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    Annals of oncology : official journal of the European Society for Medical Oncology / ESMO. 2015 Jun 3. pii: mdv257. doi: 10.1093/annonc/mdv257. pmc: PMC4511225
    Management of patients with advanced prostate cancer: recommendations of the St Gallen Advanced Prostate Cancer Consensus Conference (APCCC) 2015.
    Gillessen S1,  Omlin A2,  Attard G3,  de Bono JS4,  Efstathiou E5,  Fizazi K6,  Halabi S7,  Nelson PS8,  Sartor O9,  Smith MR10,  Soule HR11,  Akaza H12,  Beer TM13,  Beltran H14,  Chinnaiyan AM15,  Daugaard G16,  Davis ID17,  De Santis M18,  Drake CG19,  Eeles RA20,  Fanti S21,  Gleave ME22,  Heidenreich A23,  Hussain M24,  James ND25,  Lecouvet FE26,  Logothetis CJ27,  Mastris K28,  Nilsson S29,  Oh WK30,  Olmos D31,  Padhani AR32,  Parker C33,  Rubin MA34,  Schalken JA35,  Scher HI36,  Sella A37,  Shore ND38,  Small EJ39,  Sternberg CN40,  Suzuki H41,  Sweeney CJ42,  Tannock IF43,  Tombal B44
    Author information
    1Department of Oncology/Haematology, Kantonsspital St Gallen, St Gallen, Switzerland silke.gillessen@kssg.ch.
    2Department of Oncology/Haematology, Kantonsspital St Gallen, St Gallen, Switzerland.
    3Prostate Cancer Targeted Therapy Group and Drug Development Unit, The Royal Marsden NHS Foundation Trust and The Institute of Cancer Research, Sutton, UK.
    4Prostate Cancer Targeted Therapy Group and Drug Development Unit, The Royal Marsden NHS Foundation Trust and The Institute of Cancer Research, Sutton, UK.
    5Department of Genitourinary Medical Oncology, MD Anderson Cancer Centre, Houston Department of Genitourinary Medical Oncology, David H. Koch Centre, The University of Texas M. D. Anderson Cancer Centre, Houston, USA Department of Clinical Therapeutics, Alexandra Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece.
    6Department of Cancer Medicine, Institut Gustave Roussy, University of Paris Sud, Villejuif, France.
    7Department of Biostatistics and Bioinformatics, Duke University, Durham.
    8Division of Human Biology, Fred Hutchinson Cancer Research Centre, Seattle.
    9Tulane Cancer Centre, Tulane University, New Orleans.
    10Massachusetts General Hospital Cancer Centre, Boston.
    11Prostate Cancer Foundation, Santa Monica, USA.
    12Research Centre for Advanced Science and Technology, The University of Tokyo, Tokyo, Japan.
    13Oregon Health & Science University Knight Cancer Institute, Portland.
    14Department of Medicine, Weill Cornell Medical College, New York.
    15Michigan Centre for Translational Pathology, Department of Pathology Department of Urology, Comprehensive Cancer Centre Howard Hughes Medical Institute, University of Michigan Medical School, Ann Arbor, USA.
    16Department of Oncology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
    17Monash University and Eastern Health, Eastern Health Clinical School, Box Hill, Australia.
    18Cancer Research Centre, University of Warwick, Warwick, UK Ludwig Boltzmann Institute for Applied Cancer Research, Kaiser Franz Josef-Spital, Vienna, Austria.
    19Johns Hopkins Sidney Kimmel Cancer Center and The Brady Urological Institute, Department of Urology, Johns Hopkins University School of Medicine, Baltimore, USA.
    20The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust, London, UK.
    21Department of Nuclear Medicine, Policlinico S. Orsola, University of Bologna, Bologna, Italy.
    22Urological Sciences, Vancouver Prostate Centre, University of British Columbia, Vancouver, Canada.
    23Klinik und Poliklinik für Urologie, RWTH University Aachen, Aachen, Germany.
    24University of Michigan Comprehensive Cancer Center, Ann Arbor, USA.
    25Cancer Research Centre, University of Warwick, Warwick, UK Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham, Birmingham, UK.
    26Department of Radiology, Centre du Cancer et Institut de Recherche Expérimentale et Clinique (IREC), Cliniques Universitaires Saint Luc, Brussels, Belgium.
    27Department of Genitourinary Medical Oncology, MD Anderson Cancer Centre, Houston Department of Genitourinary Medical Oncology, David H. Koch Centre, The University of Texas M. D. Anderson Cancer Centre, Houston, USA.
    28Europa Uomo Prostate Patients, Clayhall Ilford, UK.
    29Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
    30Division of Haematology and Medical Oncology, The Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, USA.
    31Prostate Cancer Clinical Research Unit, Spanish National Cancer Research Centre (CNIO), Madrid CNIO-IBIMA Genitourinary Cancer Unit, Hospitales Universitarios Virgen de la Victoria y Regional de Málaga, Málaga Centro Integral Oncológico Clara Campal (CIOCC), Madrid, Spain.
    32Paul Strickland Scanner Centre, Mount Vernon Cancer Centre, Northwood.
    33Prostate Cancer Targeted Therapy Group, Academic Urology Unit and Department of Diagnostic Radiology, The Royal Marsden NHS Foundation Trust and The Institute of Cancer Research, Sutton, UK.
    34Institute for Precision Medicine, Meyer Cancer Center, Department of Pathology and Urology, Weill Cornell Medical College and NewYork Presbyterian, New York, USA.
    35Department of Urology, Radboud University, Medical Centre, Nijmegen, The Netherlands.
    36Department of Medicine, Weill Cornell Medical College, New York Genitourinary Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Centre, New York.
    37Department of Oncology, Assaf Harofeh Medical Centre, Tel-Aviv University, Sackler School of Medicine, Zerifin, Israel.
    38Department of Urology, Carolina Urologic Research Centre, Myrtle Beach.
    39Helen Diller Family Comprehensive Cancer Centre, UCSF, San Francisco, USA.
    40Department of Medical Oncology, San Camillo and Forlanini Hospitals, Rome, Italy.
    41Department of Urology, Toho University Sakura Medical Center, Chiba, Japan.
    42Department of Medical Oncology, Dana-Farber Cancer Institute and Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
    43Department of Medical Oncology and Haematology, Princess Margaret Cancer Centre, Toronto, Canada.
    44Service D'Urologie, Institut de Recherche Clinique, Université Catholique de Louvain, Brussels, Belgium.
    Abstract

    The first St Gallen Advanced Prostate Cancer Consensus Conference (APCCC) Expert Panel identified and reviewed the available evidence for the ten most important areas of controversy in advanced prostate cancer (APC) management. The successful registration of several drugs for castration-resistant prostate cancer and the recent studies of chemo-hormonal therapy in men with castration-naïve prostate cancer have led to considerable uncertainty as to the best treatment choices, sequence of treatment options and appropriate patient selection. Management recommendations based on expert opinion, and not based on a critical review of the available evidence, are presented. The various recommendations carried differing degrees of support, as reflected in the wording of the article text and in the detailed voting results recorded in supplementary Material, available at Annals of Oncology online. Detailed decisions on treatment as always will involve consideration of disease extent and location, prior treatments, host factors, patient preferences as well as logistical and economic constraints. Inclusion of men with APC in clinical trials should be encouraged.


    © The Author 2015. Published by Oxford University Press on behalf of the European Society for Medical Oncology.

    KEYWORDS: advanced prostate cancer, castration-naïve prostate cancer, castration-resistant prostate cancer, consensus, therapeutics

    Publikations ID: 26041764
    Quelle: öffnen
     
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