Informations générales (source: ClinicalTrials.gov)
Erectile Dysfunction in Good Prognosis Prostate Cancer: a Phase III Medico-economic Study Comparing Brachytherapy to Stereotactic Body Radiotherapy (TEMPOS)
Interventional
N/A
Center Eugene Marquis (Voir sur ClinicalTrials)
octobre 2019
avril 2031
02 octobre 2024
The TEMPOS-GEniToUrinary Group (GETUG) study is a multicenter, medico-economic study
comparing brachytherapy to SBRT in low and intermediate risk prostate cancer,
particularly focused on the issue of erectile dysfunction. A total of 240 potent patients
are randomized in two arms. The experimental arm consists of SBRT delivering 7.25 Gy per
fraction, in five fractions, corresponding to a total dose of 36.25 Gy to the prostate.
The control arm consists of brachytherapy by Iodine 125 delivering 144 Gy to the
prostate. The main objective of this health economics study is to perform a cost-utility
analysis of SBRT compared to "standard" Iodine 125 brachytherapy in low-risk prostate
cancer, 3 years after treatment. The endpoint is the Incremental Cost-Utility Ratio
(ICUR) between SBRT and brachytherapy as primary criterion, expressed in cost per quality
adjusted life year (QALY) gained. Cost-effectiveness analyses are performed as secondary
objective with Incremental Cost-Effectiveness Ratios (ICERs) expressed as cost per
erectile dysfunction avoided and cost per Life Year Gained. A long term evaluation is
also performed, including a cost-utility, cost-effectiveness and budget impact analysis
at 5 years, a comprehensive assessment of the erectile dysfunction up to 5 years after
treatment, an evaluation of acute and late genito-urinary (GU) and Gastro-Intestinal (GI)
toxicities, and of quality of life up to 5 years after treatment.
Eight patients/year/center are expected to be recruited in 2 years in about twenty
participating centers.
In total, to our knowledge, this study will be the first health economic evaluation which
compares SBRT versus Iodine 125 brachytherapy in low risk and intermediate risk prostate
cancer. Both cost-utility and cost-effectiveness analyses will also provide useful and
complementary information to decision makers in order (i) to recommend the best strategy
to adopt; (ii) to estimate the budget impact on the French National Health Insurance of
the generalization of the cost-effective strategy. Finally, this study will allow to
assess and compare accurately the erectile dysfunction after both treatment modalities.
Etablissements
Les établissements d'Île-de-France ayant mis à jour leurs données Origine et niveau de fiabilité des données | |||||
---|---|---|---|---|---|
CLCC INSTITUT CURIE | 10/04/2025 13:12:15 | Contact (sur clinicalTrials) | |||
CLCC INSTITUT GUSTAVE ROUSSY | Pierre BLANCHARD | 11/04/2024 11:09:34 | Contacter | ||
CLCC RENE HUGUENIN INSTITUT CURIE | 10/04/2025 13:11:59 | Contact (sur clinicalTrials) | |||
Les établissements d'Île-de-France dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
CPEF LEVALLOIS PERRET | Contact (sur clinicalTrials) | ||||
Les établissements hors Île-de-France dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
Centre Eugene Marquis - 35042 - Rennes - France | Renaud De Crevoisier, MD | Contact (sur clinicalTrials) | |||
CH Lyon Sud - Lyon - France | Contact (sur clinicalTrials) | ||||
CHU Tours - Hôpital Bretonneau - Tours - France | Contact (sur clinicalTrials) | ||||
Clinique Claude Bernard - Albi - France | Contact (sur clinicalTrials) | ||||
Hôpital Lyon Sud - Pierre-Bénite - France | Contact (sur clinicalTrials) | ||||
Institut Claudius Régaud - Toulouse - France | Contact (sur clinicalTrials) | ||||
Institut de Cancérologie Lucien Neuwirth - Saint-Priest-en-Jarez - France | Contact (sur clinicalTrials) | ||||
Institut Jean Godinot - Reims - France | Contact (sur clinicalTrials) | ||||
Les établissements sans correspondance certaine dans le répertoire FINESS dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
Centre Amethys - Charlebourg - La Défense - 92250 - La Garenne-Colombes - France | Contact (sur clinicalTrials) | ||||
Centre d'oncologie et de radiothérapie Saint Jean - Saint-Doulchard - France | Contact (sur clinicalTrials) | ||||
Gustave Roussy - Villejuif - France | Contact (sur clinicalTrials) | ||||
ICO Paul Papin - 49055 - Angers - France | Contact (sur clinicalTrials) | ||||
Institut de Cancérologie de Lorraine - Vandœuvre-lès-Nancy - France | Contact (sur clinicalTrials) | ||||
Institut régional du Cancer de Montpellier - Montpellier - France | Contact (sur clinicalTrials) | ||||
Polyclinique Bordeaux-Aquitaine - Bordeaux - France | Contact (sur clinicalTrials) |
Critères
Homme
Main inclusion criteria
- Biopsy proven prostate adenocarcinoma,
- Low risk prostate cancer according to d'Amico (T1-T2a and PSA <10 ng/ml, and Gleason
score 6) or intermediate risk prostate cancer according d'Amico but excluding tumor
with Gleason score 7 (4 + 3),
- Indication of a curative treatment by brachytherapy validated in multidisciplinary
consultation meeting,
Main exclusion criteria
- Androgen deprivation therapy,
- Contraindication for prostate Iodine 125 brachytherapy (Prostate volume > 50 cc,
impossibility if general anesthesia).
- Contraindication for Resonance Magnetic Imagery (RMI) (claustrophobia, pacemaker)
- Participation to another research which could have an impact on the study treatment
and the outcomes
- Biopsy proven prostate adenocarcinoma,
- Low risk prostate cancer according to d'Amico (T1-T2a and PSA <10 ng/ml, and Gleason
score 6) or intermediate risk prostate cancer according d'Amico but excluding tumor
with Gleason score 7 (4 + 3),
- Indication of a curative treatment by brachytherapy validated in multidisciplinary
consultation meeting,
Main exclusion criteria
- Androgen deprivation therapy,
- Contraindication for prostate Iodine 125 brachytherapy (Prostate volume > 50 cc,
impossibility if general anesthesia).
- Contraindication for Resonance Magnetic Imagery (RMI) (claustrophobia, pacemaker)
- Participation to another research which could have an impact on the study treatment
and the outcomes