Hormone Therapy in Treating Patients With Advanced Prostate Cancer
- Conditions
- Prostate Cancer
- Registration Number
- NCT00003026
- Brief Summary
RATIONALE: Androgens can stimulate the growth of prostate cancer cells. Hormone therapy using triptorelin may fight prostate cancer by reducing the production of androgens.
PURPOSE: Randomized phase III trial to compare the effectiveness of long-term hormone therapy and triptorelin with no further treatment in treating patients who have advanced prostate cancer previously treated with radiation therapy and 6 months of androgen suppression.
- Detailed Description
OBJECTIVES:
* Determine the best hormonal scheme to be associated with pelvic radiotherapy in the curative management of prostatic carcinoma for hormonal treatment with regards to treatment outcome (overall survival, clinical disease free survival, local regional control), quality of life (treatment side effects, sexual function), and health economy (cost effectiveness ratio).
OUTLINE: This is a randomized, multicenter study.
Patients receive external radiation for 5 weeks, followed by a pelvic boost given for 2 weeks and a 6 month combined androgen blockage initiated at the onset of external irradiation. Flutamide (Eulexin) or bicalutamide (Casodex) may be used as the antiandrogens. Antiandrogen treatment starts 1 week before the first injection of triptorelin.
Patients are then randomized to one of two treatment arms.
* Arm I: Patients receive no further treatment.
* Arm II: Patients receive antiandrogen for 2.5 years plus and LHRH analogue (triptorelin) administered every 3 months. Patients then continue the LHRH analogue alone for an additional 2.5 years in the absence of disease progression.
Patients are followed every 6 months for 5 years and then annually thereafter.
PROJECTED ACCRUAL: A total of 966 patients will be accrued over 5 years.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 966
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (17)
St. Elisabeth Ziekenhuis
🇳🇱Tilburg, Netherlands
Academisch Ziekenhuis Groningen
🇳🇱Groningen, Netherlands
City General Hospital
🇬🇧Stoke-On-Trent, England, United Kingdom
Marmara University Hospital
🇹🇷Istanbul, Turkey
Institut Jules Bordet
🇧🇪Brussels (Bruxelles), Belgium
Academisch Ziekenhuis der Vrije Universiteit Brussel
🇧🇪Brussels, Belgium
Universitair Ziekenhuis Antwerpen
🇧🇪Edegem, Belgium
Virga Jesse Hospital
🇧🇪Hasselt, Belgium
Universitair Ziekenhuis Gent
🇧🇪Ghent, Belgium
U.Z. Gasthuisberg
🇧🇪Leuven, Belgium
St. Luke's Hospital and Medical School
🇲🇹Guardamangia, Malta
Groot Ziekengasthuis 's-Hertogenbosch
🇳🇱's-Hertogenbosch, Netherlands
Rambam Medical Center
🇮🇱Haifa, Israel
Onze Lieve Vrouwe Gasthuis
🇳🇱Amsterdam, Netherlands
Academisch Medisch Centrum
🇳🇱Amsterdam, Netherlands
Academisch Ziekenhuis Maastricht
🇳🇱Maastricht, Netherlands
Medical Radiological Research Center
🇷🇺Obninsk, Russian Federation