Androgen deprivation therapy with chemotherapy or abiraterone for patients with metastatic hormone-naive prostate cancer: a systematic review and meta-analysis

被引:7
作者
Sun, Guijiang [1 ]
Chen, Xuanrong [1 ]
Gong, Xue [1 ]
Chen, Yawei [2 ]
Li, Guilai [3 ]
Wei, Fang [1 ]
Jiang, Aili [1 ]
Niu, Yuanjie [1 ]
Shang, Zhiqun [1 ]
机构
[1] Tianjin Med Univ, Tianjin Inst Urol, Dept Kidney Dis & Blood Purificat Treatment, Hosp 2, Tianjin 300211, Peoples R China
[2] Chinese PLA 254 Hosp, Nephrol Dept, Tianjin 300142, Peoples R China
[3] Tianjin Med Univ, Dept Radiol, Hosp 2, Tianjin 300211, Peoples R China
基金
中国国家自然科学基金;
关键词
abiraterone; androgen deprivation therapy; chemotherapy; prostate cancer; treatment outcome; CHEMOHORMONAL THERAPY; RESISTANCE; DOCETAXEL; PROGRESSION; SURVIVAL; MEN; ADAPTATION; MECHANISMS; SELECTION; FATIGUE;
D O I
10.2217/fon-2018-0619
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Patients with metastasis prostate cancer underwent androgen deprivation therapy (ADT) in the considering of the leading role of androgen receptor pathway. However, the resistance occurred within 1 year or more. The combination of cytotoxic chemotherapy and abiraterone for ADT therapy was performed in recent randomized controlled trials. The meta-analysis was focused on the treatment comparisons between additional treatment with ADT and ADT alone. A significant difference was observed that the overall survival benefit of early and active additional treatment with ADT in patients with hormone-sensitive metastatic prostate cancer. However, a great proportion of patients with metastatic disease have metastases after receiving ADT. It will be important to further improve the treatment options.
引用
收藏
页码:1167 / 1179
页数:13
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