J 2025

Apalutamide in Metastatic Castration-sensitive Prostate Cancer: Results from the Multicenter Real-world ARON-3 Study

SANTONI, Matteo; Thomas BUTTNER; Pasquale RESCIGNO; Ondrej FIALA; Nicolo CAVASIN et al.

Základní údaje

Originální název

Apalutamide in Metastatic Castration-sensitive Prostate Cancer: Results from the Multicenter Real-world ARON-3 Study

Autoři

SANTONI, Matteo; Thomas BUTTNER; Pasquale RESCIGNO; Ondrej FIALA; Nicolo CAVASIN; Umberto BASSO; Tarek TAHA; Francesco MASSARI; Zin W MYINT; Luigi FORMISANO; Luca GALLI; Sarah SCAGLIARINI; Marc R MATRANA; Gaetano FACCHINI; Aristotelis BAMIAS; Carlo MESSINA; Francesca ZACCHI; Ray Kopp MANNEH; Giandomenico ROVIELLO; Daniele SANTINI; Alexandr POPRACH; Jiří NAVRÁTIL ORCID; Michal UHER; Fabio CALABRO; Erin PIERCE; Rossana BERARDI; Gaetano AURILIO; Roubini ZAKOPOULOU; Alessandro RIZZO; Jawaher ANSARI; Mimma RIZZO; Renato BISONNI; Veronica MOLLICA; Lorena INCORVAIA; Gianpaolo SPINELLI; Xue Yan JIANG; Robert Adam CHANDLER; Francesco GRILLONE; Franco MORELLI; Sebastiano BUTI; Fernando C MALUF; Fernando Sabino Marques MONTEIRO; Nicola BATTELLI; Camillo PORTA; Orazio CAFFO a Andrey SOARES

Vydání

EUROPEAN UROLOGY ONCOLOGY, AMSTERDAM, ELSEVIER, 2025, 2588-9311

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30204 Oncology

Stát vydavatele

Nizozemské království

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 9.300 v roce 2024

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/25:00141096

Organizační jednotka

Lékařská fakulta

EID Scopus

Klíčová slova anglicky

Apalutamide; ARON-3 trial; Androgen receptor pathway inhibitor; Castration-sensitive prostate cancer; Hormone sensitive; Prostate cancer

Štítky

Změněno: 5. 5. 2025 12:33, Mgr. Tereza Miškechová

Anotace

V originále

Background and objective: Apalutamide (APA) is a treatment for metastatic castration-sensitive prostate cancer (mCSPC). In the ARON-3 study we investigated real-world experiences with APA treatment for mCSPC. Methods: We retrospectively assessed real-world clinical outcomes for patients with mCSPC treated with APA in the ARON-3 study. Overall survival (OS) was calculated from APA initiation to death from any cause. PSA(90) was defined as a prostate-specific antigen decline of >= 90% from baseline, and PSA(0.2) as achievement of a PSA level <= 0.2 ng/ml. Data for adverse events were retrospectively collected from electronic and paper charts and categorized according to Common Terminology Criteria for Adverse Events v5.0. Key findings and limitations: We included 531 patients with mCSPC treated with APA. High-volume disease was reported for 214 patients (40%), and 56 (11%) had visceral metastases. Median OS was not reached. PSA(90) was experienced by 461 patients (87%) and PSA(0.2) by 368 (69%). Median OS was significantly longer for patients with PSA(90) or PSA(0.2) than for subjects without these responses (p < 0.001). The incidence of grade 3-4 fatigue was higher among elderly patients (>= 80 yr) than among younger patients (19% vs 5%), but the incidence of other adverse events was comparable between the age groups. Conclusions and clinical implications: APA is an effective and tolerable treatment for mCSPC in the real-world setting. Patient summary: The ARON-3 project collects data for patients with prostate cancer treated in multiple centers worldwide to assess outcomes in the real-world setting. We analyzed data for patients with metastatic hormone-sensitive prostate cancer receiving apalutamide. Our results show that apalutamide is a safe and effective drug in the real-world setting as well as in clinical trials. (c) 2024 The Authors. Published by Elsevier B.V. on behalf of European Association of Urology.