Contemporary Management of the Newly Diagnosed Prostate Cancer Patient with Metastatic Disease at Presentation

Author:

Xu Lai,Pachynski Russell K.

Publisher

Springer Science and Business Media LLC

Subject

Urology,General Medicine

Reference27 articles.

1. Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin. 2018;68:7–30.

2. •• Sweeney CJ, Chen YH, Carducci M, Liu G, Jarrard DF, Eisenberger M, et al. Chemohormonal therapy in metastatic hormone-sensitive prostate cancer. N Engl J Med. 2015;373:737–46. The CHAARTED trial looked at a total of 790 patients with mHSPC randomized to ADT vs ADT + docetaxel without prednisone. This showed a significant improvement in clinical outcomes with the addition of docetaxel. The majority of the benefit, however, was seen in the high volume/high risk patients.

3. •• James ND, Sydes MR, Clarke NW, Mason MD, Dearnaley DP, Spears MR, et al. Addition of docetaxel, zoledronic acid, or both to first-line long-term hormone therapy in prostate cancer (STAMPEDE): survival results from an adaptive, multiarm, multistage, platform randomised controlled trial. Lancet. 2016;387:1163–77. This is a multi-arm, multi-stage study run primarily in the UK comparing ADT vs ADT + docetaxel with prednisolone. This helped confirm clinical benefit of the addition of docetaxel to uprfront ADT.

4. •• James ND, de Bono JS, Spears MR, Clarke NW, Mason MD, Dearnaley DP, et al. Abiraterone for prostate cancer not previously treated with hormone therapy. N Engl J Med. 2017;377:338–51. This study encompasses additional arms of the STAMPEDE trial comparing ADT vs ADT + abiraterone/prednisone. Clinical benefit was seen with the addition of abiraterone, and this trial included N0M0 patients as well.

5. •• Fizazi K, Tran N, Fein L, Matsubara N, Rodriguez-Antolin A, Alekseev BY, et al. Abiraterone plus prednisone in metastatic, castration-sensitive prostate cancer. N Engl J Med. 2017;377:352–60. This is a double blinded, placebo controlled, randomized trial comparing ADT + placebo to ADT + abiraterone/prednisone in metastatic prostate cancer patients (n=1199). It showed clinical benefit of adding abiraterone/prednisone across all subgroups.

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