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Review
. 2018 Jul-Sep;34(3):180-184.
doi: 10.4103/iju.IJU_378_17.

STAMPEDEing metastatic prostate cancer: CHAARTing the LATITUDEs

Affiliations
Review

STAMPEDEing metastatic prostate cancer: CHAARTing the LATITUDEs

Aditya Prakash Sharma et al. Indian J Urol. 2018 Jul-Sep.

Abstract

With the emergence of recent landmark trials, the treatment for hormone-sensitive metastatic prostate cancer (hsMPC) is changing from androgen deprivation therapy (ADT) alone to combination therapy. Both, docetaxel chemotherapy and abiraterone in addition to ADT have been extensively studied in well-conducted randomized controlled trials and were shown to improve outcomes. However, this paradigm shift in the treatment has also raised some queries. This mini review reflects upon the four landmark trials and tries to provide some perspective about the decision-making process for the patients with hsMPC.

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Conflict of interest statement

Conflicts of interest: There are no conflicts of interest.

Figures

Figure 1
Figure 1
Summary of the trials on combination therapies in metastatic hormone-sensitive prostate cancer. ADT: Androgen deprivation therapy, PFS: Progression-free survival, OS: Overall survival, HR: Hazard ratio, NA: Not available, *CHAARTED distributed patients into high volume and low volume in which high volume of metastases was defined by the presence of visceral metastases or four or more bone lesions with at least one beyond the vertebral bodies and pelvis

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