Baseline CTC Count as a Predictor of Long-Term Outcomes in High-Risk Prostate Cancer
Standard
Baseline CTC Count as a Predictor of Long-Term Outcomes in High-Risk Prostate Cancer. / Cieślikowski, Wojciech A; Milecki, Piotr; Świerczewska, Monika; Ida, Agnieszka; Kasperczak, Michał; Jankowiak, Agnieszka; Nowicki, Michał; Pantel, Klaus; Alix-Panabières, Catherine; Zabel, Maciej; Antczak, Andrzej; Budna-Tukan, Joanna.
in: J PERS MED, Jahrgang 13, Nr. 4, 608, 30.03.2023.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Baseline CTC Count as a Predictor of Long-Term Outcomes in High-Risk Prostate Cancer
AU - Cieślikowski, Wojciech A
AU - Milecki, Piotr
AU - Świerczewska, Monika
AU - Ida, Agnieszka
AU - Kasperczak, Michał
AU - Jankowiak, Agnieszka
AU - Nowicki, Michał
AU - Pantel, Klaus
AU - Alix-Panabières, Catherine
AU - Zabel, Maciej
AU - Antczak, Andrzej
AU - Budna-Tukan, Joanna
PY - 2023/3/30
Y1 - 2023/3/30
N2 - The aim of the present study was to verify whether the baseline circulating tumor cell (CTC) count might serve as a predictor of overall survival (OS) and metastasis-free survival (MFS) in patients with high-risk prostate cancer (PCa) during a follow-up period of at least 5 years. CTCs were enumerated using three different assay formats in 104 patients: the CellSearch® system, EPISPOT assay and GILUPI CellCollector. A total of 57 (55%) patients survived until the end of the follow-up period, with a 5 year OS of 66% (95% CI: 56-74%). The analysis of univariate Cox proportional hazard models identified a baseline CTC count ≥ 1, which was determined with the CellSearch® system, a Gleason sum ≥ 8, cT ≥ 2c and metastases at initial diagnosis as significant predictors of a worse OS in the entire cohort. The CTC count ≥ 1 was also the only significant predictor of a worse OS in a subset of 85 patients who presented with localized PCa at the baseline. The baseline CTC number did not affect the MFS. In conclusion, the baseline CTC count can be considered a determinant of survival in high-risk PCa and also in patients with a localized disease. However, determining the prognostic value of the CTC count in patients with localized PCa would optimally require longitudinal monitoring of this parameter.
AB - The aim of the present study was to verify whether the baseline circulating tumor cell (CTC) count might serve as a predictor of overall survival (OS) and metastasis-free survival (MFS) in patients with high-risk prostate cancer (PCa) during a follow-up period of at least 5 years. CTCs were enumerated using three different assay formats in 104 patients: the CellSearch® system, EPISPOT assay and GILUPI CellCollector. A total of 57 (55%) patients survived until the end of the follow-up period, with a 5 year OS of 66% (95% CI: 56-74%). The analysis of univariate Cox proportional hazard models identified a baseline CTC count ≥ 1, which was determined with the CellSearch® system, a Gleason sum ≥ 8, cT ≥ 2c and metastases at initial diagnosis as significant predictors of a worse OS in the entire cohort. The CTC count ≥ 1 was also the only significant predictor of a worse OS in a subset of 85 patients who presented with localized PCa at the baseline. The baseline CTC number did not affect the MFS. In conclusion, the baseline CTC count can be considered a determinant of survival in high-risk PCa and also in patients with a localized disease. However, determining the prognostic value of the CTC count in patients with localized PCa would optimally require longitudinal monitoring of this parameter.
U2 - 10.3390/jpm13040608
DO - 10.3390/jpm13040608
M3 - SCORING: Journal article
C2 - 37108995
VL - 13
JO - J PERS MED
JF - J PERS MED
SN - 2075-4426
IS - 4
M1 - 608
ER -