Abstract | PURPOSE: MATERIALS AND METHODS: We systematically reviewed the literature according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) criteria and the PICO (Population, Intervention, Comparator, Outcomes) methodology. Outcomes of interest were overall and progression-free survival, and the rate of high grade adverse events. RESULTS: No treatment was superior to docetaxel in terms of overall survival. However, abiraterone (HR 0.89, 95% CI 0.76-1.05), enzalutamide (HR 0.90, 95% CI 0.69-1.19) and apalutamide (HR 0.90, 95% CI 0.67-1.22) showed nonstatistically significant lower overall mortality rates than docetaxel. Abiraterone (HR 0.71, 95% CI 0.59-0.86), enzalutamide (HR 0.61, 95% CI 0.49-0.75) and apalutamide (HR 0.74, 95% CI 0.57-0.95) also showed statistically significant lower disease progression rates than docetaxel. Furthermore, abiraterone (OR 0.83, 95% CI 0.56-1.21) showed no statistically significant lower rate of high grade adverse events compared to docetaxel. Finally, enzalutamide (OR 0.56, 95% CI 0.35-0.92) and apalutamide (OR 0.44, 95% CI 0.24-0.79) showed statistically significant lower rates of high grade adverse events compared to docetaxel. CONCLUSIONS:
|
Authors | Michele Marchioni, Marta Di Nicola, Giulia Primiceri, Giacomo Novara, Pietro Castellan, Asit K Paul, Alessandro Veccia, Riccardo Autorino, Luca Cindolo, Luigi Schips |
Journal | The Journal of urology
(J Urol)
Vol. 203
Issue 4
Pg. 751-759
(04 2020)
ISSN: 1527-3792 [Electronic] United States |
PMID | 31689158
(Publication Type: Journal Article)
|
Chemical References |
- Androgen Antagonists
- Androstenes
- Antineoplastic Agents
- Benzamides
- Nitriles
- Thiohydantoins
- apalutamide
- Docetaxel
- Phenylthiohydantoin
- enzalutamide
- abiraterone
|
Topics |
- Androgen Antagonists
(administration & dosage, adverse effects)
- Androstenes
(administration & dosage, adverse effects)
- Antineoplastic Agents
(administration & dosage, adverse effects)
- Benzamides
- Disease Progression
- Docetaxel
(administration & dosage, adverse effects)
- Humans
- Male
- Network Meta-Analysis
- Nitriles
- Phenylthiohydantoin
(administration & dosage, adverse effects, analogs & derivatives)
- Progression-Free Survival
- Prostatic Neoplasms
(drug therapy, mortality, pathology)
- Randomized Controlled Trials as Topic
- Standard of Care
- Thiohydantoins
(administration & dosage, adverse effects)
|