Hamid Emamekhoo1, Pedro C Barata2, Natasha C Edwin3, Kaitlin M Woo4, Petros Grivas2, Jorge A Garcia2. 1. Cleveland Clinic Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH. Electronic address: Emamekhoo@wisc.edu. 2. Cleveland Clinic Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH. 3. Department of Internal Medicine, Cleveland Clinic, Cleveland, OH. 4. Department of Biostatistics and Medical Informatics, University of Wisconsin, Madison, WI.
Abstract
INTRODUCTION: Treatment of metastatic castration-resistant prostate cancer (mCRPC) has evolved significantly during the past decade, and the preferred combination and/or sequence of these treatments remains controversial. In this retrospective study, we explored clinical and pathologic factors that could predict response to consecutive treatment with enzalutamide (ENZA) after disease progression (PD) on abiraterone acetate and prednisone (AA/P). PATIENTS AND METHODS: Data were collected from 40 consecutive patients with mCRPC who were treated with ENZA without other interim therapy after progression on AA/P. RESULTS: The median time from prostate cancer initial diagnosis to AA/P treatment was 6.2 (range, 0.9-16.3) years. The median prostate-specific antigen (PSA) progression-free survival (PSA-PFS) from treatment initiation was 8.5 months (95% confidence interval [CI], 7.1-10.1 months) and 2.3 months (95% CI, 1.8-3.4 months) on AA/P and ENZA, respectively. The median time to PD from treatment initiation was 9.7 months (95% CI, 7.1-12.4 months) and 3 months (95% CI, 2.3-4.1 months) on AA/P and ENZA, respectively. The correlations were weak between the best percent change in PSA on ENZA and time from diagnosis to AA/P initiation, best absolute or percentage change in PSA on AA/P, time to PSA progression or PD on AA/P. Patients with longer than the median duration of treatment with AA/P (11.73 months) had longer PSA-PFS on ENZA (median 2.8 vs. 1.9 months; P = .035). CONCLUSIONS: In this retrospective analysis, we did not find any clinical or pathologic factors associated with response to ENZA administered consecutively after AA/P. Patients with longer than median AA/P treatment duration had longer PSA-PFS on ENZA. Further evaluations and validation are greatly needed.
INTRODUCTION: Treatment of metastatic castration-resistant prostate cancer (mCRPC) has evolved significantly during the past decade, and the preferred combination and/or sequence of these treatments remains controversial. In this retrospective study, we explored clinical and pathologic factors that could predict response to consecutive treatment with enzalutamide (ENZA) after disease progression (PD) on abiraterone acetate and prednisone (AA/P). PATIENTS AND METHODS: Data were collected from 40 consecutive patients with mCRPC who were treated with ENZA without other interim therapy after progression on AA/P. RESULTS: The median time from prostate cancer initial diagnosis to AA/P treatment was 6.2 (range, 0.9-16.3) years. The median prostate-specific antigen (PSA) progression-free survival (PSA-PFS) from treatment initiation was 8.5 months (95% confidence interval [CI], 7.1-10.1 months) and 2.3 months (95% CI, 1.8-3.4 months) on AA/P and ENZA, respectively. The median time to PD from treatment initiation was 9.7 months (95% CI, 7.1-12.4 months) and 3 months (95% CI, 2.3-4.1 months) on AA/P and ENZA, respectively. The correlations were weak between the best percent change in PSA on ENZA and time from diagnosis to AA/P initiation, best absolute or percentage change in PSA on AA/P, time to PSA progression or PD on AA/P. Patients with longer than the median duration of treatment with AA/P (11.73 months) had longer PSA-PFS on ENZA (median 2.8 vs. 1.9 months; P = .035). CONCLUSIONS: In this retrospective analysis, we did not find any clinical or pathologic factors associated with response to ENZA administered consecutively after AA/P. Patients with longer than median AA/P treatment duration had longer PSA-PFS on ENZA. Further evaluations and validation are greatly needed.
Authors: Jan M Moll; Jinpei Kumagai; Martin E van Royen; Wilma J Teubel; Robert J van Soest; Pim J French; Yukio Homma; Guido Jenster; Ronald de Wit; Wytske M van Weerden Journal: Prostate Date: 2019-04-24 Impact factor: 4.104
Authors: Samuel R Denmeade; Hao Wang; Neeraj Agarwal; David C Smith; Michael T Schweizer; Mark N Stein; Vasileios Assikis; Przemyslaw W Twardowski; Thomas W Flaig; Russell Z Szmulewitz; Jeffrey M Holzbeierlein; Ralph J Hauke; Guru Sonpavde; Jorge A Garcia; Arif Hussain; Oliver Sartor; Shifeng Mao; Harry Cao; Wei Fu; Ting Wang; Rehab Abdallah; Su Jin Lim; Vanessa Bolejack; Channing J Paller; Michael A Carducci; Mark C Markowski; Mario A Eisenberger; Emmanuel S Antonarakis Journal: J Clin Oncol Date: 2021-02-22 Impact factor: 44.544