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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
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
Standard dose Intensity-Modulated Radiation Therapy (IMRT)
Standard dose IMRT (1.8Gy per fraction)
Standard dose Proton Beam Therapy (PBT)
Standard dose PBT (1.8Gy per fraction)
Escalated dose Proton Beam Therapy (PBT)
Escalated dose PBT (2Gy per fraction)