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NCT05373316: AFFIRM

Addition of a Focal Boost in External Beam Radiotherapy for Locally Advanced Prostate Cancer by Online Adaptive MR-guided Radiotherapy

Not yet recruiting Phase 2 Last updated 7 November 2022
What this trial tests

Phase 2 trial testing Ultrahypofractionated MR-guided radiotherapy boost in Prostate Cancer in 95 participants. Not yet recruiting.

Timeline
1 December 2022
Primary endpoint
1 July 2024
1 July 2029

Quick facts

Lead sponsorRadboud University Medical Center
PhasePhase 2
StatusNot yet recruiting
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment95
Start date1 December 2022
Primary completion1 July 2024
Estimated completion1 July 2029
Sites2 locations across Netherlands

Drugs / interventions tested

Conditions studied

Sponsor

Radboud University Medical Center

Who can join

Adults 18 to 100, male only, with Prostate Cancer or Prostate Neoplasm. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

The AFFIRM trial tests the safety and clinical feasibility of MR-guided hypofractionated focal boost radiotherapy for patients with locally advanced prostate cancer. External beam radiotherapy combined with androgen deprivation therapy is considered as the treatment of choice for patients with locally advanced non-metastatic prostate cancer with seminal vesicle invasion.The long-term results of the multicentre phase III study (FLAME trial) showed that addition of an isotoxic focal boost to the intraprostatic lesion improves biochemical disease free survival in intermediate to high-risk patients without impacting toxicity and quality of life. This focal boost strategy is now proven for a conventional fractionation scheme (35 fractions). The current trend in radiotherapy for prostate cancer is (extreme) hypofractionation, reducing the number of fractions. For locally advanced prostate cancer, however, the data on extreme hypofractionation are scarce.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Efficacy of Treatments for T3bN0M0 Prostate Cancer Patients: A Systematic Review and Meta-Analysis.
    Reijnen C, Heemsbergen WD, Wever KE, Panneflek A, et al · · 2025 · PMID 40719409 · DOI 10.1002/pros.70024
  2. Adaptive magnetic resonance image guided radiation for intact localized prostate cancer how to optimally test a rapidly emerging technology.
    Hall WA, Kishan AU, Hall E, Nagar H, et al · · 2022 · PMID 36132128 · DOI 10.3389/fonc.2022.962897

Verify or expand the search:

Other recruiting trials for Prostate Cancer

Currently open trials in the same condition.

Other Radboud University Medical Center trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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