Androgen Ablation Therapy With or Without Chemotherapy in Treating Patients With Metastatic Prostate Cancer (CHAARTED)
Metastatic Hormone-sensitive Prostate Cancer
About this trial
This is an interventional treatment trial for Metastatic Hormone-sensitive Prostate Cancer focused on measuring metastatic hormone-sensitive prostate cancer, docetaxel
Eligibility Criteria
Inclusion Criteria: Histologically or cytologically confirmed prostate cancer Metastatic disease On androgen-deprivation therapy for < 120 days Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-2 PS 2 eligible only if decline in PS is due to metastatic prostate cancer Absolute neutrophil count ≥ 1,500/mm^3 Platelet count ≥ 100,000/mm^3 Bilirubin ≤ upper limit of normal (ULN) Alanine aminotransferase (ALT) ≤ 2.5 times ULN Creatinine clearance ≥ 30 mL/min Prothrombin time (PT) and international normalized ratio (INR) ≤ 1.5 times ULN (unless on therapeutic anticoagulation) Partial thromboplastin time (PTT) ≤ 1.5 times ULN (unless on therapeutic anticoagulation) Fertile patients must use effective contraception At least 4 weeks since prior major surgery and recovered from all toxicity prior to randomization Prior adjuvant or neoadjuvant hormonal therapy allowed provided the following are true: Therapy was discontinued ≥ 12 months ago AND there is no evidence of disease, as defined by 1 of the following: PSA < 0.1 ng/dL after prostatectomy plus hormonal therapy PSA < 0.5 ng/dL and has not doubled above nadir after radiotherapy plus hormonal therapy Therapy lasted no more than 24 months Last depot injection must have expired by the 24-month mark Prior palliative radiotherapy allowed if commenced within 30 days before starting androgen deprivation Anti-androgen therapy allowed as single-agent therapy ≤ 7 days before medial castration to prevent flare More than 30 days (or 6 half-lives) (whichever is longer) since prior participation in another clinical trial Concurrent participation in nontherapeutic trials allowed Concurrent antiandrogen therapy (e.g., bicalutamide or flutamide) allowed, but not as sole hormonal therapy Exclusion Criteria: Prostate-specific antigen (PSA) level has risen and met criteria for progression from its lowest point between the start of androgen-deprivation therapy and randomization Prior malignancy in the past 5 years except for basal cell or squamous cell carcinoma of the skin Other malignancies that are considered to have low potential to progress (e.g., grade 2, T1a transitional cell carcinoma) may be allowed if approved by study chair Peripheral neuropathy > grade 1 History of severe hypersensitivity reaction to docetaxel or other drugs formulated with polysorbate 80 Active cardiac disease, including the following: Active angina Symptomatic congestive heart failure Myocardial infarction within the past 6 months Prior chemotherapy in adjuvant or neoadjuvant setting Prior hormone therapy in the metastatic setting Concurrent 5-alpha reductase inhibitors Simultaneous enrollment on Cancer and Leukemia Group B (CALGB) 90202
Sites / Locations
- Providence Cancer Center
- Fairbanks Cancer Treatment Center at Fairbanks Memorial Hospital
- Mayo Clinic Hospital
- Mayo Clinic Scottsdale
- Hembree Mercy Cancer Center at St. Edward Mercy Medical Center
- Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
- Alta Bates Summit Comprehensive Cancer Center
- Peninsula Medical Center
- California Cancer Care, Incorporated - Greenbrae
- USC/Norris Comprehensive Cancer Center and Hospital
- Tibotec Therapeutics - Division of Ortho Biotech Products, LP
- Mather Veteran Affairs Medical Center
- Mercy Cancer Center at Mercy Medical Center
- Memorial Medical Center
- Sutter Health - Western Division Cancer Research Group
- University of California Davis Cancer Center
- Saint Helena Hospital
- California Pacific Medical Center - California Campus
- Sutter Pacific Medical Foundation
- Tahoe Forest Cancer Center
- Sutter Solano Medical Center
- University of Colorado Cancer Center at UC Health Sciences Center
- Veterans Affairs Medical Center - Denver
- Shaw Regional Cancer Center
- Poudre Valley Hospital
- Front Range Cancer Specialists
- St. Mary's Regional Cancer Center at St. Mary's Hospital and Medical Center
- Montrose Memorial Hospital Cancer Center
- Saint Francis/Mount Sinai Regional Cancer Center at Saint Francis Hospital and Medical Center
- Yale Cancer Center
- Lombardi Comprehensive Cancer Center at Georgetown University Medical Center
- George Washington University Medical Center
- Michael and Dianne Bienes Comprehensive Cancer Center at Holy Cross Hospital
- University of Florida Shands Cancer Center
- Mayo Clinic - Jacksonville
- Ella Milbank Foshay Cancer Center at Jupiter Medical Center
- CCOP - Mount Sinai Medical Center
- Northeast Georgia Medical Center
- Mountain States Tumor Institute at St. Luke's Regional Medical Center
- Saint Luke's Mountain States Tumor Institute - Fruitland
- Idaho Urologic Institute, PA
- Mountain States Tumor Institute - Meridian
- Saint Luke's Mountain States Tumor Institute
- Mountain States Tumor Institute at St. Luke's
- Rush-Copley Cancer Care Center
- Illinois CancerCare - Bloomington
- Graham Hospital
- Illinois CancerCare - Canton
- Illinois CancerCare - Carthage
- Memorial Hospital
- Robert H. Lurie Comprehensive Cancer Center at Northwestern University
- Hematology and Oncology Associates
- Decatur Memorial Hospital Cancer Care Institute
- Eureka Community Hospital
- Illinois CancerCare - Eureka
- Evanston Hospital
- St. Francis Hospital
- Galesburg Clinic, PC
- Illinois CancerCare - Cottage
- Illinois CancerCare - Havana
- Kellogg Cancer Care Center
- Veterans Affairs Medical Center - Hines
- Hinsdale Hematology Oncology Associates
- Joliet Oncology-Hematology Associates, Limited - West
- Provena St. Mary's Regional Cancer Center - Kankakee
- Illinois CancerCare - Kewanee Clinic
- La Grange Memorial Hospital
- North Shore Oncology and Hematology Associates, Limited - Libertyville
- Illinois CancerCare - Macomb
- McDonough District Hospital
- Cardinal Bernardin Cancer Center at Loyola University Medical Center
- Illinois CancerCare - Monmouth
- Good Samaritan Regional Health Center
- Hematology Oncology Consultants - Naperville
- Cancer Care and Hematology Specialists of Chicagoland - Niles
- BroMenn Regional Medical Center
- Community Cancer Center
- Illinois CancerCare - Community Cancer Center
- Mid-Illinois Hematology-Oncology Associates at Community Cancer Center
- Community Hospital of Ottawa
- Oncology Hematology Associates of Central Illinois, PC - Ottawa
- Cancer Treatment Center at Pekin Hospital
- Illinois CancerCare - Pekin
- Proctor Hospital
- CCOP - Illinois Oncology Research Association
- Oncology Hematology Associates of Central Illinois, PC - Peoria
- Methodist Medical Center of Illinois
- Illinois CancerCare - Peru
- Illinois Valley Community Hospital
- Illinois CancerCare - Princeton
- Hematology Oncology Associates - Skokie
- Illinois CancerCare - Spring Valley
- Regional Cancer Center at Memorial Medical Center
- CCOP - Carle Cancer Center
- Elkhart Clinic, LLC
- Michiana Hematology-Oncology, PC - Elkhart
- Elkhart General Hospital
- Fort Wayne Medical Oncology and Hematology
- Indiana University Melvin and Bren Simon Cancer Center
- Veterans Affairs Medical Center - Indianapolis
- William N. Wishard Memorial Hospital
- Howard Community Hospital
- Center for Cancer Therapy at LaPorte Hospital and Health Services
- Saint Anthony Memorial Health Centers
- Michiana Hematology-Oncology, PC - South Bend
- Saint Joseph Regional Medical Center
- Michiana Hematology Oncology PC - Plymouth
- CCOP - Northern Indiana CR Consortium
- Memorial Hospital of South Bend
- Michiana Hematology Oncology PC - La Porte
- Medical Oncology and Hematology Associates - West Des Moines
- CCOP - Iowa Oncology Research Association
- John Stoddard Cancer Center at Iowa Methodist Medical Center
- Medical Oncology and Hematology Associates at John Stoddard Cancer Center
- Medical Oncology and Hematology Associates at Mercy Cancer Center
- Mercy Cancer Center at Mercy Medical Center - Des Moines
- John Stoddard Cancer Center at Iowa Lutheran Hospital
- Veterans Affairs Medical Center - Iowa City
- McCreery Cancer Center at Ottumwa Regional
- Siouxland Hematology-Oncology Associates, LLP
- Mercy Medical Center - Sioux City
- St. Luke's Regional Medical Center
- Hays Medical Center
- Hutchinson Hospital Corporation
- Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center
- Mount Carmel Regional Cancer Center
- St. Francis Comprehensive Cancer Center
- Lucille P. Markey Cancer Center at University of Kentucky
- Mary Bird Perkins Cancer Center - Baton Rouge
- MBCCOP - LSU Health Sciences Center
- Medical Center of Louisiana - New Orleans
- DeCesaris Cancer Institute at Anne Arundel Medical Center
- Greenebaum Cancer Center at University of Maryland Medical Center
- Veterans Affairs Medical Center - Baltimore
- Greater Baltimore Medical Center Cancer Center
- St. Agnes Hospital Cancer Center
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
- Dana-Farber/Harvard Cancer Center at Dana-Farber Cancer Institute
- Boston University Cancer Research Center
- Lahey Clinic Medical Center - Burlington
- Newton-Wellesley Hospital
- Jordan Hospital Club Cancer Center
- Commonwealth Hematology-Oncology, PC - Quincy
- Saint Joseph Mercy Cancer Center
- CCOP - Michigan Cancer Research Consortium
- University of Michigan Comprehensive Cancer Center
- Oakwood Cancer Center at Oakwood Hospital and Medical Center
- Green Bay Oncology, Limited - Escanaba
- Genesys Hurley Cancer Institute
- Hurley Medical Center
- Genesys Regional Medical Center
- Van Elslander Cancer Center at St. John Hospital and Medical Center
- Dickinson County Healthcare System
- Foote Memorial Hospital
- Borgess Medical Center
- West Michigan Cancer Center
- Bronson Methodist Hospital
- Sparrow Regional Cancer Center
- St. Mary Mercy Hospital
- St. Joseph Mercy Oakland
- Mercy Regional Cancer Center at Mercy Hospital
- Seton Cancer Institute at Saint Mary's - Saginaw
- Lakeland Regional Cancer Care Center - St. Joseph
- Lakeside Cancer Specialists, PLLC
- St. John Macomb Hospital
- MeritCare Bemidji
- St. Joseph's Medical Center
- Fairview Ridges Hospital
- Mercy and Unity Cancer Center at Mercy Hospital
- Duluth Clinic Cancer Center - Duluth
- CCOP - Duluth
- Miller - Dwan Medical Center
- Fairview Southdale Hospital
- Mercy and Unity Cancer Center at Unity Hospital
- Hutchinson Area Health Care
- HealthEast Cancer Care at St. John's Hospital
- Minnesota Oncology - Maplewood
- Virginia Piper Cancer Institute at Abbott - Northwestern Hospital
- Hennepin County Medical Center - Minneapolis
- New Ulm Medical Center
- Humphrey Cancer Center at North Memorial Outpatient Center
- Mayo Clinic Cancer Center
- CentraCare Clinic - River Campus
- Coborn Cancer Center
- CCOP - Metro-Minnesota
- Park Nicollet Cancer Center
- Regions Hospital Cancer Care Center
- United Hospital
- St. Francis Cancer Center at St. Francis Medical Center
- Lakeview Hospital
- Ridgeview Medical Center
- Willmar Cancer Center at Rice Memorial Hospital
- Minnesota Oncology - Woodbury
- University of Mississippi Cancer Clinic
- Regional Cancer Center at Singing River Hospital
- Central Care Cancer Center at Carrie J. Babb Cancer Center
- Skaggs Cancer Center at Skaggs Regional Medical Center
- Saint Francis Medical Center
- Truman Medical Center - Hospital Hill
- Midwest Hematology Oncology Group, Incorporated
- Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
- CCOP - St. Louis-Cape Girardeau
- David C. Pratt Cancer Center at St. John's Mercy
- CCOP - Cancer Research for the Ozarks
- St. John's Regional Health Center
- Hulston Cancer Center at Cox Medical Center South
- CCOP - Montana Cancer Consortium
- St. Vincent Healthcare Cancer Care Services
- Hematology-Oncology Centers of the Northern Rockies - Billings
- Billings Clinic - Downtown
- Bozeman Deaconess Cancer Center
- St. James Healthcare Cancer Care
- Big Sky Oncology
- Great Falls Clinic - Main Facility
- Sletten Cancer Institute at Benefis Healthcare
- St. Peter's Hospital
- Glacier Oncology, PLLC
- Kalispell Medical Oncology at KRMC
- Kalispell Regional Medical Center
- Montana Cancer Specialists at Montana Cancer Center
- Montana Cancer Center at St. Patrick Hospital and Health Sciences Center
- CCOP - Nevada Cancer Research Foundation
- Nevada Cancer Institute
- Veterans Affairs Medical Center - East Orange
- Hunterdon Regional Cancer Center at Hunterdon Medical Center
- Cancer Institute of New Jersey at Hamilton
- Carol G. Simon Cancer Center at Morristown Memorial Hospital
- Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
- Frederick R. and Betty M. Smith Cancer Treatment Center
- Overlook Hospital
- Kings County Hospital Center
- SUNY Downstate Medical Center
- Roswell Park Cancer Institute
- Tucker Center for Cancer Care at Orange Regional Medical Center
- NYU Cancer Institute at New York University Medical Center
- SUNY Upstate Medical University Hospital
- Dickstein Cancer Treatment Center at White Plains Hospital Center
- Wayne Memorial Hospital, Incorporated
- Pardee Memorial Hospital
- Kinston Medical Specialists
- Medcenter One Hospital Cancer Care Center
- Mid Dakota Clinic, PC
- St. Alexius Medical Center Cancer Center
- MeritCare Broadway
- CCOP - MeritCare Hospital
- Roger Maris Cancer Center at MeritCare Hospital
- Summa Center for Cancer Care at Akron City Hospital
- Barberton Citizens Hospital
- Cleveland Clinic Beachwood Family Health and Surgery Center
- Aultman Cancer Center at Aultman Hospital
- Adena Regional Medical Center
- Case Comprehensive Cancer Center
- MetroHealth Cancer Care Center at MetroHealth Medical Center
- Cleveland Clinic Cancer Center at Fairview Hospital
- Cleveland Clinic Taussig Cancer Center
- Riverside Methodist Hospital Cancer Care
- CCOP - Columbus
- Grant Medical Center Cancer Care
- Zangmeister Center
- Mount Carmel Health - West Hospital
- Doctors Hospital at Ohio Health
- Grady Memorial Hospital
- Cleveland Clinic Cancer Center
- Fairfield Medical Center
- St. Rita's Medical Center
- Strecker Cancer Center at Marietta Memorial Hospital
- Hillcrest Cancer Center at Hillcrest Hospital
- Knox Community Hospital
- Licking Memorial Cancer Care Program at Licking Memorial Hospital
- Parma Community General Hospital
- Southern Ohio Medical Center Cancer Center
- North Coast Cancer Care, Incorporated
- Community Hospital of Springfield and Clark County
- Cleveland Clinic Foundation - Strongsville
- Mount Carmel St. Ann's Cancer Center
- Cleveland Clinic - Wooster
- Genesis - Good Samaritan Hospital
- Oklahoma University Cancer Institute
- Bryn Mawr Hospital
- Geisinger Cancer Institute at Geisinger Health
- Delaware County Regional Cancer Center at Delaware County Memorial Hospital
- Adams Cancer Center
- Cherry Tree Cancer Center
- Geisinger Hazleton Cancer Center
- Cancer Center of Paoli Memorial Hospital
- Kimmel Cancer Center at Thomas Jefferson University - Philadelphia
- Fox Chase Cancer Center - Philadelphia
- St. Joseph Medical Center
- McGlinn Family Regional Cancer Center at Reading Hospital and Medical Center
- Geisinger Medical Group - Scenery Park
- Frank M. and Dorothea Henry Cancer Center at Geisinger Wyoming Valley Medical Center
- CCOP - Main Line Health
- Lankenau Cancer Center at Lankenau Hospital
- York Cancer Center at Apple Hill Medical Center
- Avera Cancer Institute
- MBCCOP - Meharry Medical College - Nashville
- Veterans Affairs Medical Center - San Antonio (Murphy)
- University of Texas Health Science Center at San Antonio
- Cancer Therapy and Research Center
- University Hospital - San Antonio
- University of Virginia Cancer Center
- Lynchburg Hematology-Oncology Clinic
- Cascade Cancer Center at Evergreen Hospital Medical Center
- CCOP - Virginia Mason Research Center
- Virginia Mason Medical Center
- Pacific Medical Center
- West Virginia University Health Sciences Center - Charleston
- Langlade Memorial Hospital
- Marshfield Clinic - Chippewa Center
- Marshfield Clinic Cancer Care at Regional Cancer Center
- Green Bay Oncology, Limited at St. Vincent Hospital Regional Cancer Center
- Green Bay Oncology, Limited at St. Mary's Hospital
- St. Mary's Hospital Medical Center - Green Bay
- St. Vincent Hospital Regional Cancer Center
- Vince Lombardi Cancer Clinic - Green Bay at Aurora BayCare Medical Center
- UW Cancer Center Johnson Creek
- Gundersen Lutheran Center for Cancer and Blood
- Dean Medical Center - Madison
- University of Wisconsin Paul P. Carbone Comprehensive Cancer Center
- Holy Family Memorial Medical Center Cancer Care Center
- Bay Area Cancer Care Center at Bay Area Medical Center
- Vince Lombardi Cancer Clinic - Marinette
- Marshfield Clinic - Marshfield Center
- Saint Joseph's Hospital
- Medical College of Wisconsin Cancer Center
- Marshfield Clinic - Lakeland Center
- Green Bay Oncology, Limited - Oconto Falls
- Ministry Medical Group at Saint Mary's Hospital
- Marshfield Clinic - Indianhead Center
- St. Nicholas Hospital
- Vince Lombardi Cancer Clinic - Sheboygan
- Marshfield Clinic at Saint Michael's Hospital
- Saint Michael's Hospital Cancer Center
- Green Bay Oncology, Limited - Sturgeon Bay
- Aurora Medical Center
- Vince Lombardi Cancer Clinic - Two Rivers
- Marshfield Clinic - Wausau Center
- University of Wisconcin Cancer Center at Aspirus Wausau Hospital
- Oncology Alliance, SC - Milwaukee - West
- Diagnostic and Treatment Center
- Marshfield Clinic - Weston Center
- Marshfield Clinic - Wisconsin Rapids Center
- Rocky Mountain Oncology
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Androgen-Deprivation Therapy and Docetaxel
Androgen-Deprivation Therapy alone
Patients receive androgen-deprivation therapy (including luteinizing hormone-releasing hormone [LHRH] agonist therapy, LHRH antagonist therapy, or surgical castration). Patients also receive docetaxel IV over 1 hour on day 1. Treatment with docetaxel repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity.
Patients receive androgen-deprivation therapy (including luteinizing hormone-releasing hormone [LHRH] agonist therapy, LHRH antagonist therapy, or surgical castration) alone.