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达罗他胺在III期ARAMIS研究中的黑人/非裔美国患者中的疗效和安全性。

Efficacy and safety of darolutamide in Black/African-American patients from the phase III ARAMIS study.

作者信息

Shore Neal D, Cruz Felipe, Nordquist Luke, Belkoff Laurence, Aronson William J, Tolia Bhupendra, Cinman Arnold, Sharifi Roohollah, Ortiz Jorge, Parkin Jacqueline, Srinivasan Shankar, Sarapohja Toni, Smith Matthew R

机构信息

Carolina Urologic Research Center/Genesis Care, Myrtle Beach, SC 29577, USA.

Núcleo de Pesquisa e Ensino da Rede São Camilo, São Paulo, 03102-002, Brazil.

出版信息

Future Oncol. 2022 Dec;18(40):4473-4482. doi: 10.2217/fon-2022-0943. Epub 2023 Feb 8.

DOI:10.2217/fon-2022-0943
PMID:36753353
Abstract

Darolutamide significantly improved metastasis-free survival (MFS) and overall survival (OS) versus placebo in the phase III ARAMIS study. We evaluated outcomes in Black/African-American patients in ARAMIS. Patients with nonmetastatic castration-resistant prostate cancer were randomized 2:1 to darolutamide (n = 955) or placebo (n = 554) plus androgen-deprivation therapy. The primary end point was MFS. Secondary end points included OS and safety. In 52 (3.4%) Black/African-American patients, darolutamide improved MFS (median: not reached vs 12.4 months) and OS (3-year survival rates: 100 vs 71%) versus placebo. The safety profile of darolutamide in Black/African-American patients was consistent with that of all ARAMIS patients. In Black/African-American patients, darolutamide improved MFS and OS and was well tolerated, consistent with the overall ARAMIS population.

摘要

在III期ARAMIS研究中,与安慰剂相比,达洛鲁胺显著改善了无转移生存期(MFS)和总生存期(OS)。我们评估了ARAMIS研究中黑人/非裔美国患者的治疗结果。将非转移性去势抵抗性前列腺癌患者按2:1随机分组,分别接受达洛鲁胺(n = 955)或安慰剂(n = 554)加雄激素剥夺治疗。主要终点是MFS。次要终点包括OS和安全性。在52名(3.4%)黑人/非裔美国患者中,与安慰剂相比,达洛鲁胺改善了MFS(中位数:未达到 vs 12.4个月)和OS(3年生存率:100% vs 71%)。达洛鲁胺在黑人/非裔美国患者中的安全性与所有ARAMIS患者一致。在黑人/非裔美国患者中,达洛鲁胺改善了MFS和OS,且耐受性良好,与整个ARAMIS人群一致。

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