Efficacy and safety of prostate radiotherapy in de novo metastatic castration-sensitive prostate cancer (PEACE-1): a multicentre, open-label, randomised, phase 3 study with a 2 × 2 factorial design

Efficacy and Safety of Prostate Radiotherapy in Metastatic Castration-Sensitive Prostate Cancer

Study Overview

The PEACE-1 study investigated the effects of adding radiotherapy to standard treatments for men with newly diagnosed metastatic castration-sensitive prostate cancer. This study involved 77 hospitals across Europe and included 1173 male participants.

Key Findings

  • Improved Survival: Adding radiotherapy to standard care with abiraterone significantly improved radiographic progression-free survival for patients with low-volume disease.
  • No Overall Survival Benefit: Radiotherapy did not significantly affect overall survival rates in the same patient group.
  • Safety Profile: The addition of radiotherapy did not increase the overall risk of severe side effects.

Practical Solutions and Value

Radiotherapy can be a valuable addition to standard care for patients with low-volume metastatic castration-sensitive prostate cancer, enhancing treatment outcomes without increasing toxicity. This approach could be integrated into standard treatment protocols for better patient management.

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