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Chemotherapy in Prostate Cancer

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Urological Cancers

Summary

Chemotherapy in prostate cancer is an established treatment only for symptomatic hormone-refractory disease, where it can improve symptoms and quality of life but does not impact overall survival. Its role in earlier stage disease is currently being evaluated. Certainly, advancing chemotherapy may eliminate hormone-resistant clones early, thereby slowing the natural progression of this disease. Of the various cytotoxic agents currently under study, the taxanes show the most promise, combining encouraging PSA response rates with tolerability. Targeted therapies both alone or in combination may also prove effective, especially as we gain insight into prostate cancer at the molecular level and learn how best to use these agents. Phase III well-controlled clinical trials of the most promising regimens will then be needed to define the best regimens available.

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References

  1. Greenlee RT, Hill-Harmon MB, Murray T, Thun M. Cancer statistics, 2001. CA Cancer J Clin 2001; 51(1):15–36.

    Article  PubMed  CAS  Google Scholar 

  2. Waxman J, Roylance R. New drugs for prostate cancer? Eur J Cancer 1998;34(4):437.

    Article  PubMed  CAS  Google Scholar 

  3. Garnick MB. Prostate cancer: screening, diagnosis, and management. Ann Intern Med 1993; 118(10):804–818.

    PubMed  CAS  Google Scholar 

  4. Ripple GH, Wilding G. Drug development in prostate cancer. Semin Oncol 1999;26(2):217–226.

    PubMed  CAS  Google Scholar 

  5. Di Lorenzo G, Autorino R, De Laurentiis M, et al. Is there a standard chemotherapeutic regimen for hormone-refractory prostate cancer? Present and future approaches in the management of the disease. Tumori 2003;89(4):349–360.

    PubMed  Google Scholar 

  6. Porter AT, McEwan AJ, Powe JE, et al. Results of a randomized phase-III trial to evaluate the efficacy of strontium-89 adjuvant to local field external beam irradiation in the management of endocrine resistant metastatic prostate cancer. Int J Radiat Oncol Biol Phys 1993;25(5):805–813.

    PubMed  CAS  Google Scholar 

  7. Moore MJ, Tannock IF. Overview of Canadian trials in hormonally resistant prostate cancer. Semin Oncol 1996;23(6 suppl 14):15–19.

    PubMed  CAS  Google Scholar 

  8. Ernst DS, Tannock IF, Winquist EW, et al. Randomized, double-blind, controlled trial of mitoxantrone/prednisone and clodronate versus mitoxantrone/prednisone and placebo in patients with hormone-refractory prostate cancer and pain. J Clin Oncol 2003;21(17):3335–3342.

    Article  PubMed  CAS  Google Scholar 

  9. Small EJ, Smith MR, Seaman JJ, et al. Combined analysis of two multicenter, randomized, placebocontrolled studies of pamidronate disodium for the palliation of bone pain in men with metastatic prostate cancer. J Clin Oncol 2003;21(23):4277–4284.

    Article  PubMed  CAS  Google Scholar 

  10. Saad F, Schulman CC. Role of bisphosphonates in prostate cancer. Eur Urol 2004;45(1):26–34.

    Article  PubMed  CAS  Google Scholar 

  11. Kelly WK, Scher HI, Mazumdar M, Vlamis V, Schwartz M, Fossa SD. Prostate-specific antigen as a measure of disease outcome in metastatic hormone-refractory prostate cancer. J Clin Oncol 1993;11(4):607–615.

    PubMed  CAS  Google Scholar 

  12. Kaur M, Reed E, Sartor O, et al. Suramin’s development: what did we learn? Invest New Drugs 2002;20(2):209–219.

    Article  PubMed  CAS  Google Scholar 

  13. Bubley GJ, Carducci M, Dahut W, et al. Eligibility and response guidelines for phase II clinical trials in androgen-independent prostate cancer: recommendations from the Prostate-Specific Antigen Working Group. J Clin Oncol 1999;17(11):3461–3467.

    PubMed  CAS  Google Scholar 

  14. Scher HI, Eisenberger M, D’Amico AV, et al. Eligibility and outcomes reporting guidelines for clinical trials for patients in the state of a rising prostate-specific antigen: recommendations from the Prostate-Specific Antigen Working Group. J Clin Oncol 2004;22(3):537–556.

    Article  PubMed  Google Scholar 

  15. Myers C. Anthracyclines. Cancer Chemother Biol Response Modif 1988;10:33–39.

    PubMed  CAS  Google Scholar 

  16. Calabresi P, Chabner BA. Antineoplastic agents. In: Gilman A, Rall TW, Nies AS, eds. Goodman and Gilman’s The Pharmacological Basis of Therapeutics. San Francisco: McGraw-Hill, 1993:1241–1244.

    Google Scholar 

  17. Tannock IF, Osoba D, Stockler MR, et al. Chemotherapy with mitoxantrone plus prednisone or prednisone alone for symptomatic hormone-resistant prostate cancer: a Canadian randomized trial with palliative end points. J Clin Oncol 1996;14(6):1756–1764.

    PubMed  CAS  Google Scholar 

  18. Osoba D, Tannock IF, Ernst DS, et al. Health-related quality of life in men with metastatic prostate cancer treated with prednisone alone or mitoxantrone and prednisone. J Clin Oncol 1999; 17(6):1654–1663.

    PubMed  CAS  Google Scholar 

  19. Bloomfield DJ, Krahn MD, Neogi T, et al. Economic evaluation of chemotherapy with mitoxantrone plus prednisone for symptomatic hormone-resistant prostate cancer: based on a Canadian randomized trial with palliative end points. J Clin Oncol 1998;16(6):2272–2279.

    PubMed  CAS  Google Scholar 

  20. Kantoff PW, Halabi S, Conaway M, et al. Hydrocortisone with or without mitoxantrone in men with hormone-refractory prostate cancer: results of the cancer and leukemia group B 9182 study. J Clin Oncol 1999;17(8):2506–2513.

    PubMed  CAS  Google Scholar 

  21. Berry W, Dakhil S, Modiano M, et al. Phase III study of mitoxantrone plus low dose prednisone versus low dose prednisone alone in patients with asymptomatic hormone refractory prostate cancer. J Urol 2002;168(6):2439–2443.

    Article  PubMed  CAS  Google Scholar 

  22. Hudes GR, Nathan F, Khater C, et al. Phase II trial of 96-hour paclitaxel plus oral estramustine phosphate in metastatic hormone-refractory prostate cancer. J Clin Oncol 1997;15(9):3156–3163.

    PubMed  CAS  Google Scholar 

  23. Perry CM, McTavish D. Estramustine phosphate sodium. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic efficacy in prostate cancer. Drugs Aging 1995; 7(1):49–74.

    PubMed  CAS  Google Scholar 

  24. Pienta KJ, Redman BG, Bandekar R, et al. A phase II trial of oral estramustine and oral etoposide in hormone refractory prostate cancer. Urology 1997;50(3):401–406, discussion 406–407.

    Article  PubMed  CAS  Google Scholar 

  25. Dimopoulos MA, Panopoulos C, Bamia C, et al. Oral estramustine and oral etoposide for hormone-refractory prostate cancer. Urology 1997;50(5):754–758.

    Article  PubMed  CAS  Google Scholar 

  26. Hudes G, Einhorn L, Ross E, et al. Vinblastine versus vinblastine plus oral estramustine phosphate for patients with hormone-refractory prostate cancer: a Hoosier Oncology Group and Fox Chase Network phase III trial. J Clin Oncol 1999;17(10):3160–3166.

    PubMed  CAS  Google Scholar 

  27. Albrecht W, Van Poppel H, Horenblas S, et al. Randomized Phase II trial assessing estramustine and vinblastine combination chemotherapy vs estramustine alone in patients with progressive hormone-escaped metastatic prostate cancer. Br J Cancer 2004;90(1):100–105.

    Article  PubMed  CAS  Google Scholar 

  28. Berry WG, Dakhil M, Hathorn S, et al. Phase II randomized trial of weekly paclitaxel (Taxol®) with or without estramustine phosphate in patients with symptomatic, hormone-refractory, metastatic carcinoma of the prostate (HRMCP). Proc Am Soc Clin Oncol 2001;20:696 (abstract 175a).

    Google Scholar 

  29. Petrylak DP, Macarthur R, O’Connor J, et al. Phase I/II studies of docetaxel (Taxotere) combined with estramustine in men with hormone-refractory prostate cancer. Semin Oncol 1999;26(5 suppl 17):28–33.

    PubMed  CAS  Google Scholar 

  30. Picus J, Schultz M. Docetaxel (Taxotere) as monotherapy in the treatment of hormone-refractory prostate cancer: preliminary results. Semin Oncol 1999;26(5 suppl 17):14–18.

    PubMed  CAS  Google Scholar 

  31. Berry W, Dakhil S, Gregurich MA, et al. Phase II trial of single-agent weekly docetaxel in hormone-refractory, symptomatic, metastatic carcinoma of the prostate. Semin Oncol 2001;28(4 suppl 15):8–15.

    Article  PubMed  CAS  Google Scholar 

  32. Beer TM, Pierce WC, Lowe BA, et al. Phase II study of weekly docetaxel in symptomatic androgenin-dependent prostate cancer. Ann Oncol 2001; 12(9):1273–1279.

    Article  PubMed  CAS  Google Scholar 

  33. Tannock IF, de Wit R, Berry WR, et al. Docetaxel plus prednisone or mitoxantrone plus prednisone for advanced prostate cancer. N Engl J Med 2004;351:1502–1512.

    Article  PubMed  CAS  Google Scholar 

  34. Petrylak DP, Tangen CM, Hussain MHA, et al. Docetaxel and Estramustine compared with mitoxantrone and prednisone for advanced refractory prostate cancer. N Engl J Med 2004;351:1513–1520.

    Article  PubMed  CAS  Google Scholar 

  35. Freeman S. A phase II study of the combination of docetaxel/mitoxantrone/low-dose prednisone in men with hormone refractory cancer (HRPC). Proc Am Soc Oncol 2003;22:432 (abstract 1735).

    Google Scholar 

  36. Colleoni M, Graiff C, Vicario G, et al. Phase II study of estramustine, oral etoposide, and vinorelbine in hormone-refractory prostate cancer. Am J Clin Oncol 1997;20(4):383–386.

    Article  PubMed  CAS  Google Scholar 

  37. Kelly WK, Curley T, Slovin S, et al. Paclitaxel, estramustine phosphate, and carboplatin in patients with advanced prostate cancer. J Clin Oncol 2001;19(1):44–53.

    PubMed  CAS  Google Scholar 

  38. Smith DC, Esper P, Strawderman M, et al. Phase II trial of oral estramustine, oral etoposide, and intravenous paclitaxel in hormone-refractory prostate cancer. J Clin Oncol 1999;17(6):1664–1671.

    PubMed  CAS  Google Scholar 

  39. Gilligan T, Kantoff PW. Chemotherapy for prostate cancer. Urology 2002;60(3 suppl 1):94–100, discussion 100.

    Article  PubMed  Google Scholar 

  40. Pettaway CA, Pisters LL, Troncoso P, et al. Neoadjuvant chemotherapy and hormonal therapy followed by radical prostatectomy: feasibility and preliminary results. J Clin Oncol 2000;18(5):1050–1057.

    PubMed  CAS  Google Scholar 

  41. Clark PE, Peereboom DM, Dreicer R, et al. Phase II trial of neoadjuvant estramustine and etoposide plus radical prostatectomy for locally advanced prostate cancer. Urology 2001;57(2):281–285.

    Article  PubMed  CAS  Google Scholar 

  42. Dreicer R, Klein EA. Preliminary observations of single-agent docetaxel as neoadjuvant therapy for locally advanced prostate cancer. Semin Oncol 2001;28(4 suppl 15):45–48.

    Article  PubMed  CAS  Google Scholar 

  43. Oh WK, George DJ, Kaufman DS, et al. Neoadjuvant docetaxel followed by radical prostatectomy in patients with high-risk localized prostate cancer: a preliminary report. Semin Oncol 2001; 28(4 suppl 15):40–44.

    Article  PubMed  CAS  Google Scholar 

  44. Hussain M, Smith DC, El-Rayes BF, et al. Neoadjuvant docetaxel and estramustine chemotherapy in high-risk/locally advanced prostate cancer. Urology 2003;61(4):774–780.

    Article  PubMed  Google Scholar 

  45. Eastham JA, Kelly WK, Grossfeld GD, et al. Cancer and Leukemia Group B (CALGB) 90203: a randomized phase 3 study of radical prostatectomy alone versus estramustine and docetaxel before radical prostatectomy for patients with high-risk localized disease. Urology 2003;62(suppl 1):55–62.

    Article  PubMed  Google Scholar 

  46. Beer TM, Garzotto M, Lowe BA, et al. Phase I study of weekly mitoxantrone and docetaxel before prostatectomy in patients with high-risk localized prostate cancer. Clin Cancer Res 2004;10(4):1306–1311.

    Article  PubMed  CAS  Google Scholar 

  47. Zelefsky MJ, Kelly WK, Scher HI, et al. Results of a phase II study using estramustine phosphate and vinblastine in combination with high-dose three-dimensional conformal radiotherapy for patients with locally advanced prostate cancer. J Clin Oncol 2000;18(9):1936–1941.

    PubMed  CAS  Google Scholar 

  48. Ben-Josef E, Porter AT, Han S, et al. Neoadjuvant estramustine and etoposide followed by concurrent estramustine and definitive radiotherapy for locally advanced prostate cancer: feasibility and preliminary results. Int J Radiat Oncol Biol Phys 2001;49(3):699–703.

    Article  PubMed  CAS  Google Scholar 

  49. Oh WK, Kaplan ID, Febbo P, et al. Neoadjuvant doxil chemotherapy prior to androgen ablation plus radiotherapy for high-risk localized prostate cancer: feasibility and toxicity. Am J Clin Oncol 2003;26(3):312–316.

    Article  PubMed  CAS  Google Scholar 

  50. Schmidt JD, Gibbons RP, Murphy GP, et al. Adjuvant therapy for clinical localized prostate cancer treated with surgery or irradiation. Eur Urol 1996;29(4):425–433.

    PubMed  CAS  Google Scholar 

  51. Takano S, Gately S, Neville ME, et al. Suramin, an anticancer and angiosuppressive agent, inhibits endothelial cell binding of basic fibroblast growth factor, migration, proliferation, and induction of urokinase-type plasminogen activator. Cancer Res 1994;54(10):2654–2660.

    PubMed  CAS  Google Scholar 

  52. Moore MJ, Winquist E, Pollak M, et al. Randomized phase II study of two doses of gefitinib (“Iressa,” ZD1839) in hormone-refractory prostate cancer: a trial of the National Cancer Institute of Canada-Clinical Trials Group. Ann Oncol 2002; 13(suppl 5):90.

    Google Scholar 

  53. Rosenthal MT, Gurney GC, Davis H, et al. Inhibition of the epidermal growth factor receptor (EGFR) in hormone refractory prostate cancer (HRPC): initial results of a phase II trial of gefitinib. Proc Am Soc Clin Oncol 2003;22:416 (abstract 1671).

    Google Scholar 

  54. Sridhar SS, Shepherd FA. Targeting angiogenesis: a review of angiogenesis inhibitors in the treatment of lung cancer. Lung Cancer 2003;42(suppl 1):S81–91.

    Article  PubMed  Google Scholar 

  55. Small EJ, Fratesi P, Reese DM, et al. Immunotherapy of hormone-refractory prostate cancer with antigen-loaded dendritic cells. J Clin Oncol 2000; 18(23):3894–3903.

    PubMed  CAS  Google Scholar 

  56. Arlen PM, Gulley JL, Tsang KY, Schlom J. Strategies for the development of PSA-based vaccines for the treatment of advanced prostate cancer. Expert Rev Vaccines 2003;2(4):483–493.

    Article  PubMed  CAS  Google Scholar 

  57. Leonard GDD, Gulley WL, Arlen JL, Figg PM. Docetaxel and thalidomide as a treatment option for androgen-independent, nonmetastatic prostate cancer. Rev Urol 2003;5(suppl 3):S65–70.

    PubMed  Google Scholar 

  58. Beer TM. Development of weekly high-dose calcitriol based therapy for prostate cancer. Urol Oncol 2003;21(5):399–405.

    PubMed  CAS  Google Scholar 

  59. Pruitt-Scott DE, Ryan CW, Stadler WM, et al. Exisulind (EXI) plus docetaxel (DOC) for hormone-refractory prostate cancer (HRPC). Proc Am Soc Clin Oncol 2002;21:161b (abstract 2460).

    Google Scholar 

  60. Chi K, Murray RN, Gleave ME, et al. A phase II study of oblimersen sodium (G3139) and docetaxel (D) in patients (pts) with metastatic hormone-refractory prostate cancer. Proc Am Soc Clin Oncol 2003;22:393 (abstract 1580).

    Google Scholar 

  61. Sinibaldi VJ, Carducci MA, Moore-Cooper S, Laufer M, Zahurak M, Eisenberger MA. Phase II evaluation of docetaxel plus one-day oral estramustine phosphate in the treatment of patients with androgen independent prostate carcinoma. Cancer 2002;94(5):1457–1465.

    Article  PubMed  CAS  Google Scholar 

  62. Savarese DM, Halabi S, Hars V, et al. Phase II study of docetaxel, estramustine, and low-dose hydrocortisone in men with hormone-refractory prostate cancer: a final report of CALGB 9780. Cancer and Leukemia Group B. J Clin Oncol 2001;19(9):2509–2516.

    PubMed  CAS  Google Scholar 

  63. Sitka Copur M, Ledakis P, Lynch J, et al. Weekly docetaxel and estramustine in patients with hormone-refractory prostate cancer. Semin Oncol 2001;28(4 suppl 15):16–21.

    Article  PubMed  CAS  Google Scholar 

  64. Hudes GRM, Conroy J, Habermann J, Wilding T. Phase II study of weekly paclitaxel (P) by 1-hour infusion plus reduced-dose oral estramustine (EMP) in metastatic hormone-refractory prostate carcinoma (HRPC): a trial of the Eastern Cooperative Oncology Group. Proc Am Soc Clin Oncol 2001;20:175a (abstract 697).

    Google Scholar 

  65. Athanasiadis A, Tsavdaridis D, Rigatos SK, Athanasiadis I, Pergantas N, Stathopoulos GP. Hormone refractory advanced prostate cancer treated with estramustine and paclitaxel combination. Anticancer Res 2003;23(3C):3085–3088.

    PubMed  CAS  Google Scholar 

  66. Friedland D, Cohen J, Miller R Jr, et al. A phase II trial of docetaxel (Taxotere) in hormone-refractory prostate cancer: correlation of antitumor effect to phosphorylation of Bcl-2. Semin Oncol 1999;26(5 suppl 17):19–23.

    PubMed  CAS  Google Scholar 

  67. Trivedi C, Redman B, Flaherty LE, et al. Weekly 1-hour infusion of paclitaxel. Clinical feasibility and efficacy in patients with hormone-refractory prostate carcinoma. Cancer 2000;89(2):431–436.

    Article  PubMed  CAS  Google Scholar 

  68. Garzotto M, Higano C, Lowe B, et al. Neoadjuvant weekly docetaxel and mitoxantrone in patients with high risk localized prostate cancer: a phase I trial. Proc Am Soc Clin Oncol 2002;21:155b (abstract 2434).

    Google Scholar 

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Sridhar, S.S., Moore, M.J. (2005). Chemotherapy in Prostate Cancer. In: Waxman, J. (eds) Urological Cancers. Springer, London. https://doi.org/10.1007/1-84628-015-X_9

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  • DOI: https://doi.org/10.1007/1-84628-015-X_9

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