ORIGINAL RESEARCH ARTICLE
Our Experience with Abiraterone and Enzalutamide in the Treatment of Metastatic Castration-Resistant Prostate Cancer: Retrospective Real-Life Data
Received Date : 24 Aug 2021
Accepted Date : 28 Nov 2021
Available Online : 10 Dec 2021
Özlem Nuray SEVERa, Aykut BAHÇECİb, Havva YEŞİL ÇINKIRa, Mustafa YILDIRIMc
aDepartment of Medical Oncology, Gaziantep University Faculty of Medicine, Gaziantep, Türkiye
bClinic of Medical Oncology, Gaziantep Dr. Ersin Arslan Training and Research Hospital, Gaziantep, Türkiye
cDepartment of Medical Oncology, SANKO University Faculty of Medicine, Gaziantep, Türkiye
Doi: 10.37047/jos.2021-85879 - Article's Language: EN
J Oncol Sci. 2022;8(1):7-13
ABSTRACT
Objective: In recent years, agents targeting the androgen signaling pathway, such as abiraterone and enzalutamide, have become
increasingly crucial in the treatment of metastatic castration-resistant prostate cancer (mCRPC). This study aimed to compare the effectiveness
of both agents retrospectively. Material and Methods: Patients with the diagnosis of mCRPC who received abiraterone (ABI
group) or enzalutamide (ENZA group) and who were followed up and treated in our clinics were analyzed retrospectively. Results: A total
of 59 patients, 23 receiving abiraterone and 36 enzalutamide, were included in the study. Moreover, the prostate-specific antigen (PSA) level
reduced by more than 50% in 33 (14 in the ABI group and 19 in the ENZA group) patients. The median progression-free survival (PFS) and
overall survival-2 (OS-2) were 7.46±2.08 months and 13.60±6.19 months in the ABI group and 8.80±4.21 months and 21.03±3.84 months in
the ENZA group (p=0.448; p=0.571), respectively. When the Cox regression analysis was performed, PSA reduction of more than 50% was
statistically significant for OS-2 but not for PFS (p=0.023). Conclusion: Both abiraterone and enzalutamide are effective treatment agents for
mCRPC. The decrease in the PSA value is a crucial predictive marker in evaluating the effectiveness of the treatment.
Keywords: Prostate cancer; abiraterone; enzalutamide; overall survival
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