Table 1 Study details of trials employing PEP at 240 mg monthly
From: Parenteral oestrogen in the treatment of prostate cancer: a systematic review
Trial | |||
---|---|---|---|
Study population | Advanced (T0–4, Nx, M1, grades 1–3) | Locally advanced (T3–4, M0) or metastatic (T1–4, M1) | Newly detected untreated advanced |
Recruitment period | December 1992 to June 1997 | January 1990 to March 1994 | Not reported |
Patients recruited (withdrawn) | 917 (7) | 444a (not reported) | 33 (0) |
Disease status | T0 (n=5) 0.5% | ||
T1 (n=33) 4% | |||
T2 (n=146) 16% | |||
T3 (n=493) 54% | T3 (n=22) 66% | ||
T4 (n=n=208) 23% | T4 (n=11) 33% | ||
(missing (n=25)) | |||
All M1 100% | T3–4, M0 (n=244) 55% | M0 (n=29) 88% | |
T1–4, M1 (n=200) 45% | M1 (n=4) 12% | ||
G1 (n=136) 15% | G1 (n=111) 25% | ||
G2 (n=414) 45% | G2 (n=261) 59% | G2 (n=20) 61% | |
G3 (n=340) 40% | G3 (n=72) 16% | G3 (n=13) 39% | |
(missing (n=20)) | |||
Follow-up | Median follow-up: | 2 years, subgroup analyses at 3 and 10 years | 2 years |
PEP 27.1 months Comparator: 27.4 months, brief report for 12 years | |||
Dose | 240 mg every 2 weeks for 2 months then 240 mg month−1 | 320 mg initial dose then 240 mg month−1 | 240 mg every 2 weeks for 2 months then 240 mg month−1 |
Comparator | Orchidectomy or combined androgen ablation | Orchidectomy | Orchidectomy |
Adjuvant therapy | No | Pretreatment breast irradiation | Pretreatment breast irradiation |
Cardiovascular criteria | No myocardial or cerebral infarct 1 month or less before the start of study | No symptomatic coronary heart disease | Patients with previous cardiovascular disease were included |
Study quality | High | Randomisation poorly reported | Randomisation poorly reported |