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4

Indication details

Combined Agent(s)
Prednisone + ADT (androgen deprivation therapy)
Control Arm
ADT + placebo
FDA Therapeutic Indication
Indicated with prednisone or prednisolone for the treatment of newly diagnosed high risk metastatic hormone sensitive prostate cancer (mHSPC) in adult men
Tumour Type
Genitourinary Cancers
Tumour Sub-type
Prostate cancer
Tumour Stage
High Risk
Trial Name
LATITUDE
NCT Number
NCT01715285
Trial Phase
Phase III

Approval details

FDA Approval
FDA approval February 2018
EMA Approval
EMA (CHMP) October 2017 EC decision December 2017

Primary Outcome(s)

Primary Outcome(s)
OS and PFS
Evaluated Outcome
OS
Form(s)
Form 2a

Outcome Data

PFS Control
14.8 months
PFS Gain
18.2 months
PFS HR
0.47 (0.39-0.55)
OS Control
36.5 months*
OS Gain
16.8 months
OS HR
0.66 (0.56-0.78)

Adjustments

QoL Comment
Not qualified for an ESMO-MCBS credit

Score (after adjustments)

Preliminary non-curative score

4

Non-curative score

4

Comment
*OS of the control arm may be overestimated by inadequate post-progression treatment of control arm patients with abiraterone or enzalutamide when castration-resistant

Scorecard details

ESMO-MCBS version
ESMO-MCBS v1.1
Scorecard ID
175
Scorecard version
1
Issue date
10.06.2020
Last update
10.08.2023
Abiraterone LATITUDE

PRELIMINARY SCORE

OS

ADJUSTMENTS

Not qualified for an ESMO-MCBS credit
Abiraterone LATITUDE

SCORE

Overall Survival / Disease-Free Survival / Pathological Complete Response
4
Overall Survival
Progression-Free Survival
Non-inferiority (Improved Quality of Life or Reduced Adverse Events) / Response Rate
Overall Response Rate / Duration of Response
Genitourinary Cancers
Indicated with prednisone or prednisolone for the treatment of newly diagnosed high risk metastatic hormone sensitive prostate cancer (mHSPC) in adult men
Abiraterone + Prednisone + ADT (androgen deprivation therapy)
ADT + placebo

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    Legend

    Information about symbols, abbrevations and color codes

    Red = negative
    Green = positive
    Grey = neutral
    ? Grey + ? = neutral with pending data
    DFS
    Disease-Free Survival
    DoR
    Duration of Response
    EFS
    Event-Free Survival
    HR
    Hazard Ratio
    NEB
    No evaluable benefit
    NI
    Non-inferiority Study
    ORR
    Overall Response Rate
    OS
    Overall Surival
    pCR
    Pathological Complete Response/Remission
    PFS
    Progression-Free Survival
    QoL
    Quality of Life
    RFS
    Relapse-Free Survival
    RR
    Response Rate

    QoL adjustments

    Other adjustments*

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    QoL adjustments

    Red = negative / deterioration

    Green = positive / improvement

    Other adjustments*

    Red = negative / deterioration

    Green = positive / improvement

    Serious and disabling adverse effects

    Red = negative / deterioration

    Green = positive / improvement

    * Other adjustments include:

    - Long-term plateau in the survival curve
    - Long-term plateau in the PFS curve
    - Early stopping or crossover
    - Only improved PFS mature data shows no OS advantage and no improved Qol.

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