Despite recent advances in the treatments of metastatic castration resistant prostate cancer (mCRPC), patients' prognosis remains suboptimal and novel treatment combinations are under scrutiny. On this matter, the recent ACIS trial tested the role of abiraterone plus apalutamide (androgen annihilation) in addition to androgen deprivation therapy, versus abiraterone plus androgen deprivation therapy. Herein, we performed a meta-analysis to compare overall survival (OS) and progression free survival (PFS) among patients who received androgen annihilation versus advanced androgen blockage (abiraterone or enzalutamide), in addition to conventional androgen deprivation therapy.

Androgen annihilation versus advanced androgen blockage as first line treatment for metastatic castration resistant prostate cancer: A systematic review and meta-analysis

Fallara, Giuseppe;Belladelli, Federico;Robesti, Daniele;Nocera, Luigi;Montorsi, Francesco;Necchi, Andrea;Martini, Alberto
2022-01-01

Abstract

Despite recent advances in the treatments of metastatic castration resistant prostate cancer (mCRPC), patients' prognosis remains suboptimal and novel treatment combinations are under scrutiny. On this matter, the recent ACIS trial tested the role of abiraterone plus apalutamide (androgen annihilation) in addition to androgen deprivation therapy, versus abiraterone plus androgen deprivation therapy. Herein, we performed a meta-analysis to compare overall survival (OS) and progression free survival (PFS) among patients who received androgen annihilation versus advanced androgen blockage (abiraterone or enzalutamide), in addition to conventional androgen deprivation therapy.
2022
Abiraterone
Androgen annihilation
Enzalutamide
MCRPC
Novel hormonal therapy
Overall survival
Progression free survival
Androgen Antagonists
Androgens
Antineoplastic Combined Chemotherapy Protocols
Benzamides
Disease-Free Survival
Humans
Male
Nitriles
Phenylthiohydantoin
Treatment Outcome
Prostatic Neoplasms, Castration-Resistant
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/132692
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