NCT00030654

Brief Summary

RATIONALE: Androgens can stimulate the growth of prostate cancer cells. Drugs such as luteinizing hormone-releasing hormone agonist, flutamide, and bicalutamide may stop the adrenal glands from producing androgens. Drugs used in chemotherapy work in different ways to stop tumor cells from dividing so they stop growing or die. Combining hormone therapy with chemotherapy may kill more tumor cells. It is not yet known whether chemotherapy given at the same time as hormone therapy is more effective than chemotherapy given after hormone therapy in treating prostate cancer. PURPOSE: Randomized phase III trial to compare the effectiveness of chemotherapy given at the same time as hormone therapy with that of chemotherapy given after hormone therapy in treating patients who have prostate cancer.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
21

participants targeted

Target at below P25 for phase_3 prostate-cancer

Timeline
Completed

Started Oct 2002

Shorter than P25 for phase_3 prostate-cancer

Geographic Reach
4 countries

78 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 14, 2002

Completed
8 months until next milestone

Study Start

First participant enrolled

October 1, 2002

Completed
4 months until next milestone

First Posted

Study publicly available on registry

January 27, 2003

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 4, 2005

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 4, 2005

Completed
Last Updated

October 22, 2020

Status Verified

March 1, 2017

Enrollment Period

2.3 years

First QC Date

February 14, 2002

Last Update Submit

October 21, 2020

Conditions

Keywords

adenocarcinoma of the prostatestage IIB prostate cancerstage IIA prostate cancerstage III prostate cancerstage IV prostate cancerrecurrent prostate cancer

Outcome Measures

Primary Outcomes (1)

  • Overall Survival

    From date of randomization to the date of death due to any cause

Secondary Outcomes (3)

  • Biochemical control

    From date of randomization to the date of first PSA failure defined as a PSA doubling time <= 32 weeks

  • Time to Clinical Failure

    Time from study entry to positive scan or positive disease evaluation of the pelvis or chest or a PSA doubling time ≤ 32 weeks

  • Frequency of non-hematologic (>= grade 3), hematologic (grade >=4) and fatal (grade 5) toxicities

    From the beginning of treatment to 90 days post treatment

Study Arms (2)

Androgen blockade + immediate chemotherapy

EXPERIMENTAL

Androgen blockade with immediate chemotherapy

Drug: bicalutamideDrug: docetaxelDrug: doxorubicin hydrochlorideDrug: estramustine phosphate sodiumDrug: flutamideDrug: ketoconazoleDrug: paclitaxelDrug: releasing hormone agonist therapyDrug: vinblastine sulfate

Androgen blockade + delayed chemotherapy

EXPERIMENTAL

Androgen blockade with delayed chemotherapy

Drug: bicalutamideDrug: docetaxelDrug: doxorubicin hydrochlorideDrug: estramustine phosphate sodiumDrug: flutamideDrug: ketoconazoleDrug: paclitaxelDrug: releasing hormone agonist therapyDrug: vinblastine sulfate

Interventions

Androgen blockade + delayed chemotherapyAndrogen blockade + immediate chemotherapy
Androgen blockade + delayed chemotherapyAndrogen blockade + immediate chemotherapy
Androgen blockade + delayed chemotherapyAndrogen blockade + immediate chemotherapy
Androgen blockade + delayed chemotherapyAndrogen blockade + immediate chemotherapy
Androgen blockade + delayed chemotherapyAndrogen blockade + immediate chemotherapy
Androgen blockade + delayed chemotherapyAndrogen blockade + immediate chemotherapy
Androgen blockade + delayed chemotherapyAndrogen blockade + immediate chemotherapy
Androgen blockade + delayed chemotherapyAndrogen blockade + immediate chemotherapy
Androgen blockade + delayed chemotherapyAndrogen blockade + immediate chemotherapy

Eligibility Criteria

Age18 Years - 120 Years
Sexmale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
DISEASE CHARACTERISTICS: * Diagnosis of adenocarcinoma of the prostate * Failed local treatments (surgery and/or radiotherapy and/or brachytherapy) as defined by a rising prostate-specific antigen level of at least 2.0 ng/mL (confirmed by 2 measurements at least 2 weeks apart) and a doubling time of 32 weeks or less * No clinical or radiographic evidence of disease * Original Gleason score of at least 7 OR Gleason score of 6 with capsular penetration or positive seminal vesicles or lymph nodes * No metastases PATIENT CHARACTERISTICS: Age: * 18 and over Performance status: * Zubrod 0-1 Life expectancy: * Not specified Hematopoietic: * Absolute granulocyte count at least 1,500/mm\^3 * Platelet count at least 100,000/mm\^3 * Hemoglobin at least 10 g/dL * No history of bleeding disorders that would contraindicate warfarin, including clotting factor defects Hepatic: * Bilirubin no greater than 1.5 mg/dL * AST/ALT no greater than 1.5 times upper limit of normal Renal: * Creatinine no greater than 1.5 mg/dL * Blood Urea Nitrogen (BUN) no greater than 1.2 times normal Cardiovascular: * No symptomatic heart disease * No history of myocardial infarction * No history of thromboembolic events (e.g., deep vein thrombosis, symptomatic cerebrovascular events, or pulmonary embolism) Other: * No other major medical or psychiatric illness that would preclude study entry * No other prior or concurrent invasive malignancy within the past 5 years except superficial skin cancer * No history of esophageal varices * Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: * At least 6 weeks since prior vaccine therapy Chemotherapy: * At least 5 years since prior chemotherapy Endocrine therapy: * Prior adjuvant or neoadjuvant hormonal therapy of less than 8 months duration allowed * At least 1 year since prior androgen therapy Radiotherapy: * See Disease Characteristics * At least 5 years since prior radiotherapy to sites other than prostate Surgery: * See Disease Characteristics Other: * Concurrent warfarin allowed * Concurrent bisphosphonate therapy initiated prior to or after randomization allowed

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

Study Sites (78)

Foundation for Cancer Research and Education

Phoenix, Arizona, 85013, United States

Location

Veterans Affairs Medical Center - Tucson

Tucson, Arizona, 85723, United States

Location

Veterans Affairs Medical Center - Little Rock

Little Rock, Arkansas, 72205, United States

Location

Veterans Affairs Outpatient Clinic - Martinez

Martinez, California, 94553, United States

Location

Medical Center of Aurora - South Campus

Aurora, Colorado, 80012-0000, United States

Location

Boulder Community Hospital

Boulder, Colorado, 80301-9019, United States

Location

Memorial Hospital Cancer Center

Colorado Springs, Colorado, 80909, United States

Location

Penrose Cancer Center at Penrose Hospital

Colorado Springs, Colorado, 80933, United States

Location

Porter Adventist Hospital

Denver, Colorado, 80210, United States

Location

St. Joseph Hospital

Denver, Colorado, 80218-1191, United States

Location

Presbyterian - St. Luke's Medical Center

Denver, Colorado, 80218, United States

Location

Rocky Mountain Cancer Centers - Denver Rose

Denver, Colorado, 80220, United States

Location

CCOP - Colorado Cancer Research Program, Incorporated

Denver, Colorado, 80224, United States

Location

Swedish Medical Center

Englewood, Colorado, 80112, United States

Location

Sky Ridge Medical Center

Lone Tree, Colorado, 80124, United States

Location

Hope Cancer Care Center at Longmont United Hospital

Longmont, Colorado, 80501, United States

Location

St. Mary-Corwin Regional Medical Center

Pueblo, Colorado, 81004, United States

Location

Rocky Mountain Cancer Centers - Thornton

Thornton, Colorado, 80221, United States

Location

Shands Cancer Center at the University of Florida Health Science Center

Gainesville, Florida, 32610-0385, United States

Location

University of Miami Sylvester Comprehensive Cancer Center

Miami, Florida, 33136, United States

Location

Gulf Coast Cancer Treatment Center

Panama City, Florida, 32405-4587, United States

Location

Tallahassee Memorial Hospital

Tallahassee, Florida, 32308, United States

Location

Veterans Affairs Medical Center - Tampa (Haley)

Tampa, Florida, 33612, United States

Location

Saint Alphonsus Cancer Care Center at Saint Alphonsus Regional Medical Center

Boise, Idaho, 83706, United States

Location

Veterans Affairs Medical Center - Hines

Hines, Illinois, 60141, United States

Location

John Stoddard Cancer Center at Iowa Methodist Medical Center

Des Moines, Iowa, 50309, United States

Location

Mercy Cancer Center at Mercy Medical Center - Des Moines

Des Moines, Iowa, 50314, United States

Location

John Stoddard Cancer Center at Iowa Lutheran Hospital

Des Moines, Iowa, 50316-2301, United States

Location

Wendt Regional Cancer Center at Finley Hospital

Dubuque, Iowa, 52001, United States

Location

Veterans Affairs Medical Center - Wichita

Wichita, Kansas, 67218, United States

Location

Veterans Affairs Medical Center - Lexington

Lexington, Kentucky, 40502-2236, United States

Location

Veterans Affairs Medical Center - New Orleans

New Orleans, Louisiana, 70112, United States

Location

Veterans Affairs Medical Center - Shreveport

Shreveport, Louisiana, 71101-4295, United States

Location

Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

Baltimore, Maryland, 21231, United States

Location

University of Michigan Comprehensive Cancer Center

Ann Arbor, Michigan, 48109-0010, United States

Location

Veterans Affairs Medical Center - Detroit

Detroit, Michigan, 48201-1932, United States

Location

West Michigan Cancer Center

Kalamazoo, Michigan, 49007, United States

Location

Veterans Affairs Medical Center - Jackson

Jackson, Mississippi, 39216, United States

Location

Cancer Research for the Ozarks

Springfield, Missouri, 65807, United States

Location

Midlands Cancer Center at Midlands Community Hospital

Papillion, Nebraska, 68128-4157, United States

Location

Veterans Affairs Medical Center - Albuquerque

Albuquerque, New Mexico, 87108-5138, United States

Location

MBCCOP - University of New Mexico HSC

Albuquerque, New Mexico, 87131, United States

Location

NYU School of Medicine's Kaplan Comprehensive Cancer Center

New York, New York, 10016, United States

Location

Lipson Cancer and Blood Center at Rochester General Hospital

Rochester, New York, 14621, United States

Location

CCOP - Southeast Cancer Control Consortium

Goldsboro, North Carolina, 27534-9479, United States

Location

Akron General's McDowell Cancer Center

Akron, Ohio, 44302, United States

Location

Akron City Hospital at Summa Health System

Akron, Ohio, 44304, United States

Location

Veterans Affairs Medical Center - Cincinnati

Cincinnati, Ohio, 45220-2288, United States

Location

Veterans Affairs Medical Center - Dayton

Dayton, Ohio, 45428-1002, United States

Location

Cancer Care Center, Incorporated

Salem, Ohio, 44460, United States

Location

Cancer Treatment Center

Wooster, Ohio, 44691, United States

Location

Veterans Affairs Medical Center - Portland

Portland, Oregon, 97207, United States

Location

Mercy Fitzgerald Hospital

Darby, Pennsylvania, 19023, United States

Location

Penn State Cancer Institute at Milton S. Hershey Medical Center

Hershey, Pennsylvania, 17033-0850, United States

Location

Fox Chase Cancer Center

Philadelphia, Pennsylvania, 19111, United States

Location

Mercy Hospital Cancer Center - Scranton

Scranton, Pennsylvania, 18501, United States

Location

Veterans Affairs Medical Center - Charleston

Charleston, South Carolina, 29401-5799, United States

Location

CCOP - Greenville

Greenville, South Carolina, 29615, United States

Location

Rapid City Regional Hospital

Rapid City, South Dakota, 57709, United States

Location

Erlanger Cancer Center

Chattanooga, Tennessee, 37403, United States

Location

Veterans Affairs Medical Center - Memphis

Memphis, Tennessee, 38104, United States

Location

Vanderbilt-Ingram Cancer Center at Vanderbilt Medical Center

Nashville, Tennessee, 37232-5671, United States

Location

Veterans Affairs Medical Center - Amarillo

Amarillo, Texas, 79106, United States

Location

University of Texas Medical Branch

Galveston, Texas, 77555-0209, United States

Location

Veterans Affairs Medical Center - San Antonio (Murphy)

San Antonio, Texas, 78229, United States

Location

Veterans Affairs Medical Center - Temple

Temple, Texas, 76504, United States

Location

Cottonwood Hospital Medical Center

Murray, Utah, 84107, United States

Location

McKay-Dee Hospital Center

Ogden, Utah, 84403, United States

Location

Utah Valley Regional Medical Center - Provo

Provo, Utah, 84604, United States

Location

Veterans Affairs Medical Center - Salt Lake City

Salt Lake City, Utah, 84148, United States

Location

Dixie Regional Medical Center

St. George, Utah, 84770, United States

Location

Veterans Affairs Medical Center - Seattle

Seattle, Washington, 98108, United States

Location

CCOP - St. Vincent Hospital Cancer Center, Green Bay

Green Bay, Wisconsin, 54301, United States

Location

CCOP - Marshfield Clinic Research Foundation

Marshfield, Wisconsin, 54449, United States

Location

All Saints Cancer Center at All Saints Healthcare

Racine, Wisconsin, 53405, United States

Location

Westmead Hospital

Westmead, New South Wales, 2145, Australia

Location

Instituto de Enfermedades Neoplasicas

Lima, 34, Peru

Location

San Juan City Hospital

San Juan, 00936-7344, Puerto Rico

Location

Related Publications (1)

  • Sandler HM, Pienta KJ. Rationale for the Radiation Therapy Oncology Group Study RTOG P-0014. Rev Urol. 2003;5 Suppl 2(Suppl 2):S28-34.

    PMID: 16986043BACKGROUND

MeSH Terms

Conditions

Prostatic Neoplasms

Interventions

bicalutamideDocetaxelDoxorubicinEstramustineFlutamideKetoconazolePaclitaxelVinblastine

Condition Hierarchy (Ancestors)

Genital Neoplasms, MaleUrogenital NeoplasmsNeoplasms by SiteNeoplasmsGenital Diseases, MaleGenital DiseasesUrogenital DiseasesProstatic DiseasesMale Urogenital Diseases

Intervention Hierarchy (Ancestors)

TaxoidsCyclodecanesCycloparaffinsHydrocarbons, AlicyclicHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsDiterpenesTerpenesDaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydratesNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedEstradiolEstrenesEstranesSteroidsFused-Ring CompoundsAnilidesAmidesAniline CompoundsAminesPiperazinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsVinca AlkaloidsSecologanin Tryptamine AlkaloidsIndole AlkaloidsAlkaloidsIndolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingIndolizidinesIndolizines

Study Officials

  • Kenneth J. Pienta, MD, FACP

    University of Michigan Rogel Cancer Center

    STUDY CHAIR
  • Naomi S. Balzer-Haas, MD

    Fox Chase Cancer Center

    STUDY CHAIR
  • Arif Hussain, MD

    University of Maryland Greenebaum Cancer Center

    STUDY CHAIR
  • Gregory P. Swanson, MD

    Deaconess Medical Center, Spokane, Washington

    STUDY CHAIR
  • Primo N. Lara, MD

    University of California, Davis

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
NETWORK
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 14, 2002

First Posted

January 27, 2003

Study Start

October 1, 2002

Primary Completion

February 4, 2005

Study Completion

February 4, 2005

Last Updated

October 22, 2020

Record last verified: 2017-03

Locations