I was diagnosed with prostate cancer in Bristol in the autumn of 2025. My treatment plan included 20 radiotherapy sessions over Christmas and the New Year, alongside a three-year course of hormone treatment (Decapeptyl), which I am now six months into. The radiotherapy went smoothly, and the hormone treatment is manageable so far.
When first diagnosed, I knew almost nothing about prostate cancer or radiotherapy. I was asked to join the PEARLS trial (Cancer Research UK | A trial of intensity modulated radiotherapy to treat prostate cancer (PEARLS)), which tests increased radiation levels. I was initially sceptical, but ultimately signed up and was randomly assigned to the control group (standard radiation).
My reason for posting is to share the unexpected positive side of being in a trial, regardless of which group you are placed in.
The "cost" to me has been low: filling out quality-of-life questionnaires, a few extra PSA blood tests at my GP, and additional phone interviews post-radiotherapy.
The benefit, however, has heavily outweighed that effort. The trial protocols mean I’ve had multiple extra discussions while waiting for radiotherapy, and follow-up interviews focusing on how I am feeling. This has given me dedicated time to ask questions and discuss my progress, a level of access, attention, and reassurance I don’t think I would have had if I was not on the trial.
If you are offered a spot in a trial and feel hesitant, my experience has been that the extra monitoring and communication alone are highly valuable. I am very pleased I said yes.
Hello Brendan (Brendan)
I agree with your post 100%. Prior to my Prostate Cancer diagnosis I have been involved in a few trials for other things and the "extra" medical attention you get is brilliant. Well worth taking part in the trials, plus in one of them the initial medical examination ruled out the condition the trial was for and it was nice to know I didn't have that condition!
Thank you for your post.
Best wishes - Brian.

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Hi Brendan6af60d we are all being treated now in the paths of those who had clinical trials before us. I totally agree that trials are worthwhile and I joined the STAMPEDE trial 9 years ago. It gave me great access to my team and more monitoring than normal I think. I don’t know if it has been of benefit to me directly but certainly should help those following.
Best wishes, David
Please remember that I am not medically trained and the above are my personal views.
I agree 100% with you, Millibob and others on this. I am on the PEARLS trial too, also in control group. TBH I'm not disappointed that I am not getting the (experimental, preventative) additional radiation to the para-aortic lymph nodes as I am relatively low PSA(was 11, now 1 after 6 weeks HT) but Gleason 9 (4+5) and two 'tiny' lymph nodes showing up on a PSMA scan. The N1, as you know, was essential to join the trial. Fingers crossed no PALN involvement in the future..
Two more big benefits: 1) Only 20 weeks RT (PEARLS) instead of the 39 SoC (same total radiation, 60Gy= 78Gy, I'm assured.) and 2) I found that my 'Key Worker' was pretty much unlockable, whereas I have a direct line and email for my PEARLS trial nurse who is happy to help unlock the labyrinthal maze of departments that is the NHS.
So we agree, if eligible and offered it, strongly consider going for it.
David
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