Abiraterone acetate and prednisone in the pre- and post-docetaxel setting for metastatic castration-resistant prostate cancer: a mono-institutional experience focused on cardiovascular events and their impact on clinical outcomes
Author(s) -
Alessia Cavo,
A. Rubagotti,
Elisa Zanardi,
Chiara Fabbroni,
Linda Zinoli,
Antonio Di Meglio,
Eleonora Arboscello,
Andrea Bellodi,
Paolo Spallarossa,
Carlo Cattrini,
Carlo Messina,
Francesco Boccardo
Publication year - 2018
Publication title -
therapeutic advances in medical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.272
H-Index - 49
eISSN - 1758-8359
pISSN - 1758-8340
DOI - 10.1177/1758834017745819
Subject(s) - medicine , docetaxel , abiraterone acetate , prostate cancer , prednisone , hypokalemia , androgen deprivation therapy , cohort , incidence (geometry) , proportional hazards model , hazard ratio , oncology , adverse effect , cancer , confidence interval , physics , optics
Median PFS and OS estimates and incidence of CVEs and hypokalemia in our series are consistent with those of pivotal trials of AA plus PDN, confirming the efficacy and safety of this regimen also in the real-world setting. Elderly patients have higher odds of developing/worsening CVEs. However, regardless of age, CVEs were not associated with worse outcomes. Treatment-related hypokalemia seemed to be associated with longer OS, albeit this finding needs confirmation within larger, prospective series.
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