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Is rPFS endpoint from CAPItello-281 sufficient to adopt capivasertib + abiraterone for all PTEN-deficient mHSPC?

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Would you offer capivasertib + abiraterone to all PTEN-deficient mHSPC patients, given the data so far?

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3 Answers
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Medical Oncology · Case Western Reserve University
Answered on

Not automatically for every PTEN-deficient patient. But rPFS is sufficient to establish capivasertib + abiraterone as a legitimate standard treatment option in appropriately selected patients.

CAPItello-281 was unequivocally positive for its primary endpoint: median rPFS was 33.2 versus 25.7 months, ...

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Mednet Member
Mednet Member
Medical Oncology · University of Wisconsin School of Medicine and Public Health
Answered on

We know from the STAMPEDE platform trials that PTEN loss is a poor prognostic feature. It is therefore very reasonable to identify additional options for the management of prostate cancer with PTEN loss in an effort to help our patients live longer. However, I believe more information is needed befo...

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Mednet Member
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Medical Oncology · Duke University Hospital
Answered on

Yes, radiographic progression-free survival is a clinically important patient endpoint in prostate cancer. For my patients with metastatic prostate cancer, their first remission is typically their best remission, and keeping cancer under control is an important goal for patients. In the CAPItello-28...

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