Abiraterone acetate for early stage metastatic prostate cancer: patient selection and special considerations

Pietro Castellan,1 Michele Marchioni,2 Roberto Castellucci,1 Piergustavo De Francesco,2 Romina Iantorno,1 Luigi Schips,1,2 Luca Cindolo1 1Department of Urology, ASL02 Abruzzo, Chieti, Italy; 2Department of Urology, University “G. d’Annunzio”, Chieti, Italy Abstract: In...

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Main Authors: Castellan P, Marchioni M, Castellucci R, De Francesco P, Iantorno R, Schips L, Cindolo L
Format: Article
Language:English
Published: Dove Medical Press 2018-12-01
Series:Therapeutics and Clinical Risk Management
Subjects:
Online Access:https://www.dovepress.com/abiraterone-acetate-for-early-stage-metastatic-prostate-cancer-patient-peer-reviewed-article-TCRM
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author Castellan P
Marchioni M
Castellucci R
De Francesco P
Iantorno R
Schips L
Cindolo L
author_facet Castellan P
Marchioni M
Castellucci R
De Francesco P
Iantorno R
Schips L
Cindolo L
author_sort Castellan P
collection DOAJ
description Pietro Castellan,1 Michele Marchioni,2 Roberto Castellucci,1 Piergustavo De Francesco,2 Romina Iantorno,1 Luigi Schips,1,2 Luca Cindolo1 1Department of Urology, ASL02 Abruzzo, Chieti, Italy; 2Department of Urology, University “G. d’Annunzio”, Chieti, Italy Abstract: In recent years, therapeutic advances, together with new medication sequences and combinations, have improved outcomes for prostate cancer. For a long time, androgen deprivation therapy (ADT) has been the standard of care for newly diagnosed, metastatic prostate cancer, first as a standalone therapy and then in combination with taxane-based regimens. More recently, the addition of abiraterone acetate to ADT to achieve complete androgen blockade has proven beneficial for the treatment of metastatic hormone-resistant prostate cancer and metastatic hormone-sensitive prostate cancer (mHSPC). In this review, we summarize recent findings on the early use of abiraterone in mHSPC and discuss survival benefits as reported in clinical trials. On the basis of existing data, abiraterone in combination with ADT could be considered a new standard of care for patients affected by mHSPC. Keywords: prostate cancer, metastatic hormone-sensitive prostate cancer, androgen receptor, hormonal therapy, abiraterone acetate, prostate castration naïve
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spelling doaj.art-612d2fe350174f6095321a718c6182d72022-12-21T19:44:07ZengDove Medical PressTherapeutics and Clinical Risk Management1178-203X2018-12-01Volume 142341234742856Abiraterone acetate for early stage metastatic prostate cancer: patient selection and special considerationsCastellan PMarchioni MCastellucci RDe Francesco PIantorno RSchips LCindolo LPietro Castellan,1 Michele Marchioni,2 Roberto Castellucci,1 Piergustavo De Francesco,2 Romina Iantorno,1 Luigi Schips,1,2 Luca Cindolo1 1Department of Urology, ASL02 Abruzzo, Chieti, Italy; 2Department of Urology, University “G. d’Annunzio”, Chieti, Italy Abstract: In recent years, therapeutic advances, together with new medication sequences and combinations, have improved outcomes for prostate cancer. For a long time, androgen deprivation therapy (ADT) has been the standard of care for newly diagnosed, metastatic prostate cancer, first as a standalone therapy and then in combination with taxane-based regimens. More recently, the addition of abiraterone acetate to ADT to achieve complete androgen blockade has proven beneficial for the treatment of metastatic hormone-resistant prostate cancer and metastatic hormone-sensitive prostate cancer (mHSPC). In this review, we summarize recent findings on the early use of abiraterone in mHSPC and discuss survival benefits as reported in clinical trials. On the basis of existing data, abiraterone in combination with ADT could be considered a new standard of care for patients affected by mHSPC. Keywords: prostate cancer, metastatic hormone-sensitive prostate cancer, androgen receptor, hormonal therapy, abiraterone acetate, prostate castration naïvehttps://www.dovepress.com/abiraterone-acetate-for-early-stage-metastatic-prostate-cancer-patient-peer-reviewed-article-TCRMprostate cancermetastatic hormone-sensitive prostate cancerandrogen receptorhormonal therapyabiraterone acetateprostate castration naïve.
spellingShingle Castellan P
Marchioni M
Castellucci R
De Francesco P
Iantorno R
Schips L
Cindolo L
Abiraterone acetate for early stage metastatic prostate cancer: patient selection and special considerations
Therapeutics and Clinical Risk Management
prostate cancer
metastatic hormone-sensitive prostate cancer
androgen receptor
hormonal therapy
abiraterone acetate
prostate castration naïve.
title Abiraterone acetate for early stage metastatic prostate cancer: patient selection and special considerations
title_full Abiraterone acetate for early stage metastatic prostate cancer: patient selection and special considerations
title_fullStr Abiraterone acetate for early stage metastatic prostate cancer: patient selection and special considerations
title_full_unstemmed Abiraterone acetate for early stage metastatic prostate cancer: patient selection and special considerations
title_short Abiraterone acetate for early stage metastatic prostate cancer: patient selection and special considerations
title_sort abiraterone acetate for early stage metastatic prostate cancer patient selection and special considerations
topic prostate cancer
metastatic hormone-sensitive prostate cancer
androgen receptor
hormonal therapy
abiraterone acetate
prostate castration naïve.
url https://www.dovepress.com/abiraterone-acetate-for-early-stage-metastatic-prostate-cancer-patient-peer-reviewed-article-TCRM
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