Oops, you're using an old version of your browser so some of the features on this page may not be displaying properly.

MINIMAL Requirements: Google Chrome 24+Mozilla Firefox 20+Internet Explorer 11Opera 15–18Apple Safari 7SeaMonkey 2.15-2.23

Genitourinary tumours, prostate

2243 - Long term efficacy and QOL data of chemohormonal therapy (C-HT) in low and high volume hormone naïve metastatic prostate cancer (PrCa): E3805 CHAARTED trial


09 Oct 2016


Genitourinary tumours, prostate


Christopher Sweeney


Annals of Oncology (2016) 27 (6): 243-265. 10.1093/annonc/mdw372


C. Sweeney1, Y. Chen2, G. Liu3, M. Carducci4, D. Jarrard3, M. Eisenberger4, Y. Wong5, L. Patrick-Miller6, N. Hahn4, M. Kohli7, M. Conney8, R. Dreicer9, N.J. Vogelzang10, J. Picus11, D. Shevrin12, M. Hussain13, J. Garcia14, R. Dipaola15

Author affiliations

  • 1 Lank Center For Genitourinary Oncology, Dana Farber Cancer Institute, 02115 - Boston/US
  • 2 Biostastictics, Dana-Farber Cancer Institute, 02446 - Boston/US
  • 3 Oncology, UW Carbone Cancer Center, Madison/US
  • 4 Oncology, Johns Hopkins Hospital, 21231 - Baltimore/US
  • 5 Medical Oncology, Fox Chase Cancer Center, 19111 - Philadelphia/US
  • 6 Medical Oncology, The University of Chicago Medical Centre, Chicago/US
  • 7 Medical Oncology, Mayo Clinic, Rochester/US
  • 8 Medical Oncology, University Hospitals Case Medical Center,, Cleveland/US
  • 9 Medical Oncology, University of Virginia, Charlottesville/US
  • 10 Medical Oncology, US Oncology Research c/o Comprehensive Cancer Crts of NV, Las Vegas/US
  • 11 Medical Oncology, Washington University School of Medicine, 63110 - St Louis/US
  • 12 Medical Oncology, NorthShore University HealthSystem, Chicago/US
  • 13 Medical Oncology, University of Michigan, Ann Arbor/US
  • 14 Medical Oncology, Cleveland Clinic Foundation, Cleveland/US
  • 15 Medical Oncology, University of Kentucky, Lexington/US


Abstract 2243


Early analyses revealed significant increase in overall survival (OS) for patients with a higher burden of disease with early docetaxel (D) plus androgen deprivation therapy (ADT) over ADT alone. Patients with low volume disease have a more favorable natural history with ADT alone and the benefit of early D for this distinct subset requires longer follow-up


790 men were accrued from 7/28/06 to 11/21/2012 and randomized to ADT alone or ADT + D at 75mg/m2 every 3 weeks for 6 cycles within 4 mos of ADT. Patients were prospectively stratified into high volume (HV) vs. low volume (LV) disease (HV: visceral metastases and/or 4 or more bone metastases with at least one outside of the vertebral column and pelvis).


As of April 23, 2016, the median follow-up was 53.7 months and there were 299 deaths of 513 HV pts and 100 deaths of the 277 LV pts. The overall median OS was 57.6 mos for ADT + D [95% CI: (52.0, 63.9)] and 47.2 (41.8, 52.8) for ADT alone HR: 0.73 (0.59, 0.89), p = 0.0018 (stratified log rank). Deaths and distribution of OS by arm and volume of disease are in Table 1. The evaluation of outcome by disease volume interaction with treatments revealed a p-value of 0.029 indicating the impact of early docetaxel differed between the HV and LV pts. The burden of cancer and therapy was assessed by FACT-P score and notable findings were (i) HV pts had lower baseline QOL than LV pts, (ii) there was a decline in QOL from baseline to 3 months in ADT + D LV ps and (iii) the lowest FACT-P score at 12 months was in ADT alone HV pts (see Table).

Survival ADT + D ADT p-value HR (95%CI*)
LV Deaths / N (%) 51/134 (38.1%) 49/143 (34.3%)
LV Median OS mos* 63.5 (58.3, 78.5) NR (59.8, - ) 0.86 1.04 (0.70, 1.55)
HV Deaths/ N (%) 137/263 (52.1%) 162/250 (64.8%)
HV Median OS mos* 51.2 (45.2, 58.1) 34.4 (30.1, 42.1)


The clinical benefit of ADT + D is limited to pts with a higher burden of metastatic prostate. Partial Support and drug supply by Sanofi.

Clinical trial identification


Legal entity responsible for the study





C. Sweeney: Grant support from the NCI, personal fees from Sanofi, Janssen, Astellas, Bayer, and Genentech. G. Liu: Dr. Liu reports grant support from the University of Wisconsin Carbone Cancer Center during the conduct of the study. M. Carducci: Dr. Carducci reports personal fees from Sanofi, Amgen, Astellas, and Medivation outside the submitted work. M. Eisenberger: Dr. Eisenberger reports personal fees from Sanofi outside the submitted work. Y-N. Wong: Dr. Wong reports other support from Sanofi during the conduct of the study; grant support from Pfizer, Medivation, Millennium, and other support from eviti outside the submitted work. N. Hahn: Grant support from Sanofi-Aventis and from Dendreon, grant support and personal fees from OncoGeneX, grant and non-financial support from Millennium, and personal fees from Medivation and Sanofi-Aventis outside the submitted work.

R. Dreicer: Dr. Dreicer reports personal fees from Millennium, Medivation, Astellas, Bind Pharmaceuticals, Genentech, Roche, and Dendreon outside the submitted work.

J. Picus: Dr. Picus reports grant support from the National Cancer Institute during the conduct of the study.

M. Hussain: Dr. Hussain reports grant support from the SWOG during the conduct of the study

J. Garcia: Dr. Garcia reports grant support and personal fees from Astellas and Bayer, and personal fees from Sanofi outside the submitted work.

R. Dipaola: Dr. DiPaola reports other support from Sanofi-Aventis during the conduct of the study

All other authors have declared no conflicts of interest.

This site uses cookies. Some of these cookies are essential, while others help us improve your experience by providing insights into how the site is being used.

For more detailed information on the cookies we use, please check our Privacy Policy.

Customise settings
  • Necessary cookies enable core functionality. The website cannot function properly without these cookies, and can only be disabled by changing your browser preferences.