CP-675,206 With Neoadjuvant Hormone Therapy in Patients With High Risk Prostate Cancer

Inclusion Criteria: Histologically confirmed adenocarcinoma of the prostate, previously untreated Potential candidate for radical prostatectomy on the basis of the patient's general medical condition, performance status, and life expectancy Potential candidate for NHT prior to prostatectomy, including high or intermediate risk of recurrence, based on an estimated risk of biochemical recurrence: High risk category: PSA >20 or Gleason score 8 or cT2c/cT3 OR Intermediate risk category: PSA >10 and d20 or Gleason score 7 or cT2b No evidence of metastatic disease by physical examination, bone scan, and computed tomography, or MRI, of the abdomen and pelvis Age > 18 years ECOG performance status 0-1 Adequate bone marrow, hepatic, and renal function determined within 2 weeks prior to starting therapy Availability of prostatectomy specimen for histological analysis at the Armed Forces Institute of Pathology Exclusion Criteria: Prior hormone therapy, radiation, chemotherapy, or immunologic therapy for prostate cancer History of, or significant risk for, chronic inflammatory or autoimmune disease Potential requirement for systemic corticosteroids before surgery based on prior history History of autoimmune colitis or chronic GI conditions associated with diarrhea or bleeding, or current acute colitis of any origin Any serious uncontrolled medical disorder or active infection which would impair ability to receive study treatment and subsequent prostatectomy Coexisting malignancies except basal or squamous cell carcinoma of the skin