Bone-related parameters are the main prognostic factors for overall survival in men with bone metastases from castration-resistant prostate cancer
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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Docetaxel plus Prednisone or Mitoxantrone plus Prednisone for Advanced Prostate Cancer
Tannock, I. F., de Wit, R., Berry, W. R., Horti, J., Pluzanska, A., Chi, K. N., Oudard, S., Théodore, C., James, N. D., Turesson, I., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa040720 · Cited by 5,735 · see citing works
Self-citationSipuleucel-T Immunotherapy for Castration-Resistant Prostate Cancer
Kantoff, P. W., Higano, C. S., Shore, N. D., Berger, E. R., Small, E. J., Penson, D. F., Redfern, C. H., Ferrari, A. C., Dreicer, R., Sims, R. B., et al. (2010) · New England Journal of Medicine · doi:10.1056/nejmoa1001294 · Cited by 5,572 · see citing works
Self-citationIncreased Survival with Enzalutamide in Prostate Cancer after Chemotherapy
Scher, H. I., Fizazi, K., Saad, F., Taplin, M.-E., Sternberg, C. N., Miller, K., de Wit, R., Mulders, P., Chi, K. N., Shore, N. D., et al. (2012) · New England Journal of Medicine · doi:10.1056/nejmoa1207506 · Cited by 4,586 · see citing works
Self-citationFizazi, K. S., Carducci, M. A., Smith, M. R., Damião, R., Brown, J. E., Karsh, L. I., Milecki, P., Shore, N. D., Rader, M. E., Wang, H., et al. (2011) · The Lancet · doi:10.1016/s0140-6736(10)62344-6 · Cited by 1,974 · see citing works
Self-citationFizazi, K. S., Scher, H. I., Molina, A., Logothetis, C. J., Chi, K. N., Jones, R. J., Staffurth, J. N., North, S. A., Vogelzang, N. J., Fred Saad, C., et al. (2012) · The Lancet Oncology · doi:10.1016/s1470-2045(12)70379-0 · Cited by 1,376 · see citing works
Self-citationMalignant bone pain: pathophysiology and treatment
Mercadante, S. (1997) · Pain · doi:10.1016/s0304-3959(96)03267-8 · Cited by 861 · see citing works
Prognostic Model for Predicting Survival in Men With Hormone-Refractory Metastatic Prostate Cancer
Halabi, S., Small, E. J., Kantoff, P. W., Kattan, M. W., Kaplan, E. B., Dawson, N. A., Levine, E. G., Blumenstein, B. A., & Vogelzang, N. J. (2003) · Journal of Clinical Oncology · doi:10.1200/jco.2003.06.100 · Cited by 673 · see citing works
Pathologic fractures correlate with reduced survival in patients with malignant bone disease
Fred Saad, C., Lipton, A., Cook, R. J., Chen, Y., Smith, M. R., & Coleman, R. E. (2007) · Cancer · doi:10.1002/cncr.22991 · Cited by 664 · see citing works
Self-citationBrown, J. E., Cook, R. J., Major, P. P., Lipton, A., Fred Saad, C., Smith, M. R., Lee, K., Zheng, M., Hei, Y., & Coleman, R. E. (2005) · JNCI Journal of the National Cancer Institute · doi:10.1093/jnci/dji002 · Cited by 559 · see citing works
Self-citationColeman, R. E., Major, P. P., Lipton, A., Brown, J. E., Lee, K., Smith, M. R., Fred Saad, C., Zheng, M., Hei, Y. J., Seaman, J. J., et al. (2005) · Journal of Clinical Oncology · doi:10.1200/jco.2005.06.091 · Cited by 533 · see citing works
Self-citationHalabi, S., Lin, C., Kelly, W. K., Fizazi, K. S., Moul, J. W., Kaplan, E. B., Morris, M. J., & Small, E. J. (2014) · Journal of Clinical Oncology · doi:10.1200/jco.2013.52.3696 · Cited by 479 · see citing works
Self-citationNørgaard, M., Jensen, A. Ø., Jacobsen, J. B., Cetin, K., Fryzek, J. P., & Sørensen, H. T. (2010) · The Journal of Urology · doi:10.1016/j.juro.2010.03.034 · Cited by 406 · see citing works
Smaletz, Ò., Scher, H. I., Small, E. J., Verbel, D., McMillan, A., Regan, K., Kelly, W. K., & Kattan, M. W. (2002) · Journal of Clinical Oncology · doi:10.1200/jco.2002.11.021 · Cited by 386 · see citing works
Armstrong, A. J., Garrett-Mayer, E. S., de Wit, R., Tannock, I. F., & Eisenberger, M. A. (2009) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-09-2514 · Cited by 206 · see citing works
Pain Predicts Overall Survival in Men With Metastatic Castration-Refractory Prostate Cancer
Halabi, S., Vogelzang, N. J., Kornblith, A. B., Ou, S., Kantoff, P. W., Dawson, N. A., & Small, E. J. (2008) · Journal of Clinical Oncology · doi:10.1200/jco.2007.15.0367 · Cited by 193 · see citing works
Targeting Continued Androgen Receptor Signaling in Prostate Cancer
Massard, C., & Fizazi, K. S. (2011) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-10-2815 · Cited by 177 · see citing works
Self-citationMarkers of Bone Metabolism and Survival in Men with Hormone-Refractory Metastatic Prostate Cancer
Cook, R. J., Coleman, R. E., Brown, J. E., Lipton, A., Major, P. P., Hei, Y. J., Fred Saad, C., & Smith, M. R. (2006) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-06-0269 · Cited by 154 · see citing works
Self-citationDePuy, V., Anstrom, K. J., Castel, L. D., Schulman, K. A., Weinfurt, K. P., & Fred Saad, C. (2007) · Supportive Care in Cancer · doi:10.1007/s00520-006-0203-x · Cited by 145 · see citing works
Prostate cancer: ESMO Consensus Conference Guidelines 2012
Horwich, A., Hugosson, J., de Reijke, T. M., Wiegel, T., Fizazi, K. S., Kataja, V. V., Parker, C. C., Joaquim Bellmunt, B., Berthold, D., Bill‐Axelson, A., et al. (2013) · Annals of Oncology · doi:10.1093/annonc/mds624 · Cited by 145 · see citing works
Self-citationFaraggi, D., & Simon, R. M. (1996) · Statistics in Medicine · doi:10.1002/(sici)1097-0258(19961030)15:20 · Cited by 145 · see citing works
Oudard, S. M., Banu, E., Scotté, F., Banu, A., Médioni, J., Beuzeboc, P., Joly, F., Ferrero, J.-M., Goldwasser, F., & Andrieu, J. (2007) · Annals of Oncology · doi:10.1093/annonc/mdm332 · Cited by 66 · see citing works
Self-citationRajpar, S., Massard, C., Laplanche, A., Tournay, E., Gross‐Goupil, M., Loriot, Y., Palma, M. D., Bossi, A., Escudier, B. J., Chauchereau, A., et al. (2010) · Annals of Oncology · doi:10.1093/annonc/mdq037 · Cited by 47 · see citing works
Self-citationRecent developments in treatments targeting castration-resistant prostate cancer bone metastases
Loriot, Y., Massard, C., & Fizazi, K. S. (2012) · Annals of Oncology · doi:10.1093/annonc/mdr573 · Cited by 37 · see citing works
Self-citationGoyal, J., Nuhn, P., Huang, P., et al. (2012) · British Journal of Urology · doi:10.1111/j.1464-410x.2012.11286.x · Cited by 33 · see citing works
Miyamoto, S., Ito, K., Miyakubo, M., Suzuki, R., Yamamoto, T., Suzuki, K., Suzuki, K., & Yamanaka, H. (2011) · Prostate Cancer and Prostatic Diseases · doi:10.1038/pcan.2011.47 · Cited by 22 · see citing works
Harrell, F., Jr. (1996) · doi:10.1002/(sici)1097-0258(19960229)15:4
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Chi, K. N., Kheoh, T., Ryan, C. J., Molina, A., Bellmunt, J., Vogelzang, N. J., Rathkopf, D. E., Fizazi, K., Kantoff, P. W., Li, J., et al. (2016) · Annals of Oncology · doi:10.1093/annonc/mdv594 · Cited by 167 · see citing works
Self-citationFizazi, K., Herrmann, K., Krause, B. J., Rahbar, K., Chi, K. N., Morris, M. J., Sartor, O., Tagawa, S. T., Kendi, A. T., Vogelzang, N., et al. (2023) · The Lancet Oncology · doi:10.1016/s1470-2045(23)00158-4 · Cited by 125 · see citing works
Self-citationMetastatic prostate cancer and the bone: significance and therapeutic options
Gartrell, B. A., Coleman, R., Efstathiou, E., Fizazi, K., Logothetis, C. J., Smith, M. R., Sonpavde, G., Sartor, O., & Saad, F. (2015) · European Urology · doi:10.1016/j.eururo.2015.06.039 · Cited by 101 · see citing works
Self-citationHalabi, S., Yang, Q., Roy, A., Luo, B., Araujo, J. C., Logothetis, C., Sternberg, C. N., Armstrong, A. J., Carducci, M. A., Chi, K. N., et al. (2023) · Journal of Clinical Oncology · doi:10.1200/jco.22.02661 · Cited by 30 · see citing works
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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
- ORCID
- 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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