ClinicalTrials.gg
CompletedNCT00002651Updated Apr 17, 2017Results posted

SWOG-9346, Hormone Therapy in Treating Men With Stage IV Prostate Cancer

A Phase 3 interventional study of bicalutamide and goserelin acetate in Prostate Cancer, sponsored by SWOG Cancer Research Network. Completed at 14 sites in Canada. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-04-17.

Sponsored by SWOG Cancer Research Network · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
3,040
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

RATIONALE: Testosterone can stimulate the growth of prostate cancer cells. Hormone therapy may be effective treatment for prostate cancer. It is not yet known which regimen of hormone therapy is most effective for stage IV prostate cancer.

PURPOSE: This randomized phase III trial is studying two different regimens of hormone therapy and comparing how well they work in treating men with stage IV prostate cancer.

Read the detailed description

OBJECTIVES:

Primary

  • Compare the survival of patients with metastatic stage IV prostate cancer responsive to combined androgen-deprivation therapy (CAD) treated with intermittent vs continuous CAD.
  • Compare the effects of these treatment regimens on impotence, libido, and vitality/fatigue as well as the physical and emotional well-being of these patients.

Secondary

  • Compare general symptoms, role functioning, global perception of quality of life, and social functioning of patients treated with these regimens.
  • Assess prostate-specific antigen (PSA) levels after continuous CAD administered before randomization and evaluate PSA changes throughout randomized treatment of these patients.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to SWOG performance status (0-1 vs 2), severity of disease (minimal vs extensive), and prior hormonal therapy (neoadjuvant hormonal therapy vs finasteride vs neither).

  • Induction therapy: Patients receive combined androgen-deprivation (CAD) therapy comprising goserelin subcutaneously once a month and oral bicalutamide once daily for 8 courses (7 months).
  • Consolidation therapy: Patients are randomized to 1 of 2 consolidation regimens.

    • Arm I (continuous CAD therapy): Patients continue CAD therapy as in induction therapy. Treatment continues in the absence of disease progression.
    • Arm II (intermittent CAD therapy): Patients undergo observation in the absence of rising prostate-specific antigen (PSA) or clinical symptoms of progressive disease. Patients with rising PSA or progressive disease begin CAD therapy as in induction therapy. Patients whose PSA normalizes after 8 courses return to observation. Patients whose PSA does not normalize after 8 courses continue CAD therapy.

Quality of life is assessed before induction therapy, at 3 months (before consolidation therapy), and then at 9 and 15 months.

Patients are followed every 6-12 months for at least 10 years.

PROJECTED ACCRUAL: Approximately 1,500 patients will be accrued for this study.

02

Conditions studied

  • Prostate Cancer

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Keywords

  • adenocarcinoma of the prostate
  • stage IV prostate cancer
  • recurrent prostate cancer
03

In context

Prostatic Neoplasms

6,484 studies on the registry are indexed under Prostatic Neoplasms; 1,415 are open to participants now.

This study's enrollment of 3,040 is above the median of 58 across 4,908 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

SWOG Cancer Research Network is the lead sponsor of 339 studies on the registry; 37 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 17 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Male
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically or cytologically confirmed adenocarcinoma of the prostate

    • Metastatic stage IV (stage D2)

      • Any number of bone metastases by bone scan allowed
      • Unequivocal visceral organ metastases (liver, brain, or lung) allowed
    • No suspected second primary tumors unless metastases are histologically confirmed, including special stains (e.g., prostate specific antigen [PSA] and prostatic alkaline phosphatase [PAP])
  • For entry into late induction therapy:

    • No more than 1 month from the beginning of antiandrogen therapy to the beginning of luteinizing hormone-releasing hormone (LHRH) agonist therapy
    • No more than 6 months since initiation of current combined androgen-deprivation therapy (LHRH agonist and antiandrogen)
    • The effectiveness of the current depot LHRH agonist would not extend beyond 8 months after initiation of combined androgen therapy
  • PSA at least 5 ng/mL
  • No acute spinal cord compression

PATIENT CHARACTERISTICS:

Age:

  • Adult

Performance status:

  • SWOG 0-2

Hematopoietic:

  • Not specified

Hepatic:

  • Not specified

Renal:

  • Not specified

Other:

  • Recovered from any major infection
  • No active medical illness that would preclude study or limit survival
  • No other malignancy within the past 5 years except:

    • Adequately treated basal cell or squamous cell skin cancer
    • Adequately treated carcinoma in situ of the bladder
    • Adequately treated other superficial cancer

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • No concurrent biological response modifier therapy

Chemotherapy:

  • No concurrent chemotherapy

Endocrine therapy:

  • See Disease Characteristics
  • More than 1 year since any prior neoadjuvant or adjuvant hormonal therapy for a duration of no more than 4 months

    • Single or combination therapy allowed
  • More than 1 year since prior finasteride for prostate cancer for a duration of no more than 9 months (less than 6 months for benign prostatic hypertrophy)
  • Prior or concurrent megestrol for hot flashes allowed
  • No other concurrent hormonal therapy

Radiotherapy:

  • No concurrent radiotherapy other than palliation of painful bone metastases

Surgery:

  • No prior bilateral orchiectomy
  • Recovered from any prior major surgery
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
3,040 participants (actual)

Study arms

  • Active comparator
    Consolidation arm I

    Patients continue CAD therapy comprising goserelin subcutaneously once a month and oral bicalutamide once daily. Treatment continues in the absence of disease progression.

    Drug: bicalutamide · Drug: goserelin acetate

  • Experimental
    Consolidation arm II

    Patients undergo observation in the absence of rising prostate-specific antigen (PSA) or clinical symptoms of progressive disease. Patients with rising PSA or progressive disease begin CAD therapy as in consolidation arm I. Patients whose PSA normalizes after 8 courses return to observation. Patients whose PSA does not normalize after 8 courses continue CAD therapy.

    Drug: bicalutamide · Drug: goserelin acetate · Other: clinical observation

Interventions

  • Given orally

  • Given subcutaneously

  • Otherclinical observation

    Patients undergo observation in the absence of rising prostate-specific antigen (PSA) or clinical symptoms of progressive disease.

06

What researchers measure

Primary outcomes

  1. Overall Survival

    Non-inferiority test to determine if intermittent combined androgen deprivation (CAD) overall survival is not substantially worse than continuous CAD overall survival. Specifically, the trial is designed for a one-sided test of the hypothesis that the hazard ratio of intermittent CAD to continuous CAD is 1.2. The assumptions used to compute the trial size are an overall type I error rate of 0.05 and a type II error of 0.10 (power = 0.9).

    Time frame: Up to 15 years

  2. Physical Functioning as Measured by the SF-36

    This outcome was scored on a scale of 0 to 100, with higher scores indicating better functioning. Change from Baseline in SF-36 Score at 3 Months

    Time frame: 3 months

  3. Emotional Functioning as Measured by the SF-36 Mental Health Inventory

    This outcome was scored on a scale of 0 to 100, with higher scores indicating better functioning. Change from Baseline in SF-36 Score at 3 Months

    Time frame: 3 months

  4. Erectile Dysfunction

    This outcome was assessed by having patients report whether they had erectile dysfunction (a score of 1) or no erectile dysfunction (a score of 0). This analysis looks at change from Baseline to 3 Months.

    Time frame: 3 months

  5. High Libido

    This outcome was assessed by having patients report whether their interest in sexual activities was very high, high, or moderate (a score of 1) or low or very low (a score of 0). This outcome measure is reporting a change from baseline in the percentage of participants with High Libido at 3 months. "High Libido" is defined as very high, high or moderate interest in sexual activities.

    Time frame: 3 months

  6. Vitality

    This outcome was scored on a scale of 0 to 100, with higher scores indicating better functioning. This analysis looks at mean change from Baseline score to 3 Months.

    Time frame: 3 months

Other outcomes

  1. Global Perception of Quality of Life

    Time frame: 15 months

  2. Social Functioning

    Mean of the change in social functioning from randomization

    Time frame: 15 months

  3. Role Functioning

    Mean of the change in role functioning from randomization

    Time frame: 15 months

  4. General Symptoms

    Time frame: 15 months

07

Results

Posted Apr 17, 2017

Participant flow

Induction
Participant flow — Induction
MilestoneCombined Androgen Deprivation (CAD)Continuous Hormonal TherapyIntermittent Hormonal Therapy
Started304000
Eligible295000
Eligible and began protocol therapy295000
Completed169700
Not completed134300
Withdrew: Adverse event4400
Withdrew: Refusal unrelated to adverse event5000
Withdrew: Progression/relapse27400
Withdrew: Death6200
Withdrew: Other82300
Withdrew: Not eligible9000
Consolidation and Randomization
Participant flow — Consolidation and Randomization
MilestoneCombined Androgen Deprivation (CAD)Continuous Hormonal TherapyIntermittent Hormonal Therapy
Started0867882
Eligible0765770
Assessable for toxicity0732702
Completed02922
Not completed0838860
Withdrew: Adverse event03614
Withdrew: Refusal unrelated to adverse event05375
Withdrew: Progression/relapse0295298
Withdrew: Death03848
Withdrew: Other0314313
Withdrew: Not eligible0102112

Outcome measures

PrimaryOverall Survival

Non-inferiority test to determine if intermittent combined androgen deprivation (CAD) overall survival is not substantially worse than continuous CAD overall survival. Specifically, the trial is designed for a one-sided test of the hypothesis that the hazard ratio of intermittent CAD to continuous CAD is 1.2. The assumptions used to compute the trial size are an overall type I error rate of 0.05 and a type II error of 0.10 (power = 0.9).

Time frame:
Up to 15 years
Reported as:
Median · years
Overall Survival
yearsConsolidation Arm IConsolidation Arm II
Overall Survival5.8 (5.3 to 6.4)5.1 (4.8 to 5.5)
Statistical analysis
  • Consolidation Arm I vs Consolidation Arm II · Regression, Cox · p = 0.15 · Hazard ratio (hr): 1.10 · 90% CI 0.99 to 1.23
PrimaryPhysical Functioning as Measured by the SF-36

This outcome was scored on a scale of 0 to 100, with higher scores indicating better functioning. Change from Baseline in SF-36 Score at 3 Months

Time frame:
3 months
Reported as:
Mean · units on a scale
Physical Functioning as Measured by the SF-36
units on a scaleContinuous Hormonal TherapyIntermittent Hormonal Therapy
Physical Functioning as Measured by the SF-36-1.74 ± 0.73660.09 ± 0.8084
Statistical analysis
  • Continuous Hormonal Therapy vs Intermittent Hormonal Therapy · t-test, 2 sided · p = 0.09 (The type I error rate used was 0.005 in an attempt to adjust for multiple primary scores being tested.The type II error rate used was 0.10 (power = 0.9).) · Mean difference (net): 1.83 · 95% CI -0.31 to 3.97
PrimaryEmotional Functioning as Measured by the SF-36 Mental Health Inventory

This outcome was scored on a scale of 0 to 100, with higher scores indicating better functioning. Change from Baseline in SF-36 Score at 3 Months

Time frame:
3 months
Reported as:
Mean · units on a scale
Emotional Functioning as Measured by the SF-36 Mental Health Inventory
units on a scaleContinuous Hormonal TherapyIntermittent Hormonal Therapy
Emotional Functioning as Measured by the SF-36 Mental Health Inventory-0.95 ± 0.68041.92 ± 0.7241
Statistical analysis
  • Continuous Hormonal Therapy vs Intermittent Hormonal Therapy · t-test, 2 sided · p = 0.003 (The type I error rate used was 0.005 in an attempt to adjust for multiple primary scores being tested.The type II error rate used was 0.10 (power = 0.9).) · Mean difference (net): 2.88 · 95% CI 1.00 to 4.76
PrimaryErectile Dysfunction

This outcome was assessed by having patients report whether they had erectile dysfunction (a score of 1) or no erectile dysfunction (a score of 0). This analysis looks at change from Baseline to 3 Months.

Time frame:
3 months
Reported as:
Number · percentage of participants
Erectile Dysfunction
percentage of participantsContinuous Hormonal TherapyIntermittent Hormonal Therapy
Erectile Dysfunction2-7
Statistical analysis
  • Continuous Hormonal Therapy vs Intermittent Hormonal Therapy · t-test, 2 sided · p = <0.001 (The type I error rate used was 0.005 in an attempt to adjust for multiple primary scores being tested.The type II error rate used was 0.10 (power = 0.9).) · Mean difference (net): -10 · 95% CI -14 to -5
PrimaryHigh Libido

This outcome was assessed by having patients report whether their interest in sexual activities was very high, high, or moderate (a score of 1) or low or very low (a score of 0). This outcome measure is reporting a change from baseline in the percentage of participants with High Libido at 3 months. "High Libido" is defined as very high, high or moderate interest in sexual activities.

Time frame:
3 months
Reported as:
Number · percentage of participants
High Libido
percentage of participantsContinuous Hormonal TherapyIntermittent Hormonal Therapy
High Libido-216
Statistical analysis
  • Continuous Hormonal Therapy vs Intermittent Hormonal Therapy · t-test, 2 sided · p = 0.04 (The type I error rate used was 0.005 in an attempt to adjust for multiple primary scores being tested.The type II error rate used was 0.10 (power = 0.9).) · Mean difference (net): 18 · 95% CI 1 to 36
PrimaryVitality

This outcome was scored on a scale of 0 to 100, with higher scores indicating better functioning. This analysis looks at mean change from Baseline score to 3 Months.

Time frame:
3 months
Reported as:
Mean · units on a scale
Vitality
units on a scaleContinuous Hormonal TherapyIntermittent Hormonal Therapy
Vitality-1.42 ± 0.7379-0.11 ± 0.8154
Statistical analysis
  • Continuous Hormonal Therapy vs Intermittent Hormonal Therapy · t-test, 2 sided · p = 0.23 (The type I error rate used was 0.005 in an attempt to adjust for multiple primary scores being tested.The type II error rate used was 0.10 (power = 0.9).) · Mean difference (net): 1.32 · 95% CI -0.83 to 3.46
Other pre-specifiedGlobal Perception of Quality of Life
Time frame:
15 months

Results for this outcome have not been posted.

Other pre-specifiedSocial Functioning

Mean of the change in social functioning from randomization

Time frame:
15 months

Results for this outcome have not been posted.

Other pre-specifiedRole Functioning

Mean of the change in role functioning from randomization

Time frame:
15 months

Results for this outcome have not been posted.

Other pre-specifiedGeneral Symptoms
Time frame:
15 months

Results for this outcome have not been posted.

Adverse events

Collected over Up to 10 years after registration to Induction. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Continuous Hormonal Therapy—19/732 (2.6%)665/732 (90.8%)
Intermittent Hormonal Therapy—10/702 (1.4%)609/702 (86.8%)
Most frequent serious events
Most frequent serious events
EventContinuous Hormonal TherapyIntermittent Hormonal Therapy
Cardiac ischemia/infarctionCardiac disorders6/7322/702
Flu-like symptoms-otherGeneral disorders5/7323/702
Lung-otherRespiratory, thoracic and mediastinal disorders0/7322/702
Cardiovascular-otherCardiac disorders2/7321/702
LVEF decrease/CHFCardiac disorders1/7321/702
Cerebrovascular ischemiaNervous system disorders1/7321/702
Second primaryNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/7320/702
Pleural effusionsRespiratory, thoracic and mediastinal disorders1/7320/702
Hemorrhage-otherVascular disorders1/7320/702
Thrombosis/embolismVascular disorders1/7320/702
Most frequent other events
Showing 10 of 30
Most frequent other events
EventContinuous Hormonal TherapyIntermittent Hormonal Therapy
Hot flashesVascular disorders511/732440/702
Fatigue/malaise/lethargyGeneral disorders381/732364/702
Erectile impotenceReproductive system and breast disorders304/732256/702
Bone painMusculoskeletal and connective tissue disorders239/732272/702
Libido lossPsychiatric disorders262/732226/702
SweatingSkin and subcutaneous tissue disorders245/732176/702
GynecomastiaReproductive system and breast disorders181/732158/702
Urinary frequency/urgencyRenal and urinary disorders141/732147/702
InsomniaPsychiatric disorders141/732123/702
Pain-otherGeneral disorders140/732131/702

Baseline characteristics

Randomized and eligible patients (After induction, Patients with stable or declining PSA levels of 4.0 ng per milliliter or lower at months 6 and 7 were eligible for randomization).

Age, Continuous
Age, Continuous(years)Continuous Hormonal TherapyIntermittent Hormonal TherapyTotal
Median70 (39 to 92)70 (39 to 97)70 (39 to 97)
Sex: Female, Male
Sex: Female, Male(Participants)Continuous Hormonal TherapyIntermittent Hormonal TherapyTotal
Female000
Male7657701535
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Continuous Hormonal TherapyIntermittent Hormonal TherapyTotal
Hispanic or Latino172340
Not Hispanic or Latino5715641135
Unknown or Not Reported177183360
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Continuous Hormonal TherapyIntermittent Hormonal TherapyTotal
American Indian or Alaska Native246
Asian5813
Native Hawaiian or Other Pacific Islander202
Black or African American9394187
White5075191026
More than one race213
Unknown or Not Reported154144298
08

Study locations

14 sites
  • Tom Baker Cancer Centre - Calgary
    Calgary, Alberta T2N 4N2, Canada
  • Cross Cancer Institute at University of Alberta
    Edmonton, Alberta T6G 1Z2, Canada
  • University of British Columbia
    Vancouver, British Columbia V5Z 1M9, Canada
  • Nova Scotia Cancer Centre
    Halifax, Nova Scotia B3H 1V7, Canada
  • Cancer Centre of Southeastern Ontario at Kingston General Hospital
    Kingston, Ontario K7L 5P9, Canada
  • London Regional Cancer Program at London Health Sciences Centre
    London, Ontario N6A 4L6, Canada
  • Ottawa Hospital Regional Cancer Centre - General Campus
    Ottawa, Ontario K1H 8L6, Canada
  • Odette Cancer Centre at Sunnybrook
    Toronto, Ontario M4N 3M5, Canada
  • Princess Margaret Hospital
    Toronto, Ontario M5G 2M9, Canada
  • Hopital Notre-Dame du CHUM
    Montreal, Quebec H2L 4M1, Canada
  • McGill Cancer Centre at McGill University
    Montreal, Quebec H2W 1S6, Canada
  • Centre Hospitalier Universitaire de Quebec
    Québec, Quebec G1R 2J6, Canada
  • CHUS-Hopital Fleurimont
    Sherbrooke, Quebec J1H 5N4, Canada
  • Saskatoon Cancer Centre at the University of Saskatchewan
    Saskatoon, Saskatchewan S7N 4H4, Canada
09

References and documents

Publications

  • Tangen CM, Hussain MH, Higano CS, Eisenberger MA, Small EJ, Wilding G, Donnelly BJ, Schelhammer PF, Crawford ED, Vogelzang NJ, Powell IJ, Thompson IM Jr. Improved overall survival trends of men with newly diagnosed M1 prostate cancer: a SWOG phase III trial experience (S8494, S8894 and S9346). J Urol. 2012 Oct;188(4):1164-9. doi: 10.1016/j.juro.2012.06.046. Epub 2012 Aug 22. PubMed 22921015 ↗
  • Hussain M, Tangen CM, Higano CS, et al.: Improved overall survival (OS) of patients (pts) with new metastatic prostate cancer (pca): better efficacy or stage migration? Data from SWOG: S9346 and 8894. [Abstract] 2010 Genitourinary Cancers Symposium, March 5-7, 2010, San Francisco, California. A-30, 2010.
  • Hussain M, Goldman B, Tangen C, Higano CS, Petrylak DP, Wilding G, Akdas AM, Small EJ, Donnelly BJ, Sundram SK, Burch PA, Dipaola RS, Crawford ED. Prostate-specific antigen progression predicts overall survival in patients with metastatic prostate cancer: data from Southwest Oncology Group Trials 9346 (Intergroup Study 0162) and 9916. J Clin Oncol. 2009 May 20;27(15):2450-6. doi: 10.1200/JCO.2008.19.9810. Epub 2009 Apr 20. PubMed 19380444 ↗
  • Goldman B, Hussain M, Tangen C, et al.: Prostate-specific antigen progression (PSA-P) as a predictor of overall survival (OS) in patients (pts) with metastatic prostate cancer (PC): data from S9346 and S9916. [Abstract] American Society of Clinical Oncology 2008 Genitourinary Cancers Symposium, Feb 14-16, 2008, San Francisco, CA. A-165, 2008.
  • Hussain MH, Goldman B, Tangen CM, et al.: Use of prostate-specific antigen progression (PSA-P) to predict overall survival (OS) in patients (pts) with metastatic prostate cancer (PC): data from S9346 and S9916. [Abstract] J Clin Oncol 26 (Suppl 15): A-5015, 2008.
  • Hussain M, Tangen CM, Higano CS, et al.: Intermittent (IAD) versus continuous androgen deprivation (CAD) in hormone sensitive metastatic prostate cancer (HSM1PC) patients (pts): results of S9346 (INT-0162), an international phase III trial. [Abstract] J Clin Oncol 30 (Suppl 15): A-4, 2012.
  • Moinpour C, Berry DL, Ely B, et al.: Preliminary quality-of-life outcomes for SWOG-9346: Intermittent androgen deprivation in patients with hormone-sensitive metastatic prostate cancer (HSM1PC)-phase III. [Abstract] J Clin Oncol 30 (Suppl 15): A-4571, 2012.
  • Hussain M, Tangen CM, Higano C, Schelhammer PF, Faulkner J, Crawford ED, Wilding G, Akdas A, Small EJ, Donnelly B, MacVicar G, Raghavan D; Southwest Oncology Group Trial 9346 (INT-0162). Absolute prostate-specific antigen value after androgen deprivation is a strong independent predictor of survival in new metastatic prostate cancer: data from Southwest Oncology Group Trial 9346 (INT-0162). J Clin Oncol. 2006 Aug 20;24(24):3984-90. doi: 10.1200/JCO.2006.06.4246. PubMed 16921051 ↗
  • Tangen CM, Hussain M, Wilding G, et al.: Determinants of prostate specific antigen (PSA) normalization in prostate cancer (PCa) patients (pts) treated with androgen deprivation (AD) on Southwest Oncology Group (SWOG) study 9346 (INT-0162). [Abstract] Proceedings of the American Society of Clinical Oncology 22: A-1591, 2003.
  • Hershman DL, Unger JM, Wright JD, Ramsey S, Till C, Tangen CM, Barlow WE, Blanke C, Thompson IM, Hussain M. Adverse Health Events Following Intermittent and Continuous Androgen Deprivation in Patients With Metastatic Prostate Cancer. JAMA Oncol. 2016 Apr;2(4):453-61. doi: 10.1001/jamaoncol.2015.4655. PubMed 26720308 ↗
  • Eggener S. Commentary on "Intermittent versus continuous androgen deprivation in prostate cancer." Hussain M, Tangen CM, Berry DL, Higano CS, Crawford ED, Liu G, Wilding G, Prescott S, Kanaga Sundaram S, Small EJ, Dawson NA, Donnelly BJ, Venner PM, Vaishampayan UN, Schellhammer PF, Quinn DI, Raghavan D, Ely B, Moinpour CM, Vogelzang NJ, Thompson IM Jr, University of Michigan, Division of Hematology/Oncology, Ann Arbor, MI. N Engl J Med 2013; 368(14):1314-25. doi: 10.1056/NEJMoa1212299. Urol Oncol. 2014 Aug;32(6):936-7. doi: 10.1016/j.urolonc.2014.01.009. PubMed 25087673 ↗
  • Hussain M, Tangen CM, Berry DL, Higano CS, Crawford ED, Liu G, Wilding G, Prescott S, Kanaga Sundaram S, Small EJ, Dawson NA, Donnelly BJ, Venner PM, Vaishampayan UN, Schellhammer PF, Quinn DI, Raghavan D, Ely B, Moinpour CM, Vogelzang NJ, Thompson IM Jr. Intermittent versus continuous androgen deprivation in prostate cancer. N Engl J Med. 2013 Apr 4;368(14):1314-25. doi: 10.1056/NEJMoa1212299. PubMed 23550669 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of May 1995, a primary completion of Jun 2013 and a completion of Jun 2013. It does not say whether these dates are actual or estimated.

Results were first posted in Apr 2017, 3 years 10 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 1, 1999
First posted
Jan 27, 2003
Start
May 1995
Primary completionActual
Jun 2013
CompletionActual
Jun 2013
Results first posted
Apr 17, 2017
Last update
Apr 17, 2017
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 17, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00002651
Responsible party
Sponsor
First posted
Jan 27, 2003
Start date
May 1995
Primary completion
Jun 2013
Completion
Jun 2013
Results posted
Apr 17, 2017
Last update
Apr 17, 2017

Study contacts

Maha Hadi A. Hussain, MD
study chair · University of Michigan Rogel Cancer Center
Bryan J. Donnelly, MD, FRCSC, MSC
study chair · Tom Baker Cancer Centre - Calgary
Eric J. Small, MD
study chair · University of California, San Francisco
George Wilding, MD
study chair · University of Wisconsin, Madison
Atif Akdas, MD
study chair · Marmara University Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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