Treatment outcomes for patients with metastatic castrate-resistant prostate cancer following docetaxel for hormone-sensitive disease.


Journal

Asia-Pacific journal of clinical oncology
ISSN: 1743-7563
Titre abrégé: Asia Pac J Clin Oncol
Pays: Australia
ID NLM: 101241430

Informations de publication

Date de publication:
Feb 2021
Historique:
received: 17 05 2020
accepted: 24 07 2020
pubmed: 25 9 2020
medline: 4 2 2021
entrez: 24 9 2020
Statut: ppublish

Résumé

Optimal treatment for newly diagnosed metastatic hormone-sensitive prostate cancer (mHSPC) has evolved, with many patients deriving benefit from the addition of docetaxel to androgen deprivation therapy (D-ADT). This study sought to define the therapy used and associated activity following D-ADT. Retrospective analysis of patients with mHSPC treated with one or more cycles of D-ADT who were identified from a prospectively maintained multisite prostate cancer database of patients treated in a community or academic center setting in Australia. The primary endpoint of this study was first-line time to treatment failure (1L TTF) for subsequent treatment of metastatic Castrate Resistant Prostate Cancer (mCRPC), with secondary endpoints of prostate-specific antigen (PSA) reduction >50% and time from 1L to second-line (2L) treatment initiation. A total of 93 patients received D-ADT for mHSPC, 85 (91%) had subsequent treatment for mCRPC. Median time to mCRPC (biochemical, clinical or radiographic) had been 14.8 months (95% confidence interval [CI], 11.9-16.5). 1L treatment was enzalutamide 47 patients (55%), abiraterone 23 (27%), cabazitaxel 7 (8%), docetaxel 4 (5%) and other therapies 4 (5%). Median 1L TTF was 6.3 months (95% CI, 4.9-7.6), PSA > 50% reduction was achieved in 32 of 89 patients (36%), median time from 1L to second-line treatment was 7.3 months (1.3-27.4), which did not differ significantly between treatment groups. Abiraterone, enzalutamide, cabazitaxel and docetaxel all demonstrate activity following progression on D-ADT. No difference in efficacy was detected between treatment options for mCRPC. Prospective trials investigating the optimal treatment sequence for prostate cancer following progression on D-ADT needed.

Identifiants

pubmed: 32970925
doi: 10.1111/ajco.13447
doi:

Substances chimiques

Androgen Antagonists 0
Docetaxel 15H5577CQD
KLK3 protein, human EC 3.4.21.-
Kallikreins EC 3.4.21.-
Prostate-Specific Antigen EC 3.4.21.77

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

36-42

Informations de copyright

© 2020 John Wiley & Sons Australia, Ltd.

Références

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Auteurs

Andrew Schmidt (A)

Olivia Newton-John Cancer Wellness and Research Centre, Melbourne, Australia.
Dana Farber Cancer Institute, Boston, MA, USA.

Angelyn Anton (A)

Walter and Eliza Hall Institute, Melbourne, Australia.
Eastern Health, Melbourne, Australia.

Julia Shapiro (J)

Monash University, Melbourne, Australia.

Shirley Wong (S)

Western Health, Melbourne, Australia.

Arun Azad (A)

Monash University, Melbourne, Australia.
Peter MacCallum Cancer Centre.

Edmond Kwan (E)

Monash University, Melbourne, Australia.
Monash Health.

Lavinia Spain (L)

Eastern Health, Melbourne, Australia.
Monash University, Melbourne, Australia.

Arun Muthusamy (A)

Olivia Newton-John Cancer Wellness and Research Centre, Melbourne, Australia.

Javier Torres (J)

Goulburn Valley Health, Shepparton, Australia.

Phillip Parente (P)

Eastern Health, Melbourne, Australia.
Monash University, Melbourne, Australia.

Francis Parnis (F)

Adelaide Cancer Centre, Adelaide, Australia.
University of Adelaide, Adelaide, Australia.

Jeffrey Goh (J)

Royal Brisbane and Women's Hospital, Brisbane, Australia.

Anthony M Joshua (AM)

St Vincent's Hospital, Sydney, Australia.

David Pook (D)

Monash University, Melbourne, Australia.

Peter Gibbs (P)

Walter and Eliza Hall Institute, Melbourne, Australia.
Western Health, Melbourne, Australia.

Ben Tran (B)

Walter and Eliza Hall Institute, Melbourne, Australia.
Peter MacCallum Cancer Centre.

Andrew Weickhardt (A)

Olivia Newton-John Cancer Wellness and Research Centre, Melbourne, Australia.

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