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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00030654
Registration number
NCT00030654
Ethics application status
Date submitted
14/02/2002
Date registered
27/01/2003
Date last updated
22/10/2020
Titles & IDs
Public title
Hormone Therapy Plus Chemotherapy in Treating Patients With Prostate Cancer
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Scientific title
A Phase III Randomized Study of Patients With High Risk, Hormone-Naive Prostate Cancer: Androgen Blockade With 4 Cycles of Immediate Chemotherapy Versus Androgen Blockade With Delayed Chemotherapy
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Secondary ID [1]
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CDR0000069186
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Secondary ID [2]
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RTOG-P-0014
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Prostate Cancer
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Condition category
Condition code
Cancer
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Prostate
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental: Androgen blockade + immediate chemotherapy - Androgen blockade with immediate chemotherapy
Experimental: Androgen blockade + delayed chemotherapy - Androgen blockade with delayed chemotherapy
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Overall Survival
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Assessment method [1]
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Timepoint [1]
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From date of randomization to the date of death due to any cause
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Secondary outcome [1]
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Biochemical control
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Assessment method [1]
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Timepoint [1]
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From date of randomization to the date of first PSA failure defined as a PSA doubling time <= 32 weeks
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Secondary outcome [2]
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Time to Clinical Failure
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Assessment method [2]
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Timepoint [2]
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Time from study entry to positive scan or positive disease evaluation of the pelvis or chest or a PSA doubling time = 32 weeks
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Secondary outcome [3]
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Frequency of non-hematologic (>= grade 3), hematologic (grade >=4) and fatal (grade 5) toxicities
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Assessment method [3]
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Timepoint [3]
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From the beginning of treatment to 90 days post treatment
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Eligibility
Key inclusion criteria
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
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Minimum age
18
Years
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Maximum age
120
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/10/2002
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
4/02/2005
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Sample size
Target
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Accrual to date
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Final
21
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Westmead Hospital - Westmead
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Recruitment postcode(s) [1]
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2145 - Westmead
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Recruitment outside Australia
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United States of America
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Arizona
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Colorado
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Peru
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Lima
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Puerto Rico
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San Juan
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Funding & Sponsors
Primary sponsor type
Other
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Name
Radiation Therapy Oncology Group
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Address
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Name [1]
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National Cancer Institute (NCI)
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Other
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Eastern Cooperative Oncology Group
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Other
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Cancer and Leukemia Group B
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Other
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SWOG Cancer Research Network
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Other
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NRG Oncology
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Ethics approval
Ethics application status
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Summary
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.
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Trial website
https://clinicaltrials.gov/study/NCT00030654
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Trial related presentations / publications
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.
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Public notes
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Contacts
Principal investigator
Name
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Kenneth J. Pienta, MD, FACP
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Address
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University of Michigan Rogel Cancer Center
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00030654
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