Efficacy and tolerance of treatments received beyond progression in men with metastatic hormone-naive prostate cancer treated with androgen deprivation therapy (ADT) with or without docetaxel in the GETUG-AFU 15 phase III trial.

Authors

null

Pernelle Lavaud

Gustave Roussy Cancer Campus, Villejuif, France

Pernelle Lavaud , Gwenaelle Gravis , Clemence Legoupil , Florence Joly , Stephane Oudard , Franck Priou , Loic Mourey , Michel Soulie , Igor Latorzeff , Remy Delva , Ivan Krakowski , Brigitte Laguerre , Christine Theodore , Jean Marc Ferrero , Philippe Beuzeboc , Muriel Habibian , Stephanie Foulon , Jean Marie Boher , Gabrielle Tergemina-Clain , Karim Fizazi

Organizations

Gustave Roussy Cancer Campus, Villejuif, France, Medical Oncology, Institut Paoli Calmette, Hôpital de Jour, Marseille, France, Centre François Baclesse, Caen, France, Department of Medical Oncology, Hôpital Européen Georges Pompidou, Paris, France, Centre Hospitalier Departemental Les Oudairies, La Roche sur Yon, France, Institut Claudius Regaud, IUCT-O, Toulouse, France, Centre Hospitalier Universitaire Rangueil, Toulouse, France, Clinique Pasteur, Toulouse, France, Centre Paul Papin, Angers, France, Centre Alexis Vautrin, Vandoeuvre-lès-Nancy, France, Centre Eugène Marquis, Rennes, France, Hospital Foch, Suresnes, France, Centre Antoine Lacassagne, Nice, France, Medical Oncology Department, Institut Curie, Paris, France, UNICANCER, Paris, France, Institut Gustave Roussy, Villejuif, France, Institut Paoli Calmettes, Marseille, France, Gustave-Roussy Cancer Campus, Biostatistics and Epidemiology unit, Villejuif, France, Institut Gustave Roussy, University of Paris Sud, Villejuif, France

Research Funding

Other

Background: Since 2015, docetaxel chemotherapy, combined with ADT, is considered the standard of care in fit men with metastatic hormone-naive prostate cancer (m-HNPC), based on data from three phase III trials (GETUG-AFU 15, CHAARTED, and STAMPEDE). No data are currently available regarding the treatments used beyond progression after upfront ADT and docetaxel. Methods: We retrospectively collected data from patients (pts) participating in the GETUG-AFU 15 phase III trial concerning treatments received beyond progression for castration-resistant disease (CRPC) in both arms (ADT and ADT + docetaxel) including treatment efficacy (measured by a PSA decline > 50%, physician assessment of clinical benefit, and time to events), and toxicity (NCI-CTC grading). Results: Data concerning 164 pts are currently available. The treatments most frequently used and their efficacy are detailed in the Table. Toxicity was mild, with only rare grade 3-4 events (16% with first treatments and 13% with second treatments used for CRPC) and no treatment-related death. Conclusions: In this retrospective analysis, anticancer activity was suggested with androgen receptor axis-targeted agents in patients with metastatic prostate cancer treated upfront with ADT + docetaxel. Rather limited activity was observed following a docetaxel rechallenge in this setting.

Treatment used for CRPC
(n = 164 pts)
PSA response
(ADT vs ADT+D)
Symptomatic response
(ADT vs ADT+D)
Median PFS
Months (95%CI)
(ADT vs ADT+D)
First treatment for CRPCDocetaxel (n = 66)15/47 (32%) vs
2/12 (17%)
11/32 (34%) vs
3/9 (33%)
6.8 (4.8-9) vs
4.1 (2.9-8.2)
Bicalutamide (n = 56)7/26 (27%) vs
3/24 (13%)
0/11 (0%) vs
3/19 (16%)
7.8 (4.1-14.4) vs
7.7 (2.8-8.9)
Abiraterone or Enzalutamide (n = 12)2/2 vs 6/10
Second treatment for CRPCDocetaxel (n = 34)10/18 (56%) vs
2/13 (15%)
4/12 (33%) vs
3/9 (33%)
4.3 (2.5-8.6) vs
3.5 (1.4-6.8)
Abiraterone or Enzalutamide (n = 32)6/16 (38%) vs
7/10 (70%)
4/8 vs 2/97 (1.6-9.5) vs
9 (4.6-24)
Mitoxantrone (n = 8)0/8 vs 0/5
Carbo-VP16 (n = 8)3/7 vs 1/1

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Abstract Details

Meeting

2016 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Genitourinary (Prostate) Cancer

Track

Genitourinary Cancer—Prostate, Testicular, and Penile

Sub Track

Prostate Cancer - Advanced Disease

Citation

J Clin Oncol 34, 2016 (suppl; abstr 5080)

DOI

10.1200/JCO.2016.34.15_suppl.5080

Abstract #

5080

Poster Bd #

431

Abstract Disclosures