Last reviewed · How we verify

NCT00309985: CHAARTED

Androgen Ablation Therapy With or Without Chemotherapy in Treating Patients With Metastatic Prostate Cancer

Completed Phase 3 Results posted Last updated 11 December 2025
What this trial tests

Phase 3 trial testing androgen-deprivation therapy in Metastatic Hormone-sensitive Prostate Cancer in 790 participants. Completed in 31 January 2025.

Timeline
26 September 2006
Primary endpoint
23 December 2013
31 January 2025

Quick facts

Lead sponsorECOG-ACRIN Cancer Research Group
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment790
Start date26 September 2006
Primary completion23 December 2013
Estimated completion31 January 2025
Sites343 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

ECOG-ACRIN Cancer Research Group

Who can join

18 and older, male only, with Metastatic Hormone-sensitive Prostate Cancer. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Overall Survival Primary · Assessed every 3 months if patient is < 2 years from study entry; every 6 months if patient is 2 - 5 years from study entry; then annually if patient is 5 - 10 years from study entry

Overall survival is defined as the time from randomization to death or date last known alive. Survival data reflects the database as of December 23, 2013.

GroupValue95% CI
Androgen-Deprivation Therapy and Docetaxel57.649.1 – 72.8
Androgen-Deprivation Therapy Alone44.034.4 – 49.1
Time to Clinical Progression Secondary · Assessed every 3 months if patient is < 2 years from study entry; every 6 months if patient is 2 - 5 years from study entry; then annually if patient is 5 - 10 years from study entry

Time to clinical progression is defined as the time from randomization to clinical progression. Clinical progression is defined as increasing symptomatic bone metastases, progression per Response Evaluation Criteria In Solid Tumors (RECIST) criteria or clinical deterioration due to cancer per investigator's opinion. Patients without documented clinical progression were censored at the date of last disease assessment. Secondary endpoint data reflect the database as of December 23, 2014.

GroupValue95% CI
Androgen-Deprivation Therapy and Docetaxel33.027.3 – 41.2
Androgen-Deprivation Therapy Alone19.817.9 – 22.8
Time to Castration Resistant Prostate Cancer (Hormone Refractory Disease) Secondary · Assessed every 3 months if patient is < 2 years from study entry; every 6 months if patient is 2 - 5 years from study entry; then annually if patient is 5 - 10 years from study entry

Time to castration resistant prostate cancer is defined as the time from randomization to PSA progression or clinical progression, whichever occurred first. Patients without documented progression were censored at the date of last disease assessment. Secondary endpoint data reflect the database as of December 23, 2014.

GroupValue95% CI
Androgen-Deprivation Therapy and Docetaxel20.217.2 – 23.6
Androgen-Deprivation Therapy Alone11.710.8 – 14.7
Proportion of Patients With PSA Complete Response (CR) at 6 Months Secondary · Assessed at 6 months

PSA CR is defined as a PSA level less than 0.2 ng/ml measured for 2 consecutive measurements at least 4 weeks apart. Patients who met the criterion of PSA CR and had PSA level less than 0.2 ng/ml before and after the 6-month time point are considered as having a PSA CR at 6 months.

GroupValue95% CI
Androgen-Deprivation Therapy and Docetaxel0.3200.274 – 0.369
Androgen-Deprivation Therapy Alone0.1960.158 – 0.239
Proportion of Patients With PSA Complete Response (CR) at 12 Months Secondary · Assessed at 12 months

PSA CR is defined as a PSA level less than 0.2 ng/ml measured for 2 consecutive measurements at least 4 weeks apart. Patients who met the criterion of PSA CR and had PSA level less than 0.2 ng/ml before and after the 12-month time point are considered as having a PSA CR at 12 months.

GroupValue95% CI
Androgen-Deprivation Therapy and Docetaxel0.2770.234 – 0.324
Androgen-Deprivation Therapy Alone0.1680.132 – 0.209
QOL Change From Baseline to 3 Months Secondary · Assessed at baseline and 3 months

The primary QOL change was evaluated by the Functional Assessment of Cancer Therapy - Prostate (FACT-P) instrument. FACT-P is a self-report measure of both general and disease-specific QOL. Higher scores represent better QOL. The FACT-P (version 4) contains 39 likert items distributed over 5 subscales: physical (7 items), social/family (7 items), emotional (6 items), and functional (7 items) well-being, and the additional concerns related to prostate cancer scale (12 items). The FACT-P total score is calculated by summing all these 5 subscales and ranges from 0 to 156.

GroupValue95% CI
Androgen-Deprivation Therapy and Docetaxel-2.7± 0.9
Androgen-Deprivation Therapy Alone-1.1± 1.0

Adverse events — posted to ClinicalTrials.gov

Time frame: Assessed every 3 weeks while on treatment and for 30 days after the end of treatment. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm A
Serious: 116/390 (30%)
Deaths:
Arm B
Serious: 12/392 (3%)
Deaths:

Serious adverse events (60 terms)

ReactionSystemArm AArm B
Neutrophils decreasedInvestigations
Febrile neutropeniaBlood and lymphatic system disorders
Leukocytes decreasedInvestigations
FatigueGeneral disorders
LymphopeniaInvestigations
Allergic reactionImmune system disorders
AnemiaBlood and lymphatic system disorders
Diarrhea w/o prior colostomyGastrointestinal disorders
Nonneuropathic generalized weaknessMusculoskeletal and connective tissue disorders
HyperglycemiaMetabolism and nutrition disorders
Muscle, painMusculoskeletal and connective tissue disorders
Thrombosis/thrombus/embolismVascular disorders
Weight gainInvestigations
AnorexiaMetabolism and nutrition disorders
DehydrationMetabolism and nutrition disorders
Muco/stomatitis by exam, oral cavityGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Infection w/ gr3-4 neut, upper airwayInfections and infestations
Alkaline phosphatase increasedInvestigations
HyponatremiaMetabolism and nutrition disorders
Neuropathy-motorNervous system disorders
Neuropathy-sensoryNervous system disorders
Bone, painMusculoskeletal and connective tissue disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Other adverse events (2 terms — click to expand)

ReactionSystemArm AArm B
FatigueGeneral disorders
AlopeciaSkin and subcutaneous tissue disorders

Most-reported serious reactions: Neutrophils decreased, Febrile neutropenia, Leukocytes decreased, Fatigue, Lymphopenia, Allergic reaction, Anemia, Diarrhea w/o prior colostomy.

Data from ClinicalTrials.gov NCT00309985 adverse events section.

Sponsor's own description

RATIONALE: Androgens can cause the growth of prostate cancer cells. Androgen ablation therapy may stop the adrenal glands from making androgens. Drugs used in chemotherapy, such as docetaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. It is not yet known whether androgen-ablation therapy is more effective with or without docetaxel in treating metastatic prostate cancer. PURPOSE: This randomized phase III trial is studying androgen-ablation therapy and chemotherapy to see how well they work compared to androgen-ablation therapy alone in treating patients with metastatic prostate cancer.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Chemohormonal Therapy in Metastatic Hormone-Sensitive Prostate Cancer.
    Sweeney CJ, Chen YH, Carducci M, Liu G, et al · · 2015 · cited 2037× · PMID 26244877 · DOI 10.1056/nejmoa1503747
  2. ARCHES: A Randomized, Phase III Study of Androgen Deprivation Therapy With Enzalutamide or Placebo in Men With Metastatic Hormone-Sensitive Prostate Cancer.
    Armstrong AJ, Szmulewitz RZ, Petrylak DP, Holzbeierlein J, et al · · 2019 · cited 812× · PMID 31329516 · DOI 10.1200/jco.19.00799
  3. Chemohormonal Therapy in Metastatic Hormone-Sensitive Prostate Cancer: Long-Term Survival Analysis of the Randomized Phase III E3805 CHAARTED Trial.
    Kyriakopoulos CE, Chen YH, Carducci MA, Liu G, et al · · 2018 · cited 759× · PMID 29384722 · DOI 10.1200/jco.2017.75.3657
  4. Prostate Cancer Review: Genetics, Diagnosis, Treatment Options, and Alternative Approaches.
    Sekhoacha M, Riet K, Motloung P, Gumenku L, et al · · 2022 · cited 539× · PMID 36080493 · DOI 10.3390/molecules27175730
  5. Second-Generation Antiandrogens: From Discovery to Standard of Care in Castration Resistant Prostate Cancer.
    Rice MA, Malhotra SV, Stoyanova T. · · 2019 · cited 219× · PMID 31555580 · DOI 10.3389/fonc.2019.00801
  6. Seven-Month Prostate-Specific Antigen Is Prognostic in Metastatic Hormone-Sensitive Prostate Cancer Treated With Androgen Deprivation With or Without Docetaxel.
    Harshman LC, Chen YH, Liu G, Carducci MA, et al · · 2018 · cited 92× · PMID 29261442 · DOI 10.1200/jco.2017.75.3921
  7. Novel actions of next-generation taxanes benefit advanced stages of prostate cancer.
    de Leeuw R, Berman-Booty LD, Schiewer MJ, Ciment SJ, et al · · 2015 · cited 80× · PMID 25691773 · DOI 10.1158/1078-0432.ccr-14-1358
  8. Comparison of Systemic Treatments for Metastatic Castration-Sensitive Prostate Cancer: A Systematic Review and Network Meta-analysis.
    Wang L, Paller CJ, Hong H, De Felice A, et al · · 2021 · cited 74× · PMID 33443584 · DOI 10.1001/jamaoncol.2020.6973

Verify or expand the search:

Other recruiting trials for Metastatic Hormone-sensitive Prostate Cancer

Currently open trials in the same condition.

Other ECOG-ACRIN Cancer Research Group trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00309985.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing