Docetaxel Rechallenge in Patients with Metastatic Prostate Cancer: A Comprehensive Review

Tarek Assi, Elie Rassy, Fadi Farhat, Clarisse Kattan, Joseph Kattan

Résultats de recherche: Contribution à un journalArticle 'review'Revue par des pairs

19 Citations (Scopus)

Résumé

Background: Recent years have witnessed a huge shift in the management and prognosis of metastatic prostate cancer with the advent of new-generation anti-hormonal treatments. Docetaxel, which was initially approved in the castrate-resistant prostate cancer setting, has been approved in the earlier course of the disease as it is still castrate sensitive. Summary: Apart from cabazitaxel and in the absence of other effective chemotherapies, docetaxel rechallenge (DR) in patients with proved sensitivity to docetaxel in the earlier stage of the disease remains a possible option. Unfortunately, the pivotal trials rarely reported on the outcomes of docetaxel retreatment which seems a plausible option in patients initially responding to docetaxel and maintaining a minimum progression-free interval of 3-6 months. In this review, a summary of the clinical evidence and potential concerns for the use of DR in patients with metastatic prostate cancer will be presented. Key Messages: Pivotal trials of docetaxel in metastatic castrate-sensitive prostate cancer as well as metastatic castrate-resistant prostate cancer have not reported on the outcomes of DR except in the GETUG-AFU 15 trial where the outcomes were disappointing. Based on the published retrospective data, DR may be effective in patients who initially responded to docetaxel and maintained a progression-free interval exceeding 6 months.

langue originaleAnglais
Pages (de - à)299-306
Nombre de pages8
journalOncology Research and Treatment
Volume43
Numéro de publication6
Les DOIs
étatPublié - 1 juin 2020
Modification externeOui

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