A real-world comparison of docetaxel versus abiraterone acetate for metastatic hormone-sensitive prostate cancer
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A real-world comparison of docetaxel versus abiraterone acetate for metastatic hormone-sensitive prostate cancer. / Tsaur, Igor; Heidegger, Isabel; Bektic, Jasmin; Kafka, Mona; van den Bergh, Roderick C N; Hunting, Jarmo C B; Thomas, Anita; Brandt, Maximilian P; Höfner, Thomas; Debedde, Eliott; Thibault, Constance; Ermacora, Paola; Zattoni, Fabio; Foti, Silvia; Kretschmer, Alexander; Ploussard, Guillaume; Rodler, Severin; von Amsberg, Gunhild; Tilki, Derya; Surcel, Christian; Rosenzweig, Barak; Gadot, Moran; Gandaglia, Giorgio; Dotzauer, Robert; EAU-YAU Prostate Cancer Working Group.
In: CANCER MED-US, Vol. 10, No. 18, 09.2021, p. 6354-6364.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - A real-world comparison of docetaxel versus abiraterone acetate for metastatic hormone-sensitive prostate cancer
AU - Tsaur, Igor
AU - Heidegger, Isabel
AU - Bektic, Jasmin
AU - Kafka, Mona
AU - van den Bergh, Roderick C N
AU - Hunting, Jarmo C B
AU - Thomas, Anita
AU - Brandt, Maximilian P
AU - Höfner, Thomas
AU - Debedde, Eliott
AU - Thibault, Constance
AU - Ermacora, Paola
AU - Zattoni, Fabio
AU - Foti, Silvia
AU - Kretschmer, Alexander
AU - Ploussard, Guillaume
AU - Rodler, Severin
AU - von Amsberg, Gunhild
AU - Tilki, Derya
AU - Surcel, Christian
AU - Rosenzweig, Barak
AU - Gadot, Moran
AU - Gandaglia, Giorgio
AU - Dotzauer, Robert
AU - EAU-YAU Prostate Cancer Working Group
N1 - © 2021 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.
PY - 2021/9
Y1 - 2021/9
N2 - BACKGROUND: Docetaxel (D) or secondary hormonal therapy (SHT) each combined with androgen deprivation therapy (ADT) represent possible treatment options in males with metastasized hormone-sensitive prostate cancer (mHSPC). Real-world data comparing different protocols are lacking yet. Thus, our objective was to compare the efficacy and safety of abiraterone acetate (AA)+ADT versus D+ADT in mHSPC.METHODS: In a retrospective multicenter analysis including males with mHSPC treated with either of the aforementioned protocols, overall survival (OS), progression-free survival 1 (PFS1), and progression-free survival 2 (PFS2) were assessed for both cohorts. Median time to event was tested by Kaplan-Meier method and log-rank test. The Cox-proportional hazards model was used for univariate and multivariate regression analyses.RESULTS: Overall, 196 patients were included. The AA+ADT cohort had a longer PFS1 in the log-rank testing (23 vs. 13 mos., p < 0.001), a longer PFS2 (48 vs. 33 mos., p = 0.006), and longer OS (80 vs. 61 mos., p = 0.040). In the multivariate analyses AA+ADT outperformed D+ADT in terms of PFS1 (HR = 0.34, 95% CI = 0.183-0.623; p = 0.001) and PFS2 (HR = 0.33 95% CI = 0.128-0.827; p = 0.018), respectively, while OS and toxicity rate were similar between both groups.CONCLUSIONS: AA+ADT is mainly associated with a similar efficacy and overall toxicity rate as D+ADT. Further prospective research is required for validation of the clinical value of the observed benefit of AA+ADT for progression-free end-points.
AB - BACKGROUND: Docetaxel (D) or secondary hormonal therapy (SHT) each combined with androgen deprivation therapy (ADT) represent possible treatment options in males with metastasized hormone-sensitive prostate cancer (mHSPC). Real-world data comparing different protocols are lacking yet. Thus, our objective was to compare the efficacy and safety of abiraterone acetate (AA)+ADT versus D+ADT in mHSPC.METHODS: In a retrospective multicenter analysis including males with mHSPC treated with either of the aforementioned protocols, overall survival (OS), progression-free survival 1 (PFS1), and progression-free survival 2 (PFS2) were assessed for both cohorts. Median time to event was tested by Kaplan-Meier method and log-rank test. The Cox-proportional hazards model was used for univariate and multivariate regression analyses.RESULTS: Overall, 196 patients were included. The AA+ADT cohort had a longer PFS1 in the log-rank testing (23 vs. 13 mos., p < 0.001), a longer PFS2 (48 vs. 33 mos., p = 0.006), and longer OS (80 vs. 61 mos., p = 0.040). In the multivariate analyses AA+ADT outperformed D+ADT in terms of PFS1 (HR = 0.34, 95% CI = 0.183-0.623; p = 0.001) and PFS2 (HR = 0.33 95% CI = 0.128-0.827; p = 0.018), respectively, while OS and toxicity rate were similar between both groups.CONCLUSIONS: AA+ADT is mainly associated with a similar efficacy and overall toxicity rate as D+ADT. Further prospective research is required for validation of the clinical value of the observed benefit of AA+ADT for progression-free end-points.
U2 - 10.1002/cam4.4184
DO - 10.1002/cam4.4184
M3 - SCORING: Journal article
C2 - 34374489
VL - 10
SP - 6354
EP - 6364
JO - CANCER MED-US
JF - CANCER MED-US
SN - 2045-7634
IS - 18
ER -