Long Term Adjuvant Hormonal Treatment With LHRH Analogue Versus No Further Treatment in Locally Advanced Prostatic Carcinoma Treated by External Irradiation and a Six Months Combined Androgen Blockade - A Phase III Study
bicalutamide
+ flutamide
+ triptorelin
Urogenital Diseases+7
+ Genital Diseases
+ Genital Diseases, Male
Treatment Study
Summary
Study start date: April 1, 1997
Actual date on which the first participant was enrolled.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.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.966 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Conditions
Pathology
Criteria
DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma of the prostate T1c-T2a-b, N1-2 or pN1-2 (after pelvic lymphadenectomy) T2c-T4, N0-2 Prior external radiotherapy for locally advanced prostatic carcinoma required Prior hormone therapy (6 months of combined androgen blockade) for locally advanced prostatic carcinoma required with PSA no greater than 150 ng/mL before administration No progressive disease after the 6 months of combined androgen blockage No stages T1c/T2a-b with a negative pelvic lymph nodes status that is assessed clinically or surgically No lymph node involvement to common iliac and/or periaortic lymph nodes (M1a) No external iliac lymph node metastasis more than 5 cm in greatest dimension (N3) No distant metastases PATIENT CHARACTERISTICS: Age: Any age Performance status: WHO 0-2 Life expectancy: At least 5 years Hematopoietic: Hemoglobin at least 10 g/dL WBC at least 2,000/mm^3 Platelet count at least 100,000/mm^3 Hepatic: Not specified Renal: Not specified Other: No prior or concurrent cancers other than basal cell skin cancer No serious nonmalignant disease resulting in a life expectancy of less than 5 years PRIOR CONCURRENT THERAPY: Biologic therapy No prior biologic therapy for prostate cancer Chemotherapy No prior chemotherapy for prostate cancer Endocrine therapy See Disease Characteristics Radiotherapy See Disease Characteristics Surgery See Disease Characteristics
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 17 locations
Academisch Ziekenhuis der Vrije Universiteit Brussel
Brussels, BelgiumOpen Academisch Ziekenhuis der Vrije Universiteit Brussel in Google MapsInstitut Jules Bordet
Brussels (Bruxelles), BelgiumUniversitair Ziekenhuis Antwerpen
Edegem, BelgiumUniversitair Ziekenhuis Gent
Ghent, Belgium