Cited by 142Prostate Cancer Treatment and ResearchBone health and treatmentsManagement of metastatic bone disease

Bone-related parameters are the main prognostic factors for overall survival in men with bone metastases from castration-resistant prostate cancer

Fizazi, Karim, Massard, Christophe, Smith, Matthew, Rader, Michael, Brown, Janet, Milecki, Piotr, Shore, Neal, Oudard, Stephane +6 more·2015·European Urology

Abstract

Background Previous studies have reported on prognostic factors for castration-resistant prostate cancer (CRPC); however, most of these studies were conducted before docetaxel chemotherapy was approved for CRPC. Objective To evaluate the prognostic value of multiple parameters in men with bone metastases due to CRPC using a contemporary dataset. Design, setting, and participants The analysis included 1901 patients with metastatic CRPC enrolled in an international, multicenter, randomized, double-blind phase 3 trial conducted between May 2006 and October 2009. Outcome measures and statistical analysis We developed multivariate validated Cox proportional hazards models and nomograms to estimate 12-mo and 24-mo survival probabilities and median survival time. Results and limitations The median (95% confidence interval) overall survival was 20 (18, 21) mo. The final model included 12 of the 15 potential prognostic variables evaluated (concordance index 0.72). Seven bone-related variables were associated with longer survival in the final model: alkaline phosphatase ≤143 U/l (p 128g/l (p Conclusions Bone-related parameters are strong prognostic variables for overall survival in patients with bone metastases from CRPC. Patient summary Survival time is variable in patients with bone metastases from prostate cancer. We found that factors related to bone help to predict how long a patient will live.

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Crossref · 10.1016/j.eururo.2014.10.001

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Authors
Fizazi, K., Massard, C., Smith, M., Rader, M., Brown, J., Milecki, P., Shore, N., Oudard, S., Karsh, L., Carducci, M., Damião, R., Wang, H., Ying, W., & Goessl, C.
Affiliations
  • Université Paris-Sud (FR)
  • Massachusetts General Hospital (US)
  • Nyack Hospital (US)
  • Cancer Research UK (GB)
  • Poznan University of Medical Sciences (PL)
  • Carolina Urologic Research Center (US)
  • The Urology Center of Colorado (US)
  • Johns Hopkins University (US)
  • Hospital Universitário Pedro Ernesto (BR)
  • Amgen (United States) (US)
Corresponding author
Fizazi, Karim
Venue
European Urology
Publisher
Elsevier BV
Published
2015-07
Volume
68
Issue
1
Pages
42-50
ISSN
0302-2838 (ISSN-L)
OpenAlex
W2065574422
Cited by
142
References
26
Citations by year
2026: 6 · 2025: 12 · 2024: 6 · 2023: 8 · 2022: 15 · 2021: 7 · 2020: 11 · 2019: 15 · 2018: 16 · 2017: 16 · 2016: 17 · 2015: 12 · 2014: 1
FWCI
12.30
Type
journal article
Language
en
Open access
closed
Locations
  • European Urology (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Francis Crick Institute (10048)
  • Cancer Research UK (20925, 10048)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Treatment and Research
  • Health Sciences › Medicine › Oncology › Bone health and treatments
  • Health Sciences › Medicine › Surgery › Management of metastatic bone disease
Keywords
castration-resistant prostate cancer, bone metastasis, overall survival, prognostic factors, bone-specific alkaline phosphatase, urinary N-telopeptide, alkaline phosphatase, pain, skeletal-related events, nomogram, docetaxel, visceral metastases, hemoglobin, prostate-specific antigen, ECOG performance status, age, metastatic castration-resistant prostate cancer
MeSH terms
Denosumab, Zoledronic Acid, Adult, Age Factors, Aged, Aged, 80 and over, Alkaline Phosphatase, Bone Neoplasms, Diphosphonates, Double-Blind Method, Hemoglobins, Humans, Imidazoles, Kallikreins, Male, Middle Aged, Peptides, Prognosis, Multivariate Analysis, Proportional Hazards Models, Prostate-Specific Antigen, Collagen Type I, Bone Density Conservation Agents, Prostatic Neoplasms, Castration-Resistant

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