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Active, not recruitingNCT00223171PCS IVUpdated Jan 27, 2025

Duration of Androgen Blockade Combined with Pelvic Irradiation in Prostate Cancers

A Phase 3 interventional study of Androgen blockade + radiation therapy in Prostate Cancer, sponsored by Université de Sherbrooke. Active, not recruiting at 1 site in Canada. Open to male participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2025-01-27.

Sponsored by Université de Sherbrooke · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
630
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
Male
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Study summary

The objective of this study is to use as a reference the 36-month duration of hormonal therapy according to the European Organization for Research of the Treatment of Cancer (EORTC protocol 22863) : namely one-month of total androgen blockade followed by a luteinizing hormone releasing hormone (LHRH) agonist, all for three years, combined with pelvic and prostate irradiation; this arm is currently considered to be a standard for high-risk prostate cancers. The proposed study intends to challenge the duration of hormonal therapy and verify whether the five-year outcomes in favour of combined treatment in regard to survival (79% versus 62%) and local control (85% versus 48%) can be transposed for hormonal therapy that is half as long, namely 18 months, with the possibility of hormone salvage therapy in the event of biochemical and/or clinical failure (local, regional, or distant); this applies to both arms. The proposed study will compare survival in the two groups and evaluate in each one the total duration of initial hormonal therapy, followed by initial hormonal therapy combined with salvage hormonal therapy, the duration of salvage hormonal therapy until hormonal therapy resistance, and the side effects of this hormonal therapy, with everything being related to an assessment of the quality of life of these patients.

02

Conditions studied

  • Prostate Cancer

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Keywords

  • Stage T3 T4
  • PSA > 20
  • Gleason Score > 7
03

In context

Prostatic Neoplasms

6,370 studies on the registry are indexed under Prostatic Neoplasms; 1,400 are open to participants now.

This study's enrollment of 630 is above the median of 58 across 4,822 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Université de Sherbrooke is the lead sponsor of 289 studies on the registry; 68 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
Male
Accepts healthy volunteers
No

Inclusion criteria

  • To have at least one of the following three risk factors:

    • Tumour classified T3 or T4
    • Gleason score 8-10
    • Prostate-specific antigen (PSA) level > 20
  • Performance status score of 0-1.
  • Patients must sign a consent form before the start of the study.
  • No evidence of regional disease: clinically negative regional adenopathies are revealed by imaging (computed axial tomography [CAT] scan, magnetic resonance imaging [MRI], lymphography) or surgical staging or negative pelvic node dissection.
  • No distant metastasis. These patients must all have a negative bone scan 12 weeks prior to randomization.
  • Hormonal therapy is allowed up to a maximum of two months before the consent form is signed, as long as the initial work-up was done, including having the requested deadlines respected.
  • Patients with a previous history of cancer are eligible on the condition that they have not had any disease progression for more than five years.
  • The patient must be available for treatments and follow-up visits.
  • Treatments must start in the three weeks following randomization.

Exclusion criteria

Exclusion Criteria:

  • Severe medical or psychiatric problems that could compromise study compliance.
  • Chronic hepatic disease, abnormal hepatic functions, i.e. aspartate aminotransferase, alanine aminotransferase > 1.5 times the upper normal limit.
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
630 participants (actual)

Study arms

  • Active comparator
    Arm 1 : 36 months AB + RT

    Androgen blockade : 36 months of androgen blockade : bicalutamide 50 mg die for one month, goserelin 10.8 mg x 12 Q 3 months + radiation therapy : pelvis 44 grays , prostate 70 grays (2 grays/fraction)

    Drug: Androgen blockade + radiation therapy

  • Experimental
    Arm 2 : 18 months AB + RT

    Androgen blockade 18 months : bicalutamide 50 mg die for one month, goserelin 10.8 mg x 6 Q 3 months + radiation therapy ( pelvis 44 grays , prostate 70 grays ,2 grays/fraction)

    Drug: Androgen blockade + radiation therapy

Interventions

  • DrugAndrogen blockade + radiation therapy

    Androgen blockade + radiation therapy

06

What researchers measure

Primary outcomes

  1. Specific survival

    Time frame: 10 years

  2. Overall survival

    Time frame: 10 years

  3. Treatment morbidity induced versus quality of life based on duration of hormonal therapy

    Time frame: 10 years

Secondary outcomes

  1. Disease-free survival

    Time frame: 10 years

  2. Site of tumour relapse

    Time frame: 10 years

  3. Interval until first biochemical failure

    Time frame: 10 years

  4. Interval until second biochemical failure during salvage androgen suppression (hormone-resistant tumour)

    Time frame: 10 years

07

Study locations

1 site
  • Centre de Recherche Clinique du CHUS
    Sherbrooke, Quebec J1H 5N4, Canada
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00223171
Lead sponsor
Université de Sherbrooke
Collaborators
AstraZeneca
Responsible party
Abdenour Nabid (Principal Investigator, Centre de recherche du Centre hospitalier universitaire de Sherbrooke) — Principal investigator
First posted
Sep 22, 2005
Start date
Oct 2000
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2027 (estimated)
Last update
Jan 27, 2025

Study contacts

Abdenour Nabid, MD
principal investigator · Centre de Recherche Clinique Étienne LeBel/CHUS Fleurimont

Oversight

Data monitoring committee
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.

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