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Impact of a rash management guide in patients receiving apalutamide for high-risk localized prostate cancer in the Apa-RP study.

Prostate cancer and prostatic diseases 2025 Vol.28(3) p. 828-831

Shore N, Hafron J, Saltzstein D, Bhaumik A, Aggarwal P, Phillips J, McGowan T

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[BACKGROUND/OBJECTIVES] Based on the SPARTAN and TITAN studies, apalutamide is approved for patients with nonmetastatic castration-resistant and metastatic castration-sensitive prostate cancer.

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APA Shore N, Hafron J, et al. (2025). Impact of a rash management guide in patients receiving apalutamide for high-risk localized prostate cancer in the Apa-RP study.. Prostate cancer and prostatic diseases, 28(3), 828-831. https://doi.org/10.1038/s41391-024-00858-4
MLA Shore N, et al.. "Impact of a rash management guide in patients receiving apalutamide for high-risk localized prostate cancer in the Apa-RP study.." Prostate cancer and prostatic diseases, vol. 28, no. 3, 2025, pp. 828-831.
PMID 38969791

Abstract

[BACKGROUND/OBJECTIVES] Based on the SPARTAN and TITAN studies, apalutamide is approved for patients with nonmetastatic castration-resistant and metastatic castration-sensitive prostate cancer. Skin rash was a common adverse reaction across indications. We hypothesized that earlier identification and intervention could improve rash outcomes.

[SUBJECTS/METHODS] A prespecified rash management guide outlining recommended skin care practices was provided to all patients enrolled in Apa-RP (NCT04523207). Rash-related safety data from Apa-RP were compared descriptively with data from SPARTAN and TITAN.

[RESULTS] Patients in Apa-RP experienced improved rash-related outcomes vs those in SPARTAN and TITAN.

[CONCLUSIONS] Increased vigilance and proactive management may reduce the incidence, severity, and duration of rash during apalutamide treatment.

MeSH Terms

Aged; Humans; Male; Middle Aged; Androgen Receptor Antagonists; Exanthema; Prostatic Neoplasms; Prostatic Neoplasms, Castration-Resistant; Thiohydantoins

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