Table 2 –
Trial | Inclusion a | Number of patients randomized | Number of patients extracted | Arms | GG 4 | GG 5 | Total |
---|---|---|---|---|---|---|---|
RTOG 8531 (1987–1992) | cT1-T2N+ or cT3–4 <25 cm2 b | 977 | 216 | RT alone | 61 | 47 | 108 |
Lifelong ADT | 59 | 49 | 108 | ||||
RTOG 8610 (1987–1991) | cT2-T4 ≥25 cm2 | 456 | 128 | RT alone | 33 | 36 | 69 |
STADT | 29 | 30 | 59 | ||||
RTOG 9202 (1992–1995) | cT2–4N0-X, PSA <150c | 1554 | 337 | STADT | 93 | 78 | 171 |
LTADT | 92 | 74 | 166 | ||||
EORTC 22863 (1987–1995) | cT1–2N0 WHO grade 3 cT3–4N0 | 415 | 43d | RT alone | 17 | 7 | 24 |
LTADT | 13 | 6 | 19 | ||||
EORTC 22961 (1997–2001) | cT1c-2bN+, cT3– 4N0 PSA <40 × ULN |
970 | 186 | STADT | 56 | 34 | 90 |
LTADT | 75 | 21 | 96 | ||||
EORTC 22991 (2001–2008) | cT1b-c with PSA ≥10 or GS ≥7, cT2a with PSA ≤50 | 819 | 82 | RT alone | 29 | 8 | 37 |
STADT | 36 | 9 | 45 | ||||
Group | GG 4 | GG 5 | Total | ||||
RT alone | 140 | 98 | 238 | ||||
STADT | 214 | 151 | 365 | ||||
LTADT | 180 | 101 | 281 | ||||
Lifelong ADT | 59 | 49 | 108 | ||||
Total | 593 | 399 | 992 |
ADT = androgen deprivation therapy; GG = Gleason grade group; GS = Gleason score; LTADT = long-term ADT; PSA = prostate-specific antigen; RT = radiation therapy; STADT = short-term ADT; ULN = upper limit of normal; WHO = World Health Organization.
Patients with cN+ or pN+ disease were included in several protocols but not included in our analyses.
RTOG 8531 also included patients with high-risk features after radical prostatectomy, who were not included in our analysis.
PSA values are in units of ng/ml unless otherwise indicated.
The 43 patients from EORTC 22863 are drawn from a subgroup of 132 patients who underwent Gleason grading.