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Castrate-Resistant Prostate Cancer
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===== mCRPC who progress after docetaxel-based chemotherapy ===== * '''Options with survival benefit (5):''' ** '''Cabazitaxel''' (25 mg/m2) plus prednisone (5 mg/day) '''TROPIC trial''' ** '''Radium-223 every four weeks for six cycles ALSYMPCA trial''' ** '''If not received prior to docetaxel:''' *** '''Abiraterone acetate''' (1000 mg per day) '''plus prednisone''' (5 mg twice daily) '''COU-AA-301 trial''' *** '''Enzalutamide''' (160 mg/day) '''AFFIRM trial''' * '''Options with unknown survival benefit''' ** '''Docetaxel plus prednisone re-exposure in patients who have had a previous favourable response to docetaxel may be reasonable''' ** '''Mitoxantrone may be considered a therapeutic option in symptomatic patients with mCRPC in the first- or second-line setting. Mitoxantrone has not shown any survival advantage but may provide symptomatic relief'''
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