Carboplatin plus etoposide in heavily pretreated castration-resistant prostate cancer patients

被引:0
作者
Buonerba, Carlo [1 ]
Federico, Piera [2 ]
Bosso, Davide [1 ]
Puglia, Livio [1 ]
Policastro, Tania [1 ]
Izzo, Michela [1 ]
Perri, Francesco [1 ]
Scarpati, Giuseppina Della Vittoria [1 ]
Ferro, Matteo [3 ]
De Cobelli, Ottavio [3 ]
De Placido, Sabino [1 ]
Aieta, Michele [4 ]
Imbimbo, Ciro [5 ]
Longo, Nicola [5 ]
Di Lorenzo, Giuseppe [1 ]
机构
[1] Univ Naples Federico II, Genitourinary Canc Sect, Div Med Oncol, Dept Clin Med, Naples, Italy
[2] IOS & Coleman, Naples, Italy
[3] European Inst Oncol, Div Urol, Milan, Italy
[4] IRCCS, Unit Oncol, Referral Canc Ctr Basilicata, Rionero In Vulture, Italy
[5] Univ Naples Federico II, Div Urol, Naples, Italy
关键词
abiraterone; carboplatin; enzalutamide; etoposide; neuroendocrine; prostate cancer; PHASE-II; NEUROENDOCRINE DIFFERENTIATION; IMMUNOTHERAPY;
D O I
10.2217/FON.14.71
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Aims: Carboplatin plus etoposide has modest efficacy in docetaxel-pretreated castration-resistant prostate cancer patients. We hypothesized that carboplatin-etoposide could still exert some therapeutic activity after docetaxel, cabazitaxel and either abiraterone or enzalutamide. Patients & methods: We enrolled 15 patients in the first step of a Phase II trial. The target sample size is 46 patients. The primary end point of the study was progression-free survival after 12 weeks. Results: The median progression-free survival was 11 weeks (range: 8-18), while median overall survival was 18 weeks (range: 12-26). Of seven patients with measurable disease, two had a partial response, two showed stable disease and the remaining three had progressive disease as the best radiological response. Five patients were considered progression-free after 12 weeks, prompting continuation of the trial. Conclusion: Our preliminary findings support the hypothesis that carboplatin plus etoposide may yield some clinical benefit in a population of patients who failed all currently approved therapeutic options for prostate cancer.
引用
收藏
页码:1353 / 1360
页数:8
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