Real-world outcomes of radium-223 dichloride for metastatic castration resistant prostate cancer

Timing of radium-223 (Ra-223) in metastatic castration-resistant prostate cancer (mCRPC) remains challenging due to alternative options and short window of opportunity. : Ra-223 treated patients in the CAPRI-registry were included. Outcomes were evaluated based on treatment line of Ra-223. Out of 28...

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Veröffentlicht in:Future oncology (London, England) England), 2020-07, Vol.16 (19), p.1371-1384
Hauptverfasser: Kuppen, Malou Cp, Westgeest, Hans M, van der Doelen, Maarten J, van den Eertwegh, Alphonsus Jm, Coenen, Jules Llm, Aben, Katja Kh, van den Bergh, Alphons Cm, Bergman, Andries M, den Bosch, Joan van, Celik, Filiz, Hendriks, Mathijs P, Lavalaye, Jules, der Meer, Saskia van, Polee, Marco B, Somford, Diederik M, van Oort, Inge M, Uyl-de Groot, Carin A, Gerritsen, Winald R
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container_end_page 1384
container_issue 19
container_start_page 1371
container_title Future oncology (London, England)
container_volume 16
creator Kuppen, Malou Cp
Westgeest, Hans M
van der Doelen, Maarten J
van den Eertwegh, Alphonsus Jm
Coenen, Jules Llm
Aben, Katja Kh
van den Bergh, Alphons Cm
Bergman, Andries M
den Bosch, Joan van
Celik, Filiz
Hendriks, Mathijs P
Lavalaye, Jules
der Meer, Saskia van
Polee, Marco B
Somford, Diederik M
van Oort, Inge M
Uyl-de Groot, Carin A
Gerritsen, Winald R
description Timing of radium-223 (Ra-223) in metastatic castration-resistant prostate cancer (mCRPC) remains challenging due to alternative options and short window of opportunity. : Ra-223 treated patients in the CAPRI-registry were included. Outcomes were evaluated based on treatment line of Ra-223. Out of 285 patients, 49% received Ra-223 in line ≥3. 51% completed six Ra-223 injections and 34% had a symptomatic skeletal event after first Ra-223 without differences between subgroups. After correction of known prognostic factors Ra-223 in line ≥3 (HR: 3.267; 95% CI: 1.689–6.317; p < 0.01) remained associated with worse OS. : In the Netherlands, Ra-223 was mainly started as second or third mCRPC-treatment in 2014–2018. Later timing of Ra-223 did affect OS, but not treatment completion and occurrence of symptomatic skeletal events.
doi_str_mv 10.2217/fon-2020-0039
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subjects Aged
Aged, 80 and over
Antineoplastic Agents - administration & dosage
Bone Neoplasms - metabolism
Bone Neoplasms - radiotherapy
Bone Neoplasms - secondary
Cancer therapies
Databases, Factual
Drug Administration Schedule
Hemoglobin
Humans
Lymphatic system
Male
Metastasis
metastatic castration-resistant prostate cancer
Middle Aged
Patients
Prostate cancer
Prostatic Neoplasms, Castration-Resistant - metabolism
Prostatic Neoplasms, Castration-Resistant - pathology
Prostatic Neoplasms, Castration-Resistant - radiotherapy
Radioisotopes - administration & dosage
Radium - administration & dosage
radium-223
real-world outcomes
Retrospective Studies
sequencing
skeletal-related events
survival
Survival Rate
Treatment Outcome
title Real-world outcomes of radium-223 dichloride for metastatic castration resistant prostate cancer
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