Metastasis-free survival — a new end point in prostate cancer trials

New England Journal of Medicine

27 June 2018 - Earlier this year, the FDA approved apalutamide, an androgen receptor inhibitor, for treatment of patients with non-metastatic castration-resistant prostate cancer. 

The approval was based on SPARTAN, a randomised, placebo-controlled trial involving 1207 patients that demonstrated a statistically significant improvement in metastasis-free survival, defined as the time from randomisation to either imaging-detectable distant disease or death.

It was the first drug approval for non-metastatic castration-resistant prostate cancer and the first use of metastasis-free survival as a primary end point to support drug approval.

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Michael Wonder

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Michael Wonder

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Outcome , Medicine , US , Drug development