Comparison of Short-Term Outcomes and Safety Profiles between Androgen Deprivation Therapy+Abiraterone/Prednisone and Androgen Deprivation Therapy+Docetaxel in Patients with De Novo Metastatic Hormone-Sensitive Prostate Cancer
Copyright © 2024 Korean Society for Sexual Medicine and Andrology..
PURPOSE: This study aimed to compare the short-term outcomes and safety profiles of androgen-deprivation therapy (ADT)+abiraterone/prednisone with those of ADT+docetaxel in patients with de novo metastatic hormone-sensitive prostate cancer (mHSPC).
MATERIALS AND METHODS: A web-based database system was established to collect prospective cohort data for patients with mHSPC in Korea. From May 2019 to November 2022, 928 patients with mHSPC from 15 institutions were enrolled. Among these patients, data from 122 patients who received ADT+abiraterone/prednisone or ADT+docetaxel as the primary systemic treatment for mHSPC were collected. The patients were divided into two groups: ADT+abiraterone/prednisone group (n=102) and ADT+docetaxel group (n=20). We compared the demographic characteristics, medical histories, baseline cancer status, initial laboratory tests, metastatic burden, oncological outcomes for mHSPC, progression after mHSPC treatment, adverse effects, follow-up, and survival data between the two groups.
RESULTS: No significant differences in the demographic characteristics, medical histories, metastatic burden, and baseline cancer status were observed between the two groups. The ADT+abiraterone/prednisone group had a lower prostate-specific antigen (PSA) progression rate (7.8% vs. 30.0%; p=0.011) and lower systemic treatment discontinuation rate (22.5% vs. 45.0%; p=0.037). No significant differences in adverse effects, oncological outcomes, and total follow-up period were observed between the two groups.
CONCLUSIONS: ADT+abiraterone/prednisone had lower PSA progression and systemic treatment discontinuation rates than ADT+docetaxel. In conclusion, further studies involving larger, double-blinded randomized trials with extended follow-up periods are necessary.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
The world journal of men's health - (2024) vom: 02. Jan. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Park, Dong Jin [VerfasserIn] |
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| Links: |
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| Themen: |
Abiraterone acetate |
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| Anmerkungen: |
Date Revised 02.01.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.5534/wjmh.230104 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM366546619 |
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| 100 | 1 | |a Park, Dong Jin |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Comparison of Short-Term Outcomes and Safety Profiles between Androgen Deprivation Therapy+Abiraterone/Prednisone and Androgen Deprivation Therapy+Docetaxel in Patients with De Novo Metastatic Hormone-Sensitive Prostate Cancer |
| 264 | 1 | |c 2024 | |
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| 500 | |a Date Revised 02.01.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status Publisher | ||
| 520 | |a Copyright © 2024 Korean Society for Sexual Medicine and Andrology. | ||
| 520 | |a PURPOSE: This study aimed to compare the short-term outcomes and safety profiles of androgen-deprivation therapy (ADT)+abiraterone/prednisone with those of ADT+docetaxel in patients with de novo metastatic hormone-sensitive prostate cancer (mHSPC) | ||
| 520 | |a MATERIALS AND METHODS: A web-based database system was established to collect prospective cohort data for patients with mHSPC in Korea. From May 2019 to November 2022, 928 patients with mHSPC from 15 institutions were enrolled. Among these patients, data from 122 patients who received ADT+abiraterone/prednisone or ADT+docetaxel as the primary systemic treatment for mHSPC were collected. The patients were divided into two groups: ADT+abiraterone/prednisone group (n=102) and ADT+docetaxel group (n=20). We compared the demographic characteristics, medical histories, baseline cancer status, initial laboratory tests, metastatic burden, oncological outcomes for mHSPC, progression after mHSPC treatment, adverse effects, follow-up, and survival data between the two groups | ||
| 520 | |a RESULTS: No significant differences in the demographic characteristics, medical histories, metastatic burden, and baseline cancer status were observed between the two groups. The ADT+abiraterone/prednisone group had a lower prostate-specific antigen (PSA) progression rate (7.8% vs. 30.0%; p=0.011) and lower systemic treatment discontinuation rate (22.5% vs. 45.0%; p=0.037). No significant differences in adverse effects, oncological outcomes, and total follow-up period were observed between the two groups | ||
| 520 | |a CONCLUSIONS: ADT+abiraterone/prednisone had lower PSA progression and systemic treatment discontinuation rates than ADT+docetaxel. In conclusion, further studies involving larger, double-blinded randomized trials with extended follow-up periods are necessary | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Abiraterone acetate | |
| 650 | 4 | |a Adverse effects | |
| 650 | 4 | |a Docetaxel | |
| 650 | 4 | |a Prostatic neoplasms | |
| 650 | 4 | |a Treatment outcome | |
| 700 | 1 | |a Kwon, Tae Gyun |e verfasserin |4 aut | |
| 700 | 1 | |a Park, Jae Young |e verfasserin |4 aut | |
| 700 | 1 | |a Joung, Jae Young |e verfasserin |4 aut | |
| 700 | 1 | |a Ha, Hong Koo |e verfasserin |4 aut | |
| 700 | 1 | |a Jeon, Seong Soo |e verfasserin |4 aut | |
| 700 | 1 | |a Hong, Sung-Hoo |e verfasserin |4 aut | |
| 700 | 1 | |a Park, Sungchan |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Seung Hwan |e verfasserin |4 aut | |
| 700 | 1 | |a Cho, Jin Seon |e verfasserin |4 aut | |
| 700 | 1 | |a Park, Sung-Woo |e verfasserin |4 aut | |
| 700 | 1 | |a Kwon, Se Yun |e verfasserin |4 aut | |
| 700 | 1 | |a Jo, Jung Ki |e verfasserin |4 aut | |
| 700 | 1 | |a Park, Hong Seok |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Sang-Cheol |e verfasserin |4 aut | |
| 700 | 1 | |a Kwon, Dong Deuk |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Sun Il |e verfasserin |4 aut | |
| 700 | 1 | |a Park, Sang Hyun |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Soodong |e verfasserin |4 aut | |
| 700 | 1 | |a Jeong, Chang Wook |e verfasserin |4 aut | |
| 700 | 1 | |a Kwak, Cheol |e verfasserin |4 aut | |
| 700 | 1 | |a Choi, Seock Hwan |e verfasserin |4 aut | |
| 700 | 0 | |a Korean Urologic Oncology Society Prostate Cancer Group |e verfasserin |4 aut | |
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