Hormone Therapy Plus Radiation Therapy With or Without 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 stage IIB prostate cancer, stage IIA prostate cancer, stage III prostate cancer, stage IV prostate cancer
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically proven prostate cancer at high risk for relapse as determined by either of the following: Prostate-specific antigen (PSA) 20-100 ng/mL and Gleason score at least 7 (any T stage) Clinical stage at least T2, Gleason score at least 8, and PSA no greater than 100 ng/mL Negative lymph nodes No metastatic disease PATIENT CHARACTERISTICS: Age: Over 18 Performance status: Zubrod 0 or 1 Life expectancy: Not specified Hematopoietic: White blood cell (WBC) count of at least 3,000/mm^3 Platelet count at least 130,000/mm^3 Hemoglobin at least 11.4 g/dL Hepatic: Aspartate aminotransferase (AST) no greater than 2 times upper limit of normal Renal: Creatinine no greater than 2.5 mg/dL Other: No other invasive cancer within the past 5 years except superficial nonmelanomatous skin cancer No major medical or psychiatric illness that would preclude study participation Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: At least 5 years since prior chemotherapy Endocrine therapy: At least 60 days since prior finasteride for prostatic hypertrophy At least 90 days since prior testosterone No more than 30 days since initiation of prior pharmacologic androgen ablation for prostate cancer Radiotherapy: No prior pelvic radiotherapy No concurrent intensity-modulated radiotherapy Surgery: No prior radical prostatectomy No prior cryosurgery for prostate cancer No prior orchiectomy
Sites / Locations
- University of Alabama at Birmingham Comprehensive Cancer Center
- Foundation for Cancer Research and Education
- Mount Diablo Medical Center
- Sutter Health Western Division Cancer Research Group
- CCOP - Santa Rosa Memorial Hospital
- University of Colorado Cancer Center at University of Colorado Health Sciences Center
- Baptist Hospital of Miami
- Lutheran General Cancer Care Center
- Methodist Cancer Center at Methodist Hospital
- Ball Memorial Hospital Cancer Center
- Markey Cancer Center at University of Kentucky Chandler Medical Center
- Mary Bird Perkins Cancer Center
- CCOP - Ochsner
- Anne Arundel Oncology Center
- Greater Baltimore Medical Center and Cancer Center
- University of Michigan Comprehensive Cancer Center
- West Michigan Cancer Center
- Marquette General Hospital
- CCOP - Metro-Minnesota
- Ellis Fischel Cancer Center at University of Missouri - Columbia
- CCOP - Southern Nevada Cancer Research Foundation
- Veterans Affairs Medical Center - East Orange
- Monmouth Medical Center
- South Jersey Regional Cancer Center
- Atlantic City Medical Center
- Fox Chase Cancer Center at St. Francis Medical Center
- CCOP - North Shore University Hospital
- Herbert Irving Comprehensive Cancer Center at Columbia University
- Akron General Medical Center
- Akron City Hospital
- CCOP - Columbus
- Arthur G. James Cancer Hospital - Ohio State University
- CCOP - Dayton
- CCOP - Toledo Community Hospital
- John and Dorothy Morgan Cancer Center at Lehigh Valley Hospital
- St. Luke's Hospital Cancer Center
- Delaware County Memorial Hospital
- Kimmel Cancer Center at Thomas Jefferson University - Philadelphia
- Fox Chase Cancer Center
- Albert Einstein Cancer Center
- CCOP - MainLine Health
- Wellspan Health - York Cancer Center
- University of Texas - MD Anderson Cancer Center
- Dixie Regional Medical Center
- LDS Hospital
- University Cancer Center at University of Washington Medical Center
- CCOP - St. Vincent Hospital Cancer Center, Green Bay
- St. Vincent Hospital
- Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center
- St. Luke's Medical Center
- Medical College of Wisconsin Cancer Center
- All Saints Cancer Center at All Saints Healthcare
- Saint John Regional Hospital
- Cancer Care Ontario-London Regional Cancer Centre
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Hormones and RT
Hormones and RT plus Chemotherapy
Androgen suppression (AS) (Luteinizing hormone releasing hormone agonist and bicalutamide [Casodex] or flutamide [Eulexin]) x 8 weeks followed by RT to 70.2 Gy with concurrent AS (LHRH agonist and bicalutamide [Casodex] or flutamide [Eulexin]). AS will continue for a total of 24 months from initiation of all treatment. Oral anti-androgen will be discontinued at the end of radiation therapy (RT).
AS (LHRH agonist and bicalutamide [Casodex] or flutamide [Eulexin]) x 8 weeks followed by RT to 70.2 Gy with concurrent AS (LHRH agonist and bicalutamide [Casodex] or flutamide [Eulexin]) and estramustine phosphate sodium, etoposide, paclitaxel, and warfarin [Coumadin®]. AS will continue for a total of 24 months from initiation all treatment. Oral antiandrogen will be discontinued at the end of RT.