ADT

Differential Treatment Response for Hormone Sensitive Men with Nodal Metastases – Nodal Burden as a Prognostic Biomarker

Differential Treatment Response for Hormone Sensitive Men with Nodal Metastases – Nodal Burden as a Prognostic Biomarker

Men with prostate cancer with both nodal and bone metastases due worse with ADT plus docetaxel chemotherapy than men with only bone metastases. In addition, increased nodal metastases burden is a negative prognostic biomarker.

Al Discussion on mHSPC Treatment Options -Using Doublet and Triplet Treatments

Al Discussion on mHSPC Treatment Options -Using Doublet and Triplet Treatments

Treatment options for men with metastatic hormone sensitive prostate cancer (mHSPC) have changed. Dr. Catherine Marshal from Johns Hopkins shares her insight into the current treatment landscapes, including the use of doublet and triplet therapies.

A New Standard of Care After Prostate Surgery

A New Standard of Care After Prostate Surgery

According to an article published in The Lancet, adding short-term hormone therapy (ADT) and pelvic lymph node radiotherapy to the standard of care to the post-prostatectomy surgical bed benefits prostate cancer patients whose PSA levels are rising after surgery.

Orgovyx - The Newest Hormone Treatment (ADT) for Prostate Cancer

Orgovyx - The Newest Hormone Treatment (ADT) for Prostate Cancer

HERO demonstrated that Orgovyx was superior to Lupron in maintaining castration from day 29 up to week 48. Orgovyx also showed an almost a five-fold reduction in the risk of subsequent major cardiac events, a concern for men on Lupron.

FDA Approves An Oral Hormone Therapy (ADT) 

FDA Approves An Oral Hormone Therapy (ADT) 

The Food and Drug Administration has approved a new drug for men with advanced prostate cancer. The approval is for a first in kind hormone therapy (ADT) taken orally (by mouth) instead of the regular Lupron type injections we have been using.

Besides achieving and maintaining adequate levels of castration, Orgovyx was also superior to Lupron because it cut the incidence of serious heart events compared to Lupron.

Is ADT Necessary When You Take Abiraterone Acetate (Zytiga)?

Is ADT Necessary When You Take Abiraterone Acetate (Zytiga)?

The researchers concluded that ADT may not be necessary for men receiving Zytiga and prednisone; however, some men may experience a rapid increase of serum testosterone levels, warranting close monitoring and adding back ADT.

Relugolix - An Oral Lupron Like Drug – On The Horizon

Relugolix - An Oral Lupron Like Drug – On The Horizon

Myovant Sciences has developed an alternative gonadotropin-releasing hormone (GnRH) antagonist named relugolix. Their still investigational treatment is an oral (taken by mouth) as opposed to an injectable gonadotropin-releasing hormone (GnRH) antagonist. It has completed a very successful phase III clinical trial called HERO has been submitted to the FDA for approval. We at Cancer ABCs believe relugolix will be approved by the FDA shortly.

Decipher Prostate RP Identifies Men with Recurrent Prostate Cancer Who Are Likely to Benefit from ADT 

Decipher Prostate RP Identifies Men with Recurrent Prostate Cancer Who Are Likely to Benefit from ADT 

If you are considering radiotherapy to treat a prostate cancer recurrence, make sure that you ask your doctor about the Decipher Prostate RP genomic risk assessment to evaluate the probability that you might receive additional benefit from adding ADT to the radiotherapy.

ADT With and Without Xtandi in Men with Metastatic Hormone Sensitive Prostate Cancer: The ARCHES Trial

After a median follow-up of 14.4 months, the men who had Xtandi along with ADT experienced an improved radiographic progression-free survival advantage over those who had only ADT, regardless of their prior treatment. 

Short Term ADT with Radiotherapy As Salvage Treatment After Surgery: Update at 9 years of the GETUG-AFU 16 phase III Randomized Trial 

Findings confirm the better strategy for salvage therapy after failed surgery for prostate cancer is ADT along with radiotherapy,

The ENZAMET Study: Adding Enzalutamide to ADT in Metastatic Hormone-Sensitive Prostate Cancer Extends Survival

The trial found that 80% of men with metastatic hormone-sensitiveprostate cancer who received enzalutamide (Xtandi) along with standard-of-care treatment (ADT) were alive after three years, compared with just 72% of men who received other nonsteroidal antiandrogens along with standard ADT therapy.

The Synergy between Xtandi and Zytiga with ADT – Is it Important to Continue Taking ADT Along with Xtandi and Zytiga?

Why are Zytiga and Xtandi added to ADT and not substituted for ADT? Do I really need to continue ADT when I use Xtandi or Zytiga?

Degarelix Might Be Superior to Leuprolide in Minimizing Cardiovascular Disease and Incidents in Men with Prostate Cancer

We know that the incidence of both cardiovascular disease (CVD) and prostate cancer increase with age, resulting in higher mortality. CVD is the second most common cause of death in men with prostate cancer [1,2] Hormone therapy (ADT) with gonadotropin-releasing hormone (GnRH) agonists like Lupron for treatment of prostate cancer has been linked to additional increases in CVD morbidity and mortality. This link is especially evident in the first year of treatment [3], and men with a history of CVD are at higher risk [3].

Degarelix, which is different from the (GnRH) agonists, is a GnRH receptor antagonist also approved for the treatment of men with advanced prostate cancer. However, good data is suggesting that degarelix might have a lower incidence of causing CVD than the GnRH agonists

Does Hormone Therapy (ADT) Work?

Through the work of Huggins et al. [1] in 1941, it was shown that metastatic prostate cancer responds positively to an orchiectomy (surgical castration). We now know that there isn’t any other therapy which produces a more reliable regression of both distant and local disease than androgen withdrawal (ADT).