Personalized intensification of treatment for hormone-sensitive prostate cancer
@NatRevClinOncol
Goal: hit cancer harder, earlier & smarter with biology, risk & PSMA-PET. ADT ARPI = backbone for most pts.
Docetaxel for de novo high-volume.
Prostate RT: survival boost in low-volume.
Enzalutamide±ADT: best for high-risk BCR.
🌟PSMA-PET reshapes staging, EMBARK showed M1 in 46% despite negative CT/Bone scan (~30-40% higher detection)
Next discussions: integrating 177Lu-PSMA, AKT & PARP inhibitors after ve trials with biomarkers as the key to pt selection ✅
Really nice review
doi.org/10.1038/s41571-025-0… @OncoAlert