Table 1.
Study | Drug used | Comparison | Selection criterion | OS in months | PFS | PSA reduction |
---|---|---|---|---|---|---|
COU-AA-302 Ryan CJ et al., 2013 | Abiraterone + prednisone | Placebo + prednisone | No previous docetaxel ECOG 0-1 PSA or radiographic progression No or mild symptoms No visceral metastases |
34.7 versus 30.3 | 16.5 versus 8.3 | >50% in 62% |
PREVAIL Beer TM et al., 2014 | Enzalutamide | Placebo | No previous docetaxel ECOG 0-1 PSA or radiographic progression No or mild symptoms 10% had visceral metastases |
32.4 versus 30.2 | 20.0 versus 5.4 | >50% in 78% |
Kantoff PW et al., 2010 | Sipuleucel-T | Placebo | Some with previous docetaxel ECOG 0-1 Asymptomatic or minimally symptomatic |
25.8 versus 21.7 | 3.7 versus 3.6 | >50% in 26% |
Parker et al., 2013 | Radium-223 | Placebo | Previous or no previous docetaxel ECOG 0-2 Two or more symptomatic bone metastases No visceral metastases |
14.9 versus 11.3 | NA | >30% in 16% |
deBono et al., 2010 | Cabazitaxel + prednisone | Mitoxantrone + prednisone | Previous docetaxel ECOG 0-2 |
15.1 versus 12.7 | 2.8 versus 1.4 | NA |
Kratochwil et al.[3] | 225Ac-PSMA-617 | chemotherapy naïve mCRPC | >50% in 63% |
mCRPC=Metastatic castrate resistant prostate cancer, PSA=Prostate-specific antigen, OS=Overall survival, PSMA=Prostate-specific membrane antigen, NA=Not available, ECOG=Eastern Cooperative Oncology Group