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Decipher genomic score guides abiraterone intensification in prostate cancer

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A University College London team presented a new analysis of the STAMPEDE trial at a cancer conference in Madrid, showing the Decipher genomic test can stratify prostate cancer patients by risk. Each 0.1 increase in Decipher score corresponded to a hazard ratio of 1.49 for distant metastasis and 1.38 for prostate cancer death. Real-world data from 27,607 cases and 401 cases from the randomized trial consistently showed that high-score patients benefited from abiraterone intensification, while low-score patients might be spared overtreatment. The UK NHS has already rolled out abiraterone for high-risk locally advanced prostate cancer. Broader adoption of the test to guide treatment decisions is still under discussion.

Written by a model from the reports · updated 3 hours ago

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Oct 24
  1. medicalxpress.comPick
    Diagnostic test could help doctors refine prostate cancer treatment

    A University College London team presented a new analysis of the STAMPEDE trial at a cancer conference in Madrid: each 0.1 increase in the Decipher genomic test score carried a hazard ratio of 1.49 for distant metastasis and 1.38 for prostate cancer death. Real-world data on 27,607 cases and randomized trial data on 401 patients consistently showed that high-score patients benefit from intensified abiraterone treatment, while low-score patients may avoid overtreatment. The UK NHS has already rolled out abiraterone for high-risk locally advanced prostate cancer.

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