Rucaparib or Physician's Choice in Metastatic Prostate Cancer.
Humans
Male
Antineoplastic Combined Chemotherapy Protocols
/ therapeutic use
Indoles
/ therapeutic use
Progression-Free Survival
Prostatic Neoplasms, Castration-Resistant
/ drug therapy
Poly(ADP-ribose) Polymerase Inhibitors
/ therapeutic use
Androgen Antagonists
/ therapeutic use
Antineoplastic Agents
/ therapeutic use
Docetaxel
/ therapeutic use
Disease Progression
Genes, BRCA1
Genes, BRCA2
Journal
The New England journal of medicine
ISSN: 1533-4406
Titre abrégé: N Engl J Med
Pays: United States
ID NLM: 0255562
Informations de publication
Date de publication:
23 02 2023
23 02 2023
Historique:
pubmed:
17
2
2023
medline:
25
2
2023
entrez:
16
2
2023
Statut:
ppublish
Résumé
In a phase 2 study, rucaparib, an inhibitor of poly(ADP-ribose) polymerase (PARP), showed a high level of activity in patients who had metastatic, castration-resistant prostate cancer associated with a deleterious In this randomized, controlled, phase 3 trial, we enrolled patients who had metastatic, castration-resistant prostate cancer with a Of the 4855 patients who had undergone prescreening or screening, 270 were assigned to receive rucaparib and 135 to receive a control medication (intention-to-treat population); in the two groups, 201 patients and 101 patients, respectively, had a The duration of imaging-based progression-free survival was significantly longer with rucaparib than with a control medication among patients who had metastatic, castration-resistant prostate cancer with a
Sections du résumé
BACKGROUND
In a phase 2 study, rucaparib, an inhibitor of poly(ADP-ribose) polymerase (PARP), showed a high level of activity in patients who had metastatic, castration-resistant prostate cancer associated with a deleterious
METHODS
In this randomized, controlled, phase 3 trial, we enrolled patients who had metastatic, castration-resistant prostate cancer with a
RESULTS
Of the 4855 patients who had undergone prescreening or screening, 270 were assigned to receive rucaparib and 135 to receive a control medication (intention-to-treat population); in the two groups, 201 patients and 101 patients, respectively, had a
CONCLUSIONS
The duration of imaging-based progression-free survival was significantly longer with rucaparib than with a control medication among patients who had metastatic, castration-resistant prostate cancer with a
Identifiants
pubmed: 36795891
doi: 10.1056/NEJMoa2214676
pmc: PMC10064172
mid: NIHMS1877625
doi:
Substances chimiques
Indoles
0
rucaparib
8237F3U7EH
Poly(ADP-ribose) Polymerase Inhibitors
0
Androgen Antagonists
0
abiraterone
G819A456D0
Antineoplastic Agents
0
Docetaxel
15H5577CQD
enzalutamide
93T0T9GKNU
ATM protein, human
EC 2.7.11.1
Banques de données
ClinicalTrials.gov
['NCT02975934']
Types de publication
Randomized Controlled Trial
Clinical Trial, Phase III
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
719-732Subventions
Organisme : NCI NIH HHS
ID : P30 CA008748
Pays : United States
Organisme : NCI NIH HHS
ID : P30-CA008748
Pays : United States
Investigateurs
Patricia Bastick
(P)
Ian Byard
(I)
David Campbell
(D)
Bala Chittajallu
(B)
Timothy Clay
(T)
Vinod Ganju
(V)
Laurence Krieger
(L)
Robert Zielinski
(R)
Jean-Charles Goeminne
(JC)
Geoffrey Matus
(G)
Brieuc Sautois
(B)
Dirk Schrijvers
(D)
Siska Van Bruwaene
(S)
Nimira Alimohammed
(N)
Nadia Bedard
(N)
Ali Benjelloun
(A)
Urban Emmenegger
(U)
Scott Ernst
(S)
Joel Gingerich
(J)
M Neil Reaume
(MN)
Srikala Sridhar
(S)
Pawel Zalewski
(P)
Gedske Daugaard
(G)
Henriette Lindberg
(H)
Christine Madsen
(C)
Inge Mejlholm
(I)
Thibault De La Motte Rouge
(T)
Zahra Castel-Ajgal
(Z)
Karim Fizazi
(K)
Aude Flechon
(A)
Anne-Claire Hardy-Bessard
(AC)
Nathalie Lemoine
(N)
Francesco Ricci
(F)
Dominique Spaeth
(D)
Eric Voog
(E)
Sylvie Zanetta
(S)
Stefan Carl
(S)
Maria de Santis
(M)
Susan Feyerabend
(S)
Jochen Gleissner
(J)
Marc-Oliver Grimm
(MO)
Peter Hammerer
(P)
Bernhard Heinrich
(B)
Kiriaki Hiller
(K)
Axel Merseburger
(A)
Kurt Miller
(K)
Gunter Niegisch
(G)
Philipp Nuhn
(P)
David Pfister
(D)
Arnulf Stenzl
(A)
Thomas Steuber
(T)
Manfred Wirth
(M)
Richard Bambury
(R)
John McCaffrey
(J)
Ray McDermott
(R)
Raanan Berger
(R)
Stephen Frank
(S)
Daniel Keizman
(D)
Igal Kushnir
(I)
Raya Leibowitz-Amit
(R)
Avivit Peer
(A)
Eli Rosenbaum
(E)
David Sarid
(D)
Orzaio Caffo
(O)
Francesco Carrozza
(F)
Claudia Caserta
(C)
Ugo De Giorgi
(U)
Alketa Hamzaj
(A)
Franco Nole
(F)
Roberto Sabbatini
(R)
Cora Sternberg
(C)
Teresa Alonso-Gordoa
(T)
Jose Angel Arranz Arija
(JAA)
Javier Cassinello
(J)
Daniel Castellano
(D)
Ignacio José Duran
(IJ)
Albert Font
(A)
Enrique Gallardo
(E)
Maria Jose Juan
(MJ)
Begoña Mellado
(B)
Maria Jose Mendez
(MJ)
Begoña Pérez Valderrama
(B)
Alvaro Pinto Marin
(A)
Josep Piulats
(J)
Alejo Rodriguez-Vida
(A)
Maria Isabel Saez Medina
(MI)
Sergio Vazquez
(S)
Noemi Villanueva
(N)
Alison Birtle
(A)
Simon Chowdhury
(S)
Elisa Fontana
(E)
John Graham
(J)
Zafar Malik
(Z)
Peter Ostler
(P)
Anna Patrikidou
(A)
Elias Pintus
(E)
Andrew Protheroe
(A)
Alison Reid
(A)
Matthew Sephton
(M)
John Staffurth
(J)
Jacob Tanguay
(J)
Wassim Abida
(W)
Rahul Aggarwal
(R)
Robert Amato
(R)
Emmanuel Antonarakis
(E)
Arjun Balar
(A)
Donald Brooks
(D)
Alan Bryce
(A)
John Burke
(J)
Jennifer Carney
(J)
Carl Chakmakjian
(C)
Gurkmal Chatta
(G)
Heather Cheng
(H)
Franklin Chu
(F)
James Cochran
(J)
Igor Dumbadze
(I)
Russell Freid
(R)
Chunkit Fung
(C)
Lawrence Gervasi
(L)
Robert Given
(R)
Evan Goldfischer
(E)
Julie Graff
(J)
Mitchell Gross
(M)
Julio Hajdenberg
(J)
John Haluschak
(J)
Andrea Harzstark
(A)
Ralph Hauke
(R)
Beth Hellerstedt
(B)
Celestia Higano
(C)
Arif Hussain
(A)
John Keech
(J)
Mark Klein
(M)
Samith Kochuparambil
(S)
Alan Koletsky
(A)
Vadim Koshkin
(V)
Daniel Landau
(D)
Richard Lee
(R)
Wes Lee
(W)
David Lipsitz
(D)
Marc Matrana
(M)
Megan McNamara
(M)
Jamal Misleh
(J)
Bruce Montgomery
(B)
David Morris
(D)
Manisha Nanda
(M)
Mohit Narang
(M)
Luke Nordquist
(L)
Suzanne Partridge
(S)
Daniel Petrylak
(D)
Anthony Pham
(A)
Marc Pliskin
(M)
Bernard Poiesz
(B)
Fernando Quevedo
(F)
Nithya Ramnath
(N)
Charles Redfern
(C)
Matthew Rettig
(M)
Inger Rosner
(I)
Julie Rowe
(J)
Charles Ryan
(C)
Thomas Schoborg
(T)
Jennifer Slim
(J)
Alexandra Sokolova
(A)
Thomas Stanton
(T)
Scott Tagawa
(S)
Neyssan Tebyani
(N)
Sheela Tejwani
(S)
Nicholas Vogelzang
(N)
Sunny Wang
(S)
Young Whang
(Y)
Eddy Yang
(E)
Commentaires et corrections
Type : CommentIn
Type : CommentIn
Type : CommentIn
Informations de copyright
Copyright © 2023 Massachusetts Medical Society.
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