A retrospective, single institution study of 450 men with biochemical recurrence after radical prostatectomy included 140 men with androgen deprivation therapy deferred until metastatic disease onset. Metastasis-free survival was an independent predictor of overall survival. This research highlights the need to develop appropriate intermediate end points to expedite prostate cancer treatment.
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Madan, R., Gulley, J. Intermediate efficacy end points to assess modern therapies. Nat Rev Urol 10, 686–687 (2013). https://doi.org/10.1038/nrurol.2013.269
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DOI: https://doi.org/10.1038/nrurol.2013.269