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Enzalutamide in men with nonmetastatic, castration-resistant prostate cancer

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TLDR
Among men with nonmetastatic, castration‐resistant prostate cancer with a rapidly rising PSA level, enzalutamide treatment led to a clinically meaningful and significant 71% lower risk of metastasis or death than placebo.
Abstract
Background Men with nonmetastatic, castration-resistant prostate cancer and a rapidly rising prostate-specific antigen (PSA) level are at high risk for metastasis. We hypothesized that enz...

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Prostate Cancer, Version 2.2019, NCCN Clinical Practice Guidelines in Oncology

TL;DR: The NCCN Guidelines for Prostate Cancer include recommendations regarding diagnosis, risk stratification and workup, treatment options for localized disease, and management of recurrent and advanced disease for clinicians who treat patients with prostate cancer.
Journal ArticleDOI

ARCHES: A Randomized, Phase III Study of Androgen Deprivation Therapy With Enzalutamide or Placebo in Men With Metastatic Hormone-Sensitive Prostate Cancer

TL;DR: Enzalutamide with ADT significantly reduced the risk of metastatic progression or death over time versus placebo plus ADT in men with mHSPC, including those with low-volume disease and/or prior docetaxel, with a safety analysis that seems consistent with the safety profile of enzalutamia in previous clinical trials in castration-resistant prostate cancer.
Journal ArticleDOI

Management of Patients with Advanced Prostate Cancer: The Report of the Advanced Prostate Cancer Consensus Conference APCCC 2017

Silke Gillessen, +60 more
- 01 Feb 2018 - 
TL;DR: The presented expert voting results can be used for support in areas of management of men with APC where there is no high-level evidence, but individualised treatment decisions should as always be based on all of the data available.
Journal ArticleDOI

Darolutamide in Nonmetastatic, Castration-Resistant Prostate Cancer

TL;DR: Among men with nonmetastatic, castration‐resistant prostate cancer, metastasis‐free survival was significantly longer with darolutamide than with placebo and was not associated with a higher incidence of seizures, falls, fractures, cognitive disorder, or hypertension than placebo.
References
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Journal ArticleDOI

Development of a Second-Generation Antiandrogen for Treatment of Advanced Prostate Cancer

TL;DR: The diarylthiohydantoins RD162 and MDV3100 are characterized, two compounds optimized from a screen for nonsteroidal antiandrogens that retain activity in the setting of increased androgen receptor expression that appear to be promising candidates for treatment of advanced prostate cancer.
Journal ArticleDOI

Natural history of rising serum prostate-specific antigen in men with castrate nonmetastatic prostate cancer.

TL;DR: Men with nonmetastatic prostate cancer and rising PSA despite androgen deprivation therapy have a relatively indolent natural history and baseline PSA and PSA velocity independently predict time to first bone metastasis and survival.
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