Efficacy of abiraterone acetate in castration-resistant metastatic prostate cancer: A real-world data analysis

Asia Pac J Clin Oncol. 2021 Oct;17(5):e201-e207. doi: 10.1111/ajco.13426. Epub 2020 Sep 5.

Abstract

Purpose: The aim of this study was to evaluate the efficacy of abiraterone in patients with castration-resistant metastatic prostate cancer.

Materials and methods: We retrospectively analyzed 51 patients with mCRPC treated with abiraterone acetate from January 2014 to August 2018. Clinicopathological information, treatment modalities, treatment responses, and survival times were retrospectively reviewed.

Results: A total of 51 patients who received abiraterone 1000 mg/day + prednisone 10 mg/day between January 2014 and August 2018 were included in the study. Of these patients, 33 (64.7%) had post-chemotherapy (CT) and 18 (35.3%) had CT-naive abiraterone receipt. Median overall survival (OS) was 17.3 months (range 9.3-33.1). Median OS was found to be 12.7 months (range 9.4-18.3) and 29.4 months (range 9.3-33.0) in the CT-naive and post-CT group, respectively (P = .236). Median radiographic PFS (rPFS) was 10.1 months (range 4.5-18.4). In the CT-naive group, rPFS was 10.1 months (IQR 6.0-14.7) and in the post-CT group, it was 9.7 months (range 4.0-18.4) (P = .808). PSA progression-free survival (PSA-PFS) was 9.1 months (range 4.6-13.1). In the CT-naive group, PSA-PFS was 7.4 months (range 4.6-13.4) and in post-CT, it was 9.1 months (range 4.8-13.1) (P = .843).

Conclusions: These results show that abiraterone acetate is an effective and reliable agent in real-life data.

Keywords: abireterone; castration-resistant prostate cancer; prostate cancer.

MeSH terms

  • Abiraterone Acetate* / therapeutic use
  • Castration
  • Data Analysis
  • Humans
  • Male
  • Prostatic Neoplasms, Castration-Resistant* / drug therapy
  • Retrospective Studies

Substances

  • Abiraterone Acetate