Hormone Therapy Compared With Combination Chemotherapy in Treating Patients With Prostate Cancer
Prostate Cancer

About this trial
This is an interventional treatment trial for Prostate Cancer focused on measuring adenocarcinoma of the prostate, stage III prostate cancer
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed adenocarcinoma of the prostate that was continuously treated with androgen suppression Rising prostate-specific antigen (PSA), defined as PSA > 5 ng/mL, rising on 2 consecutive measurements at least 4 weeks apart Gleason score 7 or higher and/or seminal vesicle involvement at diagnosis Patients previously treated with antiandrogen or glucocorticoid therapy must meet the following criteria: Must show a continued rise in PSA after stopping antiandrogen (flutamide, bicalutamide, or nilutamide) or glucocorticoid (dexamethasone or prednisone) At least 4 weeks continued rise in PSA after flutamide or nilutamide (6 weeks for bicalutamide) Testosterone less than 50 ng/dL Patients who have not undergone surgical castration must continue primary androgen suppression to maintain castrate levels of testosterone No progressive or measurable local or metastatic disease (including bone metastases) PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-1 Life expectancy: Not specified Hematopoietic: Granulocyte count at least 2,000/mm^3 Platelet count at least 100,000/mm^3 Hepatic: SGOT no greater than 2 times upper limit of normal Bilirubin no greater than 1.5 mg/dL Renal: Creatinine no greater than 1.7 mg/dL Cardiovascular: No American Heart Association class III or IV heart disease No uncontrolled congestive heart failure No life-threatening cardiac arrhythmias Other: Fertile patients must use effective contraception No other prior malignancy unless curatively treated and disease-free for appropriate time period for specific cancer No preexisting peripheral neuropathy greater than grade 1 No known hypersensitivity to polysorbate 80 PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: At least 5 years since prior systemic chemotherapy Endocrine therapy: See Disease Characteristics At least 4 weeks since prior hydrocortisone No prior ketoconazole Radiotherapy: At least 28 days since prior radiotherapy to primary site No prior palliative radiotherapy No concurrent radiotherapy Surgery: See Disease Characteristics Other: Recovered form prior therapy At least 7 days since prior parenteral antibiotics for active infection No concurrent digitalis No concurrent H_2 blockers or proton pump inhibitors (arm I only) Concurrent bisphosphonates allowed provided they were initiated prior to study therapy
Sites / Locations
- Comprehensive Cancer Institute
- CCOP - Mayo Clinic Scottsdale Oncology Program
- Veterans Affairs Medical Center - Tucson
- Veterans Affairs Medical Center - Little Rock
- City of Hope Comprehensive Cancer Center
- Rebecca and John Moores UCSD Cancer Center
- Cedars-Sinai Comprehensive Cancer Center at Cedars-Sinai Medical Center
- Veterans Affairs Outpatient Clinic - Martinez
- Naval Medical Center - San Diego
- UCSF Comprehensive Cancer Center
- Medical Center of Aurora - South Campus
- Boulder Community Hospital
- Penrose Cancer Center at Penrose Hospital
- Porter Adventist Hospital
- St. Joseph Hospital
- Presbyterian - St. Luke's Medical Center
- Rocky Mountain Cancer Centers - Denver Rose
- Veterans Affairs Medical Center - Denver
- CCOP - Colorado Cancer Research Program, Incorporated
- Swedish Medical Center
- Sky Ridge Medical Center
- Hope Cancer Care Center at Longmont United Hospital
- St. Mary-Corwin Regional Medical Center
- Rocky Mountain Cancer Centers - Thornton
- Walter Reed Army Medical Center
- Memorial Regional Cancer Center at Memorial Regional Hospital
- H. Lee Moffitt Cancer Center and Research Institute at University of South Florida
- Veterans Affairs Medical Center - Tampa (Haley)
- Veterans Affairs Medical Center - Atlanta (Decatur)
- MBCCOP - Hawaii
- University of Chicago Cancer Research Center
- CCOP - Central Illinois
- Decatur Memorial Hospital Cancer Care Institute
- Veterans Affairs Medical Center - Hines
- CCOP - Illinois Oncology Research Association
- West Suburban Center for Cancer Care
- CCOP - Carle Cancer Center
- Indiana University Cancer Center
- Veterans Affairs Medical Center - Indianapolis (Roudebush)
- CCOP - Cedar Rapids Oncology Project
- Veterans Affairs Medical Center - Wichita
- Veterans Affairs Medical Center - Lexington
- MBCCOP - LSU Health Sciences Center
- Veterans Affairs Medical Center - New Orleans
- CCOP - Ochsner
- Veterans Affairs Medical Center - Shreveport
- Greenebaum Cancer Center at University of Maryland Medical Center
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
- Veterans Affairs Medical Center - Detroit
- CCOP - Kalamazoo
- West Michigan Cancer Center
- Lakeland Cancer Care Center at Lakeland Hospital - St. Joseph
- Mayo Clinic Cancer Center
- Veterans Affairs Medical Center - Jackson
- Ellis Fischel Cancer Center at University of Missouri - Columbia
- CCOP - Kansas City
- Missouri Baptist Cancer Center
- CCOP - Southern Nevada Cancer Research Foundation
- New Hampshire Oncology-Hematology, PA - Hooksett
- Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center
- Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
- Veterans Affairs Medical Center - Albuquerque
- MBCCOP - University of New Mexico HSC
- Roswell Park Cancer Institute
- NYU School of Medicine's Kaplan Comprehensive Cancer Center
- Memorial Sloan-Kettering Cancer Center
- Mount Sinai Medical Center
- Veterans Affairs Medical Center - Syracuse
- Cape Fear Valley Health System
- CCOP - Southeast Cancer Control Consortium
- Veterans Affairs Medical Center - Cincinnati
- Cleveland Clinic Taussig Cancer Center
- CCOP - Columbus
- Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University
- Veterans Affairs Medical Center - Dayton
- CCOP - Toledo Community Hospital
- Oklahoma University Medical Center
- Veterans Affairs Medical Center - Portland
- CCOP - Geisinger Clinic and Medical Center
- Abramson Cancer Center at the University of Pennsylvania
- Fox Chase Cancer Center
- Western Pennsylvania Hospital
- Veterans Affairs Medical Center - Charleston
- CCOP - Sioux Community Cancer Consortium
- Vanderbilt-Ingram Cancer Center at Vanderbilt Medical Center
- Harrington Cancer Center
- Veterans Affairs Medical Center - Amarillo
- Veterans Affairs Medical Center - San Antonio (Murphy)
- Veterans Affairs Medical Center - Temple
- CCOP - Scott and White Hospital
- Veterans Affairs Medical Center - Salt Lake City
- Martha Jefferson Hospital
- Oncology and Hematology Associates of Southwest Virginia, Incorporated - Roanoke
- Veterans Affairs Medical Center - Seattle
- St. Mary's Medical Center
- CCOP - St. Vincent Hospital Cancer Center, Green Bay
- University of Wisconsin Comprehensive Cancer Center
- Medical College of Wisconsin Cancer Center