In men with locally advanced prostate cancer, mortality from prostate cancer was 9·7% with 18 months versus 13·3% with 6 months of suppression.
In plain wordsIn men with prostate cancer, longer leuprorelin treatment reduced prostate cancer mortality compared with shorter treatment.
- Peptide
- Leuprolide
- Outcome
- DecreaseProstate cancer-specific mortality
- Study
n = 1,071
- Comparator
- 6 months of leuprorelin with radiotherapy
- Analysis
- Primary
- Outcome group
- Mortality · Cancer
- Studied dose
- 22·5 mg every 3 months · intramuscular · 18 monthsAs given in this study (human).
Measurements
- Mortality
- 9.7%
- 18 months
- Mortality
- 13.3%
- 6 months
- Absolute difference
- 3.7%
- duration contrast
- sHR
- 0.7
- duration contrast
- 95% CI
- 0.5 to 0.98
- sHR
- Adjusted p
- 0.035
- duration contrast
Source sentences
When analysed by duration of androgen suppression, the adjusted cumulative incidence of prostate cancer-specific mortality was 13·3% (95% CI 10·3-16·0) for 6AS+RT versus 9·7% (7·3-12·0) for 18AS+RT, representing an absolute difference of 3·7% (95% CI 0·3-7·1; sub-hazard ratio [sHR] 0·70 [95% CI 0·50…
5 context sentences(design, population, supporting numbers)
The total number of deaths was 375 (200 men receiving 6AS+RT and 175 men receiving 18AS+RT), of which 143 (38%) were attributable to prostate cancer (81 men receiving 6AS+RT and 62 men receiving 18AS+RT).
For this randomised, phase 3, 2 × 2 factorial trial, eligible men were 18 years or older with locally advanced prostate cancer (either T2b-4, N0 M0 tumours or T2a, N0 M0 tumours provided Gleason score was ≥7 and baseline prostate-specific antigen [PSA] concentration was ≥10 μg/L).
Patients in the control group received 6 months of neoadjuvant androgen suppression with leuprorelin (22·5 mg every 3 months, intramuscularly) and radiotherapy alone (short-term androgen suppression [STAS]);
this treatment was either followed by another 12 months of adjuvant androgen suppression with leuprorelin (22·5 mg every 3 months, intramuscularly; intermediate-term androgen suppression [ITAS]),
the treatment groups were collapsed to compare treatments according to duration of androgen suppression: 6 months of androgen suppression plus radiotherapy (6AS+RT) versus 18 months of androgen suppression plus radiotherapy (18AS+RT)