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S9921, Hormone Therapy With or Without Mitoxantrone and Prednisone in Patients Who Have Undergone Radical Prostatectomy for Prostate Cancer

Adjuvant Androgen Deprivation Versus Mitoxantrone Plus Prednisone Plus Androgen Deprivation in Selected High-Risk Prostate Cancer Patients Following Radical Prostatectomy

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00004124
Enrollment
983
Registered
2003-01-27
Start date
1999-10-15
Completion date
2018-05-01
Last updated
2022-12-30

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

Conditions

Prostate Cancer

Keywords

adenocarcinoma of the prostate, stage I prostate cancer, stage II prostate cancer, stage III prostate cancer

Brief summary

RATIONALE: Hormones can stimulate the production of prostate cancer cells. Hormone therapy may fight prostate cancer by reducing the production of androgens. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. It is not yet known whether hormone therapy plus mitoxantrone and prednisone is more effective than hormone therapy alone for prostate cancer. PURPOSE: This randomized phase III trial is studying hormone therapy, mitoxantrone, and prednisone to see how well they work compared to hormone therapy alone in treating patients who have undergone radical prostatectomy for prostate cancer.

Detailed description

OBJECTIVES: * Compare the overall and disease-free survival of patients with high-risk adenocarcinoma of the prostate treated with adjuvant androgen deprivation therapy with or without mitoxantrone and prednisone after radical prostatectomy. * Compare the qualitative and quantitative toxic effects of these regimens in this patient population. * Compare the prostate-specific antigen (PSA) progression-free survival rate in patient treated with these regimens. * Determine whether PSA progression is a surrogate endpoint for survival or disease-free survival in this patient population. OUTLINE: This is a randomized, multicenter study. Patients are stratified according to surgical extent of disease (organ confined vs not organ confined, but N0 vs N1), Gleason's sum (less than 7 vs 7 vs greater than 7), and planned radiotherapy (yes vs no). Patients are randomized to one of two treatment arms. * Arm I:Patients receive goserelin subcutaneously once every 13 weeks (8 injections total) and oral bicalutamide once daily for 2 years in the absence of disease progression or unacceptable toxicity. * Arm II:Patients receive mitoxantrone IV over 30 minutes on day 1 and oral prednisone twice daily on days 1-21. Treatment repeats every 3 weeks for 6 courses in the absence of disease progression or unacceptable toxicity. Patients also receive hormonal therapy as in arm I beginning concurrently with the initiation of mitoxantrone and prednisone. Patients may undergo radiotherapy 5 days a week for 6.5-7.8 weeks beginning anytime (arm I) or after completion of chemotherapy (arm II), at the discretion of the physician, in the absence of disease progression or unacceptable toxicity. Patients are offered the possibility to participate in biomarker research by allowing their tissue/blood to be studied. Patients are followed every 6 months for 2 years and then annually for up to 13 years. PROJECTED ACCRUAL: A total of 1,360 patients (680 per treatment arm) will be accrued for this study within 9.5 years.

Interventions

DRUGbicalutamide
DRUGgoserelin
DRUGmitoxantrone hydrochloride
DRUGprednisone

Sponsors

National Cancer Institute (NCI)
CollaboratorNIH
Cancer and Leukemia Group B
CollaboratorNETWORK
SWOG Cancer Research Network
Lead SponsorNETWORK

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to 120 Years
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Histologically confirmed stage T1-T3 adenocarcinoma of the prostate before radical prostatectomy and lymph node dissection * Must have undergone prostatectomy within the past 120 days * Must meet at least 1 of the following pathologic criteria: * Gleason sum at least 8 * pT3b (seminal vesicle), pT4, or N1 * Gleason sum of 7 and positive margin * Preoperative PSA greater than 15 ng/mL, Gleason score greater than 7, or PSA level greater than 10 ng/mL and Gleason score greater than 6 * Must have an undetectable PSA (no greater than 0.2 ng/mL) documented after surgery or prior to adjuvant hormonal therapy (for patients initiating adjuvant hormonal therapy prior to study) * No evidence of metastatic disease on bone scan if PSA is 20 ng/mL or greater at clinical diagnosis * No distant metastatic disease PATIENT CHARACTERISTICS: Performance status: * SWOG 0-1 Life expectancy: * Not specified Hematopoietic: * Not specified Hepatic: * Not specified Renal: * Not specified Cardiovascular: * No uncontrolled congestive heart failure * If history of cardiac disease, LVEF at least 50% by MUGA scan or 2-D echocardiogram Other: * No HIV positivity * No other prior malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer or stage I or II cancer that is currently in complete remission PRIOR CONCURRENT THERAPY: Biologic therapy: * Not specified Chemotherapy: * Not specified Endocrine therapy: * Prior neoadjuvant hormonal therapy of no more than 4 months duration before radical prostatectomy allowed * Other concurrent adjuvant hormonal therapy allowed if initiated prior to study * Concurrent low-dose megestrol (less than 40 mg/day) for hot flashes allowed Radiotherapy: * No prior radiotherapy * No concurrent whole pelvis irradiation * Concurrent radiotherapy allowed at the discretion of the physician Surgery: * See Disease Characteristics * See Endocrine therapy * Recovered from prior surgery Other: * No other prior or concurrent therapy for adenocarcinoma of the prostate

Design outcomes

Primary

MeasureTime frameDescription
Overall Survivalat 10 YearsMeasured from date of randomization to date of death from any cause. Patient known to be alive are censored at date of last contact.
Disease Free Survivalat 10 YearsMeasured from date of randomization to date of first observation of recurrence or death due to any cause. Patients without recurrence are censored at date of last contact.

Secondary

MeasureTime frameDescription
Compare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUp to 22 months from registrationNumber of patients with adverse events that are related to study drug
PSA Progression Free SurvivalUp to 10 YearsMeasured from date of randomization to date of PSA progression or death due to any cause. PSA progression is defined as a serum PSA level of \> 0.2 ng/mL measured on 3 consecutive occasions or in the absence of increasing PSA, a positive bone scan result or other radiographic or histologic evidence of progression will be used. Date of progression will be the date that the first measure of increasing PSA is noted in the series of 3.
PSA Progression as Surrogate Endpoint for Overall Survival or Disease Free SurvivalUp to 10 Years

Countries

United States

Participant flow

Recruitment details

983 patients consented and were enrolled to the trial. 22 patients were found to be ineligible per eligibility criteria, and were thus excluded from final analysis.

Participants by arm

ArmCount
Arm I: Bicalutamide + Goserelin
Patients receive goserelin subcutaneously once every 13 weeks (8 injections total) and oral bicalutamide once daily for 2 years in the absence of disease progression or unacceptable toxicity.
481
Arm II: Mitoxantrone + Prednisone + Bivalutamid + Goserelin
Patients receive mitoxantrone IV over 30 minutes on day 1 and oral prednisone twice daily on days 1-21. Treatment repeats every 3 weeks for 6 courses in the absence of disease progression or unacceptable toxicity. Patients also receive hormonal therapy as in arm I beginning concurrently with the initiation of mitoxantrone and prednisone.
480
Total961

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyReceived no protocol therapy1220

Baseline characteristics

CharacteristicArm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinArm I: Bicalutamide + GoserelinTotal
Age, Continuous60 years60 years60 years
Disease Extent
N1
83 Participants79 Participants162 Participants
Disease Extent
Organ Confined
91 Participants109 Participants200 Participants
Disease Extent
>= T3 but N0
306 Participants293 Participants599 Participants
Gleason Score
<= 6
12 Participants10 Participants22 Participants
Gleason Score
7
220 Participants215 Participants435 Participants
Gleason Score
8 - 10
248 Participants256 Participants504 Participants
Hispanic30 Participants25 Participants55 Participants
Intent to Receive Adjuvant RT127 Participants130 Participants257 Participants
Positive Margins from Prostatectomy293 Participants316 Participants609 Participants
PSA at Prostatectomy7.4 ng/mL7.9 ng/mL7.7 ng/mL
Race/Ethnicity, Customized
Race/Ethnicity
Asian
11 Participants6 Participants17 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Black
50 Participants66 Participants116 Participants
Race/Ethnicity, Customized
Race/Ethnicity
Other
8 Participants10 Participants18 Participants
Race/Ethnicity, Customized
Race/Ethnicity
White
411 Participants399 Participants810 Participants
Risk Groups
Gleason Score >= 8 or pT3b
296 Participants276 Participants572 Participants
Risk Groups
Gleason Score<8 w/Positive Margins or PSA>10 ng/mL
101 Participants126 Participants227 Participants
Risk Groups
Node Positive
83 Participants79 Participants162 Participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
480 Participants481 Participants961 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
85 / 46991 / 460
other
Total, other adverse events
461 / 469457 / 460
serious
Total, serious adverse events
3 / 46911 / 460

Outcome results

Primary

Disease Free Survival

Measured from date of randomization to date of first observation of recurrence or death due to any cause. Patients without recurrence are censored at date of last contact.

Time frame: at 10 Years

Population: Intent-to-treat

ArmMeasureValue (NUMBER)
Arm I: Bicalutamide + GoserelinDisease Free Survival72 percentage of probability of survival
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinDisease Free Survival72 percentage of probability of survival
p-value: 0.9495% CI: [0.8, 1.27]Regression, Cox
Primary

Overall Survival

Measured from date of randomization to date of death from any cause. Patient known to be alive are censored at date of last contact.

Time frame: at 10 Years

ArmMeasureValue (NUMBER)
Arm I: Bicalutamide + GoserelinOverall Survival87 percentage of probability of survival
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinOverall Survival86 percentage of probability of survival
p-value: 0.795% CI: [0.79, 1.43]Regression, Cox
Secondary

Compare Qualitative and Quantitative Toxicities of These Regimens in These Patients

Number of patients with adverse events that are related to study drug

Time frame: Up to 22 months from registration

Population: All eligible patients who received protocol therapy

ArmMeasureGroupValue (NUMBER)
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAtaxia (incoordination)1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAnxiety/agitation52 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsBone pain19 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsBruising1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDizziness/light headedness33 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDry eye1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEdema40 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEndocrine-other3 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEpistaxis0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsErectile impotence181 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFeminization of male1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFever without neutropenia0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFever, NOS1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFlushing5 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGGT increase1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGI Mucositis, NOS0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGI-other12 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypermagnesemia0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypernatremia0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypocalcemia1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypoglycemia0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypokalemia8 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsInsomnia79 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsInvol. movement/restlessness2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsLibido loss163 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsLocal injection site reaction11 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMetabolic-other0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMiddle ear-hearing loss/otitis0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsNail changes4 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsNausea26 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsNeuro-other5 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsNeuropathic pain0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsWeight gain179 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsWeight loss12 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDehydration0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAbdominal pain/cramping19 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAbscess0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAlkaline phosphatase increase11 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAllergic reaction1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAllergic rhinitis2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAlopecia91 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAnal incontinence2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAnemia52 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsApnea1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsArrhythmia, NOS0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsArthralgia43 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsArthritis17 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAnorexia7 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsBilirubin increase5 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsBlurred vision3 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCPK increase0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCardiac ischemia/infarction1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCardiovascular-other0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCataract5 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCerebrovascular ischemia1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsChest pain,not cardio or pleur11 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsConduction abnormality/block1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsConfusion6 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsConjunctivitis0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsConstipation/bowel obstruction57 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCough10 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCreatinine increase7 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCushingoid appearance0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDepression80 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDiarrhea without colostomy55 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDry skin11 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDysmenorrhea0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDyspepsia/heartburn7 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDyspnea21 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDysuria14 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEar-other0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEryth/rash/eruption/desq, NOS0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEsophagitis/dysphagia2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEye-other1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFatigue/malaise/lethargy258 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFebrile neutropenia0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFlatulence2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFlu-like symptoms-other2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGU-other9 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGastritis2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGastritis/ulcer, NOS0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGlaucoma2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGynecomastia140 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHeadache37 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHematologic-other1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHematuria9 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHemolysis0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHemoptysis0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHemorrhage-other1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHiccoughs0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHot flashes439 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypercalcemia4 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypercholesterolemia5 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHyperglycemia44 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHyperkalemia0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypertension38 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypertriglyceridemia2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypoalbuminemia1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypomagnesemia1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHyponatremia3 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypotension3 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypothyroidism2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypoxia0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsIncontinence88 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsInfection w/o 3-4 neutropenia5 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsInfection with 3-4 neutropenia0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsInfection, unk ANC1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsInner ear-hearing loss3 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsJoint,muscle,bone-other11 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsLVEF decrease/CHF0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsLeukopenia14 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsLung-other0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsLymphopenia4 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMale infertility2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMelena/ GI bleeding0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMemory loss15 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMood/consciousness change, NOS2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMouth dryness10 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMuscle weakness (not neuro)55 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMyalgia26 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMyalgia/arthralgia, NOS1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMyocarditis0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsNeutropenia/granulocytopenia11 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPRBC transfusion0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPain-other112 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPalpitations1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPelvic pain9 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPericar. effusion/pericarditis0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPersonality/behavioral change12 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPhlebitis0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPigmentation changes/yellowing0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPleural effusions0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPneumonitis/infiltrates0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsProctitis4 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsProteinuria3 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPruritus13 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRT-GI mucositis, NOS0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRT-focal dermatitis, NOS3 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRT-late bladder morbidity1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRT-late intestinal morbidity2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRT-pain1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRash/desquamation46 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRectal bleeding/hematochezia12 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRectal/perirectal pain7 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRespiratory infect w/o neutrop1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRespiratory infection, unk ANC1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRigors/chills7 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSGOT (AST) increase42 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSGPT (ALT) increase22 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSalivary change, NOS0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSecond primary0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSeizures1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSensory neuropathy37 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSexual/reproductive-other2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSinus bradycardia0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSkin-other11 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSpeech impairment0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsStomatitis/pharyngitis5 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSupraventricular arrhythmia0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSurgery-wound infection0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSweating138 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSyncope0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsTaste disturbance1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsTearing0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsThrombocytopenia3 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsThrombosis/embolism2 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsTremor0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsTroponin T (cTnT) increase0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrinary frequency/urgency86 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrinary retention13 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrinary tr infect w/ neutrop0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrinary tr infect w/o neutrop1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrinary tr infection, unk ANC3 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrine color change3 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrticaria3 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsVentricular arrhythmia1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsVertigo1 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsVision,NOS0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsVoice change/stridor/larynx0 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsVomiting10 Participants
Arm I: Bicalutamide + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsWeakness (motor neuropathy)3 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRT-GI mucositis, NOS1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAnorexia41 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypercholesterolemia2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAnxiety/agitation62 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsVentricular arrhythmia0 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsBone pain34 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHyperglycemia78 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsBruising14 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDiarrhea without colostomy75 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRT-focal dermatitis, NOS1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDizziness/light headedness71 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHyperkalemia4 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSurgery-wound infection1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEdema56 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypertension38 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEndocrine-other2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRT-late bladder morbidity0 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEpistaxis2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypertriglyceridemia0 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsErectile impotence146 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFebrile neutropenia2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrinary tr infect w/ neutrop1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFeminization of male0 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypoalbuminemia6 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFever without neutropenia9 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypokalemia11 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFever, NOS6 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRT-late intestinal morbidity1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFlushing4 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypomagnesemia1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGGT increase0 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSweating129 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGI Mucositis, NOS10 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHyponatremia2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRT-pain0 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypermagnesemia1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypotension11 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypernatremia4 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsVoice change/stridor/larynx6 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypocalcemia7 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypothyroidism0 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypoglycemia1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRash/desquamation63 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypoxia4 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsInsomnia92 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSyncope3 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsInvol. movement/restlessness2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsLeukopenia317 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsIncontinence71 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsLibido loss133 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRectal bleeding/hematochezia10 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsInfection w/o 3-4 neutropenia10 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMetabolic-other1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrinary tr infect w/o neutrop2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsInfection with 3-4 neutropenia2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsNail changes57 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRectal/perirectal pain5 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsNausea205 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsInfection, unk ANC4 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsNeuro-other4 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsTaste disturbance46 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsInner ear-hearing loss2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsWeight gain151 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRespiratory infect w/o neutrop7 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsWeight loss29 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsJoint,muscle,bone-other27 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsVertigo1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAbdominal pain/cramping41 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsLVEF decrease/CHF8 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAbscess1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRespiratory infection, unk ANC8 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAlkaline phosphatase increase11 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsLocal injection site reaction17 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAllergic reaction5 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsTearing6 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAllergic rhinitis16 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsLung-other2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAlopecia131 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsRigors/chills24 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAnal incontinence2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsLymphopenia49 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAnemia141 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrinary tr infection, unk ANC2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsApnea1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMale infertility3 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsArrhythmia, NOS1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSGOT (AST) increase42 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsArthralgia64 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMelena/ GI bleeding2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsArthritis17 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsThrombocytopenia35 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsAtaxia (incoordination)1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMemory loss12 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsBilirubin increase20 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMiddle ear-hearing loss/otitis1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsBlurred vision6 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSGPT (ALT) increase26 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCPK increase2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMood/consciousness change, NOS3 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCardiac ischemia/infarction1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsWeakness (motor neuropathy)6 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCardiovascular-other5 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMouth dryness13 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCataract6 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSalivary change, NOS1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCerebrovascular ischemia0 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMuscle weakness (not neuro)77 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsChest pain,not cardio or pleur19 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsThrombosis/embolism5 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsConduction abnormality/block0 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMyalgia45 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsConfusion14 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSecond primary6 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsConjunctivitis4 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMyalgia/arthralgia, NOS12 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsConstipation/bowel obstruction117 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrine color change44 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCough34 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsMyocarditis1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCreatinine increase17 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsNeuropathic pain1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsCushingoid appearance8 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDehydration6 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSeizures1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDepression85 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsNeutropenia/granulocytopenia239 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDry eye5 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsTremor2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDry skin28 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPRBC transfusion3 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDysmenorrhea1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSensory neuropathy57 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDyspepsia/heartburn44 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPain-other127 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDyspnea49 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsVision,NOS1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsDysuria11 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPalpitations6 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEar-other2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSexual/reproductive-other1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEryth/rash/eruption/desq, NOS2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPelvic pain11 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEsophagitis/dysphagia13 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsTroponin T (cTnT) increase1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsEye-other6 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPericar. effusion/pericarditis1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFatigue/malaise/lethargy357 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSinus bradycardia4 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPersonality/behavioral change11 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFlatulence3 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrticaria4 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsFlu-like symptoms-other6 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGI-other20 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPhlebitis5 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGU-other9 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSkin-other11 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGastritis0 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPigmentation changes/yellowing3 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGastritis/ulcer, NOS1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrinary frequency/urgency101 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGlaucoma0 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPleural effusions1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsGynecomastia100 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSpeech impairment1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHeadache82 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPneumonitis/infiltrates1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHematologic-other1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsVomiting51 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHematuria13 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsProctitis4 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHemolysis1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsStomatitis/pharyngitis49 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHemoptysis1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsProteinuria1 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHemorrhage-other4 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsUrinary retention7 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHiccoughs4 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsPruritus23 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHot flashes422 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsSupraventricular arrhythmia2 Participants
Arm II: Mitoxantrone + Prednisone + Bivalutamid + GoserelinCompare Qualitative and Quantitative Toxicities of These Regimens in These PatientsHypercalcemia5 Participants
Secondary

PSA Progression as Surrogate Endpoint for Overall Survival or Disease Free Survival

Time frame: Up to 10 Years

Population: Data not collected for analysis.

Secondary

PSA Progression Free Survival

Measured from date of randomization to date of PSA progression or death due to any cause. PSA progression is defined as a serum PSA level of \> 0.2 ng/mL measured on 3 consecutive occasions or in the absence of increasing PSA, a positive bone scan result or other radiographic or histologic evidence of progression will be used. Date of progression will be the date that the first measure of increasing PSA is noted in the series of 3.

Time frame: Up to 10 Years

Population: Data for trial not collected for analysis.

Source: ClinicalTrials.gov · Data processed: Feb 27, 2026