Duration of Androgen Blockade Combined With Pelvic Irradiation in Prostate Cancers

NCT00223171 | Active Not Recruiting Phase 3

• 2 other identifiers: DC-990-0056,1DC-990-0056
• Study Type: interventional
• Target: 630
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of this study is to use as a reference the 36-month duration of hormonal therapy according to the European Organization for Research of the Treatment of Cancer (EORTC protocol 22863) : namely one-month of total androgen blockade followed by a luteinizing hormone releasing hormone (LHRH) agonist, all for three years, combined with pelvic and prostate irradiation; this arm is currently considered to be a standard for high-risk prostate cancers. The proposed study intends to challenge the duration of hormonal therapy and verify whether the five-year outcomes in favour of combined treatment in regard to survival (79% versus 62%) and local control (85% versus 48%) can be transposed for hormonal therapy that is half as long, namely 18 months, with the possibility of hormone salvage therapy in the event of biochemical and/or clinical failure (local, regional, or distant); this applies to both arms. The proposed study will compare survival in the two groups and evaluate in each one the total duration of initial hormonal therapy, followed by initial hormonal therapy combined with salvage hormonal therapy, the duration of salvage hormonal therapy until hormonal therapy resistance, and the side effects of this hormonal therapy, with everything being related to an assessment of the quality of life of these patients.

Conditions

Prostate Cancer

Keywords

Stage T3 T4; PSA > 20; Gleason Score > 7

Outcome Measures

Primary Outcomes (3)

• Specific survival

  10 years

• Overall survival

  10 years

• Treatment morbidity induced versus quality of life based on duration of hormonal therapy

  10 years

Secondary Outcomes (4)

• Disease-free survival

  10 years

• Site of tumour relapse

  10 years

• Interval until first biochemical failure

  10 years

• Interval until second biochemical failure during salvage androgen suppression (hormone-resistant tumour)

  10 years

Study Arms (2)

Arm 1 : 36 months AB + RT

ACTIVE COMPARATOR

Androgen blockade : 36 months of androgen blockade : bicalutamide 50 mg die for one month, goserelin 10.8 mg x 12 Q 3 months + radiation therapy : pelvis 44 grays , prostate 70 grays (2 grays/fraction)

Drug: Androgen blockade + radiation therapy

Arm 2 : 18 months AB + RT

EXPERIMENTAL

Androgen blockade 18 months : bicalutamide 50 mg die for one month, goserelin 10.8 mg x 6 Q 3 months + radiation therapy ( pelvis 44 grays , prostate 70 grays ,2 grays/fraction)

Drug: Androgen blockade + radiation therapy

Interventions

Androgen blockade + radiation therapy DRUG

Androgen blockade + radiation therapy

Arm 1 : 36 months AB + RT; Arm 2 : 18 months AB + RT

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: male
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• To have at least one of the following three risk factors:
• Tumour classified T3 or T4
• Gleason score 8-10
• Prostate-specific antigen (PSA) level \> 20
• Performance status score of 0-1.
• Patients must sign a consent form before the start of the study.
• No evidence of regional disease: clinically negative regional adenopathies are revealed by imaging (computed axial tomography \[CAT\] scan, magnetic resonance imaging \[MRI\], lymphography) or surgical staging or negative pelvic node dissection.
• No distant metastasis. These patients must all have a negative bone scan 12 weeks prior to randomization.
• Hormonal therapy is allowed up to a maximum of two months before the consent form is signed, as long as the initial work-up was done, including having the requested deadlines respected.
• Patients with a previous history of cancer are eligible on the condition that they have not had any disease progression for more than five years.
• The patient must be available for treatments and follow-up visits.
• Treatments must start in the three weeks following randomization.

You may not qualify if:

• Severe medical or psychiatric problems that could compromise study compliance.
• Chronic hepatic disease, abnormal hepatic functions, i.e. aspartate aminotransferase, alanine aminotransferase \> 1.5 times the upper normal limit.

Sponsors & Collaborators

• Université de Sherbrooke: lead
• AstraZeneca: collaborator

Study Sites (1)

Centre de Recherche Clinique du CHUS

Sherbrooke, Quebec, J1H 5N4, Canada

Location

MeSH Terms

Conditions

Prostatic Neoplasms

Interventions

Radiotherapy

Condition Hierarchy (Ancestors)

Genital Neoplasms, Male; Urogenital Neoplasms; Neoplasms by Site; Neoplasms; Genital Diseases, Male; Genital Diseases; Urogenital Diseases; Prostatic Diseases; Male Urogenital Diseases

Intervention Hierarchy (Ancestors)

Therapeutics

Study Officials

• Abdenour Nabid, MD

  Centre de Recherche Clinique Étienne LeBel/CHUS Fleurimont

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 13, 2005
• First Posted: September 22, 2005
• Study Start: October 1, 2000
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2027
• Last Updated: January 27, 2025

Record last verified: 2025-01

Locations

CA (1)