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Carboplatin, Cabazitaxel and Abiraterone in High-Volume Metastatic Castration-Sensitive Prostate Cancer: The CASCARA Phase 2 Study - PubMed

5 hours ago
  • #chemotherapy
  • #clinical trial
  • #prostate cancer
  • The CASCARA Phase 2 Study evaluated cabazitaxel, carboplatin, and abiraterone with ADT in high-volume metastatic castration-sensitive prostate cancer (mCSPC).
  • Primary endpoint: 84.6% of patients were free of PSA or radiographic progression at 12 months.
  • Secondary outcomes included a 66.7% complete PSA response rate and 30.7% complete objective response rate.
  • Overall survival at 12 months was 94.8%.
  • HRR-mutated patients showed fewer complete PSA responses (33.3%) and inferior PFS compared to HRR-wildtype patients.
  • Common side effects included fatigue, nausea, and diarrhea.
  • The regimen was found feasible, safe, and efficacious, warranting further study in larger trials.