"Health wise I am feeling great. I am a big supporter of trials - it allows new treatments and drugs to be brought in.”
A study using breath to predict what happens to tissue during radiotherapy for prostate cancer (PRINToUT)
This study is looking at pieces of
It is open to men with
More about this trial
Researchers are looking at using:
- ctDNA in the blood
- the time of treatment scans
They want to try and predict:
- how well radiotherapy might work
- how radiotherapy might affect the surrounding healthy tissue
In this study you have
- a sample of spit (saliva)
- urine samples
- blood samples
They use these samples to look at your normal tissue
The aims of the study are to:
- find substances (
biomarkers) that could predict how well radiotherapy works
- see whether circulating normal tissue and tumour cell free DNA can predict how well the radiotherapy is working
- see whether analysis of the time of treatment scans can predict how the radiotherapy is working
Who can enter
The following bullet points are a summary of the entry conditions for this study. Talk to your doctor or the study team if you are unsure about any of these. They will be able to advise you.
Who can take part
You may be able to join this study if you are going to the Western General Hospital, Edinburgh and all of the following apply. You:
- have prostate cancer stage 1 or stage 2
- have a
Gleason scoreof 3+3=6 or 3+4=7. Your doctor will know this.
- have a
PSAof 20ng/ml or less. Your doctor will know this.
- have a prostate volume of 90cc (cubic centimetres) or less. Your doctor will know the volume of your prostate.
- have an International Prostate Symptom Score (IPSS) of 20 or less. Your doctor will ask you some questions to work out what your IPSS is.
- have a certain flow rate of urine and the amount of urine left in the bladder after urinating is less than 250mls. Your doctor will be able to work these out.
- can have radiotherapy with the aim to cure your prostate cancer
- are able to look after yourself but might not be able to work (performance status 0, 1 or 2)
- are between 18 and 80 years old
Who can’t take part
You cannot join this study if any of these apply. You:
- have had a
transurethral resectionof the prostate (TURP)
- have a Gleason score of 4+3=7, 8, 9 or 10
- have had hormone treatment for more than 6 months or previous surgery to remove your testicles (orchidectomy)
- have had radiotherapy to the
- have a medical condition such as inflammatory bowel disease that means you might not be able to have radiotherapy
- have any other medical condition or mental health problem that could affect you taking part
The team hope to recruit up to 48 men to take part.
Before your radiotherapy you have a planning appointment. This is to work out the dose of radiotherapy to give and where to give it. You also have gold fiducial markers put in place. This is to make sure you have the radiotherapy in the correct place. You have antibiotics after to prevent possible infection.
You have 5 treatments with stereotactic body radiotherapy. This usually starts on a Wednesday and finishes the next Tuesday. You don’t have treatment on the Saturday or Sunday. The machine used to give the radiotherapy is a Linear Accelerator (LINAC).
You have a special type of urinary catheter called a HypoCath put into your bladder on the day before you start radiotherapy. This remains in during the whole 5 days of treatment.
During treatment the catheter is attached to the LINAC. This helps the LINAC track the movement of the prostate. So that the radiotherapy targets the prostate cancer the whole time.
Each radiotherapy treatment takes between 30 and 40 minutes.
The catheter should stay in during the whole 5 days. If it doesn’t the team can replace it.
Research samples and tests
You give a spit (saliva) sample once. The research nurse or the radiographer collects this and will tell you how to do it. They can take this sample on any of one of the 5 days.
The team also take blood samples and urine samples before each treatment. And then 1 and 3 hours after treatment.
Quality of life
You fill in questionnaires:
- before starting radiotherapy
- after your last treatment
- then for up to 2 years after
The questions ask about:
- your general health and wellbeing
- what you are able to do
- side effects and symptoms
These are quality of life questionnaires.
There are no extra hospital visits if you take part. But you will need to stay for up to 3 hours after each radiotherapy treatment for the team to collect the breath samples, blood samples and urine samples.
After treatment you see the doctor as part of the study at:
- 6 weeks
- 3 months
- 6 months
- 12 months
- 18 months
- 24 months
At these times you give a:
- blood sample
- urine sample
How to join a clinical trial
Professor Duncan McLaren
University of Edinburgh
Jamie-King Urological Cancers Research Fund