Analyze of Risk Factors Affecting the Outcomes of Docetaxel-prednisone Combination in the Treatment of Metastatic Castration-resistant Prostate Cancer
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 15, Issue 5
Abstract
Objective: To analyze potential factors affecting the outcomes of docetaxel and prednisone (DP) combination therapy in patients with castration resistant prostate cancer (CRPC). Methods: A total of 272 patients were treated with DP chemotherapy for CRPC between April 2006 and January 2014. Patients received docetaxel (75 mg/m2) administered as ≥1-h intravenous infusion on day 1, every 3 weeks plus oral prednisone 5 mg twice daily starting on day 1 and continuing throughout the treatment. Patients were evaluated for prostate specific antigen (PSA) response, toxicity and factors affecting the treatment outcomes. Results: 132 (48.6%) patients achieved a PSA response (47 complete and 85 partial response). There were no differences between PSA responders and PSA non-responders in terms of age, gleason score, initial PSA value and Eastern Cooperative Oncology Group (ECOG) performance status. Alkaline phosphatase (ALP) level of non-responders was significantly higher compared to PSA responders (p= 0.042), total serum protein levels (p=0.035) and albumin (p=0.012) were significantly lower in non-responder group. Median survival rate of PSA responders was significantly higher compared to PSA non-responders (19 months vs 14 months, p= 0.000). The most common grade 3-4 toxicity of chemotherapy was neutropenia which was observed in 95 (34.7%) patients. Conclusions: Serum ALP, total protein and albumin levels can be used to predict treatment outcomes following docetaxel and prednisone combination therapy in patients with CRPC.
Authors and Affiliations
Burak Arslan, Mehmet Fatih Akbulut, Özkan Onuk, Aydın İsmet Hazar, Arif Özkan, Cem Tuğrul Gezmiş, Buğra Çetin, Memduh Aydın
Keywords
Related Articles
- EP ID EP341217
- DOI 10.9734/BJMMR/2016/25855
- Views 87
- Downloads 0
Iron Status and Hematological Profile of Ghanaian Women with Fibroids
Uterine leiomyomas are the most common gynecologic tumors and though mostly asymptomatic, they may present with heavy or abnormal uterine bleeding, pelvic pain or pressure, subfertility, and recurrent pregnancy loss. Hea...
Paraoxonase Arylestarase and Oxıdatıve Stress in Coronary Artery Surgery Technıques with Desflurane Anesthesıa
Background: Cardiovascular disease is the leading cause of morbidity in older people. Coronary artery bypass graft surgery is the most common type of operation performed in the world. Oxidative stress occurs in patients...
The Evaluation of Osteosarcoma and Ewing Sarcoma by Bone Markers in Children and Adult after Chemotherapy
Background: In the east of Algeria, the rate of bone tumors is very high, unfortunately the Pathological Anatomy and radiology are not sufficient for evaluation and confirmation of the diagnosis. Bone alkaline phosphatas...
Umbilical Cord Care Practices and Incidence of Febrile Illnesses in the First Month of Life among Newborns- A Population Based Study
Background: Infection accounts for 13% of the approximately three million newborns deaths that occur globally every year. Poor umbilical cord hygiene in the first week of life is a well documented risk factor that increa...
Spontaneous Pregnancy after Cystectomy and Urinary Diversion by Indiana Pouch Method for Congenital Bladder Exstrophy: A Case Report
Aims: To share our experience in the management of a patient of congenital bladder exstrophy, who conceived spontaneously following Indiana pouch surgery for urinary diversion. Presentation of Case: 21 year old primigra...