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NCT00544830

Hormone Therapy and Intensity-Modulated Radiation Therapy in Treating Patients With Metastatic Prostate Cancer

Active, enrolled Phase 2 Results posted Last updated 7 May 2025
What this trial tests

Phase 2 trial testing Bicalutamide in PSA Level Greater Than Two in 29 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
18 July 2006
Primary endpoint
16 March 2011
9 March 2026

Quick facts

Lead sponsorCity of Hope Medical Center
PhasePhase 2
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment29
Start date18 July 2006
Primary completion16 March 2011
Estimated completion9 March 2026
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

City of Hope Medical Center

Who can join

18 and older, male only, with PSA Level Greater Than Two or Stage IV Prostate Adenocarcinoma AJCC v7. 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.

Time to Prostate-specific Antigen (PSA) Relapse Primary · End-of-therapy until PSA reached pre-treatment level or 10 (whichever was lower)

Time from the date of the last dose of bicalutamide or the last day of radiation therapy (whichever comes later) until the date criteria are met for PSA relapse. PSA relapse after completion of initial 36 weeks of androgen deprivation therapy is defined as an increase in PSA value to above pre-therapy level, or to \> 10, whichever is smaller. For example, a patient with pre-treatment PSA level of 40 will resume androgen deprivation therapy when PSA level is \> 10, while a patient with pre-treatment PSA level of 3 will resume androgen deprivation therapy when PSA level is \> 3.

GroupValue95% CI
Treatment (Androgen Therapy, Radiation Therapy)16.514.0 – 34.3
Patients Who Achieved PSA Nadir of < 0.2 at 36 Weeks. Secondary · During the time period between on-study PSA to off-study PSA, up to 36 weeks.

Number of Patients who achieved PSA nadir of \< 0.2 at 36 weeks.

GroupValue95% CI
Treatment (Androgen Therapy, Radiation Therapy)25
Rate of Treatment Failure (no PSA Threshold Below 4 ng/dl, or no PSA Below Baseline Level Before LHRH Treatment). Secondary · Off-treatment PSA measurement date minus on-study PSA measurement date, up to 36 weeks.

Treatment failures: Count and percent of patients NOT reaching PSA concentration in serum either below 4 ng/dl or below baseline before LHRH treatment .

GroupValue95% CI
Treatment (Androgen Therapy, Radiation Therapy)15
Length of Follow-up Secondary · Patients are evaluated for disease on day 1 of each of three 12-week cycles. After the last cycle of anti-androgen therapy, patients are assessed every four weeks until PSA relapse occurs, up to 61.4 months

Length of follow-up in weeks to off-study date. Patients are treated for 36 weeks (+/- 2 weeks) with androgen deprivation therapy. Patients are evaluated for disease on day 1 of each of three 12-week cycles. After the last cycle of anti-androgen therapy, patients are assessed every four weeks until PSA relapse occurs, up to 264.8 weeks (61.4 months; 5.1 years). Patients will remain off-treatment until they meet the criteria for re-treatment with androgen deprivation therapy, whereupon they will be taken off of the protocol. After patients are taken off protocol, we will do a chart review for l

GroupValue95% CI
Treatment (Androgen Therapy, Radiation Therapy)111.458.1 – 264.8
Count of Patients Remaining Off of Therapy Secondary · after 36 week LHRH treatment window.

Patients who remained off of therapy, in remission, out of the number of patients with metastases limited to pelvic lymph nodes.

GroupValue95% CI
Treatment (Androgen Therapy, Radiation Therapy)7
Follow-up of the 8 Patients With Metastases Limited to Pelvic Lymph Nodes. Secondary · Patients are followed on day one of each of three 12-week periods. After completion of therapy, patients are followed every four weeks until PSA relapse, up to 46.4 months.

Length of follow-up of the 8 patients with metastases limited to pelvic lymph nodes, months. Patients are followed on day one of each of three 12-week periods. After completion of therapy, patients are followed every four weeks until PSA relapse, up to 46.4 months.

GroupValue95% CI
Treatment (Androgen Therapy, Radiation Therapy)14.79.2 – 46.4
CR Without ADT in Patients With Metastases Limited to Pelvic Lymph Nodes. Secondary · after 36 weeks of LHRH therapy.

Number of patients remaining in complete remission without androgen deprivation therapy in patients with metastases limited to pelvic lymph nodes.

GroupValue95% CI
Treatment (Androgen Therapy, Radiation Therapy)4

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Androgen Therapy, Radiation Therapy)
Serious: 1/29 (3%)
Deaths:

Serious adverse events (2 terms)

ReactionSystemTreatment (Androgen Therap…
10012727 -- DiarrheaGastrointestinal disorders
10010300 -- ConfusionPsychiatric disorders
Other adverse events (114 terms — click to expand)

ReactionSystemTreatment (Androgen Therap…
10046539 -- Urinary frequencyRenal and urinary disorders
10019483 -- Hemoglobin decreasedBlood and lymphatic system disorders
10025256 -- Lymphocyte count decreasedInvestigations
10048552 -- Leukocyte count decreasedInvestigations
10020407 -- Hot flashesVascular disorders
10012727 -- DiarrheaGastrointestinal disorders
10016256 -- FatigueGeneral disorders
10035528 -- Platelet count decreasedInvestigations
10005557 -- Blood glucose increasedMetabolism and nutrition disorders
10061461 -- Erectile dysfunctionReproductive system and breast disorders
10003481 -- Aspartate aminotransferase increasedInvestigations
10019611 -- HemorrhoidsGastrointestinal disorders
10003988 -- Back painMusculoskeletal and connective tissue disorders
10040741 -- Sinus bradycardiaCardiac disorders
10001551 -- Alanine aminotransferase increasedInvestigations
10040175 -- Serum calcium increasedMetabolism and nutrition disorders
10046543 -- Urinary incontinenceRenal and urinary disorders
10037853 -- Rash desquamatingSkin and subcutaneous tissue disorders
10017944 -- Gastrointestinal disorderGastrointestinal disorders
10028813 -- NauseaGastrointestinal disorders
10050068 -- Edema limbsGeneral disorders
10003246 -- ArthritisMusculoskeletal and connective tissue disorders
10002855 -- AnxietyPsychiatric disorders
10019591 -- Hemorrhage urinary tractRenal and urinary disorders
10046461 -- Urethral painRenal and urinary disorders
10046555 -- Urinary retentionRenal and urinary disorders
10010774 -- ConstipationGastrointestinal disorders
10016766 -- FlatulenceGastrointestinal disorders
90004082 -- PainGeneral disorders
10061103 -- Dermatitis radiationInjury, poisoning and procedural complications
10031282 -- OsteoporosisMusculoskeletal and connective tissue disorders
10034620 -- Peripheral sensory neuropathyNervous system disorders
10013786 -- Dry skinSkin and subcutaneous tissue disorders
10013950 -- DysphagiaGastrointestinal disorders
10038064 -- Rectal hemorrhageGastrointestinal disorders
10047700 -- VomitingGastrointestinal disorders
10012727 -- DiarrheaGastrointestinal disorders
10008479 -- Chest painGeneral disorders
10011349 -- Creatine phosphokinase increasedInvestigations
10011368 -- Creatinine increasedInvestigations

Most-reported serious reactions: 10012727 -- Diarrhea, 10010300 -- Confusion.

Data from ClinicalTrials.gov NCT00544830 adverse events section.

Sponsor's own description

This phase II trial studies how well hormone therapy and intensity-modulated radiation therapy work in treating patients with prostate cancer that has spread to other places in the body. Androgens can cause the growth of prostate cancer cells. Anti-hormone therapy using goserelin, leuprolide acetate, or bicalutamide, may lessen the amount of androgens made by the body. Radiation therapy uses high energy x-rays to kill tumor cells and shrink tumors. Specialized radiation therapy that delivers a high dose of radiation directly to the tumor may kill more tumor cells and cause less damage to normal tissue. Giving hormone therapy and intensity-modulated radiation therapy may work better in treating patients with prostate cancer.

Publications & conference data

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

  1. Oligometastatic prostate cancer: definitions, clinical outcomes, and treatment considerations.
    Tosoian JJ, Gorin MA, Ross AE, Pienta KJ, et al · · 2017 · cited 202× · PMID 27725639 · DOI 10.1038/nrurol.2016.175
  2. Treatment of Oligometastatic Hormone-Sensitive Prostate Cancer: A Comprehensive Review.
    Koo KC, Dasgupta P. · · 2018 · cited 14× · PMID 29869454 · DOI 10.3349/ymj.2018.59.5.567
  3. Oligometastatic prostate cancer: is it worth targeting the tip of the iceberg?
    Supiot S, Rousseau C. · · 2019 · cited 4× · PMID 35117092 · DOI 10.21037/tcr.2019.01.10
  4. A Personalized Approach for Oligometastatic Prostate Cancer: Current Understanding and Future Directions.
    Alerasool P, Zhou S, Miller E, Anker J, et al · · 2025 · cited 1× · PMID 39796774 · DOI 10.3390/cancers17010147

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