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. 2009 Apr 20;27(15):2450–2456. doi: 10.1200/JCO.2008.19.9810

Table 2.

PSA-Progression Definitions

PSA-Progression Definition* Trial
S9346 (HSPC)
S9916 (CRPC)
Events
PSA PFS (months)
Events
PSA PFS (months)
No. % Median 95% CI No. % Median 95% CI
Rising trend increase 669 62 14.5 12.3 to 16.6 458 77 5.7 5.0 to 6.2
50% + 5 435 40 64.1 NA§ 346 58 11.7 10.8 to 12.6
25% + 5 440 41 61.5 NA§ 396 66 9.5 8.4 to 10.5
PSAWG 1999 (25% + 5; or, if PSA declined by ≥ 50%, 50% + 5) 435 40 64.1 NA§ 380 64 10.2 9.2 to 11.3
PCWG 2008 (25% + 2) 528 49 36.1 30.5 to 44.2 415 70 8.1 7.0 to 9.5

Abbreviations: PSA, prostate-specific antigen; PFS, progression-free survival; HSPC, hormone-sensitive prostate cancer; CRPC, castration-resistant prostate cancer; PSAWG, Prostate-Specific Antigen Working Group; PCWG, Prostate Cancer Working Group.

*

All definitions are based on increases above the prostate-specific antigen nadir.

Kaplan-Meier estimates, in months.

50% + 5 indicates an increase of prostate-specific antigen by ≥ 50% and an absolute increase of ≥ 5 ng/mL; 25% + 5 indicates an increase by ≥ 25% and ≥ 5 ng/mL; 25% + 2 indicates an increase by ≥ 25% and ≥ 2 ng/mL.

§

95% confidence intervals not estimable when too few prostate-specific antigen progression events were observed.