Prior therapies as prognostic factors of overall survival in metastatic castration-resistant prostate cancer patients treated with [
Chemotherapy
Lu-PSMA
Radioligand therapy
mCRPC
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
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
113-122Références
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