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A comparative study on the efficacies of gonadotropin-releasing hormone (GnRH) agonist and GnRH antagonist in neoadjuvant androgen deprivation therapy combined with transperineal prostate brachytherapy for localized prostate cancer

A comparative study on the efficacies of gonadotropin-releasing hormone (GnRH) agonist and GnRH antagonist in neoadjuvant androgen deprivation therapy combined with transperineal prostate brachytherapy for localized prostate cancer - A comparative study on the efficacies of gonadotropin-releasing hormone (GnRH) agonist and GnRH antagonist in neoadjuvant androgen deprivation therapy combined with transperineal prostate brachytherapy for localized prostate cancer

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000015519
Enrollment
56
Registered
2014-11-04
Start date
2014-12-01
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prostate cancer

Interventions

The initial dose of degarelix is 240 mg given as 2 subcutaneous injections of 120 mg in the abdomen. After the initial dose, the maintenance dose of 80 mg is given as one subcutaneous injection in the

Sponsors

Jikei University School of Medicine
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: 1) Be a definitive histological diagnosis of PCa by needle biopsy 2) Be adaptable to 125I-TPPB and requred for neoadjuvant ADT 3) Have low/intermediate-risk localized PCa as follows. Low-risk PCa: cT1a-T2a, Gleason score: 2-6 and PSA<10 ng/ml Intermediate-risk PCa: cT2b -T2c or Gleason score: 7, or PSA 10-20 ng/ml (exept for Gleason score>=8, PSA>=20 ng/ml) 4) TPV: 35-60 ml 5) Recieved written informed consent prior to initiating this clinical study

Exclusion criteria

Exclusion criteria: 1) Have previously received hormonal therapies including GnRH agonists, GnRH antagonists, and antiandrogen agents, estorogen agents or orchiectomy for PCa 2) Be using 5alpha reductase inhibitor 3) Have severe asthma (e.g. use inhaled corticosteroid that is necessary for daily life), anaphylactic reaction, severe urticaria and complication or medical history of angioedema 4) Be sensitive to mannitol 5) Have multiple malignancies 6) Have ALT>= 100 IU/L or total bilirubin >= 1.3 mg/dL 7) Be considered as inappropriate by the investigator

Design outcomes

Primary

MeasureTime frame
Normalization of serum testosterone levels (>50 ng/dL) after neoadjuvant ADT

Secondary

MeasureTime frame
1) The percent reduction in TPV during neoadjuvant ADT 2) The percent increase of TPV after 125I-TPPB 3) The improvement of QOL using the IPSS for lower urinary tract symptoms 4) The proportion of patients who have serum testosterone levels over 50 ng/dL at 12 weeks after 125I-TPPB 5) The improvement of QOL

Countries

Japan

Contacts

Public ContactKenta Miki

Jikei University School of Medicine Department of Urology

kentamiki@jikei.ac.jp03-3433-1111

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026