Naslov
A retrospective study comparing abiraterone acetate and enzalutamide in the treatment of patients with metastatic castration-resistant prostate cancer in Split

Autori
Farah Rinata

Vrsta, podvrsta i kategorija rada
Ocjenski radovi, diplomski rad, diplomski

Fakultet
Medicinski fakultet

Mjesto
Split

Datum
20.06

Godina
2018

Stranica
42

Mentor
Omrčen Tomislav

Ključne riječi
abirateron, enzalutamid, rak prostate
(abiraterone, enzalutamide, prostate cancer)

Sažetak
Objectives: To retrospectively compare the efficacy of AA and ENZ in the treatment of patients with mCRPC in the post-docetaxel setting in terms of biochemical, radiological and clinical progression free survival (i.e. bPFS, rPFS and cPFS, respectively) and OS in 58 consecutive patients in a single institution. We also evaluated the toxicity of both agents. Methods: A retrospective cohort study using the data collected from patients’ charts in the Department of Oncology and Radiotherapy in Split. A total of 58 consecutive mCRPC patients (n=58) treated with AA (1000 mg/day, 1h before or 2h after meal) plus P (2x5 mg) (n=27) and ENZ (160 mg per day) (n=31) from October 2015 until May 2018 in the post-docetaxel setting were included in this study. Results: Despite the numerical difference in mOS, bPFS, rPFS, cPFS, in this relatively small number of patients, there was no statistically significant difference found between the two groups of patients. In comparison to the most significant randomised control trials for AA + P (COU-AA 301) and ENZ (AFFIRM), the results of our patients' treatment with these agents regarding mOS were even better. Namely, in the COU-AA 301 study, mOS was 14.8 months (40) while in our mCRPC patients treated with AA+P mOS was not reached. In the AFFIRM trial, mOS was 18.4 months (41) whereas in our mCRPC patients treated with ENZ mOS was 24 months. In other observed parameters such as bPFS or rPFS we achieved comparable results to the COU-AA 301 trial and the AFFIRM study (40, 41). Regarding the observed toxicity in our patients, the incidence of certain side effects (among other typical side effects for each drug) did not differ significantly from those observed in the randomized trials mentioned above. Conclusion: In conclusion, AA + P and ENZ represent an effective form of treatment for patients with mCRPC. Both drugs prolong survival, time to biochemical and radiological progression for patients at this stage of disease with acceptable toxicity profiles for both agents.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA