Abstract | BACKGROUND: OBJECTIVE: To assess the efficacy of the combination of ADT and salvage radiotherapy in men with oligorecurrent pelvic node relapses of prostate cancer. DESIGN, SETTING, AND PARTICIPANTS: OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: The primary endpoint was 2-yr progression-free survival defined as two consecutive prostate-specific antigen levels above the level at inclusion and/or clinical evidence of progression as per RECIST 1.1 and/or death from any cause. RESULTS AND LIMITATIONS: Between August 2014 and July 2016, 67 patients were recruited in 15 centers. Half of the patients had received prior prostatic irradiation. The median age was 67.7 yr. After a median follow-up of 49.4 mo, 2- and 3-yr progression-free survival rates were 81% and 58%, respectively. Median progression-free survival was 45.3 mo. The median biochemical relapse-free survival (BRFS) was 25.9 mo. At 2 and 3 yr, the BRFS rates were 58% and 46%, respectively. Grade 2 + 2-yr genitourinary and gastrointestinal toxicities were 10% and 2%, respectively. CONCLUSIONS: Combined high-dose salvage pelvic radiotherapy and ADT appeared to prolong tumor control in oligorecurrent pelvic node relapses in prostate cancer with limited toxicity. After 3 yr, nearly half of patients were in complete remission. Our study showed initial evidence of benefit, but a randomized trial is required to confirm this result. PATIENT SUMMARY:
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Authors | Stéphane Supiot, Loig Vaugier, David Pasquier, Xavier Buthaud, Nicolas Magné, Didier Peiffert, Paul Sargos, Gilles Crehange, Pascal Pommier, Genevieve Loos, Ali Hasbini, Igor Latorzeff, Marlon Silva, Fabrice Denis, Jean-Léon Lagrange, Cyrille Morvan, Loic Campion, Audrey Blanc-Lapierre |
Journal | European urology
(Eur Urol)
Vol. 80
Issue 4
Pg. 405-414
(10 2021)
ISSN: 1873-7560 [Electronic] Switzerland |
PMID | 34247896
(Publication Type: Clinical Trial, Phase II, Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2021. Published by Elsevier B.V. |
Chemical References |
- Androgen Antagonists
- Hormones
- Prostate-Specific Antigen
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Topics |
- Aged
- Androgen Antagonists
- Hormones
- Humans
- Lymphatic Metastasis
- Male
- Neoplasm Recurrence, Local
(therapy)
- Prostate-Specific Antigen
- Prostatic Neoplasms
(therapy)
- Salvage Therapy
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