Radiation Therapy, Androgen Suppression, and Docetaxel in Treating Patients With High-Risk Prostate Cancer Who Have Undergone Radical Prostatectomy
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
Eligibility Criteria
DISEASE CHARACTERISTICS:
Pathologically proven adenocarcinoma of the prostate gland meeting one of the following criteria:
- Gleason ≥ 7and post-operative PSA nadir > 0.2 ng/ml with any pathologic tumor (pT) classification
- Gleason ≥ 8, post-operative PSA nadir ≤ 0.2 ng/ml and ≥ pT3a classification
- Must have undergone radical prostatectomy within the past year
- PSA must be obtained within 6 weeks (42 days) prior to study registration
No lymph node or distant metastases (N0, M0), based upon the following minimum diagnostic workup:
- History and physical examination within 8 weeks prior to study registration
- Bone scan and CT or MRI of the pelvis and no evidence of osseous metastases on bone scan within 16 weeks prior to study registration
- No pelvic lymph nodes > 1.5 cm in greatest dimension on CT scan or MRI of the pelvis within 16 weeks prior to study registration, unless the enlarged lymph node is biopsied and negative
PATIENT CHARACTERISTICS:
- Zubrod performance status 0-1
- Absolute neutrophil count (ANC) ≥ 2,000/mm³
- Platelet count ≥ 100,000/mm³
- Hemoglobin ≥ 8.0 g/dL (transfusion or other intervention to achieve hemoglobin ≥ 8.0 g/dL is acceptable)
- Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 1.5 times upper limit of normal (ULN)
- Alkaline phosphatase ≤ 2.5 times ULN
- Total bilirubin ≤ 1.2 times ULN
- No other invasive malignancy within the past 3 years except non-melanomatous skin cancer
No active, severe co-morbidity, including any of the following:
- Unstable angina and/or congestive heart failure requiring hospitalization within the past 6 months
- Transmural myocardial infarction within the past 6 months
- Acute bacterial or fungal infection requiring intravenous antibiotics
- Chronic obstructive pulmonary disease exacerbation or other respiratory illness requiring hospitalization or precluding study therapy
AIDS
- HIV testing is not required for study entry
- No prior allergic reaction to the study drug(s)
PRIOR CONCURRENT THERAPY:
- No prior systemic chemotherapy for prostate cancer
- More than 3 years since prior chemotherapy for a different cancer
No prior androgen deprivation for treatment of prostate cancer
- Prior use of hormonal agents, such as finasteride or dutasteride, for treatment of benign prostatic hypertrophy is allowed
- No prior radiotherapy to the region of the prostate that would result in overlap of radiotherapy fields
Sites / Locations
- Arizona Oncology Services Foundation
- Auburn Radiation Oncology
- Radiation Oncology Centers - Cameron Park
- Mercy Cancer Center at Mercy San Juan Medical Center
- Radiation Oncology Center - Roseville
- Radiological Associates of Sacramento Medical Group, Incorporated
- Mercy General Hospital
- UCSF Helen Diller Family Comprehensive Cancer Center
- Solano Radiation Oncology Center
- Urology Center of Colorado
- Poudre Valley Radiation Oncology
- CCOP - Christiana Care Health Services
- Cancer Institute at St. John's Hospital
- CCOP - Carle Cancer Center
- Norton Suburban Hospital
- Tulane Cancer Center Office of Clinical Research
- Mary Bird Perkins Cancer Center - Baton Rouge
- MBCCOP - LSU Health Sciences Center
- CCOP - Ochsner
- Greenebaum Cancer Center at University of Maryland Medical Center
- Massachusetts General Hospital
- Hudner Oncology Center at Saint Anne's Hospital - Fall River
- Josephine Ford Cancer Center at Henry Ford Hospital
- Fairview Ridges Hospital
- Mercy and Unity Cancer Center at Mercy Hospital
- Fairview Southdale Hospital
- Mercy and Unity Cancer Center at Unity Hospital
- Minnesota Oncology Hematology, PA - Maplewood
- Virginia Piper Cancer Institute at Abbott - Northwestern Hospital
- Hubert H. Humphrey Cancer Center at North Memorial Outpatient Center
- CentraCare Clinic - River Campus
- CCOP - Metro-Minnesota
- United Hospital
- Ridgeview Medical Center
- Regional Cancer Center at Singing River Hospital
- Cancer Institute of Cape Girardeau, LLC
- Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
- Nevada Cancer Institute
- Fox Chase Virtua Health Cancer Program at Virtua Memorial Hospital Marlton
- Newark Beth Israel Medical Center
- University Medical Center at Princeton
- Mission Hospitals - Memorial Campus
- Presbyterian Cancer Center at Presbyterian Hospital
- Wayne Radiation Oncology
- Pardee Memorial Hospital
- Cancer Centers of North Carolina - Raleigh
- Forsyth Regional Cancer Center at Forsyth Medical Center
- Wake Forest University Comprehensive Cancer Center
- Summa Center for Cancer Care at Akron City Hospital
- Barberton Citizens Hospital
- Charles M. Barrett Cancer Center at University Hospital
- Cancer Care Center, Incorporated
- Precision Radiotherapy at University Pointe
- Cancer Treatment Center
- Oklahoma University Cancer Institute
- Integris Oncology Services
- St. Luke's Cancer Network at St. Luke's Hospital
- Delaware County Regional Cancer Center at Delaware County Memorial Hospital
- Fox Chase Cancer Center Buckingham
- Fox Chase Cancer Center - Philadelphia
- Fox Chase Cancer Center CCOP Research Base
- Crozer-Chester Medical Center
- CCOP - Upstate Carolina
- Gibbs Regional Cancer Center at Spartanburg Regional Medical Center
- Rapid City Regional Hospital
- Jon and Karen Huntsman Cancer Center at Intermountain Medical Center
- CCOP - Virginia Mason Research Center
- Community Memorial Hospital Cancer Care Center
- Medical College of Wisconsin Cancer Center
- McGill Cancer Centre at McGill University
Arms of the Study
Arm 1
Experimental
Androgen suppression + RT + docetaxel
LHRH agonist and oral antiandrogen (flutamide or bicalutamide), radiation therapy (RT), and docetaxel