How long after starting ADT + Abiraterone can capivasertib still be safely incorporated in patients where PTEN testing is delayed?
Would you wait to see how a patient tolerates/responds to ADT + Abiraterone before escalating?
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How long after starting ADT + abiraterone would you still add capivasertib?
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2 Answers
Mednet MemberInvited Expert
Medical Oncology · The University of Texas Health Science Center at San Antonio
Answered on
In the CAPItello-281 clinical trial (NCT04493853; Fizazi et al., PMID 41120017), patients were allowed to enroll with prior ADT/abiraterone therapy as long as it did not exceed 3 months. It is plausible that starting capivasertib after a longer delay might still provide additional efficacy over ADT/...
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Mednet MemberInvited Expert
Medical Oncology · Case Western Reserve University
Answered on
If PTEN results return within the first several weeks to approximately 3 months, I would be comfortable adding capivasertib in an otherwise appropriate patient. I would not intentionally delay therapy simply to test the effectiveness of abiraterone first. Beyond the trial's approximately 93-day wind...
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