Treatment efficacy of abiraterone (abi), enzalutamide (enza) or cabazitaxel (caba) in metastasic castration-resistant prostate cancer patients (mCRPC) after progression to docetaxel plus androgen deprivation therapy (ADT) in hormone sensible disease.

Authors

null

Miguel Angel Climent Duran

Instituto Valenciano de Oncología, Valencia, Spain

Miguel Angel Climent Duran , M Isabel Sáez , Josep M. Piulats , A. Montesa , Isabel Chirivella , Alejandro gonzalez Forastero , Cristina Caballero Diaz , Lucia Heras , Begona Mellado , Sergio Vazquez-Estevez , David Olmos , Ignacio Duran , María José Juan Fita

Organizations

Instituto Valenciano de Oncología, Valencia, Spain, CRIS Cancer Foundation Prostate Cancer Research Group, Institute of Biomedical Research in Malaga/ CNIO-IBIMA Genitourinary Cancer Research Unit, H Universitarios Virgen de la Victoria y Regional de Málaga, Malaga, Spain, Catalan Cancer Institute, Barcelona, Spain, CNIO-IBIMA Genitorurinary Cancer Clinical Research Unit, Hospitales Universitarios Virgen de la Victoria and Regional de Málaga, Malaga, Spain, Hospital Clinico Universitario, Valencia, Spain, Hospital Universitario Virgen del Rocio, Sevilla, Spain, Hospital General de Valencia, Valencia, Spain, Consorci Sanitari Integral – Hospital General de l´Hospitalet, Hospitalet De Llobregat, Spain, IDIBAPS, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Spain, Lucus Augusti University Hospital, Lugo, Spain, Prostate Cancer Clinical Research Unit, Spanish National Cancer Research Center, Madrid, Spain, Department of Medical Oncology, Hospital Universitario Marqués de Valdecilla, Santander, Spain, Instiuto Valenciano de Oncología, Valencia, Spain

Research Funding

Other

Background: Different treatments efficacy for mCRPC when progression after docetaxel x 6 cycles + ADT (as CHAARTED scheme) are unknown as all pivotal trials where performed in patients who progressed to mCPRC after ADT. Methods: A retrospective analysis of 175 mCRPC patients of 10 spanish hospitals who were treated with docetaxel + ADT as first line treatment was performed. Patients characteristics at diagnosis (age, gleason) and at progression to mCRPC were analyzed (PSA, presence of visceral mets, type of progression). As efficacy endpoints, clinical and objective response, and survival from progression to mCRPC were analyzed. Results: Median age at diagnosis 65.2 years old (range 44-84). Metastatic at diagnosis 173. Bone metastasis 155 (88,5%), visceral 31 (17.7%), gleason >7 130 (74,3%), number docetaxel cycles: 6 (80%), 5 (5,7%), <5 (14,3 %). Median survival from diagnosis: 35 months. Progression to CRPC 78pts (44.5%) Type of progression: PSA 74/78 (94,9%), clinical 45/78 (57.7%), radiological 59/78 (75.6%). Median survival from progression to CRPC: 10.3 months. Treatments frequency, clinical benefit (RP/EE) and median survival: abi 30 (38.4%)/ 7(23.3%)/ 15.7 m; enza 12 (15.4%)/ 4 (33.3%)/ 10.4 m, caba 14(17.9%)/ 3(21.4%)/ 6.4m; Other treatments frequency: Ra223 4 (5.1%), docetaxel 4 (5.1%), others/no treatment/BSC 14 (17.8%). Clinical and radiological progression before treatment was 36.7%/63.3% in abi patients, 58.3%/63.7% in enza and 93.9%/93.9% in caba pts. Visceral (mostly hepatic) metastasis were more frequent in caba (57.1%) than in abi (11.8%) or enza (0%) pts. Median PSA value abi 375/ caba 1633. Conclusions: Although AA seems be more effective than cabazitaxel in mCRPC progressed after docetaxel + ADT in HSPC, patients treated with caba are of worse prognosis.

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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

Citation

J Clin Oncol 37, 2019 (suppl 7S; abstr 198)

DOI

10.1200/JCO.2019.37.7_suppl.198

Abstract #

198

Poster Bd #

H19

Abstract Disclosures