Abiraterone in Metastatic Prostate Cancer without Previous Chemotherapy

Abiraterone has been approved as second-line chemotherapy in patients with metastatic castration-resistant prostate cancer. This study shows significant improvement in progression-free survival with abiraterone as first-line chemotherapy in these patients. Metastatic castration-resistant prostate ca...

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Veröffentlicht in:The New England journal of medicine 2013-01, Vol.368 (2), p.138-148
Hauptverfasser: Ryan, Charles J, Smith, Matthew R, de Bono, Johann S, Molina, Arturo, Logothetis, Christopher J, de Souza, Paul, Fizazi, Karim, Mainwaring, Paul, Piulats, Josep M, Ng, Siobhan, Carles, Joan, Mulders, Peter F.A, Basch, Ethan, Small, Eric J, Saad, Fred, Schrijvers, Dirk, Van Poppel, Hendrik, Mukherjee, Som D, Suttmann, Henrik, Gerritsen, Winald R, Flaig, Thomas W, George, Daniel J, Yu, Evan Y, Efstathiou, Eleni, Pantuck, Allan, Winquist, Eric, Higano, Celestia S, Taplin, Mary-Ellen, Park, Youn, Kheoh, Thian, Griffin, Thomas, Scher, Howard I, Rathkopf, Dana E
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container_end_page 148
container_issue 2
container_start_page 138
container_title The New England journal of medicine
container_volume 368
creator Ryan, Charles J
Smith, Matthew R
de Bono, Johann S
Molina, Arturo
Logothetis, Christopher J
de Souza, Paul
Fizazi, Karim
Mainwaring, Paul
Piulats, Josep M
Ng, Siobhan
Carles, Joan
Mulders, Peter F.A
Basch, Ethan
Small, Eric J
Saad, Fred
Schrijvers, Dirk
Van Poppel, Hendrik
Mukherjee, Som D
Suttmann, Henrik
Gerritsen, Winald R
Flaig, Thomas W
George, Daniel J
Yu, Evan Y
Efstathiou, Eleni
Pantuck, Allan
Winquist, Eric
Higano, Celestia S
Taplin, Mary-Ellen
Park, Youn
Kheoh, Thian
Griffin, Thomas
Scher, Howard I
Rathkopf, Dana E
description Abiraterone has been approved as second-line chemotherapy in patients with metastatic castration-resistant prostate cancer. This study shows significant improvement in progression-free survival with abiraterone as first-line chemotherapy in these patients. Metastatic castration-resistant prostate cancer, defined by tumor growth despite a testosterone level of less than 50 ng per deciliter (1.7 nmol per liter), causes approximately 258,400 deaths annually worldwide. 1 , 2 Death of patients with this condition, which typically occurs within 24 to 48 months after the onset of castration resistance, is commonly preceded by a sequence of landmark events associated with deterioration of overall health and worsening symptoms (Figure S1 in the Supplementary Appendix, available with the full text of this article at NEJM.org). 3 – 7 Among the treatment options for patients with metastatic castration-resistant prostate cancer who have not undergone chemotherapy . . .
doi_str_mv 10.1056/NEJMoa1209096
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subjects Abiraterone Acetate
Androstadienes - adverse effects
Androstadienes - therapeutic use
Antineoplastic Agents, Hormonal - adverse effects
Antineoplastic Agents, Hormonal - therapeutic use
Antineoplastic Combined Chemotherapy Protocols - adverse effects
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Cancer therapies
Clinical trials
Disease-Free Survival
Double-Blind Method
General aspects
Humans
Male
Medical sciences
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Neoplasm Metastasis
Nephrology. Urinary tract diseases
Prednisone - adverse effects
Prednisone - therapeutic use
Prostate cancer
Prostatic Neoplasms - drug therapy
Prostatic Neoplasms - mortality
Prostatic Neoplasms - secondary
Regulatory approval
Survival Analysis
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
title Abiraterone in Metastatic Prostate Cancer without Previous Chemotherapy
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