ÁLVARO PINTO. Servicio de Oncología Médica Hospital Universitario La Paz IdiPAZ, Madrid

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ACTUALIZACIÓN EN EL ABORDAJE DEL CÁNCER DE PRÓSTATA METASTÁSICO HORMONO--SENSIBLE HORMONO ÁLVARO PINTO Servicio de Oncología Médica Hospital Universitario La Paz IdiPAZ, Madrid

ADT + docetaxel: a new standard of care for men with mcnpc and high metastatic burden (2015) Presented By Karim Fizazi at 2017 ASCO Annual Meeting

LATITUDE: A phase 3, double-blind, randomized trial of androgen deprivation therapy with abiraterone acetate plus prednisone or placebos <br />in newly diagnosed high-risk metastatic hormone-naïve prostate cancer patients Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Overall study design of LATITUDE Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Treatment arms were well balanced Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Statistically significant 38% risk reduction of death Presented By Karim Fizazi at 2017 ASCO Annual Meeting

OS benefit consistently favorable across subgroups Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Statistically significant 53% risk reduction of radiographic progression or death Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Statistically significant improvement in all secondary end points Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Statistically significant 70% risk reduction of time to PSA progression Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Statistically significant 30% risk reduction of time to pain progression Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Statistically significant 58% risk reduction of time to subsequent <br />PC therapy Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Summary of adverse events Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Adverse events of special interest Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Conclusions Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Conclusions Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Slide 24 Presented By Karim Fizazi at 2017 ASCO Annual Meeting

Slide 1 Presented By Nicholas James at 2017 ASCO Annual Meeting

Docetaxel & ZA comparisons: patients Presented By Nicholas James at 2017 ASCO Annual Meeting

Abiraterone comparison: patients Presented By Nicholas James at 2017 ASCO Annual Meeting

Inclusion criteria Presented By Nicholas James at 2017 ASCO Annual Meeting

Outcome measures Presented By Nicholas James at 2017 ASCO Annual Meeting

Multi-arm multi-stage (MAMS) design Presented By Nicholas James at 2017 ASCO Annual Meeting

Accrual Presented By Nicholas James at 2017 ASCO Annual Meeting

Slide 30 Presented By Nicholas James at 2017 ASCO Annual Meeting

Slide 38 Presented By Nicholas James at 2017 ASCO Annual Meeting

Slide 42 Presented By Nicholas James at 2017 ASCO Annual Meeting

Slide 47 Presented By Nicholas James at 2017 ASCO Annual Meeting

Slide 53 Presented By Nicholas James at 2017 ASCO Annual Meeting

Slide 63 Presented By Nicholas James at 2017 ASCO Annual Meeting

Slide 70 Presented By Nicholas James at 2017 ASCO Annual Meeting

Slide 76 Presented By Nicholas James at 2017 ASCO Annual Meeting

Comparing CHAARTED High Volume Patients and LATITUDE Patients Presented By Eric Small at 2017 ASCO Annual Meeting

Comparing LATITUDE and CHAARTED Patients Presented By Eric Small at 2017 ASCO Annual Meeting

Comparing LATITUDE Patients and CHAARTED High Volume Patients Presented By Eric Small at 2017 ASCO Annual Meeting

Comparing Overall Survival Across Studies Presented By Eric Small at 2017 ASCO Annual Meeting

Slide 20 Presented By Eric Small at 2017 ASCO Annual Meeting

Slide 22 Presented By Eric Small at 2017 ASCO Annual Meeting

Slide 26 Presented By Eric Small at 2017 ASCO Annual Meeting

Comparing Overall Survival Across Studies Presented By Eric Small at 2017 ASCO Annual Meeting

Take Homes from Latitude Presented By Eric Small at 2017 ASCO Annual Meeting

PROS & CONS ABIRATERONA DOCETAXEL Menor toxicidad Pacientes unfit para QT Elección del paciente Menor coste Menor duración de tratamiento Exceso de presión antiandrogénica? Toxicidad financiera Paciente fit para QT? Seguimiento corto Exceso de toxicidad para obtener resultados similares? No todos son fit

CONCLUSIONES TENEMOS DOS ESTÁNDARES DE TRATAMIENTO? EN QUÉ BASAREMOS LA ELECCIÓN? Toxicidad Forma de presentación Coste Conveniencia (iv vs oral) Secuenciación posterior Lo que nos dejen poner

MUCHAS GRACIAS POR SU ATENCIÓN ÁLVARO PINTO Servicio de Oncología Médica Hospital Universitario La Paz IdiPAZ, Madrid