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Brief Title: Combination Hormone Therapy Followed by Radiation Therapy in Treating Patients With Prostate Cancer
Official Title: A Randomised Comparison of Short and Protracted Neoadjuvant Hormonal Therapy Prior to Radiation Therapy of High Risk Localized Prostate Cancer
Study ID: NCT00003734
Brief Summary: RATIONALE: Androgens can stimulate the growth of prostate cancer cells. Hormone therapy using triptorelin and flutamide may fight cancer by reducing the production of androgens. It is not yet known whether giving hormone therapy for 4 months is more effective than giving therapy for 8 months prior to radiation therapy for prostate cancer. PURPOSE: Randomized phase III trial to study the effectiveness of combination hormone therapy for 4 or 8 months followed by radiation therapy in treating patients with prostate cancer.
Detailed Description: OBJECTIVES: I. Compare the efficacy of 4 months vs 8 months of luteinizing hormone-releasing hormone (LHRH) agonist therapy combined with antiandrogen therapy prior to radiotherapy, in terms of disease-free survival and overall survival, in patients with stage I-IV localized invasive prostate cancer. OUTLINE: This is a randomized study. Patients are randomized to one of two treatment arms. All patients receive triptorelin IM once a month and oral flutamide three times daily with meals. Patients randomized to arm I receive this therapy regimen for 4 months. Patients randomized to arm II receive this therapy regimen for 8 months. All patients then undergo radiotherapy 5 days a week for 7 weeks within 2 months of the last injection of triptorelin and within 1 month of the last oral flutamide tablet. Patients are followed every 3 months after radiotherapy. PROJECTED ACCRUAL: A total of 276 patients (138 per treatment arm) will be accrued for this study.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: MALE
Healthy Volunteers: No
Cork University Hospital, Cork, , Ireland
Letterkenny Hospital, Donnegal, , Ireland
St. Vincent's Hospital, Dublin, , Ireland
Saint Luke's Hospital, Dublin, , Ireland
Mater Misericordiae Hospital, Dublin, , Ireland
Adelaide and Meath Hospital, Dublin, , Ireland
Beaumont Hospital, Dublin, , Ireland
Bon Secours Hospital, Galway, , Ireland
Galway University Hospital, Galway, , Ireland
Regional Hospital - Limerick, Limerick, , Ireland
Sligo General, Sligo, , Ireland
Belfast City Hospital Trust Incorporating Belvoir Park Hospital, Belfast, Northern Ireland, United Kingdom
Name: John Gerard Armstrong, MD, MB, MRCPI
Affiliation: Saint Luke's Hospital
Role: STUDY_CHAIR