Clinical Edge Journal Scan

CRPC: Add-on apalutamide maintains quality of life


 

Key clinical point: Overall health-related quality of life (HRQoL) was maintained with the addition of apalutamide to androgen deprivation therapy (ADT) in patients with nonmetastatic castration-resistant prostate cancer (CRPC).

Major finding: The change in Functional Assessment of Cancer Therapy-Prostate (FACT-P) total score significantly favored apalutamide vs placebo at treatment cycles 21 ( P = .0138) and 25 ( P = .0009). No difference was seen in the median time to deterioration in scores for FACT-P and subscales.

Study details: HRQoL analysis of phase 3, randomized SPARTAN trial of patients with nmCRPC who were randomly assigned to receive apalutamide or placebo. All patients continued ADT.

Disclosures: This study was funded by Janssen Research & Development. The authors received consulting/personal/advisory/speaker fees, honoraria, royalties, research funding, lectureship fees, and/or travel expenses from various sources. Some authors reported being an investigator in clinical trials and stock ownership in pharmaceutical companies.

Source: Oudard S et al. Eur Urol Focus. 2021 Aug 31. doi: 10.1016/j.euf.2021.08.005 .

Recommended Reading

The Precision Oncology Program for Cancer of the Prostate (POPCaP) Network: A Veterans Affairs/Prostate Cancer Foundation Collaboration(FULL)
Federal Practitioner
Clinical Edge Journal Scan Commentary: Prostate Cancer July 2021
Federal Practitioner
Clinical Edge Journal Scan Commentary: Prostate Cancer August 2021
Federal Practitioner
Bone Health in Patients With Prostate Cancer: An Evidence-Based Algorithm
Federal Practitioner
Health-Related Quality of Life and Toxicity After Definitive High-Dose-Rate Brachytherapy Among Veterans With Prostate Cancer
Federal Practitioner
Clinical Edge Journal Scan Commentary: Prostate Cancer September 2021
Federal Practitioner
Old saying about prostate cancer not true when it’s metastatic
Federal Practitioner
Diagnosis of Prostate Cancer and Prostate-specific Antigen Level on Initial Prostate Biopsy: Does Race Matter?
Federal Practitioner
Methods of Identifying Real World mCRPC Patients from the Veterans Health Administration System
Federal Practitioner
Concordance of DNA Repair Gene Mutations in Paired Primary Prostate Cancer Samples and Metastatic Tissue or Cell-free DNA
Federal Practitioner