to potentially redefine the standard of care to include 2 fraction radiotherapy treatment which reduces the treatment burden on the patient.

    Participants will be in the study for up to 5 years with regular follow-up visits every 3 months for the first 2 years and at the 5th year (60-month) post treatment follow-up.

    Participants will undergo radiation therapy (either 5 or 2 fractions) and complete Quality of life surveys: EPIC, IPSS and EQ-5D at every follow-up visit. Optional research blood samples will be collected at baseline (before radiation therapy), at end of radiation therapy visit, at 6-month, 12-month, 24-month and at 60-month follow-up visits. Optional urine samples will be collected at baseline visit, end of radiation therapy visit and at 24-month follow-up visit.

    Around 136 participants will take part in this study in total. The study is being run at three sites in the United States and at Genesis Care in the UK. Around 20 participants will be recruited at the Genesis Care Oxford site.

  • REC name

    North East - Newcastle & North Tyneside 1 Research Ethics Committee

  • REC reference

    23/NE/0092

  • Date of REC Opinion

    12 May 2023

  • REC opinion

    Favourable Opinion