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A Phase III Prospective Randomized Trial of Dose-Escalated Radiotherapy With or Without Short-Term Androgen Deprivation Therapy for Patients With Intermediate-Risk Prostate Cancer
Overall Recruitment Status: Enrollment on hold
 
Official Title
A Phase III Prospective Randomized Trial of Dose-Escalated Radiotherapy With or Without Short-Term Androgen Deprivation Therapy for Patients With Intermediate-Risk Prostate Cancer
 
Region Sponsors
California - Northern
Radiation Therapy Oncology Group
 
Acronym NCT No.
NCT00936390
 
Study Type Phase
Clinical Trial
Phase III
 
Purpose
This randomized phase III trial is studying radiation therapy to see how well it works compared with radiation therapy given together with androgen-deprivation therapy in treating patients with prostate cancer.
 
Detailed Description
 
 
 
Inclusion Criteria
  • Pathologically (histologically) proven diagnosis of prostatic adenocarcinoma, at intermediate risk for recurrence, within 180 days prior to registration as determined by having one or more of the following intermediate-risk features: Gleason score 7
  • prostate-specific antigen (PSA) >10 but =20
  • clinical stage T2b-T2c.
  • Clinically negative lymph nodes as established by imaging (pelvic +/- abdominal CT or MRI), nodal sampling, or dissection within 60 days prior to registration
  • No evidence of bone metastases (M0) on bone scan within 60 days prior to registration.
  • History/physical examination (to include, at a minimum, digital rectal examination of the prostate and examination of the skeletal system and abdomen, and formal comorbidity assessment via the ACE-27 instrument) within 60 days prior to registration. Zubrod Performance Status 0-1
 
Exclusion Criteria
  • Patients with Gleason Score = 8
  • PSA > 20
  • OR Clinical Stage = T3 are ineligible for this trial.
  • Patients with all three intermediate risk factors who also have = 50% of the number of their biopsy cores positive for cancer are ineligible for this trial. Prior invasive malignancy (except non-melanomatous skin cancer) or hematological (e.g., leukemia, lymphoma, myeloma) malignancy unless disease free for a minimum of 5 years (prior diagnoses of carcinoma in situ are permitted) Prior radical surgery (prostatectomy), high-intensity focused ultrasound (HIFU) or cryosurgery for prostate cancer Prior hormonal therapy, such as LHRH agonists (e.g., goserelin, leuprolide), antiandrogens (e.g., flutamide, bicalutamide), estrogens (e.g., DES), or bilateral orchiectomy
 
Keywords and/or Specific Medical Conditions
  • adenocarcinoma of the prostate, stage IIB prostate cancer, stage IIA prostate cancer,
  • Urology
  • Oncology (Adult)
 
KP Clinical Facility
  • All Kaiser Permanente Northern California Medical Centers
 
Clinical Area
  • Obstetrics and Gynecology
  • Oncology (Adult)
  • Urology


Principal Investigator:
Samantha M Seaward
Contact Information:
- Desiree Goldstein
-ctpcollaborate@kp.org
-All Kaiser Permanente Northern California Medical Centers


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