Pooled data51
|
Combination of trials for men treated for intermediate or high risk prostate Ca |
6 Mos adjuvant ADT vs no ADT |
34 |
18 CV deaths with ADT, 16 without ADT |
Statistical analysis confined only to men older than 65 yrs event rate was equivalent but CV deaths sooner with ADT |
RTOG 85-3146
|
Unfavorable prognosis prostate Ca (T3 tumor or nodal involvement) |
RT + indefinite ADT vs RT alone |
117 |
8.4% With ADT, 11.4% without ADT |
No significant difference between treatment groups (p = 0.17) |
RTOG 86-1047
|
Locally advanced prostate Ca |
RT + 4 mos combined ADT vs RT alone |
57 |
14% With ADT, 11% without ADT |
No significant difference between treatment groups (p = 0.32) |
RTOG 92-0248
|
Locally advanced prostate Ca |
RT + ADT (28 mos) vs RT + ADT (4 mos) |
185 |
5-Yr CV mortality, 5.9% with 28 mos ADT, 4.8% with 4 mos ADT |
No significant difference between treatment groups (p = 0.58) |
EORTC 3089149
|
Prostate Ca not suitable for local treatment |
Immediate ADT vs ADT deferred until symptomatic |
185 |
17.9% With immediate ADT, 19.7% with deferred ADT |
No significant difference between treatment groups |