Englander Institute for Precision Medicine

Real-world outcomes of second novel hormonal therapy or radium-223 following first novel hormonal therapy for mCRPC.

TitleReal-world outcomes of second novel hormonal therapy or radium-223 following first novel hormonal therapy for mCRPC.
Publication TypeJournal Article
Year of Publication2022
AuthorsSartor O, George D, Tombal B, Agarwal N, Higano CS, Sternberg CN, Miller K, Jiao XL, Guo H, Sandström P, Bruno A, Verholen F, Saad F, Shore N
JournalFuture Oncol
Volume18
Issue1
Pagination35-45
Date Published2022 Jan
ISSN1744-8301
KeywordsAbiraterone Acetate, Aged, Aged, 80 and over, Benzamides, Bone Neoplasms, Humans, Male, Middle Aged, Nitriles, Phenylthiohydantoin, Prednisone, Prostatic Neoplasms, Castration-Resistant, Radium, Retrospective Studies
Abstract

To evaluate real-world clinical outcomes of radium-223 or alternative novel hormonal therapy (NHT) following first-line NHT for metastatic castration-resistant prostate cancer (mCRPC). Retrospective analysis of the US Flatiron database (ClinicalTrials.gov identifier: NCT03896984). In the radium-223 cohort (n = 120) versus the alternative NHT cohort (n = 226), proportionally more patients had prior symptomatic skeletal events and bone-only metastases, and first-line NHT duration was shorter. Following second-line therapy, 49 versus 39% of patients received subsequent life-prolonging therapy; of these, 47 versus 76% received taxane. Median overall survival was 10.8 versus 11.2 months. Real-world patients with mCRPC had similar median overall survival following second-line radium-223 or alternative NHT after first-line NHT. Many patients received subsequent therapy, with less taxane use after radium-223.

DOI10.2217/fon-2021-0886
Alternate JournalFuture Oncol
PubMed ID34636627
Grant List / / Bayer HealthCare /

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