Claude C. Schulman, Jacques Irani, Juan Morote, Jack A

Slides:



Advertisements
Similar presentations
Controversies in the management of PSA-only recurrent disease Stephen J. Freedland, MD Associate Professor of Urology and Pathology Durham VA Medical Center.
Advertisements

Volume 62, Issue 3, Pages (September 2012)
Volume 155, Issue 3, Pages (March 1996)
Volume 195, Issue 5, Pages (May 2016)
Testosterone Therapy in Men With Prostate Cancer
Fred Saad  European Urology Supplements 
Prostate Cancer 2008: Challenges in Diagnosis and Management
Prostate Cancer: Highlights from 2006
Volume 66, Issue 4, Pages (October 2014)
Volume 69, Issue 1, Pages (January 2016)
Volume 69, Issue 1, Pages (January 2016)
European Urology Oncology
Volume 53, Issue 5, Pages (May 2008)
Hormone Therapy for Prostate Cancer: Exploring Current Controversies
Who Benefits from Neoadjuvant or Adjuvant Hormone Therapy?
Volume 72, Issue 5, Pages (November 2017)
Treatment of Advanced and Metastatic Renal Cancer: A Revolution?
What is New in Bladder Cancer Diagnosis and Management?
What is New in Hormone Therapy for Prostate Cancer in 2007?
Towards Early and More Specific Diagnosis of Prostate Cancer
Intermittent Hormone Therapy: What Is Its Place in Clinical Practice?
Ongoing Gleason Grade Migration in Localized Prostate Cancer and Implications for Use of Active Surveillance  Adam B. Weiner, Ruth Etzioni, Scott E. Eggener 
Prostate Cancer Management: What Does the Future Hold?
Volume 67, Issue 6, Pages (June 2015)
Localised and Locally Advanced Prostate Cancer: Who to Treat and How?
Laurent Boccon-Gibod  European Urology Supplements 
Luis Martínez-Piñeiro  European Urology Supplements 
Volume 64, Issue 6, Pages (December 2013)
Cytoreductive Radical Prostatectomy in Men with Prostate Cancer and Skeletal Metastases  Axel Heidenreich, Nicola Fossati, David Pfister, Nazareno Suardi,
External Beam Radiotherapy as Curative Treatment of Prostate Cancer
Current Status of Combined Radiation Therapy and Androgen Suppression in Locally Advanced Prostate Cancer: What Is the Way Forward?  Michel Bolla  European.
Testosterone Measurement in Patients with Prostate Cancer
Might Men Diagnosed with Metastatic Prostate Cancer Benefit from Definitive Treatment of the Primary Tumor? A SEER-Based Study  Stephen H. Culp, Paul.
RANK Ligand-targeted Therapy: A Novel Approach to Prevent Bone Loss and Fractures in Men with Prostate Cancer  Matthew R. Smith  European Urology Supplements 
Skeletal Morbidity in Men with Prostate Cancer: Quality-of-Life Considerations throughout the Continuum of Care  Fred Saad, Carl Olsson, Claude C. Schulman 
Prostate-Specific Antigen Kinetics and Outcomes in Patients with Bone Metastases from Castration-Resistant Prostate Cancer Treated with or Without Zoledronic.
Risk Factors for the Development of Bone Metastases in Prostate Cancer
Optimising Hormone Therapy in Advanced Disease
Optimal Control of Testosterone: A Clinical Case-Based Approach of Modern Androgen- Deprivation Therapy  Bertrand Tombal, Richard Berges  European Urology.
Volume 55, Issue 6, Pages (June 2009)
The Importance of Testosterone Control in Prostate Cancer
Antonio Alcaraz, Pierre Teillac  European Urology Supplements 
What's New in Prostate Cancer: Highlights from Urologic and Oncologic Congresses in 2006  Michel Soulié, Nicolas Mottet, Laurent Salomon, Jacques Irani,
Bone Health in Patients With Prostate Cancer: Monitoring and Diagnosis
Jacques Irani  European Urology Supplements 
Optimal Testosterone Control and Eligard®
Intermittent Hormone Therapy: What Is Its Place in Clinical Practice?
Long-Term Hormonal Therapy: Who Would Benefit?
European Urology Oncology
Challenges and Opportunities in Hormone-Resistant Prostate Cancer
Bisphosphonates Can Prevent Skeletal Complications of Malignant Bone Disease from Prostate Cancer and Renal Cell Carcinoma  Fred Saad  European Urology.
New Trends in Managing the Prostate Cancer Patient
Improving Outcomes in Prostate Cancer: Time to Tackle Bone Disorders
A Multidisciplinary Team Approach for the Optimal Clinical Management of Metastatic Hormone-Refractory Prostate Cancer—Case Study  John Fitzpatrick  European.
Prostate Cancer 2008: Challenges in Diagnosis and Management
Axel Heidenreich  European Urology Supplements 
Improving Flexibility and Quality of Life for Your Patients: A Must?
Bob Djavan  European Urology Supplements 
European Association of Urology Guidelines for Systemic Therapy in Metastatic Renal Cell Carcinoma: What is Recommended and Why?  Jean-Jacques Patard 
Highlighting Unmet Needs: Real Patients, Difficult Choices
The Increasing Responsibility of the Urologist in Maintaining Bone Health in Prostate Cancer Patients  Kurt Miller  European Urology Supplements  Volume.
Prognostic Factors in Non–Muscle-Invasive Bladder Tumors
Volume 53, Issue 6, Pages (June 2008)
Management of Prostate Cancer: Global Strategies
Treatment Options in Prostate Cancer Once Primary Therapy Fails
Oncoforum Urology: Prostate Cancer 2008 at a Glance
New Research Findings on Clinical Benefits of Bisphosphonates in Patients With Advanced Prostate Cancer  Noel W. Clarke  European Urology Supplements 
Axel Heidenreich  European Urology Supplements 
Volume 69, Issue 4, Pages (April 2016)
Michael Marberger  European Urology Supplements 
Presentation transcript:

Androgen-Deprivation Therapy in Prostate Cancer: A European Expert Panel Review  Claude C. Schulman, Jacques Irani, Juan Morote, Jack A. Schalken, Francesco Montorsi, Piotr L. Chlosta, Axel Heidenreich  European Urology Supplements  Volume 9, Issue 7, Pages 675-691 (October 2010) DOI: 10.1016/j.eursup.2010.07.001 Copyright © 2010 European Association of Urology Terms and Conditions

Fig. 1 Overall survival with external-beam radiation therapy (EBRT) plus androgen-deprivation therapy (n=207) versus EBRT alone (n=208) in high-risk localised or locally advanced prostate cancer. Reproduced with permission from Bolla et al [3]. CI=confidence interval; N=number of patients; O=number of deaths. European Urology Supplements 2010 9, 675-691DOI: (10.1016/j.eursup.2010.07.001) Copyright © 2010 European Association of Urology Terms and Conditions

Fig. 2 Survival free from clinical metastasis with early androgen-deprivation therapy (ADT) initiated at prostate-specific antigen (PSA) ≤5 ng/ml versus late ADT in patients with biochemical recurrence following definitive local therapy and Gleason score >7 or PSA doubling time ≤12 mo (n=343). Reproduced with permission from Moul et al [46]. HT=hormonal therapy. European Urology Supplements 2010 9, 675-691DOI: (10.1016/j.eursup.2010.07.001) Copyright © 2010 European Association of Urology Terms and Conditions

Fig. 3 Mean testosterone levels in five studies of patients treated with bilateral orchidectomy [49,50–53]. Reproduced with permission from Tombal and Berges [54]. European Urology Supplements 2010 9, 675-691DOI: (10.1016/j.eursup.2010.07.001) Copyright © 2010 European Association of Urology Terms and Conditions

Fig. 4 Survival free from androgen-independent progression in patients with all three testosterone determinations <20 ng/dl (group 1), patients with breakthrough increases 20–50 ng/dl (group 2), and patients with breakthrough increases >50 ng/dl (group 3). Reproduced with permission from Morote et al [58]. ADT=androgen-deprivation therapy; PSA=prostate-specific antigen. European Urology Supplements 2010 9, 675-691DOI: (10.1016/j.eursup.2010.07.001) Copyright © 2010 European Association of Urology Terms and Conditions

Fig. 5 Overall survival with continuous (n=312) versus intermittent (n=314) androgen-deprivation therapy in patients with locally advanced or metastatic prostate cancer. Reproduced with permission from Calais da Silva et al [72]. European Urology Supplements 2010 9, 675-691DOI: (10.1016/j.eursup.2010.07.001) Copyright © 2010 European Association of Urology Terms and Conditions

Fig. 6 Kaplan-Meier estimate of probability of cardiovascular events over time in an observational study of men with prostate cancer who received androgen-deprivation therapy (ADT) (n=4810) or did not receive ADT (n=18 006). Reproduced with permission from Saigal et al [87]. CL=confidence limit; NA=not applicable. European Urology Supplements 2010 9, 675-691DOI: (10.1016/j.eursup.2010.07.001) Copyright © 2010 European Association of Urology Terms and Conditions