Androgen deprivation therapy (ADT) is the standard of care for hormone-sensitive disease. Gonadotrophin hormone releasing hormone (GnRH) analogues leuprolide and goserelin co-administered with anti-androgens such as bicalutamide is the most common treatment regimen for achieving castrate levels of testosterone.
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Prostate cancer is one of the ‘big four’ tumor types (along with breast cancer, lung cancer and colorectal cancer), and is the second most common cancer in males. Datamonitor estimates that 532,900 men were diagnosed with prostate cancer in the seven major markets (the US, Japan, France, Germany, Italy, Spain and the UK) in 2011 alone
The overall 5-year relative survival of prostate cancer patients is approximately 99.4%. The 10 and 15-year survival rates are approximately 93% and 77% respectively, although stage at diagnosis influences overall prognosis.
Physicians must take administration route, overall survival, and progression-free survival benefits as well as cost into consideration when deciding between use of Zytiga (abiraterone; Johnson&Johnson), Jevtana (cabazitaxel; Sanofi) and Provenge (sipuleucel-T; Dendreon).
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