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Prostate Cancer (Adenocarcinoma)PRIAPUS-PCaNCT07460726

PRIAPUS-PCa Study: Stereotactic Body Radiation Therapy (SBRT) and Androgen Deprivation Therapy (ADT) Impact on Sexual Function on Men With Unfavorable Intermediate Risk Prostate Cancer

An observational study of Prostate Cancer (Adenocarcinoma) and Erectile Abnormalities, run by CancerCare Manitoba at 1 site in Canada.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study looks at how combined radiation and hormone therapy affects sexual function in men with a specific type of prostate cancer, before and after treatment. Read more about this study

Who is it for?
Ages 18 to 80 years, men only
What is being tested?
SBRT combined with ADT
How many people
130 participants
Where
1 siteCanada
Study dates
16 Mar 2026to 31 Dec 2029
How long will I take part?
24 Months
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 80 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Study population: Favorable and unfavorable intermediate risk prostate cancer patients

Who may be able to join

  • Men aged 18-80 years with biopsy-proven UIR-PCa (National Comprehensive Cancer Network [NCCN] criteria: Gleason score 7 (4+3), PSA 10-20 ng/mL, or clinical stage T2b-T2c)
  • Planned treatment with SBRT (36.25-37.5 Gy in 5 fractions) and ADT (6 months)
  • Baseline sexual function assessment available (International Index of Erectile Function [IIEF-5, also known as SHIM] score ≥ 12 or pre-selection erection status score of 1-3: erection insufficient for intercourse, sufficient but not optimal, or normal)
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1.
  • Written informed consent to participate.

Who cannot join

  • Prior pelvic radiotherapy, prostate surgery, ADT, or chemotherapy
  • Pre-existing severe sexual dysfunction (IIEF-5 score < 12 or pre-selection erection status score of 0: no erection)
  • Hypogonadism at presentation (baseline testosterone below normal range)
  • Contraindications to SBRT or ADT
  • Metastatic disease, second malignancy, or previous malignancies.
  • Benign or malignant penile diseases.
Show all 9Show fewer
  • Use of medications altering ejaculation (e.g., 5-alpha reductase inhibitors)
  • Psychiatric conditions affecting questionnaire completion or QoL assessment
  • Severe comorbidities affecting QoL assessments (e.g., advanced cardiovascular disease).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Canada1 site
  • Manitoba Prostate Centre

    Winnipeg, Manitoba, R3E 0V9

    Zoe Ignacio, RN, BN (BScN), 1-204-787-2955, ccmb_manitoba_prostate_centre_research@cancercare.mb.ca

    Vibhay Pareek, MD, FRCPC

Other trials in Canada

About this study

Official title: A Single Arm Prospective Study to Investigate the Impact of Stereotactic Body Radiation Therapy (SBRT) and Androgen Deprivation Therapy (ADT) on Sexual Dysfunction in Unfavorable Intermediate Risk Prostate Cancer

This study looks at how combined radiation and hormone therapy affects sexual function in men with a specific type of prostate cancer, before and after treatment.

Read the detailed description

This study examines how two standard combination treatment for prostate cancer - a highly targeted form of radiation called Stereotactic Body Radiation Therapy (SBRT) and a hormone-blocking treatment called Androgen Deprivation Therapy (ADT) - impact sexual function in men with unfavorable intermediate risk prostate cancer. Participants will complete study questionnaires before treatment or Baseline, and after treatment, on Month 3, 9, 15, and 24.

Being tested
SBRT combined with ADT
Keywords
Prostate cancer, sexual function, SBRT, ADT
Medical subject headings
Prostatic Neoplasms, Adenocarcinoma, Erectile Dysfunction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SBRT combined with ADTCombination product

    SBRT combined with Zoladex

Study groups in NCT07460726
Study groupRoleWhat they receive
ObservationalProstate cancer patients receiving SBRT and ADT
Receives: Combination Product: SBRT combined with ADT

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in erectile dysfunction severity from baseline to 24 months, as measured by the change in International Index of Erectile Function 5-item version (IIEF-5) score.

    Outcome Measure Title:

    Change in Erectile Function Score as Measured by the International Index of Erectile Function-5 (IIEF-5 / SHIM)

    Measurement Tool:

    International Index of Erectile Function-5 (IIEF-5, also known as SHIM)

    Unit of Measure:

    Total IIEF-5 score (range 1-25; higher scores indicate better erectile function)

    Derived Unit:

    Change in IIEF-5 score from baseline to 24 months (continuous variable, points)

    Measured: Baseline, 3, 9, 15, and 24 months post-SBRT

Secondary outcomes (5)
  1. Proportion of patients with clinically significant (moderate to severe) erectile dysfunction

    Measurement Tool:

    IIEF-5 (SHIM)

    Unit of Measure:

    Percentage (%) of patients with IIEF-5 score ≤ 11

    Measured: Baseline, 3, 9, 15, and 24 months

  2. Change in sexual function, as measured by the Expanded Prostate Cancer Index Composite 26-item version (EPIC-26) sexual domain score

    Measurement Tool:

    EPIC-26 Questionnaire - Sexual Domain

    Unit of Measure:

    Standardized domain score (0-100 scale; higher scores indicate better sexual function)

    Measured: Baseline, 3, 9, 15, and 24 months

  3. Hormonal Domain Score of the Expanded Prostate Cancer Index Composite (EPIC-26)

    Measurement Tool:

    EPIC-26 Questionnaire - Hormonal Domain

    Unit of Measure:

    Standardized domain score (0-100 scale; higher scores indicate better hormonal function)

    Measured: Baseline, 3, 9, 15, and 24 months

  4. Ejaculatory Function Score as Measured by the Male Sexual Health Questionnaire - Ejaculation Scale (MSHQ-ES-8)

    Measurement Tool:

    Male Sexual Health Questionnaire - Ejaculation Scale (ES-8)

    Unit of Measure:

    Total ES-8 score (range 3-40; higher scores indicate worse ejaculatory function)

    Measured: Baseline, 3, 9, 15, and 24 months

  5. Health-Related Quality of Life Score as Measured by EORTC QLQ-ELD14

    Measurement Tool:

    European Organization for Research and Treatment of Cancer Quality of Life Questionnaire - Elderly Module (EORTC QLQ-ELD14)

    Unit of Measure:

    Standardized subscale scores (0-100 scale):

    Functional scales (higher = better functioning)

    Symptom scales (higher = greater symptom burden)

    Measured: Baseline, 3, 9, 15, and 24 months (for patients >70 years)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted10 Mar 2026
  2. Study start16 Mar 2026 (estimated)
  3. Primary completion16 Mar 2028 (estimated)
  4. Study completion31 Dec 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
130 participants (estimated)
Target duration
24 Months
IDs, dates and publications
ClinicalTrials.gov ID
NCT07460726
Sponsor's protocol ID
1219
Acronym
PRIAPUS-PCa
Status last verified
Mar 2026
First submitted
25 Feb 2026
Last updated
10 Mar 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Vickers AJ, Elkin EB. Decision curve analysis: a novel method for evaluating prediction models. Med Decis Making. 2006 Nov-Dec;26(6):565-74. doi: 10.1177/0272989X06295361.

    PubMed 17099194
  • Balachandran VP, Gonen M, Smith JJ, DeMatteo RP. Nomograms in oncology: more than meets the eye. Lancet Oncol. 2015 Apr;16(4):e173-80. doi: 10.1016/S1470-2045(14)71116-7.

    PubMed 25846097
  • Kennady EH, Bryk DJ, Ali MM, Ratcliffe SJ, Mallawaarachchi IV, Ostad BJ, Beano HM, Ballantyne CC, Krzastek SC, Clements MB, Gray ML, Rapp DE, Ortiz NM, Smith RP. Low-intensity shockwave therapy improves baseline erectile function: a randomized sham-controlled crossover trial. Sex Med. 2023 Nov 11;11(5):qfad053. doi: 10.1093/sexmed/qfad053. eCollection 2023 Oct.

    PubMed 37965376
  • Skolarus TA, Dunn RL, Sanda MG, Chang P, Greenfield TK, Litwin MS, Wei JT; PROSTQA Consortium. Minimally important difference for the Expanded Prostate Cancer Index Composite Short Form. Urology. 2015 Jan;85(1):101-5. doi: 10.1016/j.urology.2014.08.044.

    PubMed 25530370
  • Laviana AA, Hernandez A, Huang LC, Zhao Z, Koyama T, Conwill R, Hoffman K, Feurer ID, Goodman M, Hamilton AS, Wu XC, Paddock LE, Stroup A, Cooperberg MR, Hashibe M, O'Neil BB, Kaplan SH, Greenfield S, Penson DF, Barocas DA. Interpretation of Domain Scores on the EPIC-How Does the Domain Score Translate into Functional Outcomes? J Urol. 2019 Dec;202(6):1150-1158. doi: 10.1097/JU.0000000000000392. Epub 2019 Jun 19.

    PubMed 31216252
  • Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009 Apr;42(2):377-81. doi: 10.1016/j.jbi.2008.08.010. Epub 2008 Sep 30.

    PubMed 18929686
  • Alayed Y, Davidson M, Quon H, Cheung P, Chu W, Chung HT, Vesprini D, Ong A, Chowdhury A, Liu SK, Panjwani D, Helou J, Musunuru HB, Pang G, Korol R, Ravi A, McCurdy B, Zhang L, Mamedov A, Deabreu A, Commisso A, Commisso K, D'Alimonte L, Ho L, Bhounr Z, Loblaw A. Dosimetric predictors of toxicity and quality of life following prostate stereotactic ablative radiotherapy. Radiother Oncol. 2020 Mar;144:135-140. doi: 10.1016/j.radonc.2019.11.017. Epub 2019 Dec 3.

    PubMed 31809979
  • Matsushima M, Kikuchi E, Matsumoto K, Kosaka T, Mizuno R, Ohashi T, Mikami S, Miyajima A, Shigematsu N, Oya M. Erectile function status is highly associated with prostate-specific antigen bounce in localized prostate cancer patients treated with permanent prostate brachytherapy. Int J Urol. 2016 Mar;23(3):247-52. doi: 10.1111/iju.13029. Epub 2015 Dec 12.

    PubMed 26663514
  • Alemozaffar M, Regan MM, Cooperberg MR, Wei JT, Michalski JM, Sandler HM, Hembroff L, Sadetsky N, Saigal CS, Litwin MS, Klein E, Kibel AS, Hamstra DA, Pisters LL, Kuban DA, Kaplan ID, Wood DP, Ciezki J, Dunn RL, Carroll PR, Sanda MG. Prediction of erectile function following treatment for prostate cancer. JAMA. 2011 Sep 21;306(11):1205-14. doi: 10.1001/jama.2011.1333.

    PubMed 21934053
  • Wheelwright S, Darlington AS, Fitzsimmons D, Fayers P, Arraras JI, Bonnetain F, Brain E, Bredart A, Chie WC, Giesinger J, Hammerlid E, O'Connor SJ, Oerlemans S, Pallis A, Reed M, Singhal N, Vassiliou V, Young T, Johnson C. International validation of the EORTC QLQ-ELD14 questionnaire for assessment of health-related quality of life elderly patients with cancer. Br J Cancer. 2013 Aug 20;109(4):852-8. doi: 10.1038/bjc.2013.407. Epub 2013 Jul 18.

    PubMed 23868003
  • Sholklapper T, Creswell M, Cantalino J, Markel M, Zwart A, Danner M, Ayoob M, Yung T, Collins B, Kumar D, Aghdam N, Rubin RS, Hankins R, Suy S, Collins S. Ejaculatory Function Following Stereotactic Body Radiation Therapy for Prostate Cancer. J Sex Med. 2022 May;19(5):771-780. doi: 10.1016/j.jsxm.2022.02.018. Epub 2022 Mar 17.

    PubMed 35305936
  • Ramanathan R, Mulhall J, Rao S, Leung R, Martinez Salamanca JI, Mandhani A, Tewari A. Predictive correlation between the International Index of Erectile Function (IIEF) and Sexual Health Inventory for Men (SHIM): implications for calculating a derived SHIM for clinical use. J Sex Med. 2007 Sep;4(5):1336-44. doi: 10.1111/j.1743-6109.2007.00576.x. Epub 2007 Jul 31.

    PubMed 17666037
  • Santana MJ, Feeny D, Johnson JA, McAlister FA, Kim D, Weinkauf J, Lien DC. Assessing the use of health-related quality of life measures in the routine clinical care of lung-transplant patients. Qual Life Res. 2010 Apr;19(3):371-9. doi: 10.1007/s11136-010-9599-3. Epub 2010 Feb 10.

    PubMed 20146009
  • Detmar SB, Muller MJ, Schornagel JH, Wever LD, Aaronson NK. Health-related quality-of-life assessments and patient-physician communication: a randomized controlled trial. JAMA. 2002 Dec 18;288(23):3027-34. doi: 10.1001/jama.288.23.3027.

    PubMed 12479768
  • Ray ME, Thames HD, Levy LB, Horwitz EM, Kupelian PA, Martinez AA, Michalski JM, Pisansky TM, Shipley WU, Zelefsky MJ, Zietman AL, Kuban DA. PSA nadir predicts biochemical and distant failures after external beam radiotherapy for prostate cancer: a multi-institutional analysis. Int J Radiat Oncol Biol Phys. 2006 Mar 15;64(4):1140-50. doi: 10.1016/j.ijrobp.2005.07.006. Epub 2005 Sep 29.

    PubMed 16198506

Questions about this trial

What is this clinical trial studying?

An observational study of Prostate Cancer (Adenocarcinoma) and Erectile Abnormalities, run by CancerCare Manitoba at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 10 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Zoe Ignacio, RN, BN (BScN) (1-204-787-2955, ccmb_manitoba_prostate_centre_research@cancercare.mb.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in erectile dysfunction severity from baseline to 24 months, as measured by the change in International Index of Erectile Function 5-item version (IIEF-5) score. (time frame: Baseline, 3, 9, 15, and 24 months post-SBRT). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07460726, which also lists 45 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Mar 2026.

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