Quality-of-Life in CRPC Patients Treated With Enzalutamide Versus Abiraterone: Impact of Standard and Modified Dosing.
Shuichi Tatarano, Kouji Izumi, Hideki Enokida et al.
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In 30 seconds
This randomized controlled trial compared the quality of life (QoL) in patients with castration-resistant prostate cancer (CRPC) treated with enzalutamide (ENZ) versus abiraterone (ABI). Among 89 patients in each arm, ABI significantly deteriorated QoL over time, while ENZ maintained QoL. The total FACT-G score for ABI worsened with standard dosing (P = .0003), but not with modified dosing.
Key findings
- ABI significantly deteriorated total FACT-G score over time (P = .0003).
- ENZ did not change the total FACT-G score during treatment (P = .9585).
- Standard dose of ABI worsened social and functional well-being (P = .0010 and P < .0001).
- Modified dose of ABI did not deteriorate social or functional well-being (P = .6549 and P = .5837).
Why it matters
Understanding the impact of different treatments on quality of life is crucial for clinicians managing CRPC. This study highlights that while both treatments offer similar survival benefits, their effects on QoL can differ significantly, influencing treatment choices.