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Deferred combined androgen blockade therapy using antiandrogen in metastatic prostate cancer patients treated with GnRH antagonist, degarelix

Not Applicable
Conditions
Metastatic prostate cancer (Untreated)
Registration Number
JPRN-UMIN000013668
Lead Sponsor
Department of Urooncology, Saitama Medical University International Medical Center
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
Male
Target Recruitment
70
Inclusion Criteria

Not provided

Exclusion Criteria

1)Patients that correspond to the taboo of the use drug. 2)Patients that had orchidectomy before. 3)Patients younger than 20 years. 4)Active multiple cancer(synchronous multiple cancer/multifocal cancer and metachronous multiple cancer/multifocal cancer with disease free survival is within 5 years except for carcinoma in situ considered as healed or lesion equal to mucosal carcinoma) 5)Active infection requiring systemic therapy 6)Body temperature >=38 degrees Celsius at registration 7)Concomitant psychiatric disease or symptom 8)Continuous systemic steroids or immunosuppressive medication(oral or intravenous) 9)Considered as inadequate by the investigator.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Biochemical recurrence is defined as a >=25% or >= 2ng/mL increase from minimum value in PSA which is lowered by degarelix monotherapy. After antiandrogen is initiated, the efficacy of those is considered.
Secondary Outcome Measures
NameTimeMethod
Firstly bicalutamide will be administrated, then, in case of no efficacy or biochemical recurrence, flutamide will be administrated and efficacy of this therapy will be reevaluated. If flutamide shows no efficacy, this research will be discontinued.
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