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临床试验/NCT00027794
NCT00027794已完成2 期

Radical Prostatectomy for Locally Advanced Prostate Cancer. A Feasibility Study

European Organisation for Research and Treatment of Cancer - EORTC10 个研究点 分布在 3 个国家目标入组 40 人开始时间: 2001年9月1日最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
入组人数
40
试验地点
10

研究概览

简要总结

RATIONALE: Radical prostatectomy may be an effective treatment for locally advanced prostate cancer.

PURPOSE: Phase II trial to study the effectiveness of radical prostatectomy in treating patients who have locally advanced prostate cancer.

详细描述

OBJECTIVES:

  • Determine the success rate of radical prostatectomy in patients with locally advanced adenocarcinoma of the prostate.
  • Determine the serious toxic event rate of this surgery in these patients.
  • Determine the pN status of patients treated with this surgery.
  • Determine the percentage of patients found to have organ-confined tumors (pT2) after undergoing this surgery.
  • Determine the 2-year prostate-specific antigen-free survival rate of patients treated with this surgery.
  • Determine the surgical morbidity rates of patients treated with this surgery.

OUTLINE: This is a multicenter study.

Patients undergo limited pelvic lymphadenectomy and then radical retropubic prostatectomy.

Patients who are found to have pN-positive disease receive further treatment according to the investigator's discretion. Patients with pN0 disease are followed every 3 months for 1 year and then every 4 months for 1 year.

研究设计

研究类型
Interventional
主要目的
Treatment
盲法
None

入排标准

年龄范围
— 至 70 Years(Child, Adult, Older Adult)
性别
Male
接受健康志愿者

入选标准

  • DISEASE CHARACTERISTICS:
  • Histologically confirmed adenocarcinoma of the prostate
  • Unilateral cT3a, cN0, M0
  • Well or moderately differentiated tumor
  • Gleason score no greater than 7 (4 plus 3 or 3 plus 4)
  • Total serum prostate-specific antigen no greater than 20 ng/mL (Hybritech equivalent)
  • PATIENT CHARACTERISTICS:
  • 70 and under
  • Performance status:
  • Life expectancy:
  • Not specified
  • Hematopoietic:
  • WBC greater than 3,000/mm^3
  • Platelet count greater than 100,000/mm^3
  • Hemoglobin greater than 9 g/dL
  • Bilirubin no greater than 1.5 times normal
  • ALT or AST less than 3 times normal
  • PT and PTT normal
  • Creatinine no greater than 1.5 mg/dL
  • Cardiovascular:
  • No preexisting uncontrolled cardiac disease, signs of cardiac failure, or rhythm disturbances requiring therapy
  • No myocardial infarction within the past 6 months
  • No gross abnormalities on chest x-ray
  • No other disease that would preclude surgery
  • No other prior malignancy except adequately treated basal cell skin cancer
  • No other concurrent primary malignancy
  • No psychological, familial, sociological, or geographical condition that would preclude compliance
  • PRIOR CONCURRENT THERAPY:
  • Biologic therapy:
  • Not specified
  • Chemotherapy:
  • Not specified
  • Endocrine therapy:
  • No prior hormonal therapy that would affect assessment of clinical T staging, margin positivity, or definitive pT staging
  • Radiotherapy:
  • No prior pelvic radiotherapy that would affect surgical resectability and perioperative morbidity
  • No prior surgery in the small pelvis (vascular surgery, mesh graft hernia repair, any surgery for benign prostatic hypertrophy, or transurethral resection of prostate) that would preclude prostatectomy

排除标准

  • 未提供

研究者

申办方类型
Network
责任方
Sponsor

研究点 (10)

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