Hormone Therapy Plus 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 IIB prostate cancer, stage IIA prostate cancer, stage III prostate cancer, stage IV prostate cancer, recurrent prostate cancer
Eligibility Criteria
DISEASE CHARACTERISTICS: Diagnosis of adenocarcinoma of the prostate Failed local treatments (surgery and/or radiotherapy and/or brachytherapy) as defined by a rising prostate-specific antigen level of at least 2.0 ng/mL (confirmed by 2 measurements at least 2 weeks apart) and a doubling time of 32 weeks or less No clinical or radiographic evidence of disease Original Gleason score of at least 7 OR Gleason score of 6 with capsular penetration or positive seminal vesicles or lymph nodes No metastases PATIENT CHARACTERISTICS: Age: 18 and over Performance status: Zubrod 0-1 Life expectancy: Not specified Hematopoietic: Absolute granulocyte count at least 1,500/mm^3 Platelet count at least 100,000/mm^3 Hemoglobin at least 10 g/dL No history of bleeding disorders that would contraindicate warfarin, including clotting factor defects Hepatic: Bilirubin no greater than 1.5 mg/dL AST/ALT no greater than 1.5 times upper limit of normal Renal: Creatinine no greater than 1.5 mg/dL Blood Urea Nitrogen (BUN) no greater than 1.2 times normal Cardiovascular: No symptomatic heart disease No history of myocardial infarction No history of thromboembolic events (e.g., deep vein thrombosis, symptomatic cerebrovascular events, or pulmonary embolism) Other: No other major medical or psychiatric illness that would preclude study entry No other prior or concurrent invasive malignancy within the past 5 years except superficial skin cancer No history of esophageal varices Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: At least 6 weeks since prior vaccine therapy Chemotherapy: At least 5 years since prior chemotherapy Endocrine therapy: Prior adjuvant or neoadjuvant hormonal therapy of less than 8 months duration allowed At least 1 year since prior androgen therapy Radiotherapy: See Disease Characteristics At least 5 years since prior radiotherapy to sites other than prostate Surgery: See Disease Characteristics Other: Concurrent warfarin allowed Concurrent bisphosphonate therapy initiated prior to or after randomization allowed
Sites / Locations
- Foundation for Cancer Research and Education
- Veterans Affairs Medical Center - Tucson
- Veterans Affairs Medical Center - Little Rock
- Veterans Affairs Outpatient Clinic - Martinez
- Medical Center of Aurora - South Campus
- Boulder Community Hospital
- Memorial Hospital Cancer Center
- Penrose Cancer Center at Penrose Hospital
- Porter Adventist Hospital
- St. Joseph Hospital
- Presbyterian - St. Luke's Medical Center
- Rocky Mountain Cancer Centers - Denver Rose
- 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
- Shands Cancer Center at the University of Florida Health Science Center
- University of Miami Sylvester Comprehensive Cancer Center
- Gulf Coast Cancer Treatment Center
- Tallahassee Memorial Hospital
- Veterans Affairs Medical Center - Tampa (Haley)
- Saint Alphonsus Cancer Care Center at Saint Alphonsus Regional Medical Center
- Veterans Affairs Medical Center - Hines
- John Stoddard Cancer Center at Iowa Methodist Medical Center
- Mercy Cancer Center at Mercy Medical Center - Des Moines
- John Stoddard Cancer Center at Iowa Lutheran Hospital
- Wendt Regional Cancer Center at Finley Hospital
- Veterans Affairs Medical Center - Wichita
- Veterans Affairs Medical Center - Lexington
- Veterans Affairs Medical Center - New Orleans
- Veterans Affairs Medical Center - Shreveport
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
- University of Michigan Comprehensive Cancer Center
- Veterans Affairs Medical Center - Detroit
- West Michigan Cancer Center
- Veterans Affairs Medical Center - Jackson
- Cancer Research for the Ozarks
- Midlands Cancer Center at Midlands Community Hospital
- Veterans Affairs Medical Center - Albuquerque
- MBCCOP - University of New Mexico HSC
- NYU School of Medicine's Kaplan Comprehensive Cancer Center
- Lipson Cancer and Blood Center at Rochester General Hospital
- CCOP - Southeast Cancer Control Consortium
- Akron General's McDowell Cancer Center
- Akron City Hospital at Summa Health System
- Veterans Affairs Medical Center - Cincinnati
- Veterans Affairs Medical Center - Dayton
- Cancer Care Center, Incorporated
- Cancer Treatment Center
- Veterans Affairs Medical Center - Portland
- Mercy Fitzgerald Hospital
- Penn State Cancer Institute at Milton S. Hershey Medical Center
- Fox Chase Cancer Center
- Mercy Hospital Cancer Center - Scranton
- Veterans Affairs Medical Center - Charleston
- CCOP - Greenville
- Rapid City Regional Hospital
- Erlanger Cancer Center
- Veterans Affairs Medical Center - Memphis
- Vanderbilt-Ingram Cancer Center at Vanderbilt Medical Center
- Veterans Affairs Medical Center - Amarillo
- University of Texas Medical Branch
- Veterans Affairs Medical Center - San Antonio (Murphy)
- Veterans Affairs Medical Center - Temple
- Cottonwood Hospital Medical Center
- McKay-Dee Hospital Center
- Utah Valley Regional Medical Center - Provo
- Dixie Regional Medical Center
- Veterans Affairs Medical Center - Salt Lake City
- Veterans Affairs Medical Center - Seattle
- CCOP - St. Vincent Hospital Cancer Center, Green Bay
- CCOP - Marshfield Clinic Research Foundation
- All Saints Cancer Center at All Saints Healthcare
- Westmead Hospital
- Instituto de Enfermedades Neoplasicas
- San Juan City Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Androgen blockade + immediate chemotherapy
Androgen blockade + delayed chemotherapy
Androgen blockade with immediate chemotherapy
Androgen blockade with delayed chemotherapy