Prostate Cancer Clinical Trial
Bevacizumab, Hormone Therapy, and Radiation Therapy in Treating Patients With Locally Advanced Prostate Cancer
Summary
RATIONALE: Monoclonal antibodies, such as bevacizumab, can block tumor growth in different ways. Some block the ability of tumor cells to grow and spread. Others find tumor cells and help kill them or carry tumor-killing substances to them. Androgens can cause the growth of prostate cancer cells. Drugs, such as goserelin and bicalutamide, may stop the adrenal glands from making androgens. Radiation therapy uses high-energy x-rays to kill tumor cells. Bevacizumab may also make tumor cells more sensitive to radiation therapy. Giving bevacizumab together with hormone therapy and radiation therapy may kill more tumor cells.
PURPOSE: This phase II trial is studying how well giving bevacizumab together with hormone therapy and radiation therapy works in treating patients with high-risk locally advanced prostate cancer.
Full Description
OBJECTIVES:
Determine the safety and efficacy of giving bevacizumab together with hormonal therapy and radiotherapy in patients with high-risk locally advanced prostate cancer.
OUTLINE: This is an open-label, pilot study.
Beginning in week 1, patients receive goserelin subcutaneously once every 3 months for 2 years. Patients also receive oral bicalutamide once daily and bevacizumab IV over 30- to 90-minutes once every 2 weeks in weeks 1-16 and undergo radiotherapy 5 days a week in weeks 9-16. After completion of radiotherapy, patients receive a higher dose of bevacizumab once every 3 weeks in weeks 17-28.
After completion of study treatment, patients are evaluated at 30 days.
PROJECTED ACCRUAL: A total of 18 patients will be accrued for this study.
Eligibility Criteria
DISEASE CHARACTERISTICS:
Histologically confirmed adenocarcinoma of the prostate
High-risk, locally advanced disease (T2b-T4 disease), meeting 1 of the following criteria:
Gleason score 8-10
Prostate-specific antigen > 20 ng/dL AND Gleason score 7
T2a disease allowed provided ≥ 5 biopsies contain Gleason score 4 +3 cancer (minimum of 10 biopsies total required)
No evidence of metastatic disease within the past 60 days by physical examination, chest x-ray, bone scan, and CT scan of abdomen and pelvis
PATIENT CHARACTERISTICS:
ECOG performance status 0-2
Hemoglobin > 8 g/dL
Absolute granulocyte count ≥ 1,500/mm³
Platelet count ≥ 100,000/mm³
Bilirubin ≤ 1.5 times upper limit of normal (ULN)
Creatinine ≤ 1.5 times ULN
Blood pressure ≤ 150/100 mm Hg
No cardiovascular disease, including any of the following:
Unstable angina
New York Heart Association class II-IV congestive heart failure
History of myocardial infarction within the past 6 months
History of stroke within the past 6 months
PRIOR CONCURRENT THERAPY:
At least 4 weeks since prior major surgery
No prior hormonal therapy (except finasteride for obstructive voiding symptoms) for prostate cancer
No prior or concurrent chemotherapy, biologic therapy, or radiotherapy for prostate cancer
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There is 1 Location for this study
Seattle Washington, 98101, United States
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