Intermittent chemotherapy in metastatic androgen-independent prostate cancer
2003

Intermittent Chemotherapy for Prostate Cancer

Sample size: 37 publication Evidence: moderate

Author Information

Author(s): Beer T M, Garzotto M, Henner W D, Eilers K M, Wersinger E M

Primary Institution: Oregon Health & Science University

Hypothesis

Can intermittent chemotherapy reduce treatment-associated toxicity in metastatic androgen-independent prostate cancer?

Conclusion

Intermittent chemotherapy is feasible and may reduce chronic toxicity in patients with metastatic androgen-independent prostate cancer.

Supporting Evidence

  • 30% of patients reached a PSA of 4 ng/ml or lower.
  • Quality of life improved in terms of fatigue after treatment holidays.
  • Median duration of treatment holiday was 20 weeks.

Takeaway

This study looked at giving chemotherapy in breaks instead of all the time to help patients feel better and have less side effects.

Methodology

Patients received calcitriol and docetaxel in an intermittent schedule, monitored for PSA response and quality of life.

Potential Biases

Potential selection bias due to the non-randomized nature of the study.

Limitations

Small sample size and lack of a control group limit the findings.

Participant Demographics

Men with chemotherapy-naïve, metastatic androgen-independent prostate cancer, median age 73.

Statistical Information

P-Value

0.05

Statistical Significance

p=0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6601232

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