DRUG
Triptorelin and Radiation Therapy in Treating Patients Who Have Undergone Surgery for Intermediate-Risk Stage III or Stage IV Prostate Cancer
Status
Completed
Phase
Phase 3
Enrollment
424
Locations
17
Results
Not posted
Publications
2
Study summary
What the protocol is testing.
RATIONALE: Androgens can cause the growth of prostate cancer cells. Antihormone therapy, such as triptorelin, may lessen the amount of androgens made by the body. Radiation therapy uses high-energy x-rays to kill tumor cells. It is not yet known whether giving triptorelin and radiation therapy soon after surgery or later after surgery is more effective in treating prostate cancer. PURPOSE: This randomized phase III trial is studying giving triptorelin and radiation therapy soon after surgery to see how well it works compared with giving them later after surgery in treating patients who have undergone surgery for intermediate-risk stage III or stage IV prostate cancer.
Full detailed description
OBJECTIVES: Primary * Compare the efficacy, in terms of event-free survival at 5 years, of immediate radio-hormonal therapy immediately after prostatectomy for tumor pT2, R1, pN0, or pNx versus radio-hormonal therapy at biochemical relapse. Secondary * Compare the overall survival of patients treated with these regimens. * Compare the metastasis-free survival of these patients. * Compare the acute and late toxicities of these regimens in these patients. * Compare the quality of life of patients treated with these regimens. * Compare the functional dependence of patients over 75 years old. OUTLINE: Patients are randomized to 1 of 2 treatment arms. * Arm I (delayed treatment): Patients receive triptorelin intramuscularly on day 1 and then 3 months later. Patients also undergo conformal radiotherapy daily, 5 days a week, for 7 weeks. Treatment begins at biochemical relapse (PSA is more than 0.2 ng/mL) and before PSA is more than 2 ng/mL. * Arm II (immediate treatment): Patients receive treatment as in arm I, but treatment begins within 6 months after surgery. After completion of study treatment, patients are followed for up to 5 years.
Interventions
Treatment arms and agents.
PROCEDURE
adjuvant therapy
RADIATION
3-dimensional conformal radiation therapy
Timeline
From registration to results.
First posted
Apr 25, 2008
Study start
Apr 7, 2008
Primary completion
Apr 2020
Study completion
May 24, 2022
Results posted
Not reported
Registry updated
Jun 5, 2025
Outcomes
What the study measures.
Primary outcomes
Event-free survival
Time frame · From randomization to disease progression or death, up to 5 years
The event-free survival is the length of time during and after the treatment of a disease that a patient lives with the disease but it does not get worse (clinical progression, biochemical progression, death)
Secondary outcomes
Overall survival
Time frame · From randomization to death from any cause, up to 10 years
The overall survival is the length of time from randomization that patients enrolled in the study are still alive.
Metastases-free survival
Time frame · From randomization to metastases onset, up to 10 years
The metastases-free survival is the length of time during and after the treatment for cancer that a patient is still alive and the cancer has not spread to other parts of the body.
Acute or chronic toxicity
Time frame · Throughout study completion, up to 10 years
The National Cancer Institute-Common Terminology Criteria for Adverse Events version 3 (NCI-CTCAE v3.0) is widely accepted in the community of oncology research as the leading rating scale for adverse events. This scale will assess the severity of sensory neuropathic disorders, this derivative into 5 grades determined by the investigator.
Quality of life questionnaire - Core 30 (QLQ-C30)
Time frame · At baseline, 2 years, and 5 years
Developed by the EORTC, this self-reported questionnaire assesses the health-related quality of life of cancer patients in clinical trials. The questionnaire includes five functional scales (physical, everyday activity, cognitive, emotional, and social), three symptom scales (fatigue, pain, nausea and vomiting), a health/quality of life overall scale, and a number of additional elements assessing common symptoms (including dyspnea, loss of appetite, insomnia, constipation, and diarrhea), as well as, the perceived financial impact of the disease. All of the scales and single-item measures range in score from 0 to 100. A high scale score represents a higher response level.
Quality of Life Questionnaire - Prostate Cancer Module (QLQ-PR25)
Time frame · At baseline, 2 years, and 5 years
This EORTC prostate cancer specific questionnaire is intended to supplement the QLQ-C30. The prostate cancer module is a 25-item questionnaire designed for use among patients with localized and metastatic prostate cancer. It includes subscales assessing urinary symptoms (9 items), bowel symptoms (4 items), treatment-related symptoms (6 items), and sexual functioning (6 items). Using a 4-point Likert scale (1 = "not at all", 2 = "a little", 3 = "quite a bit", and 4 = "very much"), patients indicate the degree to which they have experienced symptoms.
Functional dependence in patients over 75 years old
Time frame · At baseline, 2 years, and 5 years
The Lawton Instrumental Activities of Daily Living (IADL) Scale is a self-reported questionnaire to assess independent living skills for older adults. This questionnaire, composed of 31 questions organized into 8 domains (ability to use telephone, shopping, food preparation, housekeeping, laundering, mode of transportation, responsibility for own medications, and ability to handle finances), is designed to identify improvement or deterioration of a person functioning over time. Each domain is scored 0-1 for a summary score ranging from 0 (low function, dependent) to 8 (high function, independent).
Eligibility
Who can take part.
- Minimum age
- 18 Years
- Maximum age
- Not reported
- Sex
- MALE
- Healthy volunteers
- No
Inclusion criteria: 1. Patient must have undergone curative surgery for a localized adenocarcinoma of the prostate 2. pT3a, pT3b (or pT4 by reaching the bladder neck), or R1 disease (stage III or IV) 3. PSA ≤0.1 ng/mL after prostatectomy (confirmed at 1 month) 4. May receive treatment within 6 months after surgery 5. Positive margins (tumoral glands in contact with contour ink) on the surgical specimen 6. pN0 or pNx (lymph nodes resected during negative prostatectomy or lymph nodes not resected) 7. No current clinical or biochemical progressive disease 8. Life expectancy ≥10 years 9. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 10. Patient must be affiliated to the social security system 11. Patient must have received the information sheet and signed the consent form Exclusion criteria: 1. Patient with prostate cancer other than adenocarcinoma 2. Gleason score ≥8 and with seminal vesicles involved 3. pN1 disease (Histologically confirmed nodal invasion during initial lymph node resection) 4. pT2 disease 5. Prior surgical or chemical castration 6. Prior hormonal therapy 7. Prior radiotherapy within 3 months after radical prostatectomy 8. Prior pelvic radiotherapy 9. No history of cancer (except basal cell skin cancer) within 5 years of surgery 10. No known severe hypertension uncontrolled by appropriate therapy (≥160 mm Hg systolic and/or ≥90 mm Hg diastolic) 11. Known hypersensitivity to gonadotropin-releasing hormone or its analogs 12. Contraindication to intramuscular injection 13. Concurrent participation in another interventional study 14. Patients under protective custody or guardianship, unable to comply with the specific requirements of the study or unable to understand the purpose of the study
Study locations
17 registered sites.
France. Showing up to 24 locations stored in the fast local snapshot.
Hopital Saint Andre
Bordeaux, France
Institut Bergonie
Bordeaux, France
Centre Regional Francois Baclesse
Caen, France
Hopitaux Civils de Colmar
Colmar, France
Centre Hospitalier Universitaire Henri Mondor
Créteil, France
Centre Leon Berard
Lyon, France
Clinique du Pont de Chaume
Montauban, France
Centre Regional de Lutte Contre le Cancer - Centre Val d'Aurelle
Montpellier, France
Hopital Europeen Georges Pompidou
Paris, France
Centre Hospitalier Lyon Sud
Pierre-Bénite, France
CHU Poitiers
Poitiers, France
Centre Henri Becquerel
Rouen, France
Centre Regional Rene Gauducheau
Saint-Herblain, France
Institut de Cancerologie de la Loire
Saint-Priest-en-Jarez, France
Institut Claudius Regaud
Toulouse, France
Centre Alexis Vautrin
Vandœuvre-lès-Nancy, France
Institut Gustave Roussy
Villejuif, France
Publications
Results and literature.
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