Prior therapies as prognostic factors of overall survival in metastatic castration-resistant prostate cancer patients treated with [


Journal

European journal of nuclear medicine and molecular imaging
ISSN: 1619-7089
Titre abrégé: Eur J Nucl Med Mol Imaging
Pays: Germany
ID NLM: 101140988

Informations de publication

Date de publication:
01 2021
Historique:
received: 27 02 2020
accepted: 27 03 2020
pubmed: 10 5 2020
medline: 29 5 2021
entrez: 9 5 2020
Statut: ppublish

Résumé

The impact of prior therapies, especially chemotherapy, on overall survival (OS) in patients with castration-resistant prostate cancer (CRPC) receiving [ The data of 631 metastatic CRPC (mCRPC) patients from 11 different clinics were evaluated. According to the inclusion and exclusion criteria, all patients had to have received at least abiraterone or enzalutamide prior to [ The analysis included the data of 416 patients, with a median age of 71.9 years. At the time of analysis, 87 patients (20,9%) were still alive. A total of 53.6% of patients had received both abiraterone and enzalutamide; 75.5% and 26.4% had a history of chemotherapy with docetaxel and cabazitaxel, respectively. A total of 20.4% had had Ra-223. The median OS was 11.1 months. Prior chemotherapy, the existence of bone and liver metastases, as well as Eastern Cooperative Oncology Group (ECOG) status, were significant prognosticators of worse overall survival in both univariate and multivariate analyses. Patients without any prior chemotherapy showed a significantly longer OS (14.6 months). The median OS in patients who received one or two lines of chemotherapy with docetaxel or docetaxel followed by cabazitaxel, respectively, was 10.9 months and 8.9 months. There was no difference in OS between patients who had not received chemotherapy and patients for whom chemotherapy was contraindicated. The other prior therapies did not have any significant impact on OS. In the present multicenter analysis, chemotherapy-naïve mCRPC patients receiving [

Identifiants

pubmed: 32383093
doi: 10.1007/s00259-020-04797-9
pii: 10.1007/s00259-020-04797-9
pmc: PMC7835179
doi:

Substances chimiques

Dipeptides 0
Heterocyclic Compounds, 1-Ring 0
PSMA-617 0
Radiopharmaceuticals 0
Radium-223 8BR2SOL3L1
Prostate-Specific Antigen EC 3.4.21.77
Radium W90AYD6R3Q

Types de publication

Journal Article Multicenter Study Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

113-122

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Auteurs

Hojjat Ahmadzadehfar (H)

Department of Nuclear Medicine, University Hospital Bonn, Bonn, Germany. haf@klinukim-westfalen.de.
Department of Nuclear Medicine, Klinikum Westfalen, Am Knappschaftskrankenhaus 1, 44309, Dortmund, Germany. haf@klinukim-westfalen.de.

Kambiz Rahbar (K)

Department of Nuclear Medicine, University Hospital Muenster, Muenster, Germany.

Richard P Baum (RP)

Center for Radiomolecular Precision Oncology, Zentralklinik Bad Berka, Bad Berka, Germany.

Robert Seifert (R)

Department of Nuclear Medicine, University Hospital Muenster, Muenster, Germany.

Katharina Kessel (K)

Department of Nuclear Medicine, University Hospital Muenster, Muenster, Germany.

Martin Bögemann (M)

Department of Urology, University Hospital Münster, Muenster, Germany.

Harshad R Kulkarni (HR)

Center for Radiomolecular Precision Oncology, Zentralklinik Bad Berka, Bad Berka, Germany.

Jingjing Zhang (J)

Center for Radiomolecular Precision Oncology, Zentralklinik Bad Berka, Bad Berka, Germany.

Carolin Gerke (C)

Department of Nuclear Medicine, University Hospital Bonn, Bonn, Germany.

Rolf Fimmers (R)

Institute for Medical Biometry, Informatics and Epidemiology, University of Bonn, Bonn, Germany.

Clemens Kratochwil (C)

Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany.

Hendrik Rathke (H)

Department of Nuclear Medicine, University Hospital Heidelberg, Heidelberg, Germany.

Harun Ilhan (H)

Department of Nuclear Medicine, LMU, University Hospital Munich, Munich, Germany.

Johanna Maffey-Steffan (J)

Department of Nuclear Medicine, Medical University Innsbruck, Innsbruck, Austria.

Mike Sathekge (M)

Department of Nuclear Medicine, University of Pretoria & Steve Biko Academic Hospital, Pretoria, South Africa.

Levent Kabasakal (L)

Department of Nuclear Medicine, Istanbul University, Istanbul, Turkey.

Francisco Osvaldo Garcia-Perez (FO)

Department of Nuclear Medicine and Molecular Imaging, Instituto Nacional de Cancerología Mexico City, Mexico City, Mexico.

Kalevi Kairemo (K)

Docrates Cancer Center, Helsinki, Finland.

Masha Maharaj (M)

Department of Nuclear Medicine, Imaging and Therapy Centre, Durban, KwaZulu-Natal, South Africa.

Diana Paez (D)

Department of Nuclear Sciences and Applications, Nuclear Medicine and Diagnostic Imaging Section, IAEA, Vienna, Austria.

Irene Virgolini (I)

Department of Nuclear Medicine, Medical University Innsbruck, Innsbruck, Austria.

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Classifications MeSH