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NOT YET RECRUITING
NCT07813351
PHASE3

PRESTO: A Phase III Randomised Controlled Trial of Dose-escalated Proton Beam Therapy Versus Standard of Care Radiotherapy for Functioning Pituitary Tumours

Sponsor: University College, London

View on ClinicalTrials.gov

Summary

The goal of this clinical trial is to evaluate whether a higher dose of radiotherapy can lead to better outcomes for participants with functioning pituitary tumours. The main question it aims to answer is whether a greater proportion of participants will achieve normal hormone levels with the higher dose of proton beam radiotherapy than with standard radiotherapy treatment doses. Following randomisation, participants will receive approximately 6 weeks of either standard dose radiotherapy (intensity-modulated radiation therapy or proton beam therapy, depending on age) OR escalated dose proton beam therapy. Following this, participants will be followed up for at least 2 years to monitor their condition. This includes pituitary, hormone level, tumour, neurocognitive, and ophthalmology assessments, as well as patient-reported quality of life outcomes and health economic measures.

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

82

Start Date

2026-09

Completion Date

2032-09

Last Updated

2026-09-10

Healthy Volunteers

No

Interventions

RADIATION

Standard dose Intensity-Modulated Radiation Therapy (IMRT)

Standard dose IMRT (1.8Gy per fraction)

RADIATION

Standard dose Proton Beam Therapy (PBT)

Standard dose PBT (1.8Gy per fraction)

RADIATION

Escalated dose Proton Beam Therapy (PBT)

Escalated dose PBT (2Gy per fraction)