2016
DOI: 10.1155/2016/4543861
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Sipuleucel-T and Androgen Receptor-Directed Therapy for Castration-Resistant Prostate Cancer: A Meta-Analysis

Abstract: New treatments, such as sipuleucel-T and androgen receptor- (AR-) directed therapies (enzalutamide (Enz) and abiraterone acetate (AA)), have emerged and been approved for the management of castration-resistant prostate cancer (CRPC). There are still debates over their efficacy and clinical benefits. This meta-analysis aimed to investigate the efficacy and safety of sipuleucel-T and AR-directed therapies in patients with CRPC. RevMan 5.1 was used for pooled analysis and analysis of publication bias. Seven studi… Show more

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Cited by 3 publications
(3 citation statements)
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References 43 publications
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“…For urological tumors, the treatment of advanced PCa is a challenge for professionals in the field, with first-rate morbidity, hormone resistance and a short patient overall survival making the current ADT-based combination of therapies seem overwhelming, with a negative impact on treatment. To this end, immunotherapy for PCa has evolved, with PD-1/PD-L1, and Sipuleucel-T, a DC-based autologous cellular immunotherapy, both approved by the FDA and used for treating patients with PCa [ 249 , 250 , 251 , 252 , 253 , 254 , 255 , 256 , 257 , 258 ].…”
Section: Discussionmentioning
confidence: 99%
“…For urological tumors, the treatment of advanced PCa is a challenge for professionals in the field, with first-rate morbidity, hormone resistance and a short patient overall survival making the current ADT-based combination of therapies seem overwhelming, with a negative impact on treatment. To this end, immunotherapy for PCa has evolved, with PD-1/PD-L1, and Sipuleucel-T, a DC-based autologous cellular immunotherapy, both approved by the FDA and used for treating patients with PCa [ 249 , 250 , 251 , 252 , 253 , 254 , 255 , 256 , 257 , 258 ].…”
Section: Discussionmentioning
confidence: 99%
“… 7 Despite a modest survival advantage demonstrated among men with mCRPC, uptake has been poor due to cost, complexity of administration and lack of immediate PSA decline, with no significant reduction of prostate-specific antigen level ⩾50% (PSA50 response) or improvement in progression-free survival. 8 …”
Section: Introductionmentioning
confidence: 99%
“…7 Despite a modest survival advantage demonstrated among men with mCRPC, uptake has been poor due to cost, complexity of administration and lack of immediate PSA decline, with no significant reduction of prostate-specific antigen level ⩾50% (PSA50 response) or improvement in progression-free survival. 8 There may be more effective means of targeting TAAs and TSAs, which could offer greater clinical benefit. Prostate-specific membrane antigen (PSMA) is a TAA that is highly expressed in mCRPC and has been validated as an effective target for treatment, with radionuclide therapy targeting PSMA shown to prolong progressionfree survival and overall survival in the TheraP and VISION trials.…”
Section: Introductionmentioning
confidence: 99%