Prostate Cancer
Conditions
Brief summary
The purpose of this study is to determine if the combination therapy of Hormone, Paclitaxel and Radiation therapy are effective in treatment of locally advanced prostate cancer
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Any one or more of the following characteristics will qualify patient with T2/T3 prostate cancer for eligibility to current study: * Biopsy proven prostate cancer with Gleason score \> 7 * Pathologic staging TXN1 (on MRI or CT) * Prostate-specific antigen (PSA) \> 10 ng/ml done within a month prior to study entry (the day of first hormonal ablation) and \> 10 days after prostate biopsy. In addition patients must also have: * Performance status \< 2 * Hemoglobin \> 11 grams per deciliter (g/dL), White blood cell (WBC) \> 4000 and platelet count \> 100.000/l * No evidence of other synchronous primary. Prior malignancies does not exclude if the patient is disease free \> 5 years. * Prior or concurrent basal cell or non-invasive squamous carcinoma of the skin is eligible and * Received hormone therapy with any of the following combination for less than 3 months * Lupron / Flutamide * Zoladex/ Flutamide * Lupron/ Casodex * Zoladex/ Casodex
Exclusion criteria
* Clinical stage T1N0, PSA \< 10, and Gleason score less than 7. * Evidence of distant metastasis * Previous surgery for prostate cancer (radical prostatectomy). * Current treatment with ketoconazole, cimetidine or hormone therapy for more than 3 months prior to inclusion in the protocol for prostate cancer * Major medical or psychiatric illness, which in the investigator's opinion may prevent completion of the study and interfere with follow up. * Bilirubin \> 1.5 * Prior chemotherapy is not allowed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximum tolerated dose (MTD) assessment | 8 weeks | The MTD will be the lowest dose at which 2/6 or 2/3 patients experience dose limiting toxicity (DLT) |
| Number of participants with qualitative and quantitative toxicities | up to 8 months | — |