ClinicalTrials.gg
Active, not recruitingNCT01368588Updated May 8, 2026Results posted

Androgen-Deprivation Therapy and Radiation Therapy in Treating Patients With Prostate Cancer

A Phase 3 interventional study of three-dimensional conformal radiotherapy and intensity modulated radiotherapy in Prostate Cancer, sponsored by Radiation Therapy Oncology Group. Active, not recruiting at 478 sites in 6 countries. Open to male participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-08.

Sponsored by Radiation Therapy Oncology Group · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
2,590
Allocation
Randomized
Ages
18 Years and older
Sex
Male
01

Study summary

RATIONALE: Androgens can cause the growth of prostate cancer cells. Androgen deprivation therapy may stop the adrenal glands from making androgens. Radiation therapy uses high-energy x-rays to kill tumor cells.

PURPOSE: This randomized phase III trial studies androgen-deprivation therapy and radiation therapy in treating patients with prostate cancer.

Read the detailed description

OBJECTIVES:

Primary

  • Demonstrate that prophylactic, neoadjuvant androgen-deprivation therapy (NADT) combined with whole-pelvic radiation therapy (WPRT) improves overall survival (OS) compared with NADT combined with prostate and seminal vesicle radiation therapy (RT), with both arms receiving a high-dose prostate boost delivered by intensity-modulated RT (IMRT), external-beam RT (EBRT), high-dose-rate (HDR) brachytherapy, or permanent prostate implant (PPI).

Secondary

  • Demonstrate that prophylactic WPRT improves biochemical control.
  • Determine the distant metastasis (DM)-free survival.
  • Determine the cause-specific survival (CSS).
  • Compare acute and late treatment-adverse events between patients receiving NADT and WPRT versus NADT, P, and SV RT.
  • Determine whether health-related quality of life (HRQOL), as measured by the Expanded Prostate Cancer Index Composite (EPIC), significantly worsens with increasing aggressiveness of treatment (i.e., Arm 2, NADT + WPRT).
  • Determine whether more aggressive treatment (Arm 2, NADT + WPRT) is associated with a greater increase in fatigue (PROMIS Fatigue Short Form) from baseline to last week of treatment, and a greater increase in circulating inflammatory markers (IL-1, IL-1ra, IL-6, tumor necrosis factor (TNF)-alpha, and C-reactive protein).
  • Demonstrate an incremental gain in OS and CSS with more aggressive therapy that outweighs any detriments in the primary generic domains of HRQOL (i.e., mobility, self-care, usual activities, pain/discomfort, and anxiety/depression).
  • Determine whether changes in fatigue from baseline to the next three time points (week prior to RT, last week of treatment, and 3 months after treatment) are associated with changes in circulating cytokines, mood, sleep, and daily activities across the same time points.
  • Collect paraffin-embedded tissue blocks, plasma, whole blood, and urine for planned and future translational research analyses.

OUTLINE: This is a multicenter study. Patients are stratified according to moderate- to high-risk groups as listed in the Disease Characteristics of this abstract, type of radiotherapy boost (IMRT vs brachytherapy [Low-dose rate (LDR) using PPI or HDR]), and duration of androgen-deprivation therapy (short-term [4-6 months] vs long-term [32 months]). Patients are randomized to 1 of 2 treatment arms.

All patients receive neoadjuvant androgen-deprivation therapy comprising bicalutamide orally (PO) once daily or flutamide PO thrice daily for 4-6 months, and luteinizing hormone-releasing hormone (LHRH) agonist/antagonist therapy comprising leuprolide acetate, goserelin acetate, buserelin, triptorelin, or degarelix subcutaneously (SC) or intramuscularly (IM) every 1 to 3 months beginning 2 months prior to radiotherapy and continuing for 4-6 or 32 months.

Radiotherapy begins within 8 weeks after beginning LHRH agonist/antagonist injection.

Patients may undergo blood and urine sample collection for correlative studies. Primary tumor tissue samples may also be collected.

Patients may complete the Expanded Prostate Cancer Index Composite (EPIC), the PROMIS-Fatigue Short Form, and the EuroQol (EQ-5D) quality-of-life (QOL) questionnaires at baseline and periodically during treatment. Patients who participate in the QOL portion of the study must also agree to periodic blood collection.

After completion of study therapy, patients are followed up every 3 months for 1 year, every 6 months for 3 years, and then yearly thereafter.

02

Conditions studied

  • Prostate Cancer

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Keywords

  • adenocarcinoma of the prostate
  • stage I prostate cancer
  • stage IIA prostate cancer
  • stage IIB prostate cancer
  • stage III prostate cancer
03

In context

Prostatic Neoplasms

7,046 studies on the registry are indexed under Prostatic Neoplasms; 1,580 are open to participants now.

This study's enrollment of 2,590 is above the median of 60 across 5,348 interventional studies indexed under Prostatic Neoplasms.

Browse Prostatic Neoplasms studies →

Lead sponsor

Radiation Therapy Oncology Group is the lead sponsor of 155 studies on the registry; none are open to participants now.

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:

Pathologically (histologically or cytologically) proven diagnosis of prostatic adenocarcinoma within 180 days of registration at moderate to high risk for recurrence as determined by one of the following combinations:

  • Gleason score 7-10 + T1c-T2b (palpation) + PSA \< 50 ng/ml (includes intermediate and high risk patients);
  • Gleason score 6 + T2c-T4 (palpation) + PSA \< 50 ng/ml

    -ORGleason score 6 + ≥ 50% (positive) + PSA \< 50 ng/ml;

  • Gleason score 6 + T1c-T2b (palpation) + PSA > 20 ng/ml. Patients previously diagnosed with low risk prostate cancer undergoing active surveillance who are re-biopsied and found to have unfavorable intermediate risk disease or favorable high risk disease according to the protocol criteria are eligible for enrollment within 180 days of the repeat biopsy procedure.

    • History/physical examination (to include at a minimum digital rectal examination of the prostate and examination of the skeletal system and abdomen) within 90 days prior to registration.
    • Clinically negative lymph nodes as established by imaging (pelvic ± abdominal CT or MR), (but not by nodal sampling, or dissection) within 90 days prior to registration.
  • Patients with lymph nodes equivocal or questionable by imaging are eligible if the nodes are ≤ 1.5 cm.

    *No evidence of bone (M0) on bone scan within 120 days prior to registration (Na F PET/CT is an acceptable substitute).

  • Equivocal bone scan findings are allowed if plain films (or CT or MRI) are negative for metastasis.

    *Baseline serum PSA value performed with an FDA-approved assay (e.g., Abbott, Hybritech) within 120 days prior to registration.

  • Study entry PSA should not be obtained during the following time frames: (1) 10- day period following prostate biopsy; (2) following initiation of hormonal therapy; (3) within 30 days after discontinuation of finasteride; (4) within 90 days after discontinuation of dutasteride.

    • Zubrod Performance Status 0-1(unless otherwise specified);
    • Age ≥ 18;
    • CBC/differential obtained within 60 days prior to registration on study, with adequate bone marrow function defined as follows:
  • (ANC) ≥ 1,500 cells/mm3;
  • ≥ 100,000 cells/mm3;
  • ≥ 8.0 g/dl (Note: The use of transfusion or other intervention to achieve Hgb ≥ 8.0 g/dl is acceptable.);

    • Patient must be able to provide study specific prior to study entry.
Terms in these criteria, in plain language(6)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2,590 participants (actual)

Study arms

  • Active comparator
    Prostate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)

    Participants receive androgen deprivation therapy (ADT), consisting of an oral anti androgen plus a luteinizing hormone-releasing hormone (LHRH) agonist or antagonist, for a total duration of 4, 6, or 32 months. Approximately 8-10 weeks after starting the LHRH agent, participants undergo external beam radiation therapy (EBRT) to the prostate and entire seminal vesicles, delivered as 45 Gy in 25 fractions using three-dimensional conformal radiotherapy (3D CRT) or intensity modulated radiotherapy (IMRT). A boost to the prostate and proximal seminal vesicles follows, using either IMRT (34.2 Gy in 19 fractions, with protocol specified dose reduction options when indicated) or brachytherapy delivered as low dose rate (LDR) or high dose rate (HDR) implant per protocol.

    Radiation: three-dimensional conformal radiotherapy · Radiation: intensity modulated radiotherapy · Radiation: Brachytherapy · Drug: Anti-androgen · Drug: luteinizing hormone-releasing hormone (LHRH) agonist or antagonist

  • Experimental
    Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)

    Participants receive ADT as in Arm 1. Approximately 8-10 weeks after starting the LHRH agent, participants undergo external beam radiation therapy (EBRT) to the whole pelvis-including prostate, seminal vesicles, and pelvic lymph nodes-delivered as 45 Gy in 25 fractions using three-dimensional conformal radiotherapy (3D CRT) or intensity modulated radiotherapy (IMRT). A boost is then administered as specified for Arm 1.

    Radiation: three-dimensional conformal radiotherapy · Radiation: intensity modulated radiotherapy · Radiation: Brachytherapy · Drug: Anti-androgen · Drug: luteinizing hormone-releasing hormone (LHRH) agonist or antagonist

Interventions

06

What researchers measure

Primary outcomes

  1. Percentage of Participants Alive (Overall Survival)

    Survival rates are estimated using the Kaplan-Meier method, censoring participants alive at time of analysis.

    Time frame: From randomization to death or last follow-up. Median follow-up at time of analysis was 6.8 years. Five- and ten-year estimates are reported.

Secondary outcomes

  1. Percent of Participants Who Died Due to Prostate Cancer

    Prostate cancer death rates were estimated using the cumulative incidence method, treating death due to other causes as a competing risk, and otherwise censoring participants alive at time of analysis.

    Time frame: From randomization to death due to prostate cancer or last follow-up. Median follow-up at time of analysis was 6.8 years. Five- and ten-year estimates are reported.

  2. Percentage of Participants With Distant Metastasis

    Distant metastasis rates were estimated using the cumulative incidence method, treating death as a competing risk, and otherwise censoring participants alive without distant metastasis at time of analysis.

    Time frame: From date of randomization to distant metastasis, death, or last follow-up, whichever occurs first. Median follow-up at time of analysis was 6.8 years. Five- and ten-year estimates are reported.

  3. Percentage of Participants With Biochemical Failure

    Biochemical failure is defined as a rise in prostate-specific antigen (PSA) of ≥2.0 ng/mL above the post-treatment PSA nadir following radiation therapy for prostate cancer (Phoenix definition). Biochemical failure rates were estimated using the cumulative incidence method, treating death as a competing risk, and otherwise censoring participants alive without biochemical failure at time of analysis.

    Time frame: From date of randomization to the date of biochemical failure, death, or last follow-up, whichever occurs first. Median follow-up at time of analysis was 6.8 years. Five- and ten-year estimates are reported.

  4. Number of Participants by Highest Grade Acute Adverse Event Reported

    Common Terminology Criteria for Adverse Events (version 4.0) grades adverse event severity as follows: 1 = mild, 2 = moderate, 3 = severe, 4 = life-threatening, 5 = death related to adverse event. Acute adverse events are defined as those occurring within 30 days after the completion of radiation therapy. RT begins approximately weeks 8-10 after starting protocol therapy and ends approximately weeks 19-22, depending on boost technique. Summary data is provided in this outcome measure; see Adverse Events Module for specific adverse event data.

    Time frame: From protocol treatment start date to 30 days from completion of radiation therapy. RT begins approximately weeks 8-10 after starting protocol therapy and ends approximately weeks 19-22, depending on boost technique.

  5. Number of Participants by Highest Grade Late Adverse Event Reported

    Common Terminology Criteria for Adverse Events (version 4.0) grades adverse event severity as follows: 1 = mild, 2 = moderate, 3 = severe, 4 = life-threatening, 5 = death related to adverse event. Late adverse events are defined as occurring ≥ 30 days after end of RT (approximately weeks 19-22, depending on boost technique). Summary data is provided in this outcome measure; see Adverse Events Module for specific adverse event data.

    Time frame: From 30 days after completion of radiation therapy (approximately weeks 19-22, depending on boost technique) to highest grade late adverse event. Median follow-up at time of analysis was 6.7 years.

  6. EPIC-26 Urinary Bowel Domain Score Change From Baseline at 6 Months

    The Expanded Prostate Cancer Index Composite-26 (EPIC-26) measures health-related quality of life in men with prostate cancer across urinary incontinence, urinary irritative/obstructive, bowel, sexual, and hormonal domains. Possible scores range from 0 to 100, with higher scores indicating better quality of life. Change is defined as the time point score minus the baseline score, where positive values indicate improvement and negative values indicate decline.

    Time frame: Baseline and 6 months after the end of RT, approximately 19-22 weeks, depending on boost technique.

  7. EPIC-26 Urinary Irritative/Obstructive Subscore Change From Baseline at 6 Months

    The Expanded Prostate Cancer Index Composite-26 (EPIC-26) measures health-related quality of life in men with prostate cancer across urinary incontinence, urinary irritative/obstructive, bowel, sexual, and hormonal domains. Possible scores range from 0 to 100, with higher scores indicating better quality of life. Change is defined as the time point score minus the baseline score, where positive values indicate improvement and negative values indicate decline.

    Time frame: Baseline and 6 months after the end of RT, approximately 19-22 weeks, depending on boost technique.

  8. PROMIS Fatigue Score Change From Baseline Line at Last Week of Radiation Treatment

    The Patient-Reported Outcome Measurement Information System (PROMIS) fatigue score measures self-reported fatigue symptoms over the past 7 days. Possible raw scores range from 29.4 to 83.2 (higher raw score indicating greater fatigue) and are converted into standardized T-scores (mean=50, standard deviation=10) with higher scores also indicating greater fatigue. Change score is calculated by subtracting baseline T-score from later T-score, with a positive change score indicating increased fatigue.

    Time frame: Baseline and last week of radiation treatment, approximately 19-22 weeks, depending on boost technique.

  9. Quality Adjusted Life Years (QALYs)

    Quality adjusted life years is calculated as the weighted sum of the number of years spent in different health states. The weight value is a utility score between 0 (worst health state) and 1 (best health state) derived from the EQ-5D questionnaire, designed to describe and value health based on mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.

    Time frame: Baseline; the week prior to radiation therapy (RT); the last week of RT; 6 months, 1 year, and 5 years after RT. RT begins about weeks 8-10 after starting protocol therapy and ends about weeks 19-22, depending on boost technique.

07

Results

Posted May 8, 2026
Limitations and caveats
The Data Monitoring Committee (DMC) recommended releasing interim results for early reporting and these results are considered the final study results.

Participant flow

Participant flow — Overall Study
MilestoneProstate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)
Started12951295
Eligible12281245
Completed12281245
Not completed6750
Withdrew: Protocol violation6750

Outcome measures

PrimaryPercentage of Participants Alive (Overall Survival)

Survival rates are estimated using the Kaplan-Meier method, censoring participants alive at time of analysis.

Time frame:
From randomization to death or last follow-up. Median follow-up at time of analysis was 6.8 years. Five- and ten-year estimates are reported.
Reported as:
Number · Percentage of participants
Percentage of Participants Alive (Overall Survival)
Percentage of participantsProstate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)
5 years90.1 (88.2 to 91.7)89.8 (88.1 to 91.6)
10 years68.2 (64.2 to 72.2)68.3 (64.3 to 72.4)
Statistical analysis
  • Prostate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1) vs Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2) · Log Rank · p = 0.55 (One-sided significance level = 0.025) · Hazard ratio (hr): 1.01 · 95% CI 0.85 to 1.20Reference level = Arm 1
SecondaryPercent of Participants Who Died Due to Prostate Cancer

Prostate cancer death rates were estimated using the cumulative incidence method, treating death due to other causes as a competing risk, and otherwise censoring participants alive at time of analysis.

Time frame:
From randomization to death due to prostate cancer or last follow-up. Median follow-up at time of analysis was 6.8 years. Five- and ten-year estimates are reported.
Reported as:
Number · Percentage of participants
Percent of Participants Who Died Due to Prostate Cancer
Percentage of participantsProstate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)
5 years0.6 (0.3 to 1.2)1.0 (0.6 to 1.8)
10 years2.8 (1.7 to 4.5)3.1 (1.9 to 4.7)
Statistical analysis
  • Prostate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1) vs Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2) · Log Rank · p = 0.85 (One-sided significance level = 0.025) · Hazard ratio (hr): 1.34 · 95% CI 0.77 to 2.33Cause-specific hazard ratio, reference level = Arm 1
SecondaryPercentage of Participants With Distant Metastasis

Distant metastasis rates were estimated using the cumulative incidence method, treating death as a competing risk, and otherwise censoring participants alive without distant metastasis at time of analysis.

Time frame:
From date of randomization to distant metastasis, death, or last follow-up, whichever occurs first. Median follow-up at time of analysis was 6.8 years. Five- and ten-year estimates are reported.
Reported as:
Number · Percentage of participants
Percentage of Participants With Distant Metastasis
Percentage of participantsProstate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)
5 years2.3 (1.6 to 3.3)3.4 (2.4 to 4.5)
10 years7.6 (5.6 to 10.1)6.4 (4.8 to 8.3)
Statistical analysis
  • Prostate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1) vs Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2) · Log Rank · p = 0.59 (One-sided significance level = 0.025) · Hazard ratio (hr): 1.04 · 95% CI 0.73 to 1.49Cause-specific hazard ratio
SecondaryPercentage of Participants With Biochemical Failure

Biochemical failure is defined as a rise in prostate-specific antigen (PSA) of ≥2.0 ng/mL above the post-treatment PSA nadir following radiation therapy for prostate cancer (Phoenix definition). Biochemical failure rates were estimated using the cumulative incidence method, treating death as a competing risk, and otherwise censoring participants alive without biochemical failure at time of analysis.

Time frame:
From date of randomization to the date of biochemical failure, death, or last follow-up, whichever occurs first. Median follow-up at time of analysis was 6.8 years. Five- and ten-year estimates are reported.
Reported as:
Number · Percentage of participants
Percentage of Participants With Biochemical Failure
Percentage of participantsProstate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)
5 years7.7 (6.3 to 9.4)7.4 (6.0 to 9.0)
10 years15.1 (12.6 to 17.8)12.2 (10.0 to 14.7)
Statistical analysis
  • Prostate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1) vs Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2) · Log Rank · p = 0.077 (One-sided significance level = 0.025) · Hazard ratio (hr): 0.84 · 95% CI 0.66 to 1.07Cause-specific hazard ratio, reference level = Arm 1
SecondaryNumber of Participants by Highest Grade Acute Adverse Event Reported

Common Terminology Criteria for Adverse Events (version 4.0) grades adverse event severity as follows: 1 = mild, 2 = moderate, 3 = severe, 4 = life-threatening, 5 = death related to adverse event. Acute adverse events are defined as those occurring within 30 days after the completion of radiation therapy. RT begins approximately weeks 8-10 after starting protocol therapy and ends approximately weeks 19-22, depending on boost technique. Summary data is provided in this outcome measure; see Adverse Events Module for specific adverse event data.

Time frame:
From protocol treatment start date to 30 days from completion of radiation therapy. RT begins approximately weeks 8-10 after starting protocol therapy and ends approximately weeks 19-22, depending on boost technique.
Reported as:
Count of participants · Participants
Number of Participants by Highest Grade Acute Adverse Event Reported
ParticipantsProstate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)
None392422
Grade 1430374
Grade 2234259
Grade 3149169
Grade 41310
Grade 535
SecondaryNumber of Participants by Highest Grade Late Adverse Event Reported

Common Terminology Criteria for Adverse Events (version 4.0) grades adverse event severity as follows: 1 = mild, 2 = moderate, 3 = severe, 4 = life-threatening, 5 = death related to adverse event. Late adverse events are defined as occurring ≥ 30 days after end of RT (approximately weeks 19-22, depending on boost technique). Summary data is provided in this outcome measure; see Adverse Events Module for specific adverse event data.

Time frame:
From 30 days after completion of radiation therapy (approximately weeks 19-22, depending on boost technique) to highest grade late adverse event. Median follow-up at time of analysis was 6.7 years.
Reported as:
Count of participants · Participants
Number of Participants by Highest Grade Late Adverse Event Reported
ParticipantsProstate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)
None190203
Grade 1233232
Grade 2588595
Grade 3185185
Grade 41820
Grade 574
SecondaryEPIC-26 Urinary Bowel Domain Score Change From Baseline at 6 Months

The Expanded Prostate Cancer Index Composite-26 (EPIC-26) measures health-related quality of life in men with prostate cancer across urinary incontinence, urinary irritative/obstructive, bowel, sexual, and hormonal domains. Possible scores range from 0 to 100, with higher scores indicating better quality of life. Change is defined as the time point score minus the baseline score, where positive values indicate improvement and negative values indicate decline.

Time frame:
Baseline and 6 months after the end of RT, approximately 19-22 weeks, depending on boost technique.

Results for this outcome have not been posted.

SecondaryEPIC-26 Urinary Irritative/Obstructive Subscore Change From Baseline at 6 Months

The Expanded Prostate Cancer Index Composite-26 (EPIC-26) measures health-related quality of life in men with prostate cancer across urinary incontinence, urinary irritative/obstructive, bowel, sexual, and hormonal domains. Possible scores range from 0 to 100, with higher scores indicating better quality of life. Change is defined as the time point score minus the baseline score, where positive values indicate improvement and negative values indicate decline.

Time frame:
Baseline and 6 months after the end of RT, approximately 19-22 weeks, depending on boost technique.

Results for this outcome have not been posted.

SecondaryPROMIS Fatigue Score Change From Baseline Line at Last Week of Radiation Treatment

The Patient-Reported Outcome Measurement Information System (PROMIS) fatigue score measures self-reported fatigue symptoms over the past 7 days. Possible raw scores range from 29.4 to 83.2 (higher raw score indicating greater fatigue) and are converted into standardized T-scores (mean=50, standard deviation=10) with higher scores also indicating greater fatigue. Change score is calculated by subtracting baseline T-score from later T-score, with a positive change score indicating increased fatigue.

Time frame:
Baseline and last week of radiation treatment, approximately 19-22 weeks, depending on boost technique.

Results for this outcome have not been posted.

SecondaryQuality Adjusted Life Years (QALYs)

Quality adjusted life years is calculated as the weighted sum of the number of years spent in different health states. The weight value is a utility score between 0 (worst health state) and 1 (best health state) derived from the EQ-5D questionnaire, designed to describe and value health based on mobility, self-care, usual activities, pain/discomfort, and anxiety/depression.

Time frame:
Baseline; the week prior to radiation therapy (RT); the last week of RT; 6 months, 1 year, and 5 years after RT. RT begins about weeks 8-10 after starting protocol therapy and ends about weeks 19-22, depending on boost technique.

No measurements were reported for this outcome.

Adverse events

Collected over From randomization to death or last follow-up. Median follow-up at time of analysis was 6.7 years.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Prostate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)257/1,228 (20.9%)114/1,231 (9.3%)1,081/1,231 (87.8%)
Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)257/1,245 (20.6%)107/1,239 (8.6%)1,093/1,239 (88.2%)
Most frequent serious events
Showing 10 of 139
Most frequent serious events
EventProstate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)
ProctitisGastrointestinal disorders9/12319/1239
Rectal hemorrhageGastrointestinal disorders7/12316/1239
Erectile dysfunctionReproductive system and breast disorders7/12314/1239
AnemiaBlood and lymphatic system disorders4/12317/1239
DyspneaRespiratory, thoracic and mediastinal disorders4/12316/1239
Myocardial infarctionCardiac disorders5/12313/1239
Urinary tract infectionInfections and infestations5/12314/1239
StrokeNervous system disorders5/12315/1239
Urinary retentionRenal and urinary disorders5/12313/1239
SyncopeNervous system disorders3/12315/1239
Most frequent other events
Showing 10 of 24
Most frequent other events
EventProstate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)
Urinary frequencyRenal and urinary disorders743/1231771/1239
Hot flashesVascular disorders732/1231711/1239
FatigueGeneral disorders and administration site conditions576/1231622/1239
Erectile dysfunctionReproductive system and breast disorders525/1231555/1239
Urinary urgencyRenal and urinary disorders487/1231469/1239
DiarrheaGastrointestinal disorders263/1231439/1239
Renal and urinary disorders - OtherRenal and urinary disorders342/1231362/1239
Urinary retentionRenal and urinary disorders269/1231270/1239
Urinary incontinenceRenal and urinary disorders228/1231239/1239
ConstipationGastrointestinal disorders189/1231158/1239

Baseline characteristics

Eligible randomized participants

Age, Continuous
Age, Continuous(years)Prostate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)Total
Median69 (43 to 89)69 (44 to 87)69 (43 to 89)
Sex: Female, Male
Sex: Female, Male(Participants)Prostate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)Total
Female000
Male122812452473
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Prostate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)Total
American Indian or Alaska Native8412
Asian303363
Native Hawaiian or Other Pacific Islander437
Black or African American225230455
White9159401855
More than one race101
Unknown or Not Reported453580
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Prostate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)Total
Hispanic or Latino5349102
Not Hispanic or Latino114611632309
Unknown or Not Reported293362
Risk group (per stratification)
Risk group (per stratification)(Participants)Prostate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)Total
Gleason 7-10+T1c-T2b+PSA<50120012142414
Gleason 6+T2c-T4+PSA<50181533
Gleason 6+T1c-T2b+PSA>20101626
Type of radiation boost (per stratification)
Type of radiation boost (per stratification)(Participants)Prostate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)Total
intensity modulated radiotherapy (IMRT)9719801951
Brachytherapy (low or high dose rate)257265522
Duration of androgen deprivation therapy (ADT) (per stratification)
Duration of androgen deprivation therapy (ADT) (per stratification)(Participants)Prostate/Seminal Vesicle Radiotherapy + ADT + Prostate Boost (Arm 1)Whole Pelvic Radiotherapy + ADT + Prostate Boost (Arm 2)Total
4 months (short term)121123244
6 months (short term)7207561476
32 months (long term)387366753
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Study locations

478 sites

Showing the first 100 of 478 sites across 6 countries. Choose a country and city above to see the rest.

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References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — NCI is committed to sharing data in accordance with NIH policy. For more details on how clinical trial data is shared, access the link to the NIH data sharing policy page.

Data sharing details ↗ · grants.nih.gov

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01368588
Collaborators
National Cancer Institute (NCI), NRG Oncology
Responsible party
Sponsor
First posted
Jun 8, 2011
Start date
Jul 2011
Primary completion
Apr 17, 2025
Completion
Jul 2031 (estimated)
Results posted
May 8, 2026
Last update
May 8, 2026

Study contacts

Mack Roach, MD
principal investigator · University of California, San Francisco

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Apr 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Antiandrogens · Gonadotropin-Releasing Hormone

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