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00:00
1.
Novel Life-Prolonging Endocrine Therapies for Metastatic CRPC
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00:52
2.
CRPC Definition (2016 EAU Guidelines)
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01:32
3.
Androgen Receptor Signaling - A Pivotal Driver of Prostate Cancer
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02:03
4.
Phase III Trials in mCRPC with OS Advantage
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03:54
5.
Systemic Therapy for M0 CRPC
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04:19
6.
Systemic Therapy for M1 CRPC
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04:30
7.
Subsequent Systemic Therapy for M1 CRPC
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05:03
8.
Traditional Hormonal Therapy for CRPCAddition of Anti-androgens
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05:24
9.
Traditional Hormonal Therapy for CRPCAnti-androgen Withdrawal
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05:36
10.
Traditional Hormonal Therapy for CRPCCorticosteroids / Estrogens
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05:46
11.
Traditional Hormonal Therapy for CRPCCorticosteroids / Estrogens
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06:16
12.
Traditional Hormonal Therapy for CRPCKetoconazole
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06:23
13.
mCRPC Management: EAU Guideline (Update 2016)
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07:20
14.
mCRPC Management: EAU Guideline (Update 2016)
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07:43
15.
24. Metastatic CRPC: First Line Treatment: Asymptomatic /Minimally Symptomatic Patients
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08:14
16.
25. Metastatic CRPC: First Line Treatment Symptomatic Patients
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08:50
17.
Targeting the Androgen Pathway
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09:19
18.
Abiraterone Acetate (Zytiga) : Androgen Biosynthesis (CYP17) Inhibitor
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10:12
19.
Abiraterone Increases Steroids with Mineralocorticoid Activity Upstream of CYP17A1
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10:38
20.
COU-AA-301 Post-Chemo Study Design
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10:54
21.
COU-AA-301: Abiraterone Significantly Prolongs OS and rPFS in Post-docetaxel mCRPC Patients
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11:01
22.
COU-AA-302 Pre-Chemo Study Design
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11:29
23.
COU-AA-302: Radiographic PFS and OS
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11:38
24.
COU-AA-302: Pre-specified Secondary and Exploratory Efficacy End Points
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12:50
25.
COU-AA-302: Safety Profile Remains Consistent
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13:10
26.
Incidence of Mineralocorticoid Excess (ME)-Associated Treatment-Emergent Adverse Events (TEAE)
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13:55
27.
Study Design and Timelines
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14:39
28.
Primary Endpoint: Patients Experiencing ME-Associated TEAEs: Hypertension and Hypokalemia
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14:57
29.
Confirmed PSA Response Rate (≥50%) after 12 Weeks
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15:14
30.
61. When to Discontinue Life-prolonging Treatment (Excluding treatment change for toxicity)
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16:14
31.
What if PSA does not Decline following Abiraterone ?
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17:11
32.
Slide 33
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17:37
33.
Enzalutamide (Xtandi, MDV3100): A New Anti-androgenAndrogen Receptor Signaling Inhibitor (ARSI)
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18:30
34.
Phase III Enzalutamide (MDV-3100) vs Placeboin Post-chemotherapy Treated CRPC
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18:53
35.
AFFIRM: Enzalutamide Prolongs OS and PFS
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19:10
36.
AFFIRM: Response and Progression Indicators
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19:23
37.
AFFIRM: Safety Outcomes
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19:54
38.
Phase III Pre-chemotherapy Enzalutamide (MDV3100) Prostate Cancer Trial (PREVAIL)
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20:05
39.
PREVAIL Co-Primary Endpoints: Radiographic PFS and OS for Final and Extended Analysis
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20:43
40.
Subsequent Therapies were Used More Commonly in the Placebo Group
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21:13
41.
Enzalutamide (PREVAIL):Important Secondary Endpoints
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21:23
42.
PREVAIL: Most Common AE* and AEs of Interest
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21:29
43.
Slide 47
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21:41
44.
PREVAIL: rPFS and OS in the Non-visceral & Visceral Subgroup
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21:55
45.
PREVAIL: rPFS and OS by Number of Bone Mets at Screening
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22:05
46.
Inclusion/Exclusion Criteria of the Pivotal Trials
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23:04
47.
Second-line Treatment Options in mCRPCComparison of the Efficacy Results in the TROPIC, COU-AA-301 and AFFIRM trials
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23:20
48.
Primary Resistance & Predictive Factors in mCRPC
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24:00
49.
Slide 53
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24:30
50.
Primary Resistance to AR-Targeted Agents
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24:59
51.
Slide 55
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25:59
52.
Slide 56
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26:33
53.
Duration of Response to First ADT May Help to Guide Treatment Choice?
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27:19
54.
Is Baseline Gleason Score Predictive of Response to Therapies?
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28:32
55.
PSA Response According to ARv7 Status
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29:07
56.
ARv7 and Resistance to ABI or ENZ:Clinical or Radiological PFS
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29:19
57.
ARv7 and Resistance to ABI or ENZ – Updated OS (All Combined)
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29:47
58.
Treatment Sequencing in mCRPC
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30:43
59.
Evidences of Earlier Use of Novel Endocrine Therapies in Metastatic CRPC Patients
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31:10
60.
Slide 64
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31:17
61.
TERRAIN: A Study of Enzalutamide vs Bicalutamide in Men with Metastatic CRPC
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32:12
62.
TERRAIN: PFS and Radiographic PFS
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32:22
63.
TERRAIN: Pre-specified Subgroup Analysis of PFS
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32:38
64.
TERRAIN: Time to PSA Progression
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32:47
65.
TERRAIN: Safety Overview
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33:00
66.
STRIVE: A Study of Enzalutamide vs Bicalutamide in Men with Prostate Cancer Who Failed Primary ADT
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33:21
67.
The STRIVE Trial: Results
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33:46
68.
Longer Time to PSA Progression in CRPC Patients Treated with Enzalutamide Earlier
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35:10
69.
Slide 75
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36:04
70.
ARN-509 blocks AR signaling, impairs AR nuclear translocation and inhibits DNA binding
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36:17
71.
Slide 84
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36:33
72.
Combination Trials
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36:39
73.
ALLIANCE Study Design Phase III Pre-chemo
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37:21
74.
PLATO: Continued enzalutamide treatment in prostate cancer patients
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37:52
75.
Combination Phase III Study Design of ARN-509 andAbiraterone (n ~ 960)
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39:03
76.
Key Consideration for Treatment Sequencing
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40:19
77.
Thank You for Your Attentions