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metastatic hormone-sensitive prostate cancer (mHSPC) has improved in clinical trials over the last 20 years. 1, 2 It is unclear whether new treatments have translated to improvements in survival rates in clinical practice. We sought to quantify trends in OS among patients with newly diagnosed de novo (synchronous) mHSPC in 2 national registries in the United States Sep 9, 2024 · Prostate cancer treatments paradigms are in continuous evolution, especially in the metastatic setting. In this context, the Genito-Urinary Group of Italian Association of Radiotherapy and Clinical Oncology aimed to create a consensus on radiation therapy indication in de novo metastatic hormone-sensitive prostate cancer both on primary tumor and metastatic sites. Jul 16, 2025 · The treatment of metastatic hormone-sensitive prostate cancer has evolved rapidly, with the emergence of doublet and triplet therapies transforming outcomes. However, these advances bring new complexity and shift the clinical focus from intensification to personalization. Recent evidence, including major data presented at the 2025 ASCO Annual Meeting, on molecular profiling, biomarkers, and AI Explain the role of the PI3K/AKT pathway in prostate cancer biology. Explore collaborations between urologists, oncologists, radiologists, and other healthcare professionals in managing de novo mHSPC. Employ strategies to manage and mitigate common adverse events associated with AKT inhibitors and other therapies used in mHSPC. Dr. Karim Fizazi delved into why local treatment still matters for high-volume de novo metastatic hormone-sensitive prostate cancer. Dr. Fizazi highlighted that in patients with high-volume de novo metastatic hormone-sensitive prostate cancer (mHSPC), a key concern is managing severe local symptoms of metastatic disease. Newly presenting or de novo metastatic hormone-sensitive prostate cancer (mHSPC) accounts for 5% to 10% of all prostate cancer (PC) diagnoses, but it is responsible for nearly 50% of

PC-related deaths. 1 De novo mHSPC is characterized by an aggressive course with faster development of castration resistance and worse overall survival (OS) in Mar 21, 2023 · ADT–docetaxel–abiraterone–prednisone is recommended as first-line treatment for fit men with de novo metastatic hormone-sensitive prostate cancer (mHSPC), especially in those with multiple bone metastases (>3) or visceral metastases [I, B; European Society for Medical Oncology-Magnitude of Clinical Benefit Scale (ESMO-MCBS) v1.1 score: 4 The median age of presentation of de novo metastatic prostate cancer based on registry data is 73–76 years [24 – 26], which is significantly higher than the age of the men recruited in all of the clinical trials. May 9, 2024 · This review assesses current evidence and emerging treatment strategies for improved survival among patients with metastatic hormone-sensitive prostate cancer and offers recommendations for clinical practice application.

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