PHASE-III RANDOMIZED STUDY OF ZOLADEX VERSUS STILBESTROL IN THE TREATMENT OF ADVANCED PROSTATE-CANCER

被引:33
作者
WAYMONT, B
LYNCH, TH
DUNN, JA
EMTAGE, LA
ARKELL, DG
WALLACE, DMA
BLACKLEDGE, GRP
机构
[1] WALSGRAVE GEN HOSP, COVENTRY CV2 2DY, W MIDLANDS, ENGLAND
[2] DUDLEY RD GEN HOSP, BIRMINGHAM B18 7QH, W MIDLANDS, ENGLAND
[3] UNIV BIRMINGHAM, BIRMINGHAM B15 2TT, W MIDLANDS, ENGLAND
来源
BRITISH JOURNAL OF UROLOGY | 1992年 / 69卷 / 06期
关键词
D O I
10.1111/j.1464-410X.1992.tb15633.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
An open randomised Phase III trial was conducted of the depot GnRH analogue goserelin (Zoladex) versus stilboestrol (3 mg/day) in patients with advanced or metastatic prostate cancer. The study included 250 patients and the median follow-up was 43 months. In the Zoladex arm the time to first response was achieved earlier and more patients reported an improvement in symptoms. There was no statistically significant difference between the Zoladex and the stilboestrol arms with regard to survival and time to treatment failure. A major reason for treatment failure was the preponderance of adverse events in patients receiving stilboestrol. It is suggested that stilboestrol should no longer be used for prostate cancer when equally effective alternative treatments are available.
引用
收藏
页码:614 / 620
页数:7
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