Literature DB >> 24988879

Safety and clinical outcomes of patients treated with abiraterone acetate after docetaxel: results of the Italian Named Patient Programme.

Orazio Caffo1, Ugo De Giorgi, Lucia Fratino, Giovanni Lo Re, Umberto Basso, Alessandro D'Angelo, Maddalena Donini, Francesco Verderame, Raffaele Ratta, Giuseppe Procopio, Enrico Campadelli, Francesco Massari, Donatello Gasparro, Sveva Macrini, Caterina Messina, Monica Giordano, Daniele Alesini, Fable Zustovich, Anna P Fraccon, Giovanni Vicario, Vincenza Conteduca, Francesca Maines, Enzo Galligioni.   

Abstract

OBJECTIVE: To assess the safety and efficacy of abiraterone acetate (AA) in patients with metastatic castration-resistant prostate cancer (mCRPC) treated in a compassionate named patient programme (NPP). PATIENTS AND METHODS: We retrospectively reviewed the clinical records of patients with mCRPC treated with AA at the standard daily oral dose of 1000 mg plus prednisone 10 mg/day in 19 Italian hospitals.
RESULTS: We assessed 265 patients with mCRPC treated with AA. The most frequent (>1%) grade 3-4 toxicities were anaemia (4.2%), fatigue (4.2%), and bone pain (1.5%). The median progression-free survival was 7 months; median overall survival was 17 months after starting AA, and 35 months after the first docetaxel administration. Our study reproduced the clinical outcomes reported in the AA pivotal trial, including those relating to special populations such as the elderly, patients with a poor performance status, symptomatic patients, and patients with visceral metastases.
CONCLUSIONS: Our data show the safety and activity of AA when administered outside clinical trials, and confirm the findings of the post-docetaxel pivotal trial in the patients as a whole population and in special populations of specific interest.
© 2014 The Authors. BJU International © 2014 BJU International.

Entities:  

Keywords:  abiraterone acetate; castration-resistant prostate cancer; compassionate programme; pre-treated patients; safety

Mesh:

Substances:

Year:  2014        PMID: 24988879     DOI: 10.1111/bju.12857

Source DB:  PubMed          Journal:  BJU Int        ISSN: 1464-4096            Impact factor:   5.588


  4 in total

1.  Safety of long-term exposure to abiraterone acetate in patients with castration-resistant prostate cancer and concomitant cardiovascular risk factors.

Authors:  Elena Verzoni; Paolo Grassi; Raffaele Ratta; Monica Niger; Filippo De Braud; Riccardo Valdagni; Giuseppe Procopio
Journal:  Ther Adv Med Oncol       Date:  2016-07-05       Impact factor: 8.168

Review 2.  Impact of abiraterone on patient-related outcomes in metastatic castration-resistant prostate cancer: current perspectives.

Authors:  Joelle El-Amm; Rami Nassabein; Jeanny B Aragon-Ching
Journal:  Cancer Manag Res       Date:  2017-07-11       Impact factor: 3.989

3.  Abiraterone acetate in metastatic castration-resistant prostate cancer - the unanticipated real-world clinical experience.

Authors:  Darren M C Poon; Kuen Chan; S H Lee; T W Chan; Henry Sze; Eric K C Lee; Daisy Lam; Michelle F T Chan
Journal:  BMC Urol       Date:  2016-03-22       Impact factor: 2.264

4.  Abiraterone acetate and prednisone in the pre- and post-docetaxel setting for metastatic castration-resistant prostate cancer: a mono-institutional experience focused on cardiovascular events and their impact on clinical outcomes.

Authors:  Alessia Cavo; Alessandra Rubagotti; Elisa Zanardi; Chiara Fabbroni; Linda Zinoli; Antonio Di Meglio; Eleonora Arboscello; Andrea Bellodi; Paolo Spallarossa; Carlo Cattrini; Carlo Messina; Francesco Boccardo
Journal:  Ther Adv Med Oncol       Date:  2018-01-09       Impact factor: 8.168

  4 in total

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