RT Journal Article T1 Current Treatment Options for Metastatic Hormone-Sensitive Prostate Cancer. A1 Cattrini, Carlo A1 Castro, Elena A1 Lozano, Rebeca A1 Zanardi, Elisa A1 Rubagotti, Alessandra A1 Boccardo, Francesco A1 Olmos, David K1 Abiraterone acetate K1 Apalutamide K1 Docetaxel K1 Enzalutamide K1 Hormone-naïve prostate cancer K1 Hormone-sensitive prostate cancer K1 Radiotherapy AB The possible treatments options for metastatic hormone-sensitive prostate cancer (mHSPC) have dramatically increased during the last years. The old backbone, which androgen-deprivation therapy (ADT) is the exclusive approach for hormone-naïve patients, has been disrupted. Despite the fact that several high-quality, randomized, controlled phase 3 trials have been conducted in this setting, no direct comparison is currently available among the different strategies. Inadequate power, absence of preplanning and small sample size frequently affect the subgroup analyses according to disease volume or patient's risk. The choice between ADT alone and ADT combined with docetaxel, abiraterone acetate, enzalutamide, apalutamide or radiotherapy to the primary tumor remains challenging. Factors that are related to the tumor, patient or drug side effects, currently guide these clinical decisions. This comprehensive review aims to indirectly compare the phase 3 trials in the mHSPC setting, in order to extrapolate data useful for treatment selection, providing also perspectives on future biomarkers. PB MDPI SN 2072-6694 YR 2019 FD 2019-09-12 LK http://hdl.handle.net/10668/14537 UL http://hdl.handle.net/10668/14537 LA en NO Cattrini C, Castro E, Lozano R, Zanardi E, Rubagotti A, Boccardo F, et al. Current Treatment Options for Metastatic Hormone-Sensitive Prostate Cancer. Cancers (Basel). 2019 Sep 12;11(9):1355 DS RISalud RD Apr 18, 2025