Long-Term Pharmacokinetic Follow-Up of Abiraterone Acetate in Patients with Metastatic Castration-Resistant Prostate Cancer

Author:

Chamorey Emmanuel1ORCID,Pujalte-Martin Marc2ORCID,Ferrero Jean-Marc2,Mahammedi Hakim3,Gravis Gwenaelle4,Roubaud Guilhem5,Beuzeboc Philippe6,Largillier Remy7,Borchiellini Delphine28,Linassier Claude9,Bouges Hélène10,Etienne-Grimaldi Marie-Christine10ORCID,Schiappa Renaud1ORCID,Gal Jocelyn1ORCID,Milano Gérard10

Affiliation:

1. Epidemiology and Biostatistics Department, Centre Antoine Lacassagne, University Côte d’Azur, 06000 Nice, France

2. Medical Oncology Department, Centre Antoine Lacassagne, University Côte d’Azur, 06000 Nice, France

3. Medical Oncology Department, Centre Jean Perrin, 63000 Clermond Ferrand, France

4. Medical Oncology Department, Institut Paoli Calmette, 13009 Marseille, France

5. Department of Medical Oncology, Institut Bergonié, 33076 Bordeaux, France

6. Medical Oncology Department, Institut Curie, 75005 Paris, France

7. Medical Oncology Department, Centre Azuréen de Cancérologie, 06250 Mougins, France

8. Clinical Research Department, Centre Antoine Lacassagne, University Côte d’Azur, 06000 Nice, France

9. Medical Oncology Department, Centre Hospitalier Régional Universitaire, 37000 Tours, France

10. Oncopharmacology Unit, Centre Antoine Lacassagne, University Côte d’Azur, 06189 Nice, France

Abstract

This ABIGENE pharmacokinetic (PK) study sought mainly to characterize the unchanged drug PK during long-term abiraterone acetate (AA) administration in advanced prostate cancer patients (81 patients). It was observed that individual AA concentrations remained constant over treatment time, with no noticeable changes during repeated long-term drug administration for up to 120 days. There was no correlation between AA concentrations and survival outcomes. However, a significant association between higher AA concentrations and better clinical benefit was observed (p = 0.041). The safety data did not correlate with the AA PK data. A significant positive correlation (r = 0.40, p < 0.001) was observed between mean AA concentration and patient age: the older the patient, the higher the AA concentration. Patient age was found to impact steady-state AA concentration: the older the patient, the higher the mean AA concentration. Altogether, these data may help to guide future research and clinical trials in order to maximize the benefits of AA metastatic castration-resistant prostate cancer patients.

Funder

JNASSEN

Publisher

MDPI AG

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