Matching-Adjusted Indirect Comparisons of PARP Inhibitor Combinations in Metastatic Castration-Resistant Prostate Cancer Across Key Populations.
2/5 보강
PICO 자동 추출 (휴리스틱, conf 2/4)
유사 논문P · Population 대상 환자/모집단
2 patients meeting PROpel/MAGNITUDE eligibility criteria were included; remaining patients were reweighted to align on key baseline characteristics.
I · Intervention 중재 / 시술
추출되지 않음
C · Comparison 대조 / 비교
추출되지 않음
O · Outcome 결과 / 결론
[CONCLUSIONS] MAICs showed improved clinical benefit with TALA+ENZA versus OLAP+AAP and NIRA+AAP across multiple mCRPC populations and endpoints. Despite limitations of indirect comparisons, findings support TALA+ENZA as a first-line treatment option for mCRPC.
OpenAlex 토픽 ·
Prostate Cancer Treatment and Research
Prostate Cancer Diagnosis and Treatment
PARP inhibition in cancer therapy
[BACKGROUND] Without head-to-head trials comparing talazoparib plus enzalutamide (TALA+ENZA), olaparib plus abiraterone acetate and prednisone (OLAP+AAP), and niraparib plus abiraterone acetate and pr
- HR 0.747
APA
Elena Castro, Di Wang, et al. (2026). Matching-Adjusted Indirect Comparisons of PARP Inhibitor Combinations in Metastatic Castration-Resistant Prostate Cancer Across Key Populations.. The oncologist. https://doi.org/10.1093/oncolo/oyag143
MLA
Elena Castro, et al.. "Matching-Adjusted Indirect Comparisons of PARP Inhibitor Combinations in Metastatic Castration-Resistant Prostate Cancer Across Key Populations.." The oncologist, 2026.
PMID
41992842 ↗
Abstract 한글 요약
[BACKGROUND] Without head-to-head trials comparing talazoparib plus enzalutamide (TALA+ENZA), olaparib plus abiraterone acetate and prednisone (OLAP+AAP), and niraparib plus abiraterone acetate and prednisone (NIRA+AAP) as first-line treatments for metastatic castration-resistant prostate cancer (mCRPC), treatment selection remains challenging. This study estimated the relative efficacy of TALA+ENZA versus OLAP+AAP and NIRA+AAP in unselected, homologous recombination repair (HRR)-deficient, and BRCA-mutated (BRCAm) populations.
[METHODS] Unanchored matching-adjusted indirect comparisons (MAICs) were conducted using individual patient data from TALAPRO-2 (TALA+ENZA) and published summary-level data from PROpel (OLAP+AAP) and MAGNITUDE (NIRA+AAP). TALAPRO-2 patients meeting PROpel/MAGNITUDE eligibility criteria were included; remaining patients were reweighted to align on key baseline characteristics. Hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated for radiographic progression-free survival (rPFS) and overall survival (OS).
[RESULTS] In unselected patients, TALA+ENZA significantly prolonged rPFS versus OLAP+AAP (HR: 0.747; 95% CI: 0.583, 0.957), with no OS difference (HR: 0.821; 95% CI: 0.649, 1.039). In HRR-deficient patients, TALA+ENZA significantly prolonged rPFS versus OLAP+AAP (HR: 0.648; 95% CI: 0.423, 0.992), with no OS difference (HR: 0.834; 95% CI: 0.569, 1.223). Comparisons with OLAP+AAP in BRCAm were infeasible. Compared with NIRA+AAP, TALA+ENZA significantly prolonged rPFS and OS in HRR-deficient (HR: 0.406; 95% CI: 0.251, 0.655; HR: 0.554; 95% CI: 0.340, 0.902) and BRCAm patients (HR: 0.394; 95% CI: 0.222, 0.698; HR: 0.472; 95% CI: 0.247, 0.902).
[CONCLUSIONS] MAICs showed improved clinical benefit with TALA+ENZA versus OLAP+AAP and NIRA+AAP across multiple mCRPC populations and endpoints. Despite limitations of indirect comparisons, findings support TALA+ENZA as a first-line treatment option for mCRPC.
[METHODS] Unanchored matching-adjusted indirect comparisons (MAICs) were conducted using individual patient data from TALAPRO-2 (TALA+ENZA) and published summary-level data from PROpel (OLAP+AAP) and MAGNITUDE (NIRA+AAP). TALAPRO-2 patients meeting PROpel/MAGNITUDE eligibility criteria were included; remaining patients were reweighted to align on key baseline characteristics. Hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated for radiographic progression-free survival (rPFS) and overall survival (OS).
[RESULTS] In unselected patients, TALA+ENZA significantly prolonged rPFS versus OLAP+AAP (HR: 0.747; 95% CI: 0.583, 0.957), with no OS difference (HR: 0.821; 95% CI: 0.649, 1.039). In HRR-deficient patients, TALA+ENZA significantly prolonged rPFS versus OLAP+AAP (HR: 0.648; 95% CI: 0.423, 0.992), with no OS difference (HR: 0.834; 95% CI: 0.569, 1.223). Comparisons with OLAP+AAP in BRCAm were infeasible. Compared with NIRA+AAP, TALA+ENZA significantly prolonged rPFS and OS in HRR-deficient (HR: 0.406; 95% CI: 0.251, 0.655; HR: 0.554; 95% CI: 0.340, 0.902) and BRCAm patients (HR: 0.394; 95% CI: 0.222, 0.698; HR: 0.472; 95% CI: 0.247, 0.902).
[CONCLUSIONS] MAICs showed improved clinical benefit with TALA+ENZA versus OLAP+AAP and NIRA+AAP across multiple mCRPC populations and endpoints. Despite limitations of indirect comparisons, findings support TALA+ENZA as a first-line treatment option for mCRPC.
🏷️ 키워드 / MeSH 📖 같은 키워드 OA만
같은 제1저자의 인용 많은 논문 (4)
- Radiographic progression-free survival as a surrogate endpoint for overall survival in first-line ARPi naïve metastatic castration-resistant prostate cancer.
- Systematic literature review and meta-analysis of health state utility values in metastatic castration-resistant prostate cancer.
- Talazoparib plus enzalutamide versus olaparib plus abiraterone acetate and niraparib plus abiraterone acetate for metastatic castration-resistant prostate cancer: a matching-adjusted indirect comparison.
- PARP Inhibitors and Prostate Cancer: The Struggle To Separate the Grain from the Chaff.
🏷️ 같은 키워드 · 무료전문 — 이 논문 MeSH/keyword 기반
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- Poly(ADP-ribose) polymerase (PARP) inhibitors in cardiovascular, and cerebrovascular diseases: mechanisms, current trends and challenge for clinical translation.
- PARP inhibitors elicit distinct transcriptional programs in homologous recombination competent castration-resistant prostate cancer.
- Augmented myeloablative conditioning with olaparib in allogeneic hematopoietic stem cell transplantation for relapsed/refractory RUNX1::RUNX1T1-positive acute myeloid leukemia.
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