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 |
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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 |
format | Article |
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: 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.</description><identifier>ISSN: 1479-6694</identifier><identifier>EISSN: 1744-8301</identifier><identifier>DOI: 10.2217/fon-2020-0039</identifier><identifier>PMID: 32469606</identifier><language>eng</language><publisher>England: Future Medicine Ltd</publisher><subject>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</subject><ispartof>Future oncology (London, England), 2020-07, Vol.16 (19), p.1371-1384</ispartof><rights>2020 Future Medicine Ltd</rights><rights>Copyright Future Medicine Ltd Jul 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c476t-8d3025a9ad77025fb9fbec2c539e8d2532505ffc60965ff984abfd41463cc6703</citedby><cites>FETCH-LOGICAL-c476t-8d3025a9ad77025fb9fbec2c539e8d2532505ffc60965ff984abfd41463cc6703</cites><orcidid>0000-0001-8908-1684 ; 0000-0001-6687-5393</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32469606$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kuppen, Malou Cp</creatorcontrib><creatorcontrib>Westgeest, Hans M</creatorcontrib><creatorcontrib>van der Doelen, Maarten J</creatorcontrib><creatorcontrib>van den Eertwegh, Alphonsus Jm</creatorcontrib><creatorcontrib>Coenen, Jules Llm</creatorcontrib><creatorcontrib>Aben, Katja Kh</creatorcontrib><creatorcontrib>van den Bergh, Alphons Cm</creatorcontrib><creatorcontrib>Bergman, Andries M</creatorcontrib><creatorcontrib>den Bosch, Joan van</creatorcontrib><creatorcontrib>Celik, Filiz</creatorcontrib><creatorcontrib>Hendriks, Mathijs P</creatorcontrib><creatorcontrib>Lavalaye, Jules</creatorcontrib><creatorcontrib>der Meer, Saskia van</creatorcontrib><creatorcontrib>Polee, Marco B</creatorcontrib><creatorcontrib>Somford, Diederik M</creatorcontrib><creatorcontrib>van Oort, Inge M</creatorcontrib><creatorcontrib>Uyl-de Groot, Carin A</creatorcontrib><creatorcontrib>Gerritsen, Winald R</creatorcontrib><title>Real-world outcomes of radium-223 dichloride for metastatic castration resistant prostate cancer</title><title>Future oncology (London, England)</title><addtitle>Future Oncol</addtitle><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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic Agents - administration & dosage</subject><subject>Bone Neoplasms - metabolism</subject><subject>Bone Neoplasms - radiotherapy</subject><subject>Bone Neoplasms - secondary</subject><subject>Cancer therapies</subject><subject>Databases, Factual</subject><subject>Drug Administration Schedule</subject><subject>Hemoglobin</subject><subject>Humans</subject><subject>Lymphatic system</subject><subject>Male</subject><subject>Metastasis</subject><subject>metastatic castration-resistant prostate cancer</subject><subject>Middle Aged</subject><subject>Patients</subject><subject>Prostate cancer</subject><subject>Prostatic Neoplasms, Castration-Resistant - metabolism</subject><subject>Prostatic Neoplasms, Castration-Resistant - pathology</subject><subject>Prostatic Neoplasms, Castration-Resistant - radiotherapy</subject><subject>Radioisotopes - administration & dosage</subject><subject>Radium - administration & dosage</subject><subject>radium-223</subject><subject>real-world outcomes</subject><subject>Retrospective Studies</subject><subject>sequencing</subject><subject>skeletal-related events</subject><subject>survival</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><issn>1479-6694</issn><issn>1744-8301</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1rHSEUhqW0NB_tstsidNONqV-j4zKEtAkEAqFdW68eqWFmTHSG0H_fc7lJF4Wuzqvn8agPIR8EP5NS2C-5LkxyyRnnyr0ix8JqzUbFxWvM2jpmjNNH5KT3e861VQN_S46U1MYZbo7JzzsIE3uqbUq0bmusM3RaM20hlW1mUiqaSvw11VYS0FwbnWENfQ1riTRiaJjqQhv0grvLSh9a3bcBu0uE9o68yWHq8P65npIfXy-_X1yxm9tv1xfnNyxqa1Y2JsXlEFxI1mLIO5d3EGUclIMxyUHJgQ85R8OdwepGHXY5aaGNitFYrk7J58NcvP9xg776ufQI0xQWqFv3UvNROCkHieinf9D7urUFX4eUVVrbUQik2IGK-KHeIPuHVubQfnvB_V69R_V-r97v1SP_8Xnqtpsh_aVfXCPgDkDe1g19xQIoyB9WeKLEssB_hv8Byd2SyQ</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Kuppen, Malou Cp</creator><creator>Westgeest, Hans M</creator><creator>van der Doelen, Maarten J</creator><creator>van den Eertwegh, Alphonsus Jm</creator><creator>Coenen, Jules Llm</creator><creator>Aben, Katja Kh</creator><creator>van den Bergh, Alphons Cm</creator><creator>Bergman, Andries M</creator><creator>den Bosch, Joan van</creator><creator>Celik, Filiz</creator><creator>Hendriks, Mathijs P</creator><creator>Lavalaye, Jules</creator><creator>der Meer, Saskia van</creator><creator>Polee, Marco B</creator><creator>Somford, Diederik M</creator><creator>van Oort, Inge M</creator><creator>Uyl-de Groot, Carin A</creator><creator>Gerritsen, Winald R</creator><general>Future Medicine Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>EHMNL</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8908-1684</orcidid><orcidid>https://orcid.org/0000-0001-6687-5393</orcidid></search><sort><creationdate>20200701</creationdate><title>Real-world outcomes of radium-223 dichloride for metastatic castration resistant prostate cancer</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c476t-8d3025a9ad77025fb9fbec2c539e8d2532505ffc60965ff984abfd41463cc6703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antineoplastic Agents - 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Academic</collection><jtitle>Future oncology (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kuppen, Malou Cp</au><au>Westgeest, Hans M</au><au>van der Doelen, Maarten J</au><au>van den Eertwegh, Alphonsus Jm</au><au>Coenen, Jules Llm</au><au>Aben, Katja Kh</au><au>van den Bergh, Alphons Cm</au><au>Bergman, Andries M</au><au>den Bosch, Joan van</au><au>Celik, Filiz</au><au>Hendriks, Mathijs P</au><au>Lavalaye, Jules</au><au>der Meer, Saskia van</au><au>Polee, Marco B</au><au>Somford, Diederik M</au><au>van Oort, Inge M</au><au>Uyl-de Groot, Carin A</au><au>Gerritsen, Winald R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Real-world outcomes of radium-223 dichloride for metastatic castration resistant prostate cancer</atitle><jtitle>Future oncology (London, England)</jtitle><addtitle>Future Oncol</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>16</volume><issue>19</issue><spage>1371</spage><epage>1384</epage><pages>1371-1384</pages><issn>1479-6694</issn><eissn>1744-8301</eissn><abstract>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.</abstract><cop>England</cop><pub>Future Medicine Ltd</pub><pmid>32469606</pmid><doi>10.2217/fon-2020-0039</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0001-8908-1684</orcidid><orcidid>https://orcid.org/0000-0001-6687-5393</orcidid><oa>free_for_read</oa></addata></record> |
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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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