Clinical outcomes in Caucasian (C), African American (AA) and Asian men with metastatic castration-resistant prostate cancer (mCRPC).

Authors

Susan Halabi

Susan Halabi

Duke University Medical Center, Durham, NC

Susan Halabi , Sandipan Dutta , Kim N. Chi , Catherine M. Tangen , Daniel Peter Petrylak , John C. Araujo , Karim Fizazi , David I. Quinn , Celestia S. Higano , Ian Tannock , Eric Jay Small , William Kevin Kelly

Organizations

Duke University Medical Center, Durham, NC, Duke University, Durham, NC, Department of Medical Oncology, BC Cancer Agency, Vancouver, BC, Canada, Fred Hutchinson Cancer Research Center, Seattle, WA, Yale Cancer Center, New Haven, CT, The University of Texas MD Anderson Cancer Center, Houston, TX, Gustave Roussy, University of Paris Sud, Villejuif, France, University of Southern California Norris Comprehensive Cancer Center, Los Angeles, CA, University of Washington and Fred Hutchinson Cancer Research Center, Seattle, WA, Princess Margaret Cancer Centre, University of Toronto, Toronto, ON, Canada, UC San Francisco Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, Sidney Kimmel Cancer Center at Thomas Jefferson University, Philadelphia, PA

Research Funding

Other

Background: We have previously shown in multivariable analysis that African American (AA) men had 19% lower risk of death than Caucasian (C) men with metastatic castration resistant prostate cancer (mCRPC) treated with a docetaxel (D) prednisone (P) based regimen. The primary goal of this analysis was to compare progression-free survival (PFS) and PSA PFS in C men, AA men, and Asian men with mCRPC treated with a DP based regimen. Methods: Individual patient data from 8,820 mCRPC men randomized on nine phase III trials to a DP containing regimen were combined. Race used in the analysis was based on self-report. The endpoints were PFS and PSA PFS. Per protocol definition of PFS was used in the analysis while PSA PFS was defined per PCWG3 criteria. The proportional hazards model was used to assess the prognostic importance of race in predicting PFS and PSA PFS, adjusting for treatment arm and prognostic factors that were common across the trials (performance status, and sites of metastases). Results: Of 8,820 patients, 7,528 (85%) were C, 500 (6%) were AA, 424 (5%) were Asian and 368 (4%) had race unspecified. Men with race unspecified were excluded from the analysis, leaving 8,452 men. Median PFS was 8.3 months (m) (95% CI = 8.1-8.5), 8.2 m (95% CI = 7.4-8.8), and 8.3 m (95% CI = 7.6-8.8) in C, AA and Asian men, respectively. In multivariable analysis adjusting for risk factors, the pooled hazard ratios for AA vs. C was 1.04 (95% CI = 0.94-1.15, p-value = 0.461) and 1.08 (95% CI = 0.96-1.21, p-value = 0.192) for Asian vs. C. PSA data were available for 6,685 (89%) C, 456 (91%) AA and 412 (97%) Asian men. Median PSA PFS were 9.7 m (95% CI = 9.4-10), 8.5 m (95% CI = 7.6-10) and 10.0 m (95% CI = 9.5-11.8) in C, AA and Asian, respectively. In multivariable analysis, the pooled hazard ratios were 1.05 (95% CI = 0.94-1.16, p-value = 0.408) for AA vs. C and 1.00 (95% CI = 0.82-1.22, p-value = 0.996) for Asian vs. C. Conclusions: There were no differences in PFS and PSA PFS outcomes in C, AA, or Asian men with mCRPC enrolled on these phase III clinical trials with DP. Clinical trial information: NCT00004001

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Abstract Details

Meeting

2019 Genitourinary Cancers Symposium

Session Type

Poster Session

Session Title

Poster Session A: Prostate Cancer

Track

Prostate Cancer,Prostate Cancer

Sub Track

Prostate Cancer - Advanced Disease

Clinical Trial Registration Number

NCT00004001

Citation

J Clin Oncol 37, 2019 (suppl 7S; abstr 186)

DOI

10.1200/JCO.2019.37.7_suppl.186

Abstract #

186

Poster Bd #

H7

Abstract Disclosures