The impact of time-to-castration resistance on survival in patients with metastatic hormone-naïve prostate cancer: A multicenter retrospective study.

Authors

null

Teppei Okamoto

Hirosaki University Graduate School of Medicine, Hirosaki, Japan

Teppei Okamoto , Shingo Hatakeyama , Masahiro Takahashi , Shintaro Narita , Masanori Ishida , Senji Hoshi , Sadafumi Kawamura , Shigeto Ishidoya , Jiro Shimoda , Toshiaki Kawaguchi , Tatsuo Tochigi , Koji Mitsuzuka , Norihiko Tsuchiya , Yoichi Arai , Tomonori Habuchi , Chikara Ohyama

Organizations

Hirosaki University Graduate School of Medicine, Hirosaki, Japan, Hirosaki Univ., Hirosaki, Japan, Department of Urology, Tohoku University School of Medicine, Sendai, Japan, Akita University Graduate School of Medicine, Akita, Japan, Akita University, Akita, Japan, Yamagata Prefectural Central Hospital, Yamagata, Japan, Miyagi Cancer Center, Natori, Japan, Tohoku University, Sendai, Japan, Iwate Prefectural Isawa Hospital, Isawa, Japan, Aomori Prefectural Central Hospital, Aomori, Japan, Tohoku University Graduate School of Medicine, Sendai, Japan, Yamagata University Faculty of Medicine, Yamagata, Japan

Research Funding

No funding received
None.

Background: To evaluate the prognostic impact of time to castration resistance (TCR) in patients with metastatic hormone-naïve prostate cancer (mHNPC). Methods: We retrospectively evaluated 283 mHNPC patients with metastatic castration-resistant prostate cancer (mCRPC) who were initially treated with androgen deprivation therapy as metastatic hormone-naïve prostate cancer in 14 hospitals between September 2008 and October 2018. Overall survival (OS) and OS after castration resistance (OS-CR) were compared between the <12 months (TCR <12M) and ≥12 months (TCR ≥12M). The association between the first-line life-prolonging therapy (docetaxel or new androgen receptor-targeted agents: ART) and TCR on OS-CR was investigated using multivariate Cox regression analysis via inverse probability of treatment weighting (IPTW) model. Results: Median age and time to CRPC were 72 years and 12 months, respectively. The number of patients in the TCR<12M and ≥12M groups were 137 and 146, respectively. Of 283, baseline parameters such as age, extent of disease (EOD), hemoglobin (Hgb), lactate dehydrogenase (LDH), and serum albumin levels were significantly differences in between the groups. We observed significantly poor OS and OS-CR in the TCR <12M group than those in the TCR ≥12M group. First-line docetaxel therapy did not significantly improved OS-CR regardless of TCR. Background (age, ECOG PS, GS, Hgb, tumor volume, serum data, and TCR)-adjusted multivariate Cox regression analyses showed that first-line docetaxel therapy was significantly associated with shorter OS-CR than first-line ART therapy in the TCR <12M group. Conclusions: The prognostic impact of TCR on OS was significant. However, the association between the first-line life-prolonging therapy and TCR on OS need further study.

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2020 Genitourinary Cancers Symposium

Session Type

Poster Session

Session Title

Poster Session B: Prostate Cancer; Urothelial Carcinoma; Penile, Urethral, Testicular, and Adrenal Cancers

Track

Urothelial Carcinoma,Adrenal Cancer,Penile Cancer,Prostate Cancer - Advanced,Prostate Cancer - Localized,Testicular Cancer,Urethral Cancer

Sub Track

Diagnostics

Citation

J Clin Oncol 38, 2020 (suppl 6; abstr 213)

Abstract #

213

Poster Bd #

A13

Abstract Disclosures