Treatment of metastatic hormone-sensitive prostate cancer: from doublet therapy to triplet therapy.

IF 3.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Shi-Jie Ye, Rui-da Huang, Xin Fei, Zhu-Lei Tao, Wei-Hua Liu, Qi Ma
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引用次数: 0

Abstract

For metastatic prostate cancer, androgen deprivation therapy (ADT) is the key strategy to control the disease. However, after 18-24 months of treatment, most patients will progress from metastatic hormone-sensitive prostate cancer (mHSPC) to metastatic castration-resistant prostate cancer (mCRPC) even with ADT. Once patients enter into mCRPC, they face with significant declines in quality of life and a dramatically reduced survival period. Thus, doublet therapy, which combines ADT with new hormone therapy (NHT) or ADT with docetaxel chemotherapy, substitutes ADT alone and has become the "gold standard" for the treatment of mHSPC. In recent years, triplet therapy, which combines ADT with NHT and docetaxel chemotherapy, has also achieved impressive effects in mHSPC. This article provides a comprehensive review of the recent applications of the triplet therapy in the field of mHSPC.

转移性激素敏感性前列腺癌的治疗:从双重疗法到三重疗法。
对于转移性前列腺癌,雄激素剥夺疗法(ADT)是控制病情的关键策略。然而,即使采用 ADT 治疗,经过 18-24 个月的治疗后,大多数患者仍会从转移性激素敏感性前列腺癌(mHSPC)发展为转移性耐阉割前列腺癌(mCRPC)。一旦进入 mCRPC,患者的生活质量会显著下降,生存期也会大幅缩短。因此,将 ADT 与新激素疗法(NHT)或 ADT 与多西他赛化疗相结合的双联疗法取代了单用 ADT,成为治疗 mHSPC 的 "金标准"。近年来,结合 ADT、NHT 和多西他赛化疗的三联疗法也在 mHSPC 中取得了令人瞩目的疗效。本文全面回顾了三联疗法在 mHSPC 领域的最新应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Postgraduate Medical Journal
Postgraduate Medical Journal 医学-医学:内科
CiteScore
8.50
自引率
2.00%
发文量
131
审稿时长
2.5 months
期刊介绍: Postgraduate Medical Journal is a peer reviewed journal published on behalf of the Fellowship of Postgraduate Medicine. The journal aims to support junior doctors and their teachers and contribute to the continuing professional development of all doctors by publishing papers on a wide range of topics relevant to the practicing clinician and teacher. Papers published in PMJ include those that focus on core competencies; that describe current practice and new developments in all branches of medicine; that describe relevance and impact of translational research on clinical practice; that provide background relevant to examinations; and papers on medical education and medical education research. PMJ supports CPD by providing the opportunity for doctors to publish many types of articles including original clinical research; reviews; quality improvement reports; editorials, and correspondence on clinical matters.
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