Evaluation of the Impact of Empty Versus Full Bladder in Patients with Prostate Cancer, RELIEF Trial

  • Recruiting
  • Treatment
  • Interventional
  • Randomized
  • Other & Procedure
  • Mayo Clinic
  • 18 Years -


Study Purpose

This clinical trial evaluates the effects of an empty bladder versus (vs.) a full bladder prior to undergoing a computed tomography (CT) simulation for radiation therapy in patients with prostate cancer. Radiation therapy is a commonly used treatment for men diagnosed with prostate cancer. Prior to initiation of a course of radiotherapy, all patients with prostate cancer undergo a CT simulation that allows for computer-based optimization of radiation dose delivery to the target tissue (i.e., prostate) and simultaneous dose minimization to surrounding normal tissues, such as bladder and rectum. Patients are typically given standard instructions for preparation to present with a reproducible full bladder at the time of CT simulation and for each subsequent radiation treatment appointment. The goal of bladder distension is to displace portions of the bladder and bowel away from the highest dose radiation delivery to the prostate. However, as typical urinary symptoms related to radiotherapy develop during treatment, some patients are unable to reproduce the bladder distention achieved at the time of CT simulation. This can result in increased daily treatment time, sub-optimal reproducibility of patient internal anatomy, and increased stress for patients and radiation therapy staff. This trial will evaluate the effects of an empty bladder vs. a full bladder prior to CT simulation and radiation therapy in patients with prostate cancer and how it effects patient reported outcomes.

Intervention

Other : Best Practice

Procedure : Computed Tomography

Other : Electronic Health Record Review

Procedure : Imaging Procedure

Other : Questionnaire Administration

Radiation : Radiation Therapy


Eligibility Requirements

info icon Age \>= 18 years

info icon Histological confirmation of prostate cancer

info icon Planned definitive dose radiotherapy to the prostate * Note: Patients are eligible for enrollment if they are already enrolled or planned for enrollment on another interventional research protocol provided that other study protocol treatment does not require procedures or treatments that would be in conflict with the eligibility or treatment protocols for this study nor, in the judgement of the enrolling physician, affect primary study objectives of this study

info icon Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0, 1, or 2

info icon Ability to complete questionnaire(s) by themselves or with assistance

info icon Provide written informed consent

info icon Planned delivery of radiotherapy to pelvic lymph nodes

info icon Planned brachytherapy treatment of the prostate

info icon Significant urinary incontinence that precludes standard bladder filling

info icon Evidence of direct bladder extension or bladder wall metastases from prostate cancer

info icon Used indwelling or intermittent urinary catheterization at baseline

info icon Prior pelvic radiotherapy such that any portion of the prostate received \> 5 Gy

Recruiting status

Recruiting

Estimated enrollment

168

 
Study start date

Sep 19, 2023

Study end date

Sep 19, 2028

Last updated

Mar 22, 2025

Primary purpose

Treatment

Design

Interventional

Intervention

Other & Procedure

Study phase

NA

Allocation

Randomized

 

Sponsor:

Mayo Clinic

Collaborator:

N/A

Investigator:

Bradley J. Stish, M.D.

NCT06037863

Clinic Location Investigator Distance RECRUITING STATUS Contact