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NCT07182279PHASE1, PHASE2RECRUITING

Neoadjuvant High Dose Rate Brachytherapy Prior to Radical Prostatectomy in Patients With Prostate Cancer

High Dose Rate Brachytherapy Prior to Robotic Assisted Laparoscopic Prostatectomy With Selective Adjuvant Androgen Blockade for Localized High-risk Prostate Cancer (NEOHDR-B)

Sponsor: The Methodist Hospital Research Institute

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Key Facts

Study type
INTERVENTIONAL
Conditions
Prostate Cancer (Adenocarcinoma)
Interventions
Brachytherapy
Enrollment
29 participants
Primary completion
Nov 2026
Study completion
Nov 2026
First posted
Sep 2025
Last updated
Mar 2026

Primary Endpoints (CT.gov)

Incidence of Adverse Events

Time frame: up to two years post RALP

Treatment Completion

Time frame: up to two years post RALP

Secondary Endpoints

Change From Baseline in International Prostate Symptom Score (IPSS)

Change From Baseline in Expanded Prostate Cancer Index Composite (EPIC-26) Score

Change in Prostate-Specific Antigen (PSA)

Eligibility Criteria

Inclusion Criteria: 1. Subjects must have biopsy-confirmed adenocarcinoma of the prostate. 2. Subjects must have a negative bone scan and CT scan or PSMA-PET for nodal or metastatic disease. 3. Subjects must have one of the following risk factors: * PSA ≥20 and/or * Gleason score ≥8 and/or * Clinical or radiographic stage ≥T3a per AJCC (American Joint Committee on Cancer) 8th Edition Staging Manual and/or * At least two out of four of the following: PSA (Prostate Specific Antigen) 10-19.9, GS (Gleason Score) = 4+3, clinical stage = T2b/T2c, ≥50% positive biopsy cores. 4. Subjects must freely sign informed consent to enroll in the study. 5. Subjects must be medically fit to undergo surgery and HDR-B as determined by the PI. 6. Age ≥ 40 7. ECOG Performance Status (performance status is an attempt to quantify cancer patients\' general well-being and activities of daily life, scores range from 0 to 5 where 0 represents perfect health and 5 represents death): 0-1. 8. N

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✦ Analyst Commentary

Expert commentary on why this trial matters and what to watch for.

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Source

Open on ClinicalTrials.gov