SEOM clinical guidelines for the treatment of metastatic prostate cancer (2017)

J Cassinello1, J Á Arranz2, J M Piulats3

  • 1Medical Oncology Department, Hospital Universitario de Guadalajara, Guadalajara, Spain. jcassinelloespinosa@gmail.com.

Insights

Androgen deprivation therapy was the primary treatment for metastatic prostate cancer. Newer drugs and earlier use of chemotherapy have improved survival for castration-resistant prostate cancer (CRPC) and hormone-sensitive disease.

Area of Science:

  • Oncology
  • Urology

Background:

  • Androgen deprivation therapy (ADT) was the historical standard for metastatic prostate cancer.
  • Docetaxel offered the sole survival benefit in castration-resistant prostate cancer (CRPC).

Purpose of the Study:

  • To outline the current treatment landscape for prostate carcinoma.
  • To review recent advancements in prostate cancer therapy.

Main Methods:

  • Literature review of recent clinical trials and treatment guidelines.
  • Analysis of drug approvals and treatment setting shifts.

Main Results:

  • Multiple agents (sipuleucel-T, cabazitaxel, abiraterone, enzalutamide, radium-223) are now approved for CRPC.
  • Docetaxel and abiraterone are now utilized in the hormone-sensitive setting, improving survival.

Conclusions:

  • The treatment paradigm for prostate cancer has evolved significantly.
  • Recent therapeutic advancements offer improved outcomes for patients with both hormone-sensitive and castration-resistant disease.