At a glance
ClinicalIndex Comparison Record- ✓Age ≥18 years
- ✓ECOG performance status ≤2
- ✓Histologically confirmed prostate adenocarcinoma
- ✓Oligometastatic disease: Stage T1-4, N0-1, M1a-b with up to 5 metastatic lesions (bone or non-regional lymph nodes)
- ✕Prior local non-surgical therapy for prostate cancer (radiation, brachytherapy)
- ✕Prior systemic therapy for prostate cancer including hormonal therapy, CYP-17 inhibitors, antiandrogens, second-generation antiandrogens, immunotherapy, or chemotherapy (exception: hormone therapy started <90 days prior)
- ✕Prior therapy to any metastatic site
- ✕Abnormal bone marrow: ANC <1500/mm3, platelets <100,000/mm3, hemoglobin <9 g/dL
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Phase II Study of Definitive Therapy for Newly Diagnosed Men With Oligometastatic Prostate Cancer After Prostatectomy
In Brief
A Phase 2 clinical trial evaluating Leuprolide Acetate, Docetaxel, and 3 other interventions for Prostate Cancer. Completed, enrolled 26 participants across 2 sites.
Detailed Summary
To assess the safety of treating men with oligometastatic prostate cancer with the following therapy: (1st) Systemic chemo-hormonal therapy with up to 6-months (\~24 weeks) of adjuvant androgen deprivation and up to 6 cycles of chemotherapy, (2nd) definitive local tumor control with adjuvant radiation therapy, and (3rd) consolidative stereotactic radiation to oligometastatic lesions. The men will receive a total of 2 years of androgen deprivation. Androgen blockade will be the same throughout the course of treatment.
Study Details
Timeline
Interventions
22.5mg by intramuscular (IM) injection every 3 months
75 mg/m2 IV will be given on day 1 every 3 weeks, up to 6 cycles. Dose may decreased in the following intervals: 65 mg/M2, 55 mg/M2, 35 mg/M2.
bicalutamide (Casodex) 50mg by mouth daily
Radiation will be delivered in 1 to 5 fractions, and the dose and fractionation schedule will depend on the size and location of the lesion and the surrounding normal tissue constraints in accordance with AAPM Task Group 101 recommendations. Typical doses include 16 - 24 Gy in 1 fraction, 48 - 50 Gy in 4 fractions, and 50 - 60 Gy in 5 fractions.
Abiraterone acetate 1000 mg / day may be given at the investigator's discretion.