For what duration should abiraterone be used in a patient with biochemical and pelvic node recurrence (N1M0) who had prior definitive therapy with either RP or RT?
Do you feel comfortable stopped abiraterone after 2 years?
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What duration of abiraterone do you use for patients with biochemical and pelvic node recurrence (N1M0) following prior definitive therapy with either RP or RT?
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2 Answers
Mednet Member
Radiation Oncology · Sanford Health
Answered on
This is a similar but slightly different question than the one answered by Attard et al., PMID 34953525. This meta-analysis of randomized trials demonstrated a survival benefit with the addition of 2 years of Abiraterone + ADT compared to ADT in men who received definitive management for N1 prostate...
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Mednet MemberInvited Expert
Medical Oncology · Northwestern University
Answered on
Multiple randomized phase III clinical trials have tested the use of an NHT plus ADT with ADT alone in patients with mHSPCa. STAMPEDE addressed the question in a variety of patient types including nodal relapse after local therapy. In that trial, abiraterone and corticosteroid were continued until r...
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