Renal and Cardiovascular Toxicities by New Systemic Treatments for Prostate Cancer.

abiraterone apalutamide cabazitaxel darolutamide enzalutamide radium-223

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
01 Jul 2020
Historique:
received: 06 05 2020
revised: 19 06 2020
accepted: 25 06 2020
entrez: 8 7 2020
pubmed: 8 7 2020
medline: 8 7 2020
Statut: epublish

Résumé

Prostate cancer (PC) is the most common male cancer in Western Countries. In recent years, the treatment of relapsed or metastatic disease had benefited by the introduction of a variety of new different drugs. In consideration of the relative long survival of PC patients, side effects of these drugs must be considered and monitored. In this review, we analyzed the newly developed therapies for PC treatment, describing the mechanism of action, the metabolism and latest clinical trials that led to the approval of these drugs in clinical practice. We then evaluated the cardiovascular and renal side effects from pivotal phase III and II studies and meta-analyses. Cardiovascular side effects are the most frequent, in particular hypertension, while renal toxicity is rarer and not well described in literature. Therefore, there is a need to better define the effects of these therapies, in order to personalize patient treatment on the basis of their comorbidities and preferences, in addition to their symptoms and disease load.

Identifiants

pubmed: 32630204
pii: cancers12071750
doi: 10.3390/cancers12071750
pmc: PMC7407336
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

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Auteurs

Giuseppe Saltalamacchia (G)

Operative Unit of Medical Oncology, IRCCS Istituti Clinici Scientifici Maugeri, 27100 Pavia, Italy.
Department of Internal Medicine and Therapeutics, University of Pavia, 27100 Pavia, Italy.

Mara Frascaroli (M)

Operative Unit of Translational Oncology, IRCCS Istituti Clinici Scientifici Maugeri, 27100 Pavia, Italy.

Antonio Bernardo (A)

Operative Unit of Medical Oncology, IRCCS Istituti Clinici Scientifici Maugeri, 27100 Pavia, Italy.

Erica Quaquarini (E)

Operative Unit of Medical Oncology, IRCCS Istituti Clinici Scientifici Maugeri, 27100 Pavia, Italy.
Experimental Medicine School, University of Pavia, 27100 Pavia, Italy.

Classifications MeSH