Real-world outcomes of radium-223 dichloride for metastatic castration resistant prostate cancer

  • Malou C.P. Kuppen*
  • , H.M. (Hans) Westgeest
  • , Maarten J. Van Der Doelen
  • , Alphonsus J.M. Van Den Eertwegh
  • , Jules L.L.M. Coenen
  • , Katja K.H. Aben
  • , Alphons C.M. Van Den Bergh
  • , Andries M. Bergman
  • , Joan Van Den Bosch
  • , Filiz Celik
  • , Mathijs P. Hendriks
  • , Jules Lavalaye
  • , Saskia Van Der Meer
  • , Marco B. Polee
  • , Diederik M. Somford
  • , Inge M. Van Oort
  • , Carin A. Uyl-De Groot
  • , Winald R. Gerritsen
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

39 Citations (Scopus)

Abstract

Aim: Timing of radium-223 (Ra-223) in metastatic castration-resistant prostate cancer (mCRPC) remains challenging due to alternative options and short window of opportunity. Methods: Ra-223 treated patients in the CAPRI-registry were included. Outcomes were evaluated based on treatment line of Ra-223. Results: Out of 285 patients, 49% received Ra-223 in line ≥3. 51% completed six Ra-223 injections and 34% had a symptomatic skeletal event after first Ra-223 without differences between subgroups. After correction of known prognostic factors Ra-223 in line ≥3 (HR: 3.267; 95% CI: 1.689-6.317; p < 0.01) remained associated with worse OS. Conclusion: In the Netherlands, Ra-223 was mainly started as second or third mCRPC-treatment in 2014-2018. Later timing of Ra-223 did affect OS, but not treatment completion and occurrence of symptomatic skeletal events.

Original languageEnglish
Pages (from-to)1371-1384
Number of pages14
JournalFuture Oncology
Volume16
Issue number19
DOIs
Publication statusPublished - 29 May 2020

Bibliographical note

Publisher Copyright: © 2020

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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