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Benefits of zoledronic acid in the treatment of prostate cancer: Survival and antitumor effects.

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Sub-category:
Treatment of Hormone-Refractory Prostate Cancer

Category:
Locally Advanced/Recurrent/Advanced Disease

Meeting:
2007 Prostate Cancer Symposium

Session Type and Session Title:
This abstract will not be presented at the 2007 Prostate Cancer Symposium but has been published in conjunction with the meeting.

Abstract No:
283

Author(s):
F. Saad

Abstract:

Background: The majority of patients diagnosed with advanced prostate cancer will develop bone metastases and may experience skeletal complications such as pathologic fractures. Fractures are associated with decreased survival in patients with prostate cancer and may result in extended convalescence or permanent impairment. Therefore, patients with bone metastases are at long-term risk of developing skeletal-related events (SREs), each of which has been associated with a reduction in quality of life. Zoledronic acid has been shown to significantly reduce skeletal morbidity compared with placebo (Saad et al. J Natl Cancer Inst. 2004;96:879-882). Methods: Exploratory analyses of the pivotal randomized, controlled clinical trial were performed to assess the effect of zoledronic acid on survival, SREs, and pain. Literature searches were performed on preclinical studies to determine the potential antitumor effects of zoledronic acid in prostate cancer models. Results: Patients with prostate cancer who received 4 mg zoledronic acid demonstrated a trend toward longer survival compared with placebo (18.2 months versus 15.6 months, respectively). Although fractures were significantly related to risk of death, the death rate was slightly lower for patients treated with zoledronic acid compared with placebo (66% versus 73%, respectively) (Saad et al. J Clin Oncol. 2006;24(suppl):230s. Abstract 4555). Zoledronic acid has demonstrated significant reductions in mean composite Brief Pain Inventory scores in a randomized controlled trial (Saad et al. J Natl Cancer Inst. 2004;96:879-882) and in mean visual analogue scale pain scores in an open-label, single-arm study (Vogel et al. Oncologist. 2004;9:687-695). Furthermore, zoledronic acid demonstrated preclinical evidence of antitumor activity in multiple prostate cancer cell lines and animal models. Conclusions: Recent exploratory analyses and preclinical studies suggest that zoledronic acid can provide quality-of-life and clinical benefits to patients with prostate cancer. Zoledronic acid is the only bisphosphonate that has demonstrated a trend toward prolonged survival compared with placebo in patients with bone metastases from prostate cancer.


  Associated Presentation(s):

    

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  Other Abstracts in this Sub-Category:

    

1. Multicenter randomized EORTC trial 30021 of docetaxel + oblimersen and docetaxel in patients (pts) with hormone refractory prostate cancer (HRPC).

Meeting: 2007 Prostate Cancer Symposium   Abstract No: 144   First Author: C. N. Sternberg
Category: Locally Advanced/Recurrent/Advanced Disease - Treatment of Hormone-Refractory Prostate Cancer

    

2. A phase III, randomized, double-blind trial of satraplatin and prednisone vs placebo and prednisone for patients with hormone refractory prostate cancer (HRPC).

Meeting: 2007 Prostate Cancer Symposium   Abstract No: 145   First Author: D. P. Petrylak
Category: Locally Advanced/Recurrent/Advanced Disease - Treatment of Hormone-Refractory Prostate Cancer

    

3. Results of a phase 3 randomized controlled trial of the safety and efficacy of atrasentan in men with nonmetastatic hormone-refractory prostate cancer (HRPC).

Meeting: 2007 Prostate Cancer Symposium   Abstract No: 146   First Author: J. B. Nelson
Category: Locally Advanced/Recurrent/Advanced Disease - Treatment of Hormone-Refractory Prostate Cancer

    

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  Abstracts by F. Saad:

    

1. Effect of IKKε knock-down on prostate cancer xenograft growth.

Meeting: 2010 ASCO Annual Meeting   Abstract No: 10541   First Author: B. PĂ©ant
Category: Tumor Biology - Tumor/Cell Biology

    

2. Implication of the alternative NF-kappa B pathway in prostate cancer progression.

Meeting: 2010 ASCO Annual Meeting   Abstract No: 10592   First Author: I. Labouba
Category: Tumor Biology - Molecular Targets

    

3. Prevalent vertebral fracture and survival in men receiving androgen-deprivation therapy for nonmetastatic prostate cancer.

Meeting: 2010 Genitourinary Cancers Symposium   Abstract No: 25   First Author: M. R. Smith
Category: Prostate Cancer: Early/Localized disease, Locally Advanced/Recurrent/Advanced disease, and Biology

    

More...


  Presentations by F. Saad:

    

1. Denosumab for prevention of fractures in men receiving androgen deprivation therapy (ADT) for prostate cancer (PC).

Meeting: 2009 ASCO Annual Meeting
Presenter: Fred Saad, MD, FRCS
Session: Genitourinary (Prostate) Cancer (Poster Discussion)

    

2. Case Discussion of Complex Patients

Meeting: 2009 Genitourinary Cancers Symposium
Speaker: Fred Saad, MD, FRCS
Session: General Session III: Treatment of Advanced Prostate Cancer (General Session)

    

3. A phase II randomized study of custirsen (OGX-011) combination therapy in patients with poor-risk hormone refractory prostate cancer (HRPC) who relapsed on or within six months of 1st-line docetaxel therapy.

Meeting: 2008 ASCO Annual Meeting
Presenter: Fred Saad, MD, FRCS
Session: Chemotherapy for Metastatic Prostate Cancer: New Taxane Combinations and Post-Taxane Options (Clinical Science Symposium)

    

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  Educational Book Manuscripts by F. Saad:

    

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