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What is the role of androgen deprivation therapy in the treatment of locally advanced prostate cancer?

Abstract

This Practice Point commentary discusses the paper by Horwitz and colleagues, which reported the long-term results of the RTOG 92-02 trial in which patients with locally advanced, node-negative prostate cancer who were treated with neoadjuvant–concurrent hormone ablation therapy and external beam radiation therapy (70 Gy) were subsequently randomized to receive either no further androgen deprivation or long-term (2-year) goserelin therapy. The results at 10 years confirm biochemical and clinical outcome benefits with the use of long-term androgen deprivation therapy for patients treated with conventional-dose radiotherapy. How these results should best be incorporated into dose-escalated radiotherapeutic approaches remains unclear, however, and this issue requires further investigation.

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References

  1. Horwitz EM et al. (2008) Ten-year follow-up of radiation therapy oncology group protocol 92-02: a phase III trial of the duration of elective androgen deprivation in locally advanced prostate cancer. J Clin Oncol 26: 2497–2504

    Article  CAS  Google Scholar 

  2. Valicenti RK et al. (2007) Does adjuvant hormonal therapy improve freedom from biochemical relapse in prostate cancer patients receiving dose-escalated radiation therapy? An analysis of RTOG 94-06 [abstract]. Int J Radiat Oncol Biol Phys 69 (3 Suppl 1): S171

    Article  Google Scholar 

  3. Dearnaly DP et al. (2007) Escalated-dose versus standard-dose conformal radiotherapy in prostate cancer: first results from the MRC RT01 randomised controlled trial. Lancet Oncol 8: 475–487

    Article  Google Scholar 

  4. Martinez A et al. (2003) No apparent benefit at five years from a course of neoadjuvant/concurrent androgen deprivation for patients with prostate cancer treated with high total radiation dose. J Urol 170: 2296–2301

    Article  Google Scholar 

  5. Merrick GS et al. (2007) Androgen deprivation therapy does not impact cause-specific or overall survival in high-risk prostate cancer managed with brachytherapy and supplemental external beam. Int J Radiat Oncol Biol Phys 68: 34–40

    Article  CAS  Google Scholar 

  6. Zelefsky MJ et al. (2008) Long-term outcome following three-dimensional conformal/intensity-modulated external-beam radiotherapy for clinical stage T3 prostate cancer. Eur Urol 53: 1172–1179

    Article  Google Scholar 

  7. Bolla M et al. (2007) Concomitant and adjuvant androgen deprivation (ADT) with external beam irradiation (RT) for locally advanced prostate cancer: 6 months versus 3 years ADT—results of the randomized EORTC Phase III trial 22961 [abstract]. J Clin Oncol 25 (18 Suppl): 5014–5015

    Google Scholar 

  8. Efstathiou JA Shipley et al. (2008) Cardiovascular mortality and duration of androgen deprivation for locally advanced prostate cancer: analysis of RTOG 92-02. Eur Urol [10.1016/j.eururo.2008.01.021]

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Correspondence to Marisa A Kollmeier.

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Kollmeier, M., Zelefsky, M. What is the role of androgen deprivation therapy in the treatment of locally advanced prostate cancer?. Nat Rev Urol 5, 584–585 (2008). https://doi.org/10.1038/ncpuro1217

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