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Itinai.com biomedical laboratory close up still scene close u 2a5a1238 15e1 44d7 ad99 fe42b30c4e72 1

First-line talazoparib plus enzalutamide versus placebo plus enzalutamide in men with metastatic castration-resistant prostate cancer and homologous recombination repair gene alterations: patient-reported outcomes from the randomised, double-blind, placebo-controlled, phase 3 TALAPRO-2 trial

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Study Overview

The TALAPRO-2 trial explored the effectiveness of a combination treatment using talazoparib and enzalutamide for men with a specific type of advanced prostate cancer. This trial showed promising results in helping patients live longer without their cancer worsening compared to a placebo treatment.

Trial Details

This phase 3 trial involved 399 patients across 223 medical centers in 26 countries. Participants were men aged 18 or older with certain genetic changes affecting their cancer treatment.

Patient-Reported Outcomes

Patients reported their health and quality of life during the trial. The key findings included:

  • Quality of Life: Patients taking talazoparib plus enzalutamide experienced a longer time before their overall health declined.
  • Urinary Symptoms: The combination treatment also delayed worsening urinary symptoms.
  • Pain Management: While pain levels improved, the results were not statistically significant.

Key Results

Patients receiving the combination therapy had:

  • 27.1 months before significant decline in health, compared to 19.3 months for those on placebo.
  • Improved urinary symptoms, lasting longer than those on placebo.

Implications for Clinical Practice

The findings suggest that talazoparib combined with enzalutamide can provide better management of symptoms and quality of life for patients with this type of prostate cancer. These results can help clinicians make informed treatment choices.

Next Steps

Clinics can implement these findings by:

  • Setting clear treatment goals based on patient-reported outcomes.
  • Using AI tools to track patient progress and outcomes over time.
  • Starting pilot projects to evaluate the real-world effectiveness of this treatment combination.

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