There are no real-world data that describes how Radium-223 (Ra-223) is being used in combination with abiraterone/enzalutamide (abi/enza) or evidence describing outcomes of this combination usage for the treatment of metastatic castration resistant prostate cancer (mCRPC). To address these data gaps a cohort of mCRPC patients will be chosen who received Ra-223 concomitant with abi/enza in first line therapy to assess the treatment patterns following first line and clinical outcomes from initiation of first line treatment. For the purpose of this study concomitant use will be defined as Ra-223 initiated after at least 6 months from the start of first line abi/enza. The specific objectives of the study are to describe the outcomes, treatment patterns, patient and provider characteristics of mCRPC patients treated with Ra-223 concomittantly with abi/enza in first line treatment.
Study Type
OBSERVATIONAL
Survival rates
Survival will be defined as time from initiation of first line therapy until death. Survival will be measured as the proportion of study subjects that are alive at the data cut-off or median time for survival of at least 50% of study subjects
Time frame: Up to 1 year
Disease progression
Disease progression will be defined as either of the below: PSA (Prostate Specific Antigen) progression ALP (Alkaline Phosphatase) progression Symptomatic progression Radiographic progression
Time frame: Up to 1 year
Skeletal related events (SRE)
SRE will be defined as: a pathologic fracture, spinal cord compression, necessity for radiation to bone for pain or impending fracture and/or surgery to bone
Time frame: Up to 1 year
Symptomatic Skeletal Events (SSE)
SSE defined as external beam radiation therapy (EBRT) to relieve skeletal symptoms, new symptomatic pathologic bone fracture, occurrence of spinal cord compression, or tumor-related orthopedic surgical intervention
Time frame: Up to 1 year
Time to death
Time frame: Up to 1 year
Sequence of treatment regimens
Time frame: Up to 1 year
Dose schedule
Time frame: Up to 1 year
Duration of therapy
Time frame: Up to 1 year
Time to first visceral metastasis
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Time frame: Up to 1 year
Proportion of patients developing visceral metastasis
Time frame: Up to 1 year