In a multicenter trial conducted by the Danish Prostatic Cancer Group,
264 patients with advanced prostate cancer were randomized either to
undergo bilateral orchiectomy or to receive combination treatment with
goserelin acetate and flutamide. This report is an update of that stu
dy, covering a median follow-up for survival of 57 months. Of 262 pati
ents who were evaluated, 208 have died. As noted in earlier analyses o
f this study, no differences in time to progression and cause-specific
and overall survival could be identified between the two treatment gr
oups. In conclusion, the combination of goserelin and flutamide was no
t clinically superior to bilateral orchiectomy in the treatment of adv
anced prostate cancer.