Prostate Cancer

Contemporary treatment standards and trends of systemic therapy in metastatic hormone-sensitive prostate cancer-implementing study data in clinical practice.

The treatment landscape of metastatic hormone-sensitive prostate cancer (mHSPC) has undergone fundamental changes in recent decades, moving away from the sole use of androgen deprivation therapy (ADT) and towards intensified combination therapies.

Survival by first-line therapy and prognostic group among men with metastatic castration-resistant prostate cancer.

Metastatic castration-resistant prostate cancer (mCRPC) is a heterogeneous disease with prognoses varying from months to years at time of castration-resistant diagnosis. Optimal first-line therapy for those with different prognoses is unknown.

Evaluating the Efficacy of ChatGPT as a Patient Education Tool in Prostate Cancer: Multimetric Assessment.

Artificial intelligence (AI) chatbots, such as ChatGPT, have made significant progress. These chatbots, particularly popular among health care professionals and patients, are transforming patient education and disease experience with personalized information.

Standardized template for clinical reporting of PSMA PET/CT scans.

Accurate diagnosis and staging of prostate cancer are crucial to improving patient care. Prostate-specific membrane antigen (PSMA)-targeted positron emission tomography with computed tomography (PET/CT) imaging has demonstrated superiority for initial staging and restaging in patients with prostate cancer.

Pain and Health-related Quality of Life with Biweekly Versus Triweekly Cabazitaxel Schedule in Older Men with Metastatic Castration-resistant Prostate Cancer in the Multicenter, Randomized CABASTY Trial.

The CABASTY study showed that more frequent administration of a lower dose of cabazitaxel (CBZ) reduced toxicity in older men with metastatic castration-resistant prostate cancer (mCRPC), without compromising efficacy.

Preoperative Prostate Magnetic Resonance Imaging-based Anatomical Predictors of Early Urinary Continence Following Single-port Transvesical Robot-assisted Radical Prostatectomy.

The introduction of the single-port (SP) robotic system has led to new approaches in robot-assisted radical prostatectomy (RARP), such as the transvesical (TV) approach, offering high rates of early urinary continence.

NICE Recommends ORGOVYX® (Relugolix) as the First Oral ADT Treatment for Hormone Sensitive Prostate Cancer in England

  • NICE has today published its final positive guidance recommending the use of relugolix for NHS England, acknowledging it as a cost-effective treatment option for patients with hormone sensitive prostate cancer.1
  • Relugolix is recommended, within its marketing authorisation, as an option for treating prostate cancer in adults:1
    • with advanced hormone-sensitive prostate cancer
    • alongside radiotherapy for high-risk localised or locally advanced hormone-sensitive prostate cancer
    • as neoadjuvant treatment before radiotherapy for high-risk localised or locally advanced hormone-sensitive prostate cancer
  • Relugolix is an oral androgen deprivation therapy (ADT). This decision by NICE means those living with prostate cancer can now have a choice between receiving either an oral or injectable ADT.

Reno, Nevada (UroToday.com) -- Accord Healthcare announced that the National Institute for Health and Care Excellence (NICE) has published its final guidance recommending ORGOVYX® (relugolix) for the treatment of hormone-sensitive prostate cancer, recognising the treatment as cost-effective in England.1 The recommendation offers patients the choice to receive an oral preparation of an androgen deprivation therapy (ADT) for the first time.

Prostate cancer is the most common cancer in men across the UK with 44,000 new cases diagnosed in England each year and almost ten times as many men living with the condition.2 Since the early 1990s diagnostic techniques have advanced and prostate cancer incidence rates have increased by more than half (53%) in males in the UK (2017-2019).3


“Today’s approval marks an important milestone for the prostate cancer community. Living with prostate cancer is a daily challenge. From my own experience as both a patient and medical professional, I understand the burden that prostate cancer can place on every facet of life.” said Steve Allen, Retired Doctor, prostate cancer patient and patient representative at Tackle Prostate Cancer.
"Through the recent pandemic, we have seen a growing need for flexibility in treatment administration. I am grateful to NICE to allow eligible patients the option of taking an oral ADT treatment." said Professor Amit Bahl, Consultant Clinical Oncologist at Bristol Cancer Institute, University Hospitals Bristol.

Prostate cancer cells usually require androgen (male) hormones, such as testosterone, to grow.4 Stopping the release of testosterone from the testicles in prostate cancer is called medical castration5 and is a cornerstone of the medical treatment of prostate cancer. Injectable ADTs are the standard agents for achieving androgen deprivation for prostate cancer.6 Relugolix is an oral ADT treatment for hormone-sensitive prostate cancer.

"The publication of NICE's Final Guidance is a hugely positive step for patients living with prostate cancer in England" said Paul Tredwell, Executive Vice President, EMENA, Accord Healthcare. "At Accord, we are committed to ensuring that patients have access to high quality medicines at the point of need and we are pleased to provide an additional treatment choice to the clinical community and those eligible men living with prostate cancer. We are proud to meet this milestone with such an important treatment in an area where innovations have previously been limited."

The NICE decision follows marketing authorisation granted by the Medicines and Healthcare products Regulatory Agency (MHRA) in June 2022 for the treatment of adult patients with advanced hormone sensitive prostate cancer. It further received a license variation for Great Britain in December 2023 to include use in combination with radiotherapy as neoadjuvant or adjuvant treatment in high-risk localised or locally advanced hormone-sensitive prostate cancer.7

References:

  1. National Institute for Health and Care Excellence. Final Guidance. Available at Overview | Relugolix for treating hormone-sensitive prostate cancer | Guidance | NICE
  2. Prostate Cancer UK. About Prostate Cancer. Available at: https://prostatecanceruk.org/prostate-information-and-support/risk-and-symptoms/about-prostate-cancer Last Accessed August 2024
  3. Cancer Research UK. Prostate Cancer statistics. Available at https://www.cancerresearchuk.org/health-professional/cancer-statistics/statistics-by-cancer-type/prostate-cancer#heading-Zero Last Accessed August 2024
  4. Cancer Research UK. What is hormone therapy for prostate cancer. Available at https://www.cancerresearchuk.org/about-cancer/prostate-cancer/treatment/hormone-therapy/about-hormone-therapy#:~:text=Prostate%20cancer%20usually%20depends%20on,have%20it%20with%20other%20treatments. Last Accessed August 2024
  5. Cleveland clinic. Chemical castration: Treatment, Procedure & Side Effects. Available at: https://my.clevelandclinic.org/health/treatments/22402-chemical-castration Last accessed August 2024.
  6. Shore, Neal D., et al. "Oral relugolix for androgen-deprivation therapy in advanced prostate cancer." New England Journal of Medicine 382.23 (2020): 2187-2196
  7. Medicines & Healthcare products Regulatory Agency. Public Assessment Report. Available at https://mhraproducts4853.blob.core.windows.net/docs/a027a8efa27937234d149e3577bc4b983840ad5b Last accessed August 2024

Source: PRNewswire. (2024). NICE Recommends ORGOVYX® (Relugolix) as the First Oral ADT Treatment for Hormone Sensitive Prostate Cancer in England [Press release]. https://www.prnewswire.co.uk/news-releases/nice-recommends-orgovyx-relugolix-as-the-first-oral-adt-treatment-for-hormone-sensitive-prostate-cancer-in-england-302222244.html.

Impact of the diagnostic label for a low-risk prostate lesion: protocol for two online factorial randomised experiments.

Many types of prostate cancer present minimal risk to a man's lifespan or well-being, but existing terminology makes it difficult for men to distinguish these from high-risk prostate cancers. This study aims to explore whether using an alternative label for low-risk prostate cancer influences management choice and anxiety levels among Australian men and their partners.

Abiraterone Acetate Versus Enzalutamide Against Chemo-Naïve Castration-Resistant Prostate Cancer With Full-Dose Induction.

Purpose We recently released the multi-institutional real-world analysis about the difference in survival outcomes between abiraterone acetate and enzalutamide against chemo-naïve castration-resistant prostate cancer (CRPC) in a first-line setting.

Burden of 30 cancers among men: Global statistics in 2022 and projections for 2050 using population-based estimates

Background: Men exhibit higher prevalence of modifiable risk factors, such as smoking and alcohol consumption, leading to greater cancer incidence and lower survival rates. Comprehensive evidence on global cancer burden among men, including disparities by age group and country, is sparse. To address this, the authors analyzed 30 cancer types among men in 2022, with projections estimated for 2050.

Technical and Ethical Considerations in Telesurgery

Telesurgery, a cutting-edge field at the intersection of medicine and technology, holds immense promise for enhancing surgical capabilities, extending medical care, and improving patient outcomes. In this scenario, this article explores the landscape of technical and ethical considerations that highlight the advancement and adoption of telesurgery.

A contemporary review: mpMRI in prostate cancer screening and diagnosis.

Prostate cancer (PCa) screening has evolved beyond PSA and digital rectal exam to include multiparametric prostate MRI (mpMRI). Incorporating this advanced imaging tool has further limited the well-established problem of overdiagnosis, aiding in the identification of higher grade, clinically significant cancers.

Select black men are potential candidates for prostate hemi-ablation based on radical prostatectomy histopathology for intermediate-risk prostate cancer-a multicenter SEARCH cohort study.

Partial gland ablation (PGA) is increasingly popular as a treatment for men with intermediate-risk prostate cancer (IR-PCa) to preserve functional outcomes while controlling their cancer. We aimed to determine the impact of race and clinical characteristics on the risk of upstaging (≥pT2c) and having adverse pathological outcomes including seminal vesicle invasion (SVI), extra prostatic extension (EPE) and lymph node invasion (LNI) at radical prostatectomy (RP) among men with IR disease eligible for PGA with hemi-ablation (HA).

Pembrolizumab plus enzalutamide for metastatic castration-resistant prostate cancer progressing on enzalutamide: cohorts 4 and 5 of the phase 2 KEYNOTE-199 study.

KEYNOTE-199 (NCT02787005) is a multicohort phase 2 study evaluating pembrolizumab in patients with metastatic castration-resistant prostate cancer (mCRPC). Results from cohorts 4 (C4) and 5 (C5) are presented.

A Scaled Proteomic Discovery Study for Prostate Cancer Diagnostic Markers Using ProteographTM and Trapped Ion Mobility Mass Spectrometry.

There is a significant unmet need for clinical reflex tests that increase the specificity of prostate-specific antigen blood testing, the longstanding but imperfect tool for prostate cancer diagnosis.

Randomized Trial of Transverse vs Vertical Extraction Site Incision After Robotic Radical Prostatectomy.

Incisional hernias are a frequent complication following robotic radical prostatectomy. Observational data in men undergoing robotic prostatectomy suggest that transverse closure resulted in lower hernia rates than vertical closure.

Impact of Posttreatment SPECT/CT on Patient Management During 177Lu-PSMA-617 Radiopharmaceutical Therapy.

177Lu can be imaged after administration using SPECT/CT. Most work to date has focused on using posttreatment imaging to measure normal organ and tumor dose. We aimed to assess the impact of posttreatment SPECT/CT on the management of patients undergoing 177Lu-prostate-specific membrane antigen (PSMA) radiopharmaceutical therapy (RPT).

Primary Care Use and 90-Day Mortality Among Older Adults Undergoing Cancer Surgery.

Multimorbidity and postoperative clinical decompensation are common among older surgical patients with cancer, highlighting the importance of primary care to optimize survival. Little is known about the association between primary care use and survivorship among older adults (aged ≥65 years) undergoing cancer surgery.

Pharmacokinetic Comparison of Selective Prostatic Arterial and Intravenous PSMA PET/CT Radioligand Infusions in Primary Prostatic Adenocarcinoma.

Background Intravenous prostate-specific membrane antigen (PSMA)-targeted radioligand therapy improves survival in men with metastatic castration-resistant prostate cancer. Yet, the impact of selective prostatic arterial administration on primary tumor uptake is unclear.

Genetics of prostate cancer: a review of latest evidence.

Prostate cancer (PrCa) is a largely heritable and polygenic disease. It is the most common cancer in people with prostates (PwPs) in Europe and the USA, including in PwPs of African descent. In the UK in 2020, 52% of all cancers were diagnosed at stage I or II.