Treatment of Metastatic, Castration-resistant, Docetaxel-resistant Prostate Cancer: A Systematic Review of Literature

Davide Tassinari1, Chiara Cherubini2, Britt Roudnas1

  • 1Department of Oncology, City Hospital, Rimini, Italy.

Abstract

Insights

No significant difference in overall survival was found between abiraterone acetate, enzalutamide, cabazitaxel, and Radium-223 for metastatic prostate cancer. Enzalutamide showed a benefit in time to PSA progression.

Area of Science:

  • Oncology
  • Medical Research
  • Clinical Trials

Background:

  • Investigating advanced treatments for metastatic prostate cancer.
  • Focusing on castration-resistant and docetaxel-resistant disease stages.

Purpose of the Study:

  • To compare the efficacy of four key treatments: abiraterone acetate, enzalutamide, cabazitaxel, and Radium-223.
  • To evaluate overall survival and time to prostate-specific antigen (PSA) progression.

Main Methods:

  • Conducted a network meta-analysis of indirect comparisons.
  • Primary endpoint: Overall Survival (OS) in the entire patient population.
  • Secondary endpoints included subgroup analyses and time to PSA progression.

Main Results:

  • No statistically significant difference in OS was observed among the four treatments in the overall population or subgroups.
  • Enzalutamide demonstrated a significant advantage over abiraterone acetate, cabazitaxel, and Radium-223 for time to PSA progression.

Conclusions:

  • The four therapeutic options show comparable efficacy in terms of overall survival for advanced prostate cancer.
  • Clinical decisions should prioritize treatment safety, patient adherence, and cost-effectiveness.

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