| | Requirement |
| 1 | Histologic confirmation of prostate cancer. |
| 2 | Clinical category T2c, T3a, T3b, or T4 OR clinical category T1b to T2b, and one of the following: PSA >10 ng/ml or Gleason score =(4+3=7) or any minor tertiary grade of 5 or Gleason score =(4+3=7) with 50% or more cores positive or >2.0 ng/ml rise in PSA during the year prior to diagnosis. |
| 3 | PSA rise should be verified after the following criteria have been met: (a) abstinence from sexual activity/ejaculation 1 week prior; (b) no invasive procedures including but not limited to, colonoscopy, erMRI, cystoscopy, prostate needle biopsy, 2 weeks prior; (c) no horseback or bike riding 1 week prior; (d) genitourinary infection/inflammation ruled out 2 weeks prior. PSA should be repeated if any of the above conditions apply. |
| 4 | PSA should be obtained prior to initiation of hormonal therapy and within 3 months of study entry, except when a TURP has been performed which has falsely lowered the PSA. In this case, the PSA drawn immediately prior to TURP will be used as the baseline PSA, even if the PSA exceeds 3 months prior to entry. |
| 5 | Age at least 30 years old. |
| 6 | ECOG PS 0 or 1. |
| 7 | WBC >3.0; platelets >100,000; Hgb >8.0 (obtained within 1 month of study entry). |
| 8 | Total bilirubin < / = uln (except for Gilbert’s Syndrome); SGOT and SGPT obtained within 1 month of study entry within the range allowing for eligibility. |
| 9 | Creatinine <2.0. |
| 10 | Free and/or total serum testosterone obtained within 3 months of study entry. |
| 11 | Peripheral neuropathy < / = Gr 1. |
| 12 | Must agree to either abstain from sexual intercourse or use a medically acceptable form of contraception while on chemotherapy and for one month after completing chemotherapy. |
| 13 | Signed informed consent (including HIPAA authorization). |