Effect of dutasteride on the risk of prostate cancer

Autor: Andriole, G.L., Bostwick, D.G., Brawley, O.W., Gomella, L.G., Marberger, M., Montorsi, F., Pettaway, C.A., Tammela, T.L.J., Teloken, C., Tindall, D.J., Somerville, M.C., Wilson, T.H., Fowler, I.L., Rittmaster, R.S., Mulders, P.F.A., Schrier, B.P.
Přispěvatelé: Department of urology, Università Vita-Salute San Raffaele, Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC ( CEF2P / CARCINO ), Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ), Service de Néphrologie et Urologie, Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Hôpital Saint-Jacques, Andriole Gerald, L., Bostwick David, G., Brawley Otis, W., Gomella Leonard, G., Marberger, Michael, Montorsi, Francesco, Pettaway Curtis, A., Tammela Teuvo, L., Teloken, Claudio, Tindall Donald, J., Somerville Matthew, C., Wilson Timothy, H., Fowler Ivy, L., Rittmaster Roger, S., Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (EA 3181) (CEF2P / CARCINO), Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)-Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Service d'urologie, andrologie et transplantation rénale, Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Hôpital Saint-Jacques
Jazyk: angličtina
Rok vydání: 2010
Předmět:
Male
Relative risk reduction
Prostate biopsy
Biopsy
MESH : Risk
Prostatic Hyperplasia
030232 urology & nephrology
MESH : Aged
MESH: Protein Isoforms
[ SDV.CAN ] Life Sciences [q-bio]/Cancer
MESH: Biopsy
chemistry.chemical_compound
Prostate cancer
5-alpha Reductase Inhibitors
0302 clinical medicine
Erectile Dysfunction
Protein Isoforms
MESH: Double-Blind Method
Enzyme Inhibitors
MESH : Prostate-Specific Antigen
10. No inequality
MESH: Treatment Outcome
MESH: Erectile Dysfunction
MESH: Aged
MESH: Risk
MESH: Middle Aged
medicine.diagnostic_test
Prostate
General Medicine
Middle Aged
MESH : Prostatic Hyperplasia
MESH: Prostate-Specific Antigen
3. Good health
Prostate-specific antigen
Treatment Outcome
MESH: Enzyme Inhibitors
030220 oncology & carcinogenesis
Finasteride
medicine.symptom
MESH : Prostatic Neoplasms
Risk
medicine.medical_specialty
MESH : Male
Urology
[SDV.CAN]Life Sciences [q-bio]/Cancer
MESH : Testosterone 5-alpha-Reductase
MESH : Treatment Outcome
MESH: Prostate
MESH: Azasteroids
MESH: Prostatic Hyperplasia
03 medical and health sciences
Double-Blind Method
Translational research [ONCOL 3]
medicine
Humans
MESH : Double-Blind Method
MESH : Middle Aged
MESH: Testosterone 5-alpha-Reductase
Aged
MESH : Azasteroids
Heart Failure
Gynecology
MESH : Enzyme Inhibitors
MESH: Humans
MESH : Erectile Dysfunction
business.industry
Urinary retention
MESH : Humans
Prostatic Neoplasms
MESH : Protein Isoforms
Dutasteride
Prostate-Specific Antigen
medicine.disease
MESH: Male
chemistry
Azasteroids
MESH: Prostatic Neoplasms
MESH : Biopsy
MESH: Heart Failure
Prostate surgery
business
MESH : Heart Failure
MESH : Prostate
Zdroj: New England Journal of Medicine
New England Journal of Medicine, Massachusetts Medical Society, 2010, 362 (13), pp.1192-1202. 〈10.1056/NEJMoa0908127〉
The New England Journal of Medicine, 362, 13, pp. 1192-202
The New England Journal of Medicine, 362, 1192-202
New England Journal of Medicine, Massachusetts Medical Society, 2010, 362 (13), pp.1192-1202. ⟨10.1056/NEJMoa0908127⟩
ISSN: 0028-4793
1533-4406
Popis: Background: We conducted a study to determine whether dutasteride reduces the risk of incident prostate cancer, as detected on biopsy, among men who are at increased risk for the disease. Methods: In this 4-year, multicenter, randomized, double-blind, placebo-controlled, parallel-group study, we compared dutasteride, at a dose of 0.5 mg daily, with placebo. Men were eligible for inclusion in the study if they were 50 to 75 years of age, had a prostate-specific antigen (PSA) level of 2.5 to 10.0 ng per milliliter, and had had one negative prostate biopsy (6 to 12 cores) within 6 months before enrollment. Subjects underwent a 10-core transrectal ultrasound-guided biopsy at 2 and 4 years. Results: Among 6729 men who underwent a biopsy or prostate surgery, cancer was detected in 659 of the 3305 men in the dutasteride group, as compared with 858 of the 3424 men in the placebo group, representing a relative risk reduction with dutasteride of 22.8% (95% confidence interval, 15.2 to 29.8) over the 4-year study period (P
Databáze: OpenAIRE