Prostate Cancer Clinical Trial
Official title:
Assessment of Quality of Life in Men With High Risk Localized Prostate Cancer Undergoing Neoadjuvant Investigational Therapy
Primary Objectives:
1. To describe patient quality of life (QOL) related to bladder, bowel, and sexual
function, as well as mental and physical health, in patients who received neoadjuvant
investigational therapies prior to radical prostatectomy (RP) for high risk clinically
localized prostate cancer (HRCLPC).
2. To identify medical and demographic variables that are related with quality of life,
e.g., hormonal or non-hormonal neoadjuvant treatment, time since surgery, disease
recurrence, subsequent treatment, age, ethnicity, and socioeconomic status.
Secondary Objectives:
1. To describe treatment satisfaction expressed by patients who have received neoadjuvant
investigational therapies prior to radical prostatectomy for high risk clinically localized
prostate cancer.
Regardless of the survival benefit that a proposed treatment affords a patient, if it
results in a poor QOL, it may not be considered a reasonable option. To assess this critical
issue, QOL surveys have been developed to determine the post-therapy impact of a given
treatment.
In prostate cancer, one of the most widely used validated survey instruments is the Expanded
Prostate Cancer Index Composite (EPIC) .8 It contains 4 primary domains that elicit details
regarding urinary, bowel, sexual, and hormonal function. The EPIC questionnaire has been
widely applied, although it has not been administered to patients undergoing neoadjuvant
investigational therapies prior to radical prostatectomy for HRCLPC. Obtaining this
information will be important for counseling patients considering similar trials in the
future since it will reflect long-term outcomes for functional recovery and mental
health—two key concerns of patients deciding whether to enter clinical trials. Furthermore,
researchers will be able to stratify these outcomes based on the specific treatment arm to
possibly determine how to optimize outcomes while reducing negative impacts of a given
therapy.
This is a cross-sectional descriptive study of the QOL of prostatectomy patients who have
received neoadjuvant treatment. Anticipated 131 patients will receive a brief survey by to
complete and return by mail to M. D. Anderson.
;
Observational Model: Case-Only, Time Perspective: Prospective
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