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Apalutamid: Eine neue Option für die Therapie des Hochrisiko-M0CRPC.

Das Auftreten von Metastasen stellt beim nicht-metastasierten kastrationsresistenten Prostatakarzinom (M0CRPC) einen Wendepunkt in der Erkrankung dar. Apalutamid, ein neuer Androgenrezeptorinhibitor (ARI), verlängerte in der SPARTAN-Studie beim Hochrisiko-M0CRPC im Vergleich zu Placebo das metastasenfreie Überleben (MFS) signifikant. Ähnliches ergab die PROSPER-Studie für Enzalutamid. Internationale Leitlinien empfehlen die beiden Wirkstoffe seit 2018 für die Therapie des Hochrisiko-M0CRPC.

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